May 11, 2009 - 9:47pm
5mg of methadone, what would be the equivalent in oxycodone? 5mg methadone = ?mg oxycodone
May 11, 2009 - 11:14pm
#2
When you take methadone
When you take methadone repetedly and build up a steady level in your system 5mg methadone equals 12.5mg oxycodone, but if you just take a 5mg Methadone tablet and wait a long time (not sure if you have to wait the full half life time or not) before you take another one they are equal potent.
May 20, 2009 - 6:59pm
#3
Apples and oranges.Or, more
Apples and oranges.
Or, more literally, methadone and oxycodone.
Molecular differences make it so that XXmg of one cannot be compared to XXmg of another. They are two completely different drugs. This is often asked regarding vicodin (hydrocodone) and percocet (oxycodone). Even though both are opiate pain relievers, a certain amount of one does not equal a certain amount of the other. They are different drugs.
May 22, 2009 - 1:08am
#4
Well I dont understand why
Well I dont understand why they cant convert methadone into the opiate conversion chart if its also an opiate. They had everything from tylenol, to fetynal on the conversion chart and everything in between. Like hydrocodone, hydromorphone, oxycodone, codeine, tramadol, but no methadone. I think they said tylenol is 1/36 the strength of hydrocodone and tylenol isnt even an opiate. I am sure someone on this site could find the answer.
May 22, 2009 - 9:27am
#5
Methadone to other opiate conversion
The conversion ratio for Methadone to Morphine or vice versa is a ratio that varies according to the mg dose. This link will lead you to a narcotic dosage converter that will do Methadone conversions for either acute or chronic dosing. http://www.globalrph.com/narcoticonv.htm
May 22, 2009 - 11:14am
#6
I found a Narcotic comparison chart in
May 22, 2009 - 1:33pm
#7
Opiate conversion
No offense to you, str8updude. You should never use a chart like the one in your link to convert to or from Methadone.
Considerable controversy has arisen regarding conversion ratios for methadone. Experts have noted a useful principle: The higher the dosage of the opioid being converted to methadone, the lower the conversion methadone dose that should be used. Thus, if a patient were on a high dose of morphine, in converting to methadone you would initially use a conservative 180 mg oral morphine: 10 mg of methadone conversion ratio. As summarized by Ripamonti, "The results of our study confirm that methadone is a potent opioid, more potent than believed ( in the past ). Caution is recommended when switching from any opioid to methadone, especially in patients who are tolerant to high doses of opioids." It is strongly advise using low equivalent doses of methadone initially, gradually increasing the dose while using more liberal doses of breakthrough opioid in the conversion process.
Note this chart is assuming chronic administration of the opiate ( eg. daily ): Morphine sulfate, parenteral | 60 mg IM, SC, IV |
| Morphine sulfate, oral | 180 mg PO (chronic use) |
| Methadone | 10-40 mg PO |
Source of this info:
http://www.mywhatever.com/cifwriter/library/70/4932.html
I am not a doctor. The statements I make are in no way a substitute for a doctor's care. These are only my opinions.
May 22, 2009 - 3:37pm
#8
I take methadone 5 mg for
I take methadone 5 mg for chronic pain and norco for break through. I have only been on the methadone for over two weeks and I HATE the adverse effects. The problems urinating, zero sex drive, and feelings of fatigue.
May 22, 2009 - 8:50pm
#9
Methadone
To JJMillertime22,
I have been taking Methadone for around 15 months now. When I first started taking it, I would get really bad headaches I only had the headaches for a couple of weeks, and I have not had a problem since. That first couple of weeks I had a slight 'hang-over' feeling, but after the first few weeks I would definetly have to say Methadone is the most effective Opiate painkiller monetary wise ( $0.15 per 10mg pill ). I don't even need to take any laxative the constipation is so minor.
To start at the beginning though... I fell asleep driving home one night and rolled my car into a ditch. If I had not have been wearing my seatbelt I would have been killed. Needless to say I was injured. I think I got away lucky though as all I had were some herniated disc, some broken ribs, and some pinched nerves in my left arm. The first doctor I went to gave me Soma 250mg 1 tablet twice a day and Diluadid 2mg 1-2 tablets every 4-6 hours as needed. A few days later I went back, because I was i agony, and asked for an increase in the pain medication. He then wrote me a script for Diluadid 4mg 1-2 tablets every 4-6 hours as needed and later I got one more refill of the Diluadid and more Soma. After getting that third script they refered me to a pain management doctor. I decided that since I was already going to a neurologist for my migraine headaches; I would go to him for the pain in my neck and upper back. He is handling my pain management for now, and is the one that put me on the Methadone. I have been taking 10mg of Methadone 4 times a day now for around 13 of the 15 months. The first month I took 10mg twice a day. The next month I moved to 10mg three times a day.
Cost is a big issue to me, because I do not have insurance right now.
In regards to your age and getting adequate pain mangement, I am 25 years old and I get 120 ten mg doses of Methadone, 60 five mg Percocets, twenty 15mg Dorals ( (not the cigarettes brand) Quazepam ), Ativan, and a few other scripts each month. The key is to keep your hopes up of finding the doctor who really, nonestly cares about you as a person. And, keep looking and you WILL find a good, caring doctor.
If you have any questions for me just ask. I will do the best I can to answer them. I never stop my research on Methadone. It is a wonder drug...
