I have really bad back pain I can't even move the percocets don't work any more what is stronger then percocets but not as strong as morphine 2mg
You may be surprised to hear this, but it’s very likely that your Percocets (generic eq=oxycodone) are “stronger” than 2mg morphine. I’m not sure what your dose of Percocet is, but its active ingredient, oxycodone, is generally considered to have what is called an “efficacy” of 2 times that of morphine, on a unit-to-unit basis. In English, that means that 1 mg of oxycodone – taken by mouth – provides the same degree of pain relief as 2mg of morphine – also taken by mouth. (While we all tend to say it, using the word “stronger” is really not the best way to phrase it, as it can have somewhat dubious connotations.)
Percocets come in strengths of 2.5, 5, 7.5, and 10mg; you can do the math and see to determine the amount of morphine needed to provide the same degree of efficacy as each of these doses – just multiple them by 2. Again, not knowing what dose you are on, the above may be of assistance to you if you are taking anything less than the 10mg pill.
It’s very important to note here that the above conversion is a general guideline used by those in the field of pain management, but it is NOT at all 100% right on the money. Everyone’s systems, metabolisms, immune systems (for purposes of drug allergies), and situations are all different.
Morphine is one of many alkaloids found in the resin of the opium poppy flower. Another one of these alkaloids is codeine, but its efficacy is lower than that of morphine by about a third, meaning 3mg of codeine is as effective of 1mg of morphine.
Dilaudid, or hydromorphone, is a semi-synthetic opioid compound, which is about 7 times the efficacy of morphine on a mg to mg basis. It’s also very short-acting, meaning its pain-killing effects last for a shorter period of time than its peer drugs, like Percocet and so forth.
Back to morphine/codeine: I’m not sure what your specific concern or experience with 2mg of morphine that you cite in your question. It sounds as though that might have been an intravenous (IV) dose you once received and perhaps had a bad experience. Remember, though, medications taken via IV are much more effective (and quicker to act) than the same medication taken by mouth. Also, if it happens you DID have a bad or allergic reaction to morphine, you would not want to be taking codeine, either, given both alkaloids’ common source I mentioned above.
I know I’m not really suggesting a particular choice in medications for with all this; I really just wanted to “arm” you with some relevant background information, so that you can discuss alternative narcotic medication options with your physician, and go into it a tad better informed.
I hope you found this useful. Best of luck to you!
Search for questions
Still looking for answers? Try searching for what you seek or ask your own question.
Posted 2 Aug 2010 • 4 answers
Posted 25 Dec 2010 • 1 answer
Posted 13 Jun 2011 • 2 answers
Posted 12 Jun 2012 • 8 answers
Posted 11 Apr 2015 • 1 answer