Opana (oxymorphone) 30mg is about equal to about 90mg of hydrocodone which is in Norco so your Opana 30mg is about equal to 9 10mg Norco. Quite a difference in strength. The Opana should be working much better for you. If you are on the Opana ER which is a long acting form, you may not notice the "rush" that you would feel when taking Norco which is a short acting medication. When we start a chronic pain patient on short acting opioids, they tend to get conditioned to equating the rush with pain relief or an indicator that the medication is working because we feel the flood of opiate across the brains receptors that comes with short acting meds. Opana is much stronger but the long acting forms dont give you that flood of opiate to the recepetors, so be sure that you are looking at pain levels and not whether you "feel" the medication working. You may not have the same euphoric effects with long acting drugs but you should have much better pain control. Give the medication a few days so you can build a consistent blood level of the drug. You should then notice a greater reduction of pain and better function.
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