I am a patient at pain management and i had my perscription changed from oxycontin to ms contin and i also take 30 mg oxycodone for breakthrough pain.Since the change the oxycodone seems to disagree with me.It gives me headaches and seems to be less affitiant.The morphine works better for the pain then the oxycontin did and my research confirms that people with severe cronic back pain tend to have more releaf from the morphine because of the resepters they work on.My question is shouldnt i be takeing a morphine product for breakthrough?Wouldnt the morphine breakthrough work better and together?Ive went without the oxycodone for a few days and felt much better without but had to take a extra ms contin or 2 to keep the pain somewhat at bay.Ive also just taken the oxycodone for a day or 2 and that made me feel much crappier.I know the oxycodone is suppose to be stronger but everyones body is differant and morphine seems to work better for me.I thought about asking pain management to switch to morphine for breakthrough aswell but from the research i have done they dont like the patient asking for a sertian pain med.I would like to hear someone elses apinion on the matter and hear if anyone else had the same problem,Thanks Shawn
Takeing oxycodone with ms contin?
- 10 Aug 2011 by shawnjo1
- 2 Jan 2013
- ms contin, oxycontin, multiple sclerosis, pain, oxycodone, breakthrough pain
Added 10 Aug 2011:
I just proof read my question,pleas forgive the horrible spellings my strong areas are mathmatics and science.
Added 11 Aug 2011:
Yes i am convinced that the oxycodone 30 mg is not working well with the ms contin.I switched from 30 mg oxycontin 3x per day to the ms contin bacause of cost.When takeing the oxycontin and oxycodone together it seemed to work for the pain well and no side effects.When i switched to the ms contin time released i began getting side effects from the oxycodone.You might say it sounds like it would have to be from the morphine but i concluded its the oxycodone because the side effects only happen when takeing the oxycodone.I stopped takeing the oxycodone for a short time but the pain was to great to go to long without something in between th mscontin.When takeing the oxycodone i have groggy mornings and shortly after takeing the oxycodone a little bit of disyness.When i did the research on the 2 drugs i found each works on differant resepters and morphine tends to have better results for cronik back pain even though the oxy is suppose to be 1.5 x stronger i would have to agree that the morphine works better for the pain ,for me anyway everyone differs.I think im going to just explane to pain management that i would prefer a morphine product due to what i mentioned.From my understanding oxycodone is much worst and more addicting anyway so you would think they would be happy to hear i want to stop takeing it.I would much prefer to not take anything at all it becomes a hastle haveing to take meds to get relief from pain.I dont drink,i tried pot and i dont like anything that effects my thought process wich may be another reason im haveing the problem with it.For those others in pain reading this in severe pain even when takeing pain meds you should never be completely without pain.At least thats my theory.You will hurt yourself more because you will not be able to tell what your limits are.Also i recomend going as long as you can and takeing every other option before useing pain meds,and change your life style so your not doing the same things that caused the pain to begin with.I was always a person that said i would never take strong pain meds.But when it got to bad i did.I started takeing them so i could continue doing the job that caused my problem to begin with .BAD MISTAKE it made it worst because the pain meds mask the pain and you WILL end up hurting yourself worst.If you do deside to take medication and have no other choice and your job is what caused your pain.Quiteyour job.Trust me you will end up in much worst condition if you dont.I know am in severe pain almost all the time with some releafe from the meds,but i can no longer work doing anything because i cant stand for more then 1/2 hr or sit in one spot for more then 1/2 hour,i lost my insurance,im back on all my bills,could no longer afford my car,and all the assistance you hear of is depleated due to the unemployment rate and others in need.I now build and sell wind turbines but have a hard time building them due to the condition im in.The emergency room wont help you either unless you have a gapeing wound or haveing chest pain so those out there that think in the USA there is help your WRONG.Ive tried everything and it is going to take 1 to 2 years to get disability and although i didnt have to pay the lawyer he gets 25% of the back payment i will recieve so hes not in a hurry.So i sugest to those heading in my direction start makeing aragements now to change your life style before your forced to in a way that its not your choices.If anyone could give any good advise or recomend anything i would appreciate it ,Thanks,Shawn
Added 3 Sep 2011:
To make matters worst i just found out i had full blown MSJ .Although it doesnt cause near as much pain as my back its another obsticle to get around and just one more thing that hurts.I also have to get 3 spots removed from my back that the dr wants to get tested.Well i guess they are wateing for me to just keel over till i get my disability and insurance after working 22 years and paying my taxes.When you hear theres help out there for everyone its bull.I tried everything.So from going from a job that paid $20 an hour and all my medical paid to not being able to work and without insurance.I make to much on unemployment right now for assistance but what i make doesnt cover my medication and put food on the table let alone thousands in bills that i havent been able to pay for the last several months.So my reward for paying my taxes and working the last 22 years is 8 herniated discs and no insurance.I am suppose to wate another 12 months just to get a court date because the letter i recieved said unless i am dieing of cancer within the next year or became blind ithere is work that i am eligable to do to support myself and my daughter.In other words they hope you die before you can get what is rightfuly yours.Heck most jobs you can retire after putting in 20 +years half of my wages went to taxes so your better off never paying them or soc. sec.while others just clame they cant find a job and get all kinds of help i cant work and im suppose to find a job i can do with this back of mine let alone who would hire me.
