I go to the Dr on Monday and I really don't know what to say, I have been on many Strong Pain Killers, and I am running out of options, can someone PLEASE TELL ME WHAT MG EXALGO would be equal to Opana ER 40 MG. I know Exalgo comes in 4 mg 8 mg and 16 mg, what Mg Is Even Remotely Close? I know Exalgo is not as strong as Opana Er, So Please be as precise as possible. THANK YOU. NewYorkGuy44.
Why don't you let your doctor decide? He has references and charts that show equivalency. I don't know that I'd say one is stronger then the other, they are both morphones and both for severe chronic pain.
Exalgo, (slow-release Dilaudid) hydromorphone, is somewhat less strong than Opana (oxymorphone). 40 mgs of Opana is approximately equal to 20mgs of Dilaudid given a 25% reduction for cross tolerance. Don't let the number of milligrams throw you off. Just because Dilaudid is less strong than Opana doesn't mean you would have to take more milligrams to be equalivent.
I, too, take OxyContin 60mg three times a day with oxycodone 30mg up to 4 a day and since they changed the formula of OxyContin, I feel like I get most of my relief from the oxycodone 30's! They generally wont prescribe more than 30mg four times a day. I feel like I would do better if I could take them evey four hours instead of every six. I tried rotating to morphine long acting but she reduced my dose so much (30mg three times a day then 30mg 4 times a day and with 15 mg IR for breakthrough which I felt the IR did NOTHING compared to Oxycodone 30's) that it just didnt work for me and at the time, I didnt want to keep fooling around because I was going on vacation and didnt want to be in pain the whole time so I just gave up and went back to the old stand by OxyContin.
She probably would have kept raising it but it is frustrating to have to hurt for a whole month before they can make another change!! I was told on a recent visit when asking about raising my dose is that 80mg OxyContin is as high as they will go and I'm really afraid to max out my medications but I think I may have to anyway because I'm just not getting good relief. I feel for you, dude! I'm going through the same thing! I'm going to have to ask about alternatives my next visit later this week!
Hi NewYorkGuy44- I was taking Opana ER 40 mg 2x daily and 15mg MSIR 4x daily for a little over 2 years so obviously it quit be effective. In this time I moved and had to change PM Dr's. When I broached the subject of it's increasing ineffectiveness they made me wait a month and have yet another surgical consult after the surgeon told me just what all the other surgeons have told me they switched me to Exalgo ER 16 mg 1x daily and (1) 5 mg Oxycodone every 4-6 hours. The Exalgo works somewhat for maybe 4-6 hours and the 5mg Oxycodone don't do jack. The doctor I am currently seeing is affiliated with a university so I assume that is why they are so very conservative. I hope you had better results than I am having! It really really sucks to have to wait a month before being seen again to assess the effectiveness of a new medication! I have to agree that I really miss the old OxyContin formula. It worked so much better! Hopefully when I go back on the 12th they will bump my dose up... until then I have to wait in pain.
You are actualy wrong about opana er being stronger opana er is actualy a morphone hydromorphone is stronger such as exalgo it is a 24 hour dauldid which is in a stronger pain killer class this is for patients that live in constant pain and can not sleep without pain if your pcp is switching you and you currently do not abuse your meds then 12mgs will suffice if you do occasionaly take more then 16 mgs but this medication will only work at its optomal performane when it builds up and the doctor should give you a breakthrough pain reliever this should provide a resonable solution for your problem consult your doctor for what meds for a break through while medicine ajusts
The Opana ER is stronger than the exalgo er too. It is oxymorphone while the exalgo 's only difference is hydromorphone, meaning it also has vicadin instead of oxycodone added in. Ive taken for years and there is a big difference. I couldn't say how the dr will try to equal them for I know there not equivalent but im sure you will get use to it. I take a breakthrough which is also oxymorphone IR and they help me tremendously. Just talk to your dr and let him decide. If it doesn't work let him know quickly. Don't go through withdrawals or nothing, im sure he will adjust if he doesn't get it right the first time.
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