Opana?

treefrog · #1 (**permalink**) 04-01-2009, 05:23 PM

Justin, what I had heard is that even though it is supposed to be stronger than Oxycontin, it isn't. And if your doctor just tried to use those charts to switch someone over, the person might actually need more than what it would indicate.

Frankly I don't care how it compares in dosage to other drugs, as long as the dose than I am taking controls my pain to a reasonable level.

Oh, and it scares me to think that I would be taking the equivalent of 80mg of Oxycontin (though I've never taken Oxycontin).

Justin · #2 (**permalink**) 04-01-2009, 05:32 PM

Quote:

Originally Posted by treefrog

Justin, what I had heard is that even though it is supposed to be stronger than Oxycontin, it isn't. And if your doctor just tried to use those charts to switch someone over, the person might actually need more than what it would indicate.

Frankly I don't care how it compares in dosage to other drugs, as long as the dose than I am taking controls my pain to a reasonable level.

Cathy,

I understand you mainly care about the drug working to control pain. However, physicians have a responsibility to patients to follow dosing guidelines. Even if the drug has decreased bio-availability and/or potency a doc must follow protocol, especially in a patient that is not currently opioid tolerant. This is just "good" medicine.

This is not because they are "withholding the dose you really need," but to ensure that the patient adjusts to the medication appropriately because there are severe risks with narcotic medications including respiratory depression.

BTW, I've heard the same thing about Opana-ER. However, I posted the link and quoted text above to provide drug information for Mark and not what patient's might prefer in terms of dose/frequency on online forums.

As always, speak with a medical professional about any adjustments to medications...they really know what they are doing and there is a step-wise method to their madness.

treefrog · #3 (**permalink**) 04-01-2009, 06:06 PM

Oh Justin, I wasn't saying I didn't understand why you posted the information, and totally understand why a doctor needs to slowly titrate a patient onto any new drug. I didn't mean to imply that the information was not helpful or informative.

I was just saying (and kind of in a joking way), that I personally only care that whatever I am taking, works (though it seems scary to me to think that I am taking the equivalent of 80mg oxycontin - is that a high dose of oxycontin?).

I totally understand that if a person has been taking a narcotic and are switching drugs, that it is helpful and imperative to know what the equivalents are, in order to get the dosing correct. And also for the patient who is opioid naive, to slowly increase the dose until it is controlling pain.

Sorry, if I came off the wrong way.

Cheryl · #4 (**permalink**) 04-01-2009, 10:19 PM

Hey Mark,

I started on 20mg of Opana ER for my neck about three weeks ago. 10mg 2x's a day. It has done nothing for my pain. Oxy 5's give me about 45 minutes of some relief.

However, what I did notice immediately after starting the Opana is that I am sleeping much better and that has me in a much better mood even though not out of pain. Its almost as if it has an anti depressant effect on me. (BTW I tried several AD's and none worked) I will be following up soon with my new PM doc and see what he recommends next.

I read and understand the instructions about not eating but I cannot take it without some food. I get severely nauseous when I take it on an empty stomach. I have had pretty bad constipation which none of the other pain meds ever caused me.

Keep us posted on your neck.

fortitudine · #5 (**permalink**) 04-15-2009, 11:52 PM

Mark,
I'm sorry your symptoms are so serious. Do you have a surgery date yet?

Maria · #6 (**permalink**) 04-15-2009, 11:57 PM

Has come and gone! He's out and about with a newer improved cervical spine. Check out his surgery blog

Justin · #7 (**permalink**) 04-02-2009, 12:02 AM

Cathy,

No worries at all..I knew exactly what you were saying.

I just wanted to help explain (to others on the forum) why doctors prescribe the way they do. When I referred to "patients on online forums," I was talking about other online forums where people post about pain medications to figure out what the best, new designer narcotic there is to abuse.

80mg of Oxycontin is a lot. I'm on the equivalent of ~80 Oxycontin (Fentanyl patch every 48 hours) and I'm also on about 15-20mg of oral oxycodone for breakthrough pain a day. Plus, 5 other meds right now. Is your pain managed pretty well with your meds?

