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Oxycontin and Morphine Sulfate Questions
Oxycontin and Morphine Sulfate Questions
I have a few questions any help is appreciated.
I have been on Oxycontin 80mgs SR Tablets 3 times daily for approx.2 years,prior to that the dosage was lower.The Oxycontin was not
helping with my pain for a long time so my family Dr. after many months of
complaining changed my medication yesterday to PMS-Morphine Sulfate 60mgs Tablets SA twice daily.My question is I was wondering if the Morphine
60mgs twice daily is stronger than the 3 Oxycontins that I was taking?
I don't know much about both medications and it says take twice daily when
would I take them and how long do they last in your system?My Dr is not in today to get the info and my drugstore is no help at all.I have not started to
take the morphine pills yet I'm a bit worried.
I also have concerns about the other meds I take my Dr. says It okay not to worry.I take Diazepam 10mgs 4 times daily when needed.
Lorazepam 1 mg 3 times daily when needed.
Nitrazepam 10mgs at bedtime and
Gabapentin 300mgs twice daily.
I have so many health issues that is why I am on so many meds, my Dr says
its ok to take all the meds together and not to worry.
Any help to my questions is much appreciated.
Thank You Lacey.
No the 3 80mg OC's are much stronger, one 80 OC is stronger then both of the MS mg for mg. You should take them 8-12 hours apart.
Just click the drug interaction tab up top and run your meds through it.
Why are you taking three benzo's (diazepam, lorazepam and nitrazepam)???Mixing these drugs with opiates (ie: morphine) can slow your respitory system down and in some cases the patients dies from this.Nitrazepam is an especially strong hypnotic drug with strong sedative effects.You must be strung out all day.Are you getting these drugs from the same doctor.If you aren't you need to tell all of them what you are taking as in my opinion you are taking far to many benzodiazepines and are indangering yourself.Good luck
P.S. Gabapentin is a safe drug used originally for epileptics(sp) but was also found to be a great pain reliever for neuropathic pain.....Dave
Thanks for the info. I have a few questions for both my Dr and drug store as to why I haven't been told that I am indangering myself.My drug store should have told me of any interactions.I have had the same family doctor for about 20 yrs.I can't go to any walk in clinics or to any other doctor as I signed a paper stating I wouldn't or I'd be released as his patient.The meds are from my family doctor only.As for being strung out all day I'm not. I have been on Diazepam approx 15 yrs & Lorazepam for about 10 yrs Nitrazepam 4 yrs and Oxycontin about 6yrs.The reason my family dr has me on all these meds is because I was in 2 car accidents which left me with chronic pain in my neck shoulders & back.I have Fibromyalgia and RLS.I know a person that has Fibro
that takes oxycontin,perks as well as clonazepam and a sleeping pill same as me.What is with my Dr & my friends DR.
With the info you gave me I am scared to take my 3 meds,my sleeping pill I haven't taken since I read your reply and I'm scared to take my others.I guess I should find out from my dr why he has me on the three when he knows what could happen?Thanks again.Any more info much appreciated.
Hi Cats Meow
Thanks for the info.I don't understand why my doctor would put me on Morphine 60mgs twice daily when I was taking Oxycontin SR 80mgs
every 8 hrs and they were not helping with my pain.It just doesn't make
sence to do that and he also told me they were the same strenght just
different meds.He's got me confused.
Hi Lacemiston't stop taking your meds please.Remember I am not a doctor and you should always discuss any med change with your doctor,always.You have been taking these meds for a long time and have built up a signifigant tolerance to them so your chances of respitory failure are lower then say a non-tolerant patient.I would still talk to your doctor about the 3 benzo's as it seems like overkill to me.Good luck and take your meds as prescribed.....Dave
Thanks alot for taking the time to help.I am going to my doctors tommorrow
and will get meds straightened out.Again thanks alot
Do you mind if I ask how old you are? The only reason I ask is because with the medication you are on it seems like you will NEVER be able to get off them. Did your Dr. tell you that you will be taking them for life? Diazepam, Lorazepam and Oxycontin are a LETHAL mix, especially at your dosage. I would consult your Dr. ASAP.
