May 6, 2009 - 12:06am
#2
Its possible you are one of a
Its possible you are one of a few that oral dilaudid works wonders for. I personally can take 8mg and get little effects. If dilaudid is something that works for you I would go with MS Contin and Dilaudid for B/T like feliks suggeted, or MS Contin and OxyIR or Roxicodone for B/T. OxyContin at 20mg two times a day really isnt that much and I wouldnt expect someone who is already taking percocets to start nodding out from it. If you have the money or the insurance OxyContin is by far better than MS Contin even at equivalent dosage. However, if you have a doctor that knows how to do a dosage conversion right, then MS Contin can be pretty good. The problem is that most doctors seem to think its a lot stronger than it really is. Feliks also made a great point that tolerance to dilaudid will build fast, but I dont see it building up any faster than taking OxyIR at an equivalent dosage. Lastly, the people who take methadone for pain all seem to think its great. Lasts as long as its suppose to, kills pain effectively and is extremely cheap even cheaper than morphine or dilaudid. However if you ever need to get off, I hear its one of if not the worst opiate/opioid to detox from.
May 29, 2009 - 2:11pm
#3
Thanks
Appreciate the intel 
May 6, 2009 - 3:33pm
#4
You should
ask about the Fentanyl patch for long term pain control...They work excellent, and without most of the side effects that other long term pain meds cause.....Mention it to him and see what he thinks. And they are far far less expensive than OC's
Ray
May 6, 2009 - 10:13pm
#5
my 2 cents, its going on 2nd week of month so I still have a few
cents, I stick with the ms-contin with a hydocodone for bt, the reason why hyro is more inline with ms-cotin, an would be my 1st choice for wd if it ever happens, every now an then Dr has to change appointments for a few days, i ask her to give me enough hyrocodone 7.5 qid to get me through till next visit, i have no trouble with withdrawals , the reason is the co-pay factor of part d, might even have to ask her to write 2 months supply so there s no out of pocket exspense on my part as my part d kicks in at $2500 which it usually reaches by november, i would spread it out to deal with the increase in apap, in regards to liver battery tests after a period of time its gonna take a hit, the question would be will it repair itself, the mscotin takes majority of this out of question even with 1 breakthru a day 650mg apap would be a drastic drop, an if it was like my situation, you be surprise on how much apap poisoning drags you down, add 1 more cent if you re not already or not allergic to it take 400mgs of ibuprophen bedtime an 1st thing in the morning, this is my 2nd most important medication for pain for immflamation of arthiritis
May 29, 2009 - 2:12pm
#6
Appreciate The Advice
I'm okay with my PM Rx, just wondered.
Thanks again!
May 7, 2009 - 10:19am
#7
don t get any of us wrong
it s gonna take a little experimentation between you an your Dr. to find which compound works best for You, My body a morphine base does better, oxycodone does nothing until Ipass a 15mg theshold, if the perocets were working for you then the Oxycotin should too , the difference is the cost, Oxycotin,MsCotin, or Roxicodone are all hi costly medications, there s a stigma that goes along with some of these medications too, Oxycotin is a good pain releiver if taken as prescribed, abuser s , gave this medication its bad name, MsCotin or avinza what i take is a compund of 99% pure morphine, it has no apap, it 24 hour time released, some patients it take some time to get mg amount right for them, when i started out the Dr put me on 30mgs this gave me 14 to 16 hours of pain releif, after a month he raised to 60mg, after 3 days i could tell i was a new person, the apap was poisoning my system making me fatigue, if you have good insurance an can get the MsCotin get the Avinza brand name if possible, Dr. may have coupons for 1st time trial use, good luck an we hope you can find a medication that will work for you, all dr s are being pressured into going to extended release drugs as these have no street value
May 8, 2009 - 12:34am
#8
I was on Oxycontin for 6
I was on Oxycontin for 6 months and never had daytime downiness. For alot of people that have chronic pain, they can not sleep at night. Some may have pain and I read many years ago (I hope I'm remembering correctly) that difficulty sleeping is a side effect of taking narcotics. Sweating is a side effect of taking narcotics also. I have been going to a pm dr for over 2 years and I HAVE never seen anyone sleeping or that looked zooted out while waiting to see the dr. My practice does procedures, so thats saying alot. Not to say patients have never slept while waiting for the dr. One thing I have learned over the years of being a person that suffers in chronic pain daily, never judge someone until you walk in their shoes. This is something I try to live by. So that sleeping zooted out person may work 3rd shift and have a medical problem that would easily explain the sweating. Everyone has a story.
