Ok so my wife has fibromyalgia she is prescribed oxycodone 30 mg 6 a day and hydromorphone 4 a day. The oxycodone is great for pain but the dilaudid doesn't work well at all. A friend of outs suffers from the same issue and is prescribed opana 40mg. Is opana a good substitute for the dilaudid?. We have tried lyrics and everything with no luck and also OxyContin op 40mg and those did work as good as the 30mg oxy. Will opana do the trick? Also was is the conversion of opana to oxy? Thank you
Opana is oxymorphone, one step above the hydro (diluadid). I just started taking 30 mg oc 6x a day, from 20 but quit the diluadid, then the opana, then the Nucynta. They just didn't work for me. Here I was getting more & more dependent on these high octane meds and getting no benefits. I told my doctor, that if I had BT pain I would take an extra 30mg at the time, but later when I felt bettter I would skip a dose. I am not a doctor and I am not saying that is the way to do it! But if your wife is like I am and the other doesn't work..just ask your doctor! Maybe just a half dose? I know if you type in conversion charts, that drugs.com has one. I think you'll be suprised at how powerful some of the drugs your wifes taking actually are!! Good Luck & God bless, you are a good husband! Sweetpea
Opana ER might do the trick. If the OxyContin op 40mg worked for her why did she stop? I take the OxyContin 3 times a day with oxycodone 30mg for breakthrough and it works very well but I have a low back condition along with fibromyalgia-I didnt take opioids for my fibro. Opana ER is good too though. It is stronger than OxyContin. Right now your wife is on the equivelent of 270mg of morphine a day with JUST figuring the oxycodone 30mg six times a day. You didnt say the dose of hydromorphone (Dilaudid) so she is actually on MORE than that if you figure that in. Since you didnt give me the dose of the hydromorphone, I only could calculate the Opana ER based on the oxycodone dose. If she switches to Opana ER she would need about 45mg to 65mg a day depending on what cross tolerance reduction her Dr uses (they usually reduce for cross tolerance by 25-50% some even 75%-I figured for 25-50%.
This is simply because even though a person is tolerant to one drug in a class, in this case, opioids, doesnt mean they have the same tolerance to another drug in the same class-oxymorphone, so to keep from knocking her sensless or causing her to OD, they reduce the new drug a bit to see how she tolerates it, then they tweak it from there. They may need to raise the dose or lighten the dose depending on her response, so be patient, and dont give up too quickly. It may take a bit of tweaking to find the perfect dose) Now this 45-65mg is a daily dose so divide that in half because Opana ER is usually a twice a day medicine and you get Opana ER 20-30mg twice a day. She may need to retain either the dilaudid, or the short acting oxycodone, or even the short acting form of Opana, for episodes of breakthrough (maybe 2-4 doses a day as needed) but the bulk of her pain control should come from her long acting drug. You wife is on an awful lot of medicine for fibromyalgia and she needs to be very careful. The longer one uses opioids the more dependent you get and the more tolerance that builds. Tolerance just means that the regular dose doesnt provide the same pain relief as it once did so to get the same relief you have to keep raising the dose. Short acting drugs are worse for tolerance than the long acting drugs as a rule, but not always. Long acting drugs like Opana ER, OxyContin and MSContin are better for chronic pain as they provide better round the clock pain control. Your wife should really try more non-opioid options as she is really getting into high doses of opioids. Opioids are not considered the best option for fibromyalgia because with fibro, you already have hyperalgesia as part of the condition and opioids add MORE hyperalgesia. Hyperalgesia is a heightened sense of pain especially from stimuli that is usually not painful, so by taking more opioids, she is actually causing herself MORE pain. These are all issues that you and she should be discussing with her healthcare provider. Hope this helped you!
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