March 14, 2008 - 3:05pm
hey all, i dont know if the dilaudid 6 or 8mg is comparable for severe pain relief in the IR pain meds to the Oxycodone 15mg or 30 mg. i was hoping someone who has tried both can tell me which is the better IR/BT pain medication, this med i will take for life, and need to know which has the longest and best relief of the two, thank you all for your input, you have all helped me greatly in the past with my questions, and i suspect the same will be here, thanks again.
-Enigmuh
March 14, 2008 - 3:45pm
#2
I also think dilaudid comes
I also think dilaudid comes in 3 mg suppositories,at least they did when a mamily member used them.If I remember correctly I thought that 1.2-1.5 IM of Dilaudid is the equivilant to 15 mg of Oxycodone.of Dilaudid. I certainly may be wrong for I am doing this without researching it and also it has to do with chronic or acute pain. There are several people in this room that will absolutly know
March 14, 2008 - 4:28pm
#3
I've been prescribed
I have had both, I think the Hydromorphone for me is the better choice. I don't want the stig that oxy has, plus the cravings that my body had is less for hydromorphone than oxy. I think I will start using the OROS (Hydromorphone Extended release) when it comes out. Like I said I want nothing to do with OXY's until the feds quit seeing the red flags.
There is no pain you are receding. A distant ships smoke on the horizon.....
March 14, 2008 - 5:21pm
#4
OROS
Hi ESMIG!
Can you tell me more about OROS? I haven't of it yet, but I am very interested in any information you have. I remember the last time they had an ER version of hydromorphone (Palladone) it was taken off the marker after only 6 months or so. I'm on Oxycontin for ER pain now, but I use Dilaudid for breakthrough and am pretty satisfied with it.
Although, my insurance is REALLY slow about approving new medications. Opana has been out for almost 2 years now and its still not on our list of approved meds that they will pay for. I shouldn't complain too much because before Oxycontin was available in 60mg dosages, I only had to pay ONE copay for 40mgs x 90 plus 20mg x 90 per month. Most other companies make you pay TWO copays.
Take care,
FLGIRL
March 14, 2008 - 5:35pm
#5
So....
- So the dilaudid is stronger/more effective? i have great relief from oxy, but thats why i put it in the front line of defense with my OxyContin, and i wanted to try something esle for IR pain relief, and dilaudid is the next choice for me and my doc, i don't know how it compares still, but does the 8mg compare with the 30 mg Oxy well, or does it compare to the 15mg oxy better (and the 4mg dilaudid compare to the 15mg oxy) i can always switch back to my 15mg oxy, and i would most likely jump to the 30mg if that was the case. not really sure what dylan's post meant either.
I'm no doctor, i'm just a man with intelligent opinions.
-Enigmuh
March 14, 2008 - 7:07pm
#6
oxy-hydromorphone
in reguards to your origional question, use the conversion chart http://www.pharmer.org/node/3757 that rowdy posted, it really is a piece of work. i've red that alot of people seem to prefer oxy rather than hydromorphone because the low bioavalibilty of the oral tabs, which i believe is somewhere between 20-30% (dont quote me on that, my memory can be tricky at times). i myself have never tried the oral tabs, but have had hydromorphone IV, which worked wonders after a bad car accident that left me hospitalized. but thats just my two cents. keep in mind that everyones body chemistry is different, and you wiwll just have to try it to make up your own mind. anyways i hope the conversion chart will answer your origional question.
goodluck
March 14, 2008 - 9:36pm
#7
OROS is an extended release
OROS is an extended release delivery system that was made by or atleast marketed by Alza Pharmacueticals. OROS stands for osmotic-controlled release oral delivery system. Here is a paragraph quoted from Alza.com
"OROS® Oral Delivery OROS® technology employs osmosis - the natural movement of water through a membrane - to provide precise, controlled drug delivery for up to 24 hours and can be used with a range of compounds, including poorly soluble or highly soluble drugs. OROS® technology can be used to deliver high drug doses meeting high drug loading requirements. ALZA's L-OROS™ technology, adapted for liquid formulations, can enhance the bioavailability of drugs with low solubility."