Let us know how you make out,Good luck.....Dave
Oxycontin and Morphine Questions
I went to my family doctor on Wed.He told me that because of my health
problems I will be on the meds for life,which I already knew.I did stop my sleeping pills on my own even though my doctor feels that I have built up a tolerance like Dave said and that I'd be fine with the meds.
I am 42 yrs old.
The reason my doctor took me off of the oxycontin 80mgs every 8hrs and put me on Morphine 60mgs 2xs daily was because I was complaining about breakthrough pain which he said he would not give me meds for.
Then on Wed he put me back on the oxycontin because the morphine was not working for me.
But he also gave me a breakthrough pain med which surprised me.
He gave me Endocet 5&325mg (oxycodone HCL & Acetaminophen) and said if I needed to have them adjusted he would do so after being on them for a week or two.
All and all my family doctor feels I am on alot of meds but because of my
health problems and having to be on them for life I am okay and don't need
to worry.Which I still am a bit because of being on alot of meds.
A friend told me the new med was perks and I said I don't know if they are
does anyone know?
Thanks for the help and concern.
LaceyMist ~ I am sorry to hear that you suffer so much!! It can be very hard to find the right combo of meds to really be effective. I hate to hear that your doctor holds no hope out of you being able to find some other means of handling your medical issues. I mean other than narcotics. At the age of 42 that must feel like a long sentence so to speak. If you don't mind me asking what are the medical issues that cause you the most pain?? Is there nothing that you might be able to try to at least lessen the amount of meds you need and hopefully lessen your pain?? The reason I ask is because no matter what you do you are going to have to keep upping the amount of narcotics you take as time goes on. Looking at the over all picture considering you are only 42 I hate to think the amount of meds you are going to have to take, in say ten years, if you contine on in the same manner.
I am also on meds for chronic pain so these are things that I worry about for myself as well. I know that at this time I am sure you are just worried about finding the correct combo to help you in the here and now and that is why I think it would be a good idea if you had a doctor that maybe would be more motivated to find a solution rather than just handing out a sentence to a life of narcotics. In my opinion it may be time for you to consider finding a new doctor!!!
[FONT=Georgia][SIZE=4][COLOR=purple][B]"Some days it's not even worth chewing through the restraints!"[/B][/COLOR][/SIZE][/FONT]
Listen to me.. Do NOT. DO NOT, go online and ask questions about the serious combinations of drugs you are taking. DO NOT take advice from anyone but a medical physician.
If you do not feel comfortable with your doctors care to this point, including what is being prescribed to you, then call another physician and tell him/her about the concerns your have regarding the medicaitons which have been prescribed. That's your right and you should not hesitate if you feel something is wrong.
Is the prescription drugs you have taken are having a negative reaction, DO NOT hesitate to go to the emergency room.
Once again, DO NOT go online to ask opinions of people you do not know, regarding the medication prescribed by your doctor. Only get a second opinion by another physician.
I bet your in the medical field...did you know your posting to someone from 2007... yea I think I want to listen to you.
I'll second that Melinda. You KNOW he or she is in medical profession. Or maybe just a student, no real life experience observed.
to live my life and to be free !
That is the dumbest thing I've heard all day, what better then someone who actually takes the medication, I would trust someone who takes as oppose to a doctor who never has & also has a vested interest with the pharmaceuticals companies, life experience is the best teacher.
So quit flapping that crapping.
I am inclined to agree with you regarding the advice of others who have actually used the medications compared to a doctor who has not. Although a pharmacist is very helpful when it comes to meds because they have studied it for years.
