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I was on oxycodone 40 mg 4 times a day for several years, and was switched to opana 20 mg 4 times a day.  It seems to work for me, I still have break through pain, and have the vicodan HP which I take 4 to 5  a day of, but I have severe pain, and in fact so severe that I attempted suicide over it.  I believe Opana is a good drug, and I usually take it on a full stomach, and it does not seem to have the side effects that oxy seemed to have.   I have noticed a lot of complaints about opana, but if you are not getting enough to cover the pain, trying asking your physician to increase the dosage.  I have going to see if he will increase the two at bedtime to 40mg, and maybe that would help with the pain that keeps me up at night, or wakes me up after I fall asleep with severe pain.  I know I talk about severe pain and then say that opana seems to be okay, but it appears to me that opana works slightly better than the oxycodone, in terms of less wake ups that previously, but with sometime higher levels of pain.  I know this may be confusing.  I have been taking opana for a couple of months, and I see no difference between taking on a empty stomach or full stomach.  I just think that there is a slight improvement is what I guess I want to say, but maybe after an increase that will improve also.  For those of you that are questioning whether to change, I would suggest that you try it first, but you say no, as we all have different responses to different drugs - some have side effects, so don't etc.  In my opinion, I would try anything that may help me with this evil pain that has it's hold on me after a fall at work in 2001.

Good luck to all, and I pray that we all get some form of pain relief that will allow us to be, or feel, human again.  I know that if I do not have some form of significant relief by mid summer I am moving on to the next life, as even though there has been some improvement, I simply cannot live my life like this much longer.  Idon't know about the rest of you, but it changes you, and how you feel about yourself, in such significant ways that God would understand if I self terminate.  I am seeing a surgeon in a few weeks - had neck surgery already, now we are looking at thoracic area - I really mess my spine up - and can no longer find enjoyment in life.  I know there are others out there that feel like this also, and again, I pray that each and every one of you find peace and pain relief.

Steve

I barely get 4 - 5 hrs out of 10mgs, twice a day.

 Who else is on breakthru meds and what is working for you?'

Thanks

"Good luck to all, and I pray that we all get some form of pain relief that will allow us to be, or feel, human again. I know that if I do not have some form of significant relief by mid summer I am moving on to the next life, as even though there has been some improvement, I simply cannot live my life like this much longer. I don't know about the rest of you, but it changes you, and how you feel about yourself, in such significant ways that God would understand if I self terminate"

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Yes, pain is horrible and the worse thing is that piece by piece, it steals parts of our lives to the point that we wonder just what meager tidbits are let for us.....

The worse part for me is that it makes me feel useless, and call me silly, but apparently I have some kind of "pathological" need to feel of use to others and to society. Despite this need and my constant work to fulfill it, I now feel I am nothing but a burden -- and worse than that, a burden to those I love the most and could not even stand the thought of hurting, but it gets to the point where you feel they're going to get hurt by your pain whether its by the death of 1,000 cuts (no, sorry I can't help with that.......could you please help me.....you guys know the drill) or by one big letdown after which I would no longer be burden and drag on them........

I wish I had answers instead of tears......

M:(

HI,

I was reading your post about your Opan and what medication would be good for break thru pain. I have been in pain for a long time now and have been seeing a pain doctor.I have Fibro and designative disk disease  Just last year I had a disk reptured and it fractured my vertabra. A year later it still has not healed and the pain doctor sent me to see about surgery cause the disk is worse. Well, Of course they said NO on the surgery. It might make the pain worse. I don't think it can get worse. I went thru a bad depression and I got help for it. But about break thru pain. I take a 40mg and a 10mg of opana a day. both of them every 12 hrs. I also take Oxycodone. 15mg every 4 hrs. It use to be one every 6 hrs but I was still in to much pain. having the both of those seem to work good. I also take valium 3x a day and flexeral Twice a day. Before I was put oon the 15mg I use to take up to 12 5 mg tablets a day. I have a lot of people ask me how I manage to make it thru the day and not sleep all the time. At first I was really tired then i got use to the mediation's. The doctor is now going to put cement in the fracture to help with some of the pain and too see if it will help. I was told that i would always been in pain and will be on medications for the rest of my life. I found out that is it very hard on your family when you are in pain like all of us are. They don't understand when we are not able to get up and do all the things they can. It's really hard for my 12 yr old to understand. My Shrink ( lol ) said i have to start living my life over again and learn what things I can and can't do. It's hard but i have learned when to just tell people no when they ask a lot out of me. I am hoping that one day the pain will get better so I can get back to work. I will be turning 36 tomorrow 7/28 and I feel like i am 70. I hope that one day comes soon. Told the dr about the surgery 50/50 chance of more pain but also of there being less pain. I think it would be worth the risk. But talk to your doctor about the oxycodone. Brand name is ( roxicodone ). Let me know how it goes. Hope you are feeling OK tonight. Also, I have been on the oxy's for Two years now and they are still working for me........Started on Norco and after 6 month on them I could not tell if I took on or not. I hope this helps you out a little

Thanks