Opana Er

Posts: 6
Joined: 2007-08-20

I have been taking Lortab 10 every 4hrs for over a year now.  When I went back to see the doctor this last time I told him I was worried about the about on tynole I was taking and also it seemed like the Lortabs didn't work as well as they did when I first started taking them.  He suggested a extended release med. such as morphine.  I agreed to trying it and he put me on Opana ER 5mg every 12 hrs. and then a Lortab for breakthrough pain.  I thought this would be great I would have to take so many pills each day, but since I started taking the Opana I can't see were it works.  I don't get much relief and I end up still taking about the same amount of Lortabs as I was.

Does anyone know if this is a good med. or is it that the mgs are not enough?  He did say that I would have to come and pick my script up every 15 days until I get a dose that works for me and then he would write it for 30 days, but when I called the office nurse to let her know what was going on she said she didn't understand why it was not enough and doubling the dose would not help.

Also on the bottle it says "Oxymorphone" does this med. have oxy in it like a oc? And what is morphone, is it the samething as morphine?





Posts: 852
Joined: 2007-04-12
Similar subject was

Similar subject was discussed a few weeks ago.

http://www.pharmer.org/node/8516

If you were taking 8 Lortab 10/500 (?) a day the approximate equianalgesic dose of oxymorphone would be 20-25mg/day.  Sounds like your doctor is going to be OK with tapering your dosage up until you get good relief, but is starting at a conservative dosage due to cross tolerance.

The four patients I have on Opana ER are happy with it.  One says it is much better than anything he has ever been on, and he has been on just about everything at some point.  He really likes the full 12 coverage, so he doesn't start to withdraw on the third day of a fentanyl patch, or if he sleeps in on Saturday morning on Oxy-contin.

Good luck.




solo5010's picture
Posts: 1063
Joined: 2005-10-06
Oxymorphone, one word, is

Oxymorphone, one word, is the active ingredient in Opana. It is neither Oxycodone or "morphone", it is the semi-synthetic opioid Oxymorphone 2x's as strong as oxycodone. The nurse you talked to is, for lack of a better word, stupid. Unless, she told you that doubling the dose wont help, because she doesnt want you to double the dose with out the doctors consent and potentially take a fatal dose. Anyway you look at it, your going to have to go in to the office to have your meds upped and for refills every month cause this is a CII medication. If I read right, it sounds like you where taking 30mg Hydrocodone every 12hours, in divided doses. This would equate to 10mg Opana ER every 12 hours.

Dr.Lois , what conversion calc do you use? You seem to always come up a little short. Or do you use a standard incomplete cross tolerance?




Posts: 852
Joined: 2007-04-12
I generally round down to

I generally round down to the nearest multiple of 5 or 10 since that is the dosage that most drugs come in.  I also like conservative estimates to be on the safe side!  I always write for a breakthrough med and let people know if they use more than they were generally using in the past I will give them an early refill.  For chronic very high dose users, I usually do not factor in a conversion correction, but tell them they may find they need less of their breakthrough meds.  I usually suggest switching to a new long acting narcotic when they start using up all of their breakthrough meds, to take advantage of any incomplete cross tolerance.  I don't think there is any documentation or recommendation for this approach, but it makes sense to me.  I use globalrph.  



rozia's picture
Posts: 1
Joined: 2007-10-20
OPana er

I just started it Thurs . and so far its pretty good but might have to up it once more . Do any of yall have any side effects ? THANKS



Princess's picture
Posts: 441
Joined: 2005-04-29
Opana ER

I don't have any experience but here is some information about side effects from Drugs.com:

Opana ER (oxymorphone) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have any of these serious side effects:

  • shallow breathing, slow heartbeat;

  • seizure (convulsions);

  • cold, clammy skin;

  • confusion;

  • severe weakness or dizziness; or

  • feeling light-headed, fainting.

Less serious side effects are more likely to occur, such as:

  • nausea, vomiting, constipation;

  • dizziness, headache;

  • dry mouth;

  • sweating; or

  • itching.

This list is not complete and other side effects may occur. Tell your doctor about any unusual or bothersome side effect.

 

Please see http://www.drugs.com/mtm/opana-er.html for all the consumer information. You can find the professional information at Drugs.com too. The website has everything you need to know about all drugs. It's an excellent resource.

Innocent Princess




Posts: 1
Joined: 2007-11-16
Opana ER

I take Opana ER 20mg tablets twice a day and Norco 5-325mg tablets for breakthrough pain also i take 200mg celebrex and use lidoderm patches and I am very pleased with my results especially with the opana i have 3 herniated and a pretruding disk in my back from a weight lifting injury im 19 years old and i have cronic constant back pain without meds i cant walk and i will probably be on them for years to come.

 




gcdylan's picture
Posts: 339
Joined: 2007-05-03
I was offered to switch to

I was offered to switch to Opana from Oxycodone ER but my Medicare D plan not have that medicine on their list. I was also told by someone who does take it that it more or less does last for 12 hrs. He also was on the same amount of Oxycodone ER that I was on  and say's that it was the best choice he made regarding med's He was on 40mg Oxy ER 3 times daily with oxy IR for breakthrough. He has yet to have ask for any narcotics for breakthrough pain. This certainly is impressive in my eyes but all patients are different and all med's react different in other patients. I do imagine that it is expensive. Just an observation