I have chronic back pain. In 1996 I was ran over by my own car, then in 2007 I was hurt while trying to apprehend a shoplifter. My MRI showed a bulging disk on L5-S1. So automatically they wanted to do surgery. I was very apprehensive for the longest because it felt as though my pain was coming from somewhere else, like a nerve was being pinched or aggravated. I went to my personal care phisician and he sent me to a specialist who said it was not the disk but my SI joint. My doctor agreed and I put the surgery off. He agreed to oversee my pain management. Six months later he retired and his replacement was not so kind. She thought I should be seen at a pain management clinic; which was fine by me, but the appointment given was 3 months away. So then it came down to have the surgery or go without pain management. I could not live the the persistent pain so I again questioned my workman's comp doctor, giving him the information from my personal care doc and the specialist I was sent to, but the orthopedic doc said it was the disk and even gave me a diskogram to prove it. I was convinced when the diskogram gave me the worse pain of my life; however, I couldn't say without any doubt that it was my every day pain I felt. Before surgery I was taking 4 Norco, which is Hydrocodone just with less Tylenol. The amount was 10/325. After surgery, I was taking 12 Norco a day, which really weren't fixing it, but nearly dulling the pain enough to make it tolerable.
Finally when I got in with my pain management doctor he wanted to send me in for a bone scan which would tell us for sure if my SI joints were actually the culprit. The normal reading for one's SI joint would be a 1.4. On my left I was a 1.7 and on the right a 1.9. So as it stands I didn't need the disk fusion to begin with. Which sucks because I am not fully healed. I have what's called a false healing of the bone which was attached to my rods. Which means my body rejected them rather than healing them as though it was a break in one of my bones. Before the bone scan the orthopedic doc wanted to redo the surgery, but once he found out that he'd been wrong all along he no longer wants to do so. So now I am going to be in pain for the rest of my left. We tried the steroid injections into the SI joints, but I am allergic to steroids so the only kind I could take was Decadron, which is not the best choice for those types of injection. The first choice would be cortisone, but I am allergic to that. I am only 34 who was going to school full time getting my degree in Criminal Justice so I could fight the good fight, but now all I can do is lay in my bed and wait for the pills to kick in. I'm on 20 mg Oxycontin 3 times daily and four 10/325 of Percocets for btp. I had to change my major to psychology so at least I could become a forensic profiler or some other sit down job type. Not hardly what I'd imagined doing with my life, but thems the breaks.
So I say, any advice from one patient to another is worth considering, if you know the patient and the patient isn't taking pills just to get high. People who are in real pain don't have to up the dose and probably won't get addicted to the medication. I had some of my last two weeks worth of pills stolen by my neice. She took about 9 percocets and a few oxys which left me with 2 percocets and 2 oxys a day as opposed to 3 and 4 for two weeks. I was in a lot of pain, but never suffered any withdraw symptoms or anything as far as that goes, nor have I ever gotten high from taking my meds. If you truly need them those issues won't be a problem.
I'm just saying.....
I'm so sorry you've been in so much pain. It must be frustrating to have to adapt your career based on what your body can handle physically. I do however strongly disagree with your statement that:
"People who are in real pain don't have to up the dose and probably won't get addicted to the medication. I was in a lot of pain, but never suffered any withdraw symptoms or anything as far as that goes, nor have I ever gotten high from taking my meds. If you truly need them those issues won't be a problem."
While I think it's extremely fortunate that you've never become dependent on the pain meds, I think you'll see by reading many of the threads on the forum that anyone is susceptible to dependence on these powerful medications. Yes, there are some people who begin taking pain killers to get high, but there are a lot of people, far more so I'd say, that began taking pain medication innocently enough for legitimate pain management.
My personal experience is that I became physically dependent on Norco by mistake. I wasn't buying drugs on the street-- never have. I was getting medication from my doctor after seeing a variety of specialists for chronic neck and back pain. In the end the best solution for me was acupuncture, but I found that solution after finding myself "accidentally" addicted to what I consider to be a strong pain medication. Even though I was only on it for a few months, when I quit cold turkey it was hell. I cannot put into words how horrible that experience was-- both for me and for my family who supported me and watched me go through it.
Obviously we all have our own stories and we all react to things differently. But I think it's a false assumption that if someone really has pain, they can't get addicted to pain medication. I'd say on the contrary, it can sneak up on you. That's part of the reason the abuse of prescribed medication has become an epidemic-- a lot of people who are looking to get some relief from pain are finding that the very drug that is supposed to help them ends up creating more pain in the long-term. No doubt, these meds are helpful for some for short-term use and that's great that they're providing you with some relief, but there are many, many people who start out taking these medications with honest intentions and end up finding themselves down a not-so-great path.
