What Is Stronger Dilaudid Or Oxycontin 40 Mg? (Page 11)

I have been on Dilaudid for over 2 years now and I can't seem to get off of it. I'm under a doctor's care, but anyone who is on it knows it's very addicting! I think like everybody else, it's no good if you take it orally. It's only effective other ways. I always run out of Dilaudid before my prescription is ready to refill and recently I filled a script for oxycontin 40 mg to see if they could replace my 4 mg Dilaudid. However, I took 1/2 of a 40 mg. and felt nothing. An hour later I took my 4 mg Dilaudid and it seems to have worked. But they are very short lived, that's why for chronic pain they like to give these stupid time release pain pills. How many mg.'s does equal the same amount of Dilaudid? I also would like to know if anyone has ever tapered off of Dilaudid? You get really sick when you try to get off of it, really intense vomiting and stomach pain that lasts forever. I have never stuck it out, I always end up in the emergency room. All they do is give me a pain shot of Dilaudid and a prescription for it as well and send me home. They think there is something wrong with something else. I have even tried to tell them but they either don't want to get involved because I'm under a Dr.'s care or they are just stupid. I hope someone has the best kicking advice, I'd rather be straight or just be one of those once in a while users (RIGHT)!!!

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I do believe that a very few people have a "specific gene" that keeps them from getting as addicted to opiates as the normal person would as dictated by simple physiology of the body....HOWEVER....if you will think about it in the 16th century when Europe lost 50,000,000 people to what is commonly known as "The Black Plague", there were a very few people who never got it no matter how much they were around the plague victims. English scientist's several years ago had a theory that some people had a gene that had mutated throughout the ages that BLOCKED this plague. So they went to a village in Southern England, got permission to test many of these villagers who back during this plague did not get sick.....sure enough, an abnormal amount of these villagers who were tested that had decendents from their church record books who died from The Black Plague.....had this mutated gene! So, in essence....there has to be a few lucky people who, because of their chemical make-up, do not get addicted like most people do. Life.....IS stranger than fiction.VGPKFJ

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hahaha, tried every drug. never got addicted. hilarious.

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when someone asks for help maybe try not using phrases like "suck it up." it does nothing for anyone and it proves the opposite of what you likely intended to express, that you're a silly, self-important little person, unique only in their small mindedness.

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Tod...[with one 'D']. Reading your post's 203 and 204 indicates to me that you are on the wrong page. You need to be on The Bi-Polar Prozac Page several blocks to the rear.....Art

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Tod...[with one 'D']. Reading your post's 203 and 204 indicates to me that you are on the wrong page. You need to be on The Bi-Polar Prozac Page several blocks to the rear.....Art

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Tod [with one 'D'], Judging from your post's numbers 203 and 204, it is obvious that you should be on the Bi-Polar Prozac Page several blocks to the rear. Art

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To Post #197 Mr. Cohen,
First, I am not a dude, lol, and I did not take offense to the post prior because I had not written my response yet I don't believe. I have been on narcotics on and off for 35 years, Crohn's and RA related and yes when on IV in the hospital I would feel just awful for a week and no doctor EVER knew what it was, now I realize it was w/d but I really don't think they knew. I have read all about the different pain receptors in the brain b/c I do worry about exactly what you speak to, the suppression of my own natural pain killers. I also experienced a period of decreased libido and enjoyment which my PM doctor warned me about and through adjustments I am just about back to where I was. I think all of those dealing w/debilitating pain or chronic/terminal illness will not always have a strong sex drive because the anxiety it produces also affects our chemistry so I am grateful to have a husband that loves me and is understanding of my situation and he never has to know that being intimate for me, well I'll just say I gain from the closeness and comfort and don't always need to see the stars (if you get my drift)! I have stopped or to be accurate, I have dropped from 48 mg Dilaudid/day to 8-16mg per day tops, and the IR morphine, from 4x30 mg doses to 1-30mg dose per day and yes a bit of clammy, increased anxiety (which I take Ativan for) but minor compared to what I read, no rebound hideous pain, no cravings (but I think I have been dependent not addicted), I wish you, Mr. Cohen, seeming to have a much more deep understanding of the science behind pain and the brain could tell me if I have gone one month with minimal PRN dosing from round the clock dosing and have never experienced the W/Ds you speak of could help explain it and/or tell me if it's not enough time to be off? It's not like you can see me or I will gain or lose something from lying, I just genuinely want some help or information please. My doctor tells me he's never seen anything like it, especially not taking the refills every 30 days but instead just what I need or last month, none at all when I have malignancy related pain, the says the kind that no one questions. I would very much appreciate your insight. My doctor just says just count your lucky stars and enjoy your life (which I am)!! Thanks in advance for your response and I did gain more knowledge from your well explained description of the body's/Brian's physiological response, just tell my brain/body! Actually I don't want that, I think this is one oddity about my health that is good. To all of you that suffer, you are in my thoughts.

