I have stage 3 pancreatic cancer currently take MS contin what works better.I currently take MS Contin 30mg and dlaudid 4mg I'm not getting much relief from them. Anyone know what might work better that I can talk with my oncologist about. I have heard alot about oxycotin, any help is greately appreciated.
You may benefit from a medication for opiate tolerant patients such as Actiq. You have probably built a resistance to the morphine (MS Contin) and that is why it isn't working. There is also Opana (oxymorphone) which is a step up from Dilaudid (hydromorphone).
You can read about Actiq at: https://www.drugs.com/search.php?is_main_search=0&is_inet_search=0&searchterm=actiq
and Opana at: https://www.drugs.com/search.php?searchterm=opana
Just my thoughts,
Actually your dose of MS Contin is pretty low. There is no ceiling effect on morphine. You can go as high as you can before you reach intolerable side effects or respiratory depression. Of course your increments would be small enough to prevent respiratory depression. You might benefit from rotating to a new long acting med like OxyContin. Everyone is so different you can get a thousand opinions on what works better to each individual. You have to find what works for you! If the morphine worked well in the beginning and you have been on it awhile, you might benefit from an increase in dose. Are you taking your MSContin twice a day or three times a day? Some people benefit more by taking more often rather than an increased dose. You need to have an honest discussion with your oncologist and tell him/her how your pain is and how you respond to the medication. You might try keeping a pain diary for awhile.
Keep note of when you take your medicine, what number your pain levels are at throughout the day. If you look on the National Pain Foundation, American Pain Society or In the Face of Pain websites you can find pain diaries you can download and fill out to take to your Dr. This might be helpful in deciding where to go with your pain control. Lauries idea of the Actiq is a good one, there are also the Fentanyl patches but if you have any trouble with adhesives, sweat a lot or have oily skin that might not be a good option for you. Finding good pain control takes some trial and error to see what works well for you. Talk to your Dr and work with him/her to find what is best for you. Good Luck in your quest! I hope you find a solution soon!
What I am about to tell you I hope is something that you can hold on to because having Chronic pain and taking medication such as MS Contin, Dilaudid and Oxycontin (to name a few) there is also Opana and Fentanyl patches, but I don't think anyone can tell you which is the best, or for that matter the strongest because the fact of it is each one of us are so very different so what may make pain better for me may not work for you, I think it takes having a doctor who deals with Chronic pain one who is willing to work with you in order to help you find what works the best for you, I have been having to deal with Chronic pain for more than 10 years I can tell you from what I have experienced that this is still something that I work with my doctor in order to try and recieve the best care possible,
I think if you keep a written record of what you've taken and what works and what does not then you can share this with the doctors it will be something that not only will help them but it will help them help you, the more information you are able to update them with the better care they can provide for you. I wish you the very best, please feel free to keep us posted on how you are doing
I agree with everything Caringsonbj just said. I will add one thing though. It may be a good idea to keep a pain journal. I was advised to do this by a pain specialist. You keep track of what your pain level is on a scale from 1-10 noting the time and your activity. Then you write down what you took for pain and how long it took to get relief from the pain. Then you rate your pain level again. Write in your journal at the very least 4 times a day. Then bring your pain journal to your next doctors app. This can give your doctor a good idea of what's working or not working. Hopefully he will then be able to find the right meds or combo of meds that work for you.
I hope this helps. Good Luck
Oxycodone (NOT time-release) is available in 10, 20, and 30mg IMMEDIATE release forms. It's the active ingredient in Percodan & Percocet. I find that pain control is better if U take a moderate to high dose up to Q4H prn for pain, rather than relying on the time-release forms (MS = Morphine Sulphate). Dilaudid is not time-release (Hydromorphone) -- but it tends 2makeU very sleepy. I prefer 30mg Oxycodone 1/2-1 tab Q4H prn.
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