Thanks for Replying
Hi, and thanks for your personal story! I probably did misspeak when I said that but I've seen a lot of people, including myself take them for real pain and then come off of them with no problem. Only one person I know went through the same thing as you, though I'm sure there are others out there.
Let me explain why I said, 'if you really are in pain you won't get addicted to it'. It's because in 1996, when I was ran over by my car, I suffered a severe facial laceration, a broken clavicle. One of my ribs on the left side broke and was actually sticking out of my back and while in surgery the hospital put third degree burns on my thighs by using a bear hug warmer on too high of a temperature. (Swear, it's all true)
Anyways my doctor put me on Vicodin 10/500 and was giving them to me regularly for many months. I would say I was on them for at least 8. Then when I went to my personal care physician, I told him that the Vicodin weren't working and that my collar bone was still hurting all the time. He said that I didn't need a pain pill but an anti-inflammatory. So he gave me something by prescription and I'll be darned if it stopped the pain almost immediately and I never took the Vicodin again. I think it's because I didn't get high when I took them, just a little pain relief, then when they quit working, I found a non-narcotic that took the pain away so I saw the Vicodin as not needed? I really honestly don't know why I didn't get addicted.
My ex-husband broke his foot and was on them for just a week and after he ran out he laid on the couch in cold sweats going through withdraws. The only difference between he and I is I don't have an addictive nature and he does.
So I'm sorry if I misspoke and for what you had to go through. I've seen withdraw first hand and know it must have been horrible for you and your family.
I know that in my psychology classes they talk about the brain receptors and how when you're in pain a little message will go out that says, "pain" and then when you take medicine the receptors are blocked and they don't feel the pain. It's not like it isn't still there, because it is. The medicine just masks the pain by blocking the receptors.
Well my guess is that if your not in pain, the part of your brain that gets "high" while using drugs will get the medicine because there aren't any receptors saying pain. So you are actually able to get high on the meds and therefore addicted. Now that just my personal opinion. It's not like I'm writing a thesis on it. I've never once felt high on any of my pain meds. That's why I think that the part of your brain that does get high, won't if you are in a lot of pain. I've been on another site and some of the others say the same thing about not getting high on their meds.
There really is no explanation that I know of as to why some people get addicted after a short time of use, while others who've been on them for a lengthy time, are able to come off without any repercussions. If anyone out there knows I've love to hear your theory.
No worries, I appreciate hearing your account. I just wanted to share my experience to maybe help explain that addiction isn't so black and white. I consider myself to be an example of one of the shades of grey. Believe me, sometimes I wish it was a more "black and white" situation. I was always the perpetual "good girl"-- good grades, great student, great university, etc etc, I've never bought drugs illegally, and I admit that I'm the last person I thought I'd see in the clutches of addiction. When all my friends in high school were drinking, I was the sober one. It was very humbling to say the least.... But I think the experience kind of kept me in check. It may not happen to everyone, I really hope it doesn't. But if it happened to me it most definitely CAN happen to anyone.
I think one of the trickiest thing about prescription medication is that it sort of legitimizes the use of drugs because it's something that a doctor gives you so it "must be okay." That was my mentality anyway. I was still being the good girl (so to speak) by going to the doctor, taking what they gave me, and following their instructions. I never thought that course of action could put me in such a dark place. Again, I know that these medications can be really helpful for people so I'm not speaking out vehemently against western medicine. I just think that even the best intentions can go awry. Food for thought.... But I'm so glad that in your case, with the intense state of pain you were in, you were able to get some relief.
Perscription medication abuse has skyrocketed in America. It's rampant not only in High Schools but it Middle Schools as well. My 8th grader says they sell xanax and vicodin and perks at the school, its scary.
I recently was reading an article written by someone with a Ph.d (not a medical doctor) from a Christian Hospice Center where the focus was strictly on compassionate care and pain relief. Maybe this does not apply to younger people with orthopedic pain. As I remember, the article mainly dealt with end of life cancer pain. But according to the article, when you are healthy and have a healthy endorphin system, you add the narcotics and they really tickle those receptors, getting you high. When you are in severe pain, your endorphin system is compromised so the narcotic just replaces whats missing and you don't get high. I am not an expert or a scientist however and am only telling you somethinig I read in an article.