May 29, 2009 - 2:19pm
#9
With All Due Respect
I respect your post htmom, I've noticed that you always seem to see things in a positive light - the world needs more people like you!
May 8, 2009 - 2:04am
#10
Methadone works great for my
Methadone works great for my pain. Just started almost a week ago but.... I get nautious and cant concentrate. I get headaches about 2 hours after taking it and my anxiety increases. I dont have insurance so I am assuming thats why my pain doc prescribed me this. I cant wait til my next appt. because I dont know what to do. This has been the best my pain has ever been but I dont know if I can deal with the side effects. I only take 5mg every 8 hours and norco 10/325 every 6 hours. Is there another pain med thats somewhat affordable thats extended release? My doctor wants me on a long lasting pain med along with norco for breakthru. I called my doctor up after 4 days of taking the medication and he told me to keep taking it until my next appt., 14 days from my first visit with him. Tonight I was eating dinner with my girls mom and I was sweating and it felt like my eyes would start to cross after 5 seconds of looking in the same direction. I would randomly have to itch too. I felt like people were looking at me like I was a drug addict. I am almost pain free at times while taking the meds as prescribed but all this other stuff is going on, I dont know what to do. Sorry now that I read my reply I kind of turned it about me.
Why dont you just tell your doctor how you were getting treated before and you were prescribed dialudud and it seemed to help. I mean if he really cares about you as a patient I am sure he will try it out for a month and see how your body responds to it.
May 8, 2009 - 5:12am
#11
Orally, the dilaudid will
Orally, the dilaudid will work good if it has in the past, it's different for everybody, like for me it didn't work when I broke my rib in a contact type sport as well. I know they have a hydromorph-contin up here, and my aunt takes it in 6mg time released (6mg hydromorph) per day, and then 2mg IR for breakthrough and she is pain free. And she doesnt seem to be "zooted out" at all, unless she stays up to late.(Somebody mentioned trouble sleeping for people on narcotic painkillers).
So that might be an option instead of popping a dilaudid regular ever hour. See if your Dr. thinks this is worth a shot since the drug has worked for you so well. It's called "Hydromorph-Contin" (Dilaudid-Contin) should provide 24 hour relief and it comes in so many different doses to suit the level of pain your in. The dosage starts at 3mg's, 6, 12, 18, 24, and finally 30mg's.
Just an option if you have Hydromorph-Contin down there in the US.
May 8, 2009 - 9:46am
#12
There is no...
form of ER hydromorphone in the United States; hasn't been for some time now...
May 8, 2009 - 1:34pm
#13
Ronin100, you are already
Ronin100, you are already taking the same medication as what is in OxyContin. Both medications are a CII medication, Oxycodone HCL. They make 15mg OxyContin tablets now which would be no different than the 6 Percocet 5/325 tablest you are already taking if you took 15mg OxyContin twice a day. The only difference you will notice is that you dont wake up in the morning in pain and you dont have the ups and downs all day. You dont feel it wearing off after 2-3 hours like Percocet does. In some people OxyContin doesnt last the full 12 hours, so you could ask about OxyContin 10mg every 8 hours, this would probably be the best replacement and most like the current schedule you are already on with the exception of being pain free when you wake up in the morning if you time you tablets right. Now obviously OxyContin should only be an option at this low of a dose if you have insurance (OxyContin 10mg x3 times a day is probably close to $200) and are constantly running out of Percocets early, taking them too often or too soon. Since it would be basically what you are already taking. But back to the main reason why I posted, I just found it funny that you said you didnt want to start taking the hardcore stuff like OxyContin, MS, or Methadone when you are already on Oxycodone. The only reason why OxyContin is a bad drug is because the media tells junkies and kids that it is abusalbe and how to do it. When taken properly it is no worse than an equivalent amount of Percocets,Endocets, Percodans, Roxicodones, etc.
May 8, 2009 - 1:40pm
#14
Absolutely right Feliks,
Absolutely right Feliks, however they are going to be bringing it back except it is going to have a different ER mechanism so people dont die if you drink alcohol with it like the Palladone SR was doing.