I am also on pain mgmt. and had mine changed as well. I am taking Kadian30mg, (which is a form of morphine), along with oxycodone10mg, for breakthrough pain. It is giving me headaches as well. What mg's of oxycodone were you taking before? Mine was upped from 5/320 to 10mg. I didn't know if it was the morphine or the oxy that was giving me the headache, but BC powder seems to get rid of it. lol But no kidding. It works.
Morphine SHOULD be working better for you. It is stronger.
A friend of mine takes 60mg ms contin, and 15mg ms contin for breakthrough pain, and it works for her. If I were you, I would just be honest and tell him you would like to try the ms contin for the pain AND the breakthrough pain. Maybe tell him you know someone who takes it, and it worked for them. It's up to you though. I would just be honest. Tell him you were afraid to ask him this, but you need a change to ...
Tell him you just want to be up front with him, and that the other is giving you headaches.
Good luck! Hope it works out for you. The Kadian I am taking works ok, but I can only take 2 of the oxy's a day, and that isn't very much to help the breakthrough. I want to go back to the ms contin... plus it is ALOT cheaper. The Kadian, with insurance, is 25 dollars a script. The ms contin is free because you get it generic. Hope I have been helpful... I am new on here as well. Let me know, ok?
We are all so different. When I was on MsContin and Oxy, the MsContin made me sick. I wanted OxyContin for long term and the Oxy 30 for BT pain. But my insurance wouldn't cover OxyContin.
Btw, there is such a thing as Immediate Release Morphine for BT pain. That's probably what you need. But you are right, asking for a specific pill doesn't go over well. So, instead of asking for what you think you need, tell them that the Oxy 30 is making you feel sick. Say something like "I don't think MsContin and Oxy 30 agrees with me." Say, "I think I need to stop taking the Oxy. But Doc, what can we do then for BT pain? Is there something else I can take that will work and not make me sick?" (tell him it's headaches etc.) You might also throw in that the MsContin agrees with your system and kills the pain best. But don't ask for anything. Rather, ask the Doc what he thinks you can take? The doc's have to always feel they're in charge. It takes a very rare and mature Doc to allow the patient to give him advice. And whatever you do, never say "I FEEL better on MsContin". He will think you mean you feel better emotionally, and that would make you an addict in his eyes. Learning to speak to Docs about pain is actually an art. If you say the right things they will be happy to help you. Say the wrong thing and you're out. And if you're opiate dependent, you'll be in withdrawal with no where to go. If that ever does happen to you, start looking for another doc immediately. You may still have some pain meds left, and the wds get worse after a week. Trust me.
shawn, i am taking low dose ms contin plus hydrocodone for "breakthru' pain.This is for a cracked"fracture" of the cuboid bone(main bone in your foot).The way my Dr. explained my pain meds was this: oxycodone,hydrocodone,ect is a short acting pain medication.ms contin (morphine) is long lasting.So morphine for longer more reliable and less addicting pain relief plus hydrocodone for breakthru pain(so less chance for addiction.I usually dont ask for pain meds;or any other meds.I have hard enough time remembering to take my LISINIPRIL(high blood pressure)which i have only been taking for last couple years.I am seen through THE Carrillin Clinic in Roanoke,VA.Hope this helps.Good luck.
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