I completely understand the "give me whatever the heck you want, as long as it gives me relief" frame of mind.

The Fentanyl patches have been a life saver...I can't imagine that people smoke these to get high...talk about dangerous.

Quote:

Originally Posted by treefrog

Oh Justin, I wasn't saying I didn't understand why you posted the information, and totally understand why a doctor needs to slowly titrate a patient onto any new drug. I didn't mean to imply that the information was not helpful or informative.

I was just saying (and kind of in a joking way), that I personally only care that whatever I am taking, works (though it seems scary to me to think that I am taking the equivalent of 80mg oxycontin - is that a high dose of oxycontin?).

I totally understand that if a person has been taking a narcotic and are switching drugs, that it is helpful and imperative to know what the equivalents are, in order to get the dosing correct. And also for the patient who is opioid naive, to slowly increase the dose until it is controlling pain.

Sorry, if I came off the wrong way.

treefrog · #8 (**permalink**) 04-02-2009, 03:04 PM

Since Cheryl told us about her side effects and such, I thought I would post some things I have noticed about Opana-ER.

I actually feel like I have less of an issue with constipation, with Opana-ER than I had with the percocet, or some other pain meds I've tried. There is still some constipation, but it's manageable.

But what's also interesting, is that I have been taking neurontin for some nerve pain. I have been taking the same amount for a long time, and had still been having a good deal of leg/nerve pain. In fact I would say that the leg pain was more bothersome to me than the back pain. But, when I started taking Opana-ER, my leg/nerve pain is much less noticeable. And I haven't changed the dose of neurontin. So now, my back pain is more bothersome to me, than the leg pain.

Cheryl - If 20mg isn't working, have you talked to your doctor about increasing the amount? You might even ask about trying 20mg in the morning, and 10mg at night (or the other way around, whichever you think would be more beneficial). This is why my doctor has me taking two 10mg tablets twice a day, so that if I am feeling pretty good, I can go down to one 10mg tablet.

There was one week where I was feeling exceptionally well, and was down to taking just 20mg/day, but it didn't last. And since then, for some reason my pain has been higher and requires 40mg/day.

Maria · #9 (**permalink**) 04-02-2009, 03:34 PM

That PMs use Methadone as a last resort pain medication? I'm on a very low dose of it (12.5mg/day) and was on MS Contin for mo. when first starting pain meds but was too constipated on it and also had burning in my shoulders and knees I thought was osteoarthritis but after d/c'ing the MS Contin that all went away quickly.

I saw that the Morphine equiv to Methadone is 15mg of Morphine to 5mg of Methadone.

Supposedly it's one of the most difficult opioids to discontinue. I've only tried decreasing my dose and had some really terrifically painful responses so I maintain (choice of words

) pretty well pain wise.

It seems that the people I see that are put on Methadone (other forum) are the ones that have tried other opioid pain meds and not achieved adequate relief or those that are deemed chronic pain patients that have no surgical options (at least at the time or no known surgical options w/docs they are seeing/see).

Mark, between the pain and the additional numbness that sounds scarey. Get things taken care of as soon as you are able.

melodyl · #10 (**permalink**) 04-02-2009, 04:34 PM

Hi Mark,

Sorry to hear you are in pain and having trouble getting the Rx you want to relieve the pain. You said that 5 mg oxy wasn't available? Did you mean oxycontin or oxycodone? A couple months ago there was a sever shortage of 5 mg. oxycodone in my area. For a few weeks, I had to switch to percocet (which isn't ideal for me (tylenol) on the high doses I needed at that time. I ended up calling all over to find a pharmacy that had managed to stock up on the 5 mg. oxycodone that I needed. I have never been on Opana, but I did try Kadian, which I believe is similar. It helped with sleep, but not with enough with pain. Sounds like you should find a better pharmacy. It took a long time, but I finally found the perfect pharmacy for me. The pharmacist and techs are extremely helpful, non judgemental, compassionate, and willing to help. Many of us have to visit our pharmacy every 4 weeks. It shouldn't be a negative experience. We have enough to do deal with already. Keep us updated on your neck issues. Melody