May 8, 2009 - 2:38pm
#15
Solo is right on...
Oxycodone is oxcodone. If it is not abused, oxycodone taken in the form of Oxycontin is safer in the long run than Percocet, since it lacks the APAP component. Thats one if the reasons it was developed. Long term chronic pain relief. 
Rest assured, the media IS responsible for any apprehension you may have about Oxycontin. People who abuse Oxycontin are the only ones who need worry- you're fine.
With oxycodone you will not have the extreme peaks and valleys in pain relief you may have with the Percocet...
Also, as solo accurately stated, Palladone was "dose dumping" when patients would drink even small ammounts of alcoholic beverages, and was therefore recalled, but is apparently being reincarnated with a new delivery system. Old system was OROS push-pull, if memory serves.
Lastly, I have heard rave reviews about methadone for pain, but due to it's exremely long half life, the withdrawals are protracted, and can last months in some patients. Also methadone can cause cardiac issues like prolongation of the QT interval. This is a side effect unique to methadone compared to other opiods.
Just a few more things to consider...
May 29, 2009 - 2:20pm
#16
Thanks Again
Thank you all for your kind replies!
May 10, 2009 - 9:46pm
#17
Oxycontin
If one does not have insurance Oxycontin is ridiculously overpriced. I wouldn't pay that for medication when I can get generic Roxicodone for 1/4th of the cost of Oxycontin.
June 5, 2009 - 6:28pm
#18
Help Please
My mother has dilaudid, i am taking ultram Now i was trying to compare my moms dilaudid and my ultram to a perk.
Perk is the only thing that she has taking before so she wants to know how they could compare to eachother.
June 5, 2009 - 8:27pm
#19
To gmartin,Diluadid is
To gmartin,
Diluadid is stronger than Percocet on a mg-to-mg basis. What your mother will feel depends on several factors: age, weight, height, prior experience with opiates and the type of opiates they were, and body chemistry.
My personal experience with Diluadid was great. They were very effective with my pain from herniated disc' in my neck that was caused by a rollover car wreck. Be very careful to avoid alcohol in either medicine or spirits. I had been taking a decent amount of Diluadid and drank one 12 oz. beer (PBR I think), and after about an hour and a half I nodded/passed out for two hours in the movie theatre where I had gone to watch a movie. I saw half the movie but did not remember any of it. The movie had finished about an hour before a manager from the movie theatre woke me up. To make things worse... it was St. Patty Day and they (movie manager) asked me if I needed a taxi. To make it even worse I had my left leg propped between the two chairs in front of me, and when I stood up my leg was asleep so I had to lean against the wall to keep from falling over. On top of that I was just about to leave to go into the main lobby when I remembered I had forgot my hat, and I had to walk all the way back. Thank goodness, that manager did not call the cops.
Sorry for the rambling. Just make sure your mom is careful with alcohol while using the Diluadid since it will intensify both.
Good Luck and Good Wishes,
allgood
I am not a doctor. My posts are based on my experience, education, and research (which is a hobby of mine)
Education is something no one can take from you.
June 5, 2009 - 9:11pm
#20
dilaudid
IMO a Percocet 10 is just as effective as a 4mg dilaudid. A 7.5mg Perc is probably as effective. When I was on 4mg dilaudid, 4 per day , the pain releif didn't last long at all. I think that oxycodone works a lot better.
Mant people feel that, when taken orally, dilaudid doesn't work very well.
The above post is my experience only and should not be taken any other way.
June 5, 2009 - 11:42pm
#21
Gentlemen
i believe the poster 2 threads up was wanting to know for his/her reasons not his mothers
my answer would be leave mom s meds alone not unless you helping her with her dose
an continue to take your ultram
but according to rawoodys chart dilaudid appears 21/2 to 3 times more potent than oxycodone, thats my veiwing, i can be wrong
August 19, 2009 - 2:50am
#22
OROS hydromorphone
Does anyone know when the new time released Dilaudid will be available in the US?
Dilaudid has been my miracle drug when nothing else worked. Perc, Lortab, Vic all made me so sick. I have RA, neuropathy, carpel tunnel, Lupus SLE and back pain. Now of course I need something longer lasting. My Dr just had me try Opana with Dilaudid for BT pain and the Opana made me sick, same as lortab, perc and Vics did.