Good Luck,
allgood
May 24, 2009 - 4:24am
#10
Like another poster said,
Like another poster said, "this doctor is deaf to me". Hes not listening to anything I am saying. He ignored my side effects to methadone and wants me to lower my xanax and eventually get me off of it because he says "I am too young to be stressed and need to deal with my problems". Well I guess hes oblivious to my situation. I was in a near fatal car wreck and I cant work, or do anything physical like I used to do. I moved cross country to live with my girlfriend where I dont know anyone, and she finances everything. I guess I must have zero worries. I think someone in their 20s that has to deal with chronic pain would have more anxiety than the average person and if xanax helps them actually face the day then whats so wrong? I am giving this doctor one more chance but I know its just wasting my money, but this time I am going to bring my girlfriend in so maybe it will help.
May 24, 2009 - 9:41am
#11
JJMillertime22
I agree with the strees thing. I am 25 and I have never had so much anxiety as I do now. Job, school, family stress, yadah yadah yadah. I believe that a lot of my anxiety is caused by pain and wondering if I will have to live like this the rest of my life.
Now if a doctor 'is deaf to you', try to find one who is willing to listen. It sounds like you have some 'rock-solid' proof of the severity of your condition. I personally could not live with the excruciating pain everyday so I went to get the opinions of several doctors before I settled on one, that I could work with. Even though I was paying out-of-pocket, no insurance, I still perserveered and didn't give up when went to a couple doctors that thought Tramadol or Ibprophen would work fine when I was already taking Diluadid. Some of the doctors didn't even look at my MRI's or XRAY's or even tell me a diagnosis.
All say it again, if your doctor is not listening to you, find one who will.
I hope you find a doctor like mine. One that really looks out for your well-being.
May 24, 2009 - 11:01am
#12
Allgood
Both of the charts basically say the same thing....so I really don't know what you're talking about. Also, there is a narcotic comparison/conversion chart in a book I have...The 2009 Lexi-comp drug reference. I couldn't scan it and post it, but it basically says the same thing as both of the above mentioned charts.
Ray
May 24, 2009 - 11:10am
#13
To str8updude,
To str8updude,
I was trying to say that there is no single conversion ratio for converting Methadone to another opiate or another opiate to Methadone. It is a variable ratio. And it varies based on the number of milligrams that are trying to be converted.
Give me a little bit of time and I will post the chart with the different ratios.
May 24, 2009 - 11:17am
#14
This is the conversion chart I was speaking of
Methadone Conversion Ratios | ||
Current daily oral morphine equivalent dose | Conversion ratio (morphine to methadone) | Conversion factor (approximate percentage of morphine dose) |
≤ 100 mg | 3 to 1 | 33.3 |
101 to 300 mg | 5 to 1 | 20.0 |
301 to 600 mg | 10 to 1 | 10.0 |
601 to 800 mg | 12 to 1 | 8.3 |
801 to 1,000 mg | 15 to 1 | 6.7 |
≥ 1,001 mg | 20 to 1 | 5.0 |
From this website: http://www.aafp.org/afp/20050401/1353.html
May 24, 2009 - 1:08pm
#15
Dosage convertor
This is another interesting dosage convertor. This one, however, does the conversion for you.
http://www.globalrph.com/narcoticonv.htm
Sorry for all the post. Next time I will just do one.
Edit: sorry again this and #5 are the same---- I was in a rush
May 24, 2009 - 12:57pm
#16
i Dont know, I was 25 once too.
yea
May 24, 2009 - 3:18pm
#17
I dont understand your last
I dont understand your last post flyer1976
May 26, 2009 - 2:15pm
#18
flyer said he was 25 once too
so was I, matter of fact I was 25 twice
May 26, 2009 - 4:06pm
#19
Did he mean he was dealing
Did he mean he was dealing with chronic pain at the age of 25?
May 26, 2009 - 11:55pm
#20
JJ
I'm sorry about your problems with the side effects you are having. Your doc wants to cut down on your xanax. I am not a doctor, but I've read about methadone and benzo's interacting with each other. It very well could be the xanax causing your fatigue, because of interacting with and increasing the effect of the methadone, making you tired. With methadone, the doc needs to be very careful with drug interactions, he's responsible for you and your health (and life).
I was prescribed a course of erythromycin (sp), an anti-biotic, and my pharmacist wouldn't let me have it, due to it interacting with my fentanyl. They checked with my doc, then let me have it, telling me it may increase the effect of the fentanyl. When I got the script, and read the info on it, I was amazed to see how many drugs it interacts with, including benzo's (I also take clonazepam).
There are other drugs for anxiety, would you be willing to try one and see how it helps? It may help the effects from the methadone. You said the methadone really helped your pain. It's good to be on a long acting pain reliever, so you don't have that rollercoaster of taking a pill(s) every few hours.
Pain meds in general can cause sexual side effects... ask my husband. He's on morphine ER, and just had an increase in his dose, along with a BT med. Plus, he's on a benzo, and several other meds. We have a great relationship and are very close. I know it bothers him, but we get together in ways that are good for us, and I understand. It was this way before we got married, but I didn't let that stop me, I love him too much. And not to say TMI, I also have the same effect from my pain med. We work with it and around it. Remember, the greatest sex organ is the mind. (Hope that doesn't get edited).
Having our doctors change meds we have been on for a long time, and therefore changing our routine makes us anxious. My doc was saying for a couple of visits (every 3 months) that I needed to get off the hydrocodone. That worried me, because it was all I had to stop my pain. Then he gave me a choice of morphine ER, methadone or the fentanyl patch. We settled on the patch.
Maybe give the doc another shot, and talk to him about trying a different med for anxiety? Maybe talking with him a bit will make him understand. And then there's that little blue pill. 
Although you may be on the young side, maybe it would help.
CAN T FIND NO COMPARISION CHART WITH DOLOPHINE LISTED, I FOUND 1 FOR SUBOXONE AN ITS LIKE 5 TO 1 STONGER THAN OXYCODONE, THATS THE WAY I VEIWED AN I CAN BE WRONG