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To Post #202 Mr. Cohen,
Did not see this until after submitting my response or rather more of a request to you. I think I will just be grateful that for some reason I have not become addicted psychologically or physiologically however, I have taken an IV dose and do still while receiving chemo to relax and escape. I do have pain but I suffer from fairly significant anxiety disorder and that alone can be more painful. I wish I could say I'm not scared of dying, but I am, I'm scared the pain will be unbearable or having come close before, there is a panic, at least for me, that sets in and I fight sleeping for fear I won't wake up which is counter-intuitive considering that would be the most peaceful way to go. I have weddings I hope to plan and see, grand babies I hope to one day hold so maybe that's just my natural instinct to want to live, it's just so contrary to my exhaustion w/this waiting game of which CT scan will it come back on, all the while I know intellectually we could all go at any time. Anyway, this forum has ALWAYS been a supportive place for me, this is where people go when they can't go elsewhere, I can't tell my family theses things, they are suffering w/me, so please be kind to one another. You don't need anyone to justify the pain you feel, ignore the posts that ate full of judgement b/c they have not felt the pain that forces one to turn to narcotics and look for those that will help you during a difficult time. I'm not able to post much these days but I will try to look more. I have a family member that deals w/addiction so I know it's a difficult disease to deal with and many come by it via treatment of injury, illness or chronic pain. DON'T GIVE SOMEONE WHO IS WITHOUT EMPATHY YOUR PRECIOUS TIME OR ENERGY! Hi Breeia =).

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SEE POST #202! DON'T GIVE SOMEONE WITHOUT EMPATHY OR COMPASSION YOUR PRECIOUS TIME OR ENERGY. You deal w/terrible pain and remember, pain is what YOU say it is. Sometimes you have to examine what elicits such angry words, may not even be about you, regardless, post until you get the help you need, and stay away from those who can't or won't help you. My husband and my doctor are the only people that know about my pain medicine use b/c everybody felt the had a right to tell me how to deal with MY pain and their judgement got in my head and I lost 6 mos. of quality time b/c of a healthy pain free relative's self-righteous attitude, it's their issue, you have a right to deal w/your pain as you and your doctor choose. Good luck to you and post any time, I will try to look more often.

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Brynn, Let me ask you this; How long have you been taking the opiates, have you taken them as directed, and have you always had medication and not run out for over a day. Or let mme put it this way: Have you EVER been in a situation where you have not had any pain meds at all in the house-NONE- not 1 pill.....for over 1 week.? I ask you this because I'm tying to figure out if you have ever been in a situation where you had none, could not get any....and literally had to be without. I have friends, one from a V.A. hospital who has his Percocets mailed to him. This went on for five years until there was a computer fowl up and when the day came for his meds to come in.....theywere not there. They finally came 6 days later and it was THEN....and only then, after 5 years, did he fiind out that he had an addiction. He went to the hospital because he didn't know what was wrong. Sadly, I had to tell him he was addicted....

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Bre-Bre I am sorry about your friend. Unfortunatly the only thing that doctors can give for sickle cell is pain managment with opiates..Is your friends pain chronic or acute?? Most sickle cell sufferers have acute pain..For anyone who doesnt know what sickle cell anemia is, it is a diease that mostly middle Easterners Eastern europeans and African American get it is very painful...I hope they can come up with a cure....

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Post #211 Mr. Cohen,
I have been out of medication before, I do always take as required but personally chose to stop taking pain medication for 3 years during another remission. I took 3-4 60 mg MS Contin for about 10 years however the doctor prescribed a 2-week taper then a complete stop and I did fine, other then I came out of remission and went back to PM and now take PRN which this week has been 2 doses of pain meds, so I will have meds left over. I have had unrelieved pain and am allowed to call my PM doctor for dose increases over the phone so I now do always have some meds because there are times I will have bursts of unexpected acute to chronic pain so I am no longer going without the option of meds. If I were stubborn then yes I would have run out but truthfully I don't feel that confident. Crohn's alone can have miserable and unexpected flares. Anyway, I hope this information helps you. I have pretty much always been tapered off unless it was a short course. I was just curious, I really think I am lucky and also, compliant because addiction terrifies me so I have always been acutely aware. My doctor requires pill counts so I wouldn't jeopardize my care going forward for any reason b/c it took me so long to get in. Thanks for your input, I'll see if I even need any over the next 7-10 days and will keep you posted.