Never again! I will try methadone as my Dr wants me to next, but I have a sinking feeling that OROS hydromorphone will be the only long lasting opiod I can tolorate.
August 19, 2009 - 2:56am
#23
Go to drugs.com and you can
Go to drugs.com and you can see what phase meds are in. Very good site for seeing what is in the pipeline. Take care, htmom
August 19, 2009 - 4:06am
#24
Thank you so much. It seems
Thank you so much. It seems its in the works, for those of us that do well on Dilaudid lets pray its soon!
CONSHOHOCKEN, PA and VANCOUVER, BC, March 23 /CNW/ - Neuromed Pharmaceuticals
, Inc. today announced positive results of a pivotal phase 3 clinical trial of its lead investigational drug, Exalgo (hydromorphone HCl) Extended-Release Tablets (CII) (previously NMED-1077 and OROS(R) Hydromorphone). The trial met its primary efficacy endpoint, the mean change from baseline to week 12 (or last visit) of average weekly pain intensity scores, and the results were statistically significant (p(less than)0.0001). The primary efficacy endpoint was agreed upon with the U.S. Food and Drug Administration (FDA) during the Special Protocol Assessment (SPA) process(1).
"The successful completion of our pivotal phase 3 clinical trial brings us closer to reaching our goal of providing an effective once-daily pain medication for opioid tolerant patients with moderate to severe pain requiring around-the-clock opioid analgesia for an extended period of time," said Dr. Christopher Gallen, President and Chief Executive Officer of Neuromed. "We have now successfully completed a major milestone of our development plan and are on schedule to submit our FDA application planned for the second quarter of 2009."
August 19, 2009 - 4:58am
#25
Have you been to a
Have you been to a Gastroenterologist? My NS referred me after none of the antinausea meds helped. I was on tramadol for awhile just because it was the only thing that did nor make me vomit. I still needed lortab multiple times a day for BTP but even one made me so sick. This left my pain uncontrolled and I was miserable. I should day that I took phenergan 3-4 times perday for years but it stopped workng. My pm ditched the ineffective tramadol for oyycontin. My pm and ns tried all the other anti nausea meds but I threw up right threw them. The GI doc had several tests run and figured out I have gastroparesis. All the opiates made my stomach stop pushing food through (localized paralysis). Treating that has gotten my pain under better control because the meds actually get into my system. it's a real relief not being nauseated and throwing up all the time, too. Anyway, if everything is making you ill, you might want to get checked for gastroparesis. I hope you feel better.
Can anyone tell me why dilaudid wouldn't make someone sick whereas hydro- and oxycodone would (besides each person responding individually to different drugs)?
August 19, 2009 - 5:37am
#26
Actually I take phenergan and
Actually I take phenergan and zofran everyday..have for years. I already had daily nausea for years before my pain needed treated. I've been to every Dr you can imagine lol, I have 14 specialists and about a dozen diagnosed medical conditions. (Dr's thought I had MS for years but finally figured out it was many conditions that all together mimicked MS)..nothing a gastro can do...just one symptom of my autoimmune and thyroid disease..I have syncope and low blood pressure too so that makes it all worse.
The only explanation of Dilaudid not making me nauseas and a small percentage of others is that each person responds individually to different drugs. Sorry no other special reason. A lot of people have nausea with Dilaidid..or Oxy... ANY pain med. It just happened to be the only one that hasn't made me nauseous, itch, pass out, dizzy and feel so bad I can't even get out of bed. So Dilaudid was just my miracle and I found it by dumb luck after surgery. My Dr told me most people will throw up on some type of pain med..but a small percentage like me react badly to almost all of them. Most people actually say oral Dilaudid doesn't help them at all for pain..IV is better..but oral works great for me..I've just now got a tolerance so a time released would be perfect!
Oral Dilaudid will provide next to no pain control used alone at the dose you mentioned. Furthermore, it is extremely fast acting and is eliminated quickly.
Dilaudid is useful in some patients as an adjuvant to long acting medications (i.e. Oxycontin), but for long term pain control, you would be literally eating pills every hour on the hour.
If I were you, I would try the MS Contin again and keep your percocet/ dilaudid for breakthrough pain. There's always roxicodone, or OxyFast if APAP is any concern whatsoever...
P.S. This only applies to oral Dilaudid. Bioavailability is very poor. IM or IV it is a miracle drug ;)
Best wishes