... amount of
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120mg of hydrocodone would be equal to about Opana ER 20mg twice daily but most docs will reduce slightly because of cross tolerance (just because you are tolerant to one drug doesnt mean you are tolerant to another) so they may start at 10 or 15 mg twice a day then move up as you tolerate. You do need to get off the Vicodin. That is too much acetaminophen every day.
I was not aware thank you
Not much as it is much stronger. I would advise you to consult the prescribing physician, who should have advised you of the effects of the switch. If he/she prescribed what amounts to 3,900mgs of acetaminophen daily, I would seriously reevaluate that Doctor's common sense, as that is just shy of the old limit, and near double the new limit. Whatever the Doctor who switched you instructed you to take is what you should take. That's who knows best when it comes to your care. Hope this helps.
And I had been on that dose for at least a year and a half. That was from a primary care provider, I am now seeing a pain management doctor. Thank you appreciate your comments
Yes, that's a long time. Just keep him/her informed on your progress. Give the new dose of Opana 3 weeks to really take hold. Switching to an ER can be tricky, and they are very hard to stop as you come to not feel them the same way or as much as you do the IR's, so, if and when you change again or stop, be sure there's a minimum of 3-4 months to wean off under the Dr's instruction. Best to you, Billy
I am having trouble filling the prescription of opana, seems no pharmacy has them readily available. And have to wait days for them to order. Anyone else having this problem. I do get pain relief, it just don't seem to last the twelve hours. I was on such a high dose of vicodin and for so long that even that was not working as well as it had in the beginning. I will stay on opana 15 and see, I appreciate all your commentd

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As the others mentioned, you need to follow the doctors instructions. If what he put you on is not working, you need to let him know. As I've said, they will often start you at a little lower than equal dose because each human body is different and not everyone tolerates an equal dose because there is a big difference between performing a mathematical equivalent and how a drug effects a body. This makes it difficult to compare two different opioids. It is better to start low and titrate upwards rather than "snowing" a patient or giving them too much leading to overdose or breathing issues.