i am quite confused about my pain meds. my pain mgmt Dr prescribed ms con-tin er and pharmacy filled it with ms con-tin sr. i have noticed a difference in how each medicine works and i am wondering if there is a difference between the two medicines? i have been taking ms con-tin er 60 mg for a very long time and i notice that the ms con-tin sr does not work as effective as the ms con-tin er. i have tried to look up this information myself but i cannot find anything on this topic. can someone please help me?? i know i am not imagining this. the er is round in shape and the color is orange with white insides while the sr is orange with orange on the inside. there is not any protective coating with the sr as there is with the er pill. i know the er stands for extended release but does the sr stand for sustained release?? i have not found any in depth information about my query any where and i am needing some assistance please as my prescriptions are about to exhaust and are due in a few days and i do not want to keep getting the wrong medication if for fact the sr is different from the er pills. i have just noticed this switch and i am hoping that my pharmacy isn't taking and short cuts with my medications. please someone out there please help set my mind at ease. and if it cant be put to ease than at least inform me of the differences in these medicines. i will be anxiously awaiting someone to answer my dilemma.
I had asked a similar Question about MS Contin. What happened to my Pops was he has been switched around over a dozen times in like the last 7 months. He finally stuck with MS Contin 100 Gray Round ones, I know the 60's there pink, sounds crazy but those actually worked better than the 100's. Any way he went to get his MS Contin, and the Pharmacy cuts so many corners, there so cheap, they gave him Morphine Sulphate SA. An oblong greenish blue pill that says 100, he used to get them, so did I. And they didn't work then and don't work now, they pulled this on him probably becuase his DR wasn't there and had the Pharmacy fill it.Even on pill identifier it comes up basically the same thing, both Morphine Sulphate, just 1 is blue n not as potent as MS.
But with you yeah man Er is Extended release, as for the SR or Sometimes it says SA. The er is better, you probably got done to you by your pharmacy, what my pop's pharmacy dd to him.Like I said when I looked it up the only way you can notice is that the pill is different shaped and colored, but there both the right milligram. So you got fuked like my pops got fuked. You should do what my pop's is going to do, tell his DR when he gets back, n tell him they didnt work. And my fathers DR is good guy so he'll give him another script, tyhis time with the right MOrphine Sulphate, the MS Contin.If I were you I would call the Dr and tell him that either He made a mistake, or the Pharmacy did, and demand the correct Medicine that you have been taking. If a regular person made this Mistake, I'd say it was an accident since there both the same Milligram and they are both Morphine Sulphate, But A Pharmacist, has to know these things. So Demand a new script, damn its too bad you didnt post this sooner, because then you would have whatever is left over in the wrong morphine, and when the Dr gave you the Correct script for MS ConTin you would have had both. But Definitely go see your DR tomorrow, don't even wait for an appt, since all he has to do is write a script.
Wow I can't believe this happened to someone else the same week as my Pops. You gotta watch them Pharmacist, a few times I been missing OXy's.
And definitely tell the DR and the Pharmacy how you suffered, since they weren't the same, and didn't really work for you, Good Luck.
I Hope I helped You Out, I'm 99% sure I did.
I understand why you are confused. There is much information available on the web, just not in one place about the drug.
Here is what I "learned": MS Contin is the brand name of the generic drug morphine sulfate. This is considered a controlled substance.
ER = extended release taken around the clock, about every 8 hours
SR = sustained release taken less frequently, but has same effects as ER
I suggest that you make an appointment with your doctor to verify the prescription (bring the filled drug with you) and discuss the effects (or lack there of). The dosage may have to be adjusted.
If there happens to be a discrepancy between what was prescribed and what was filled then ask the doctor to call your pharmacist to question the difference.
I also suggest that you photocopy all prescriptions before giving them to the pharmacy to be filled. If you cannot photocopy the script, you can always ask the pharmacist what the prescription reads (because this is a controlled substance, they should have kept a copy, if not the original). Pay particular attention to whether or not your doctor initialed the "dispensed as written" box. This means the pharmacy CANNOT give you an alternate medication.
ALWAYS count your pills as soon as you get home, especially if they are controlled substances. Too often, I have found shortages in what I've been given. Report this immediately to the pharmacist!
Check the prescription coverage with your medical insurance provider before giving the scripts to the pharmacy.
Yes, I know this seems like a lot of work for us, the patients. Unfortunately, I have learned that "we" need to know more about our health conditions and medical insurance in order to protect ourselves both financially and physically.
I hope this provides some assistance to you. Be well!
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