I wish I knew the addiction answer though. Why some are addicted so quickly and some never get addicted. As a young drug user who became an addict there was always the occasional kid who took drugs, even narcotics, on a friday and saturday night, never escalated, matured, stopped the madness and that was that. Then you had the ones who were addicted for years and years....Maybe addictive behaviors are genetic. Not necessarily drug addiction but just plain behavior. My dad enjoyed gam b l ing. My mom would never quit smoking even when her health was jeapordized. I'd love to know the real answer.
Be very carful
You need to talk to your Dr. As many Benzodiazepine you are taking it's a miracle your still ok. Benzos are much more dangerous than opiates and mixing the two together can lead to serious side effects even death, taking so many drugs at one time slows your heart rate down even to the point where it will stop. Talk to your dr. ASAP
Originally Posted by laceymist
NormLucy5 Just had to ask did you read this thread this was in 2007 !!
Says new member. cool. strange too. Cuz I am LucyGoose and many know that one of my Dogs is Norm. Just want to clear up here to all this ain't the Goose!
hey lacey i was in a 2 car totaling accident that completely destroyed my knee, but all the issues were not noticed until many months later. My acl was not repaired until 3 years after the accident, which did detrimental damage to my knee and kneecap. Before the acl replacement, i was in unbearable pain from so many of the issues i have with it i was forced to buy percocet from a family friends mother who didnt really take them. i had to do this for 2.5 years because my first ortho refused to give me any kind of medication and said he didnt think i needed them. after a while, it became too expensive and i was becoming more tolerant to the medication (i did NOT), so i was referred to pain management from my orthopaedist. my pain management doctor put me on 10mg percocet four times a day, but after only
hey lacey i was in a 2 car totaling accident that completely destroyed my knee, but all the issues were not noticed until many months later. I did have meniscus surgery, but now i only have about 20% of the cartilage needed and no washer (which is the cushioning your knee uses when you put pressure/body weight when you walk/drive/stairs, etc) My acl was not repaired until 3 years after the accident, which did detrimental damage to my knee and kneecap. Before the acl replacement, i was in unbearable pain from so many of the issues i have with it i was forced to buy percocet from a family friends mother who didnt really take them. i had to do this for 2.5 years because my first ortho refused to give me any kind of medication and said he didnt think i needed them. after a while, it became too expensive and i was becoming more tolerant to the medication (i did NOT abuse them, i took one tablet every 6 hours because that is what i was prescribed after my meniscus surgery and it worked well for me), i was still in so much pain, i decided to get a second opinion and that is when i discovered all my issues: complete tear of the acl, missing meniscus, arthritis in 3 places, fine cracks all over my entire kneecap, patellarfemoral issues, edema, and my kneecap was damaged as to where it doesnt glide properly. finally, i was referred to pain management from my orthopaedist. my pain management doctor put me on 10mg percocet four times a day, but after only 7 months, she added 10mg oxycontin along with my percocet. i go to her once a month and i go this friday and im going to see if they make a 15mg percocet as well as 3 oxycontins a day because the pain has only gotten worse. I saw your question asking what endocet was. endocet is generic for percocet which is oxycodone and acetaminophen. 5/325=5mg oxycodone and 325mg of acetaminophen (tylenol). the difference between percocet and oxycontin is that percocet is more for breakthough pain because it works faster and gives you the full mg of oxycodone at once but does not last as long and the oxys are extended release so it only gives you a little bit of the medicine over a 12 hour period (or however often you are prescribed to take it) and the oxycontin does not have the acetaminophen. i hope this helps and i hope you feel better!!!
p.s. you really should talk to your dr about the benzos and opiate mix. i kno many people who have sadly od'd or died from the mix. it is a deadly cocktail so i suggest you discuss aternative medication or a way to lower the dosage. good luck!!
Last edited by McZoggaDee; 01-18-2011 at 08:48 PM.