I have been prescribed 30 milligram oxycodone instant release for years my doctor recently switched me to opana, 10 milligram instant release and told me it would be better for my pain however it does not feel as strong as the 30 milligram oxycodone. Which is the stronger medication and which would be more effective on controlling my lower back pain?
They are actually about the same strength. Oxymorphone is obviously the stronger drug as you need less mg to do the same work but in a comparison, they are about the same. Are you on a long acting drug? If you have chronic pain, you should be on a long acting drug to manage the bulk of your pain with an IR for breakthrough pain. Taking just an IR drug just chases the pain. You get better "management" if you take a long acting drug around the clock rather than a IR "as needed" Talk to your Dr about adding a long acting drug to your regimen. I take Opana ER (oxymorphone) with oxycodone 30mg for breakthrough and it has been about the best regimen I have used so far and I have tried many medications and many interventions.
The Opana is better at controlling your pain. The Oxymorphone in Opana is stronger than Oxycodone, but you aren't on an equivalent dose, (if my memory hasn't yet failed me) its twice as strong: it takes 15mgs of Opana to equal 30mg Oxycodone. You are not getting as much pain relief, since you aren't on an equivalent dose.
I hope this helped,
It will not feel more effective right away, as the effect is not as intense. What's "better" has as lot to do with your individual stats, pathology, age, how long taking one over the other. Keep the Doc informed, if after 7-10 days still not working for you, let the Doc know. Hope this helps.
Narcotics are different for different people, and you need to be very careful what you read on the internet.
Oxymorphone has a very low bio uptake taken orally and is not for everybody, but at the same time if abused IV is absolutely one of the most deadly drugs there is.
I take a large dose of Oxymorphone daily, IR and ER. This is what my Doctor has prescribed for me at this time and I am getting by, but this drug is not for everybody and extremely dangerous if used incorrectly, I cannot express how dangerous it truly is.
Talk with your Doctor.
This one is almost a toss up. I find 15 mg of Oxycodone(roxycodone) = 3mg of Hydromorphone (dilauded). So 30mg Roxy= 6 mg dilauded. Dilauded acts faster, has fewer side effects, and is eliminated more quickly. It is very effective at relieving pain without affecting neural reaction time. You will find yourself taking more dilauded, more often. It can have a manic mood side effect. Best not to take it longer than 3-5 days at 3-4 mg BID.
I was put on Opana 40mg er 2x day with 10mg ir for break through pain. I have MS with terrible neuropathy. I was originally on 75mg fentynl patches and the switch was quite easy. One HUGE noticeable difference is if you happen to run out of the Opanas before your next doctors appointment, thd withdrawals from Opana are MUCH LESS than any other opiodss I have ever been on. So to me, that is a HUGE PLUS.
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