Concerta and 24 Hour Sudafed are two medications that currently uses the OROS delivery system.
So what Im getting at is that the extended release Hydromorphone currently in clinical trials (phase III) uses an OROS delivery sytem, it is not called OROS. There is also an OROS version of Ritalin currently in trials.
March 14, 2008 - 9:46pm
#8
- Wow! i know the ER
- Wow! i know the ER dilaudid was restricted after 6 months (but don't know why) and i had no idea they were developing that, i had heard of it, or maybe read it, but didn't know what it was. can't believe they are using osmosis, and whats more shocking is that they didn't think of it sooner, such a simple way, but probably incredibly difficult, time and monetarily consuming.
I'm no doctor, i'm just a man with intelligent opinions.
-Enigmuh
March 14, 2008 - 9:51pm
#9
The reason they pulled
The reason they pulled Palladone SR off the market is because when people would drink even small amounts of alcohol it would break down the extended release mechanism and could/would result in accidental overdose.
March 14, 2008 - 10:14pm
#10
- oh my goodness, were
- oh my goodness, were there any lawsuits that arose from this? and aren't peopl not to drink on any long acting narcotic? if you can what is the limit to drink for LA and IR drugs, the reason i ask is that i always warn my brother who abuses pain meds to a very small degree and he drinks a cocktail/beer or two, sometimes three, and i always say it could kill you, and not to do it, but i don't even know if im right.
I'm no doctor, i'm just a man with intelligent opinions.
-Enigmuh
March 15, 2008 - 7:59am
#11
ETOH
Personally, I don't drink, never have, never will. I don't like the tast of alcohol and it affects me so much. My doctor told me that i had a deficiency in the enzyme that metabolizes alcohol. That's why i have such a low tolerance for it. I can't even take nyquil and some prescription meds, because of the ETOH in them. I wouldn't even consider drinking if i was taking any kind of medicine...controlled substances or not...esp controlled substances. That's how people wake up dead.
I'm not a doctor, but would LOVE to play one on tv....
Ray
March 15, 2008 - 2:06pm
#12
Alcohol
Thanks for the information regarding OROS, thats pretty cool!
Personally, I haven't had a drink in at least 10 years. This is a personal choice, but ESPECIALLY now that I am Rx's narcotics. People who drink with these type of meds are really chancing things. My bad luck, I would NEVER wake up again. LOL
Take care,
FLGIRL
March 16, 2008 - 7:30pm
#13
oxy or dilaudid
oxycontin is a stronger type of pain relief and in my opinion much better than dilaudid. however, if abused or not taken correctly, oxy can be very dangerous and addictive. my advice to you is if you can take them as prescribed, oxy is the better choice. if not, stay away, they can make you very sick, and change your life.
March 16, 2008 - 9:45pm
#14
- Thanks wilson, i
- Thanks wilson, i currently take OC 40,g 3x daily, but its the BT/IR pain relievers i was inquiring about, tomorrow i'm switching my Fentora (fentynyl 400mcg tablest, most potent ir med) to dilaudid for a trial run, i use to use the Oxycodone 15mg tablet for ir, now were on dilaudid, will find out tomorow what dose. if it doesn't cut it i'm going back to teh Oxycodone, but to the 30mg i think. Thanks for your post, i love hearing multiple perspectives on everything, it lets me absorb what everyone feels and make and accurate assesment based on everyone in an averages sort of manner
-Enigmuh
A non-medical professional.
July 25, 2008 - 9:09am
#15
oxycontin definitely is
oxycontin definitely is dangerous stuff some friend was prescribed it after a bad car accident and he got addicted and hooked on it any time he couldn't have it he would be home in bed for 2-3 days going through withdrawal until he got the drug treatment he needed it was pretty bad.
Hi Enigmuh!
I sent you a PM. Dilaudid doesn't come on 6mg as far as I know. I believe it is 2, 4 and 8, but I could be wrong.
Take care,
Flgirl