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Post #211 Mr. Cohen,
I thought about it and I have run out of meds, not b/c I waited too long to return, but b/c I went "rogue" and treated my own pain with more than RX'd so I don't want anyone to feel that it means I am better than anyone else or haven't felt or had a moment or 3-4 moments of weakness but once the notion of addiction in my family entered the equation I became very rigid as I am told it places me at a much higher risk for addiction, and that scared me to a paranoid extent but I would be remiss in not stating that I am painfully aware that it could just as easily be me, however I was VERY young and I was not this ill and doctors were not liberal w/pain medicines like I think they are now. I used to say, just one bowel obstruction (not wishing anyone pain for real) and you would both take and prescribe pain mecicines like jelly beans - I was grossly under treated and I often wonder how I survived it. Back on point, once I got my pain under control and never had to worry about it being treated, I never took too much w/o approval via phone or visit and now I have NEVER had one craving, I do not have the addict gene b/c my PM doctor, when first taking me on, asked that I bring in all narcotics I had, in their containers, whether or not they worked, and I brought in 7 bottles and he opened first 3 of them but just looked and put them down and I asked him why I had to bring them in, and he just wanted to see what I had tried and accurate doses and he didn't expect me to bring in anything in. Later in our appointment I talked about my fear of addiction and first he said, we watch and treat for it, but that it is a very real risk but the benefit outweighed the risk (which it did) and an addict would not have a single pill left, would not go through biofeedback and every other allowable option to achieve pain control w/as little medicine possible. I also, for safety reasons (I was hospitalized many times in 2012 for complications of treatment and disease itself and not with the strongest of cognitive skills) gave my husband the medication and he gives me the full week and so far I haven't even used that part of the script. Now I opened a notice just today regarding new prescribing guidelines via the DEA, and basically w/their controls on the amounts that patients can now receive, I am refilling every month (as my doctor strongly urged as he is deciding whether staying in this field is worth the stress and scrutiny he's facing) b/c he said he has devoted his life to treating the sickest of the sick and if he can't take away the majority of our pain, but now that his education may have little to no role in the care of his patients, particularly tolerant patients (and I am very tolerant and am told that never goes away, & I agree, after a 3 yr. + break, I was back at regular dosing within 2 months which shocked me). Anyway, yes I know at some point I didn't have the medicine I needed but it was not due to withdrawal, it was due to unbearable pain fom pancreatitis and the thought of starting this over with a different PM doctor seems impossible to me so if he is looking to leave in a year (he said that would be the soonest, I'm hoping it's nit as bad as he thinks it will be - do you know a out these DEA issues? All I know is I am planning on stocking up on my usual meds, the extra should take me right through the end, or close enough for my oncologist to RX me. I have never faced losing a PM doctor and having read the horror stories and knowing what it took to get in (years on a waiting list & years finding the right one (not a dealer but a neurologist who doesn't price gouge). I hope I have to complain but Mr. Cohen, I don't want to come out of remission to find that I could go a very long time w/o help and w/d is not my biggest fear, untreated or even under-treated pain is and I will do whatever it takes to never go through that again. Thank you for this back and forth, I know mine was a long response but I am appreciative of the forum to vent and unburden myself. Thank you for your answers and I hope to "speak" with you again in the future. Tomorrow I am getting a new central line :( - they hurt me so much now, used to be a quick thing b/w procedure and recovery but now they have to keep me for a few nights due to severe vomiting from the anesthetic and what, in the past, has been significant pain and swelling. Hopefully this one will be easier, no matter how late I stay up, tomorrow will be here soI better get some rest. Hope everybody has a good week.

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you can be on an opiate blocker like suboxone , methadone, subutex and still take opiates, it wont hurt you you just wont get "buzzed" from it because the subs block it out

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I read and enjoyed your article and I can relate to everything u said and did. I TOO THANK God for subs they are a miricle drug iam on dees.8mg and oxys with a prn. Of moriphene. Iam do to be released from the veterans nursing home blessed to still be alive. Iam more then twice your age and any junkie would luv to have my current pill cocktail after listening to u iam encouraved to go turkey and request what I need and not what. God bless keep your head up and follow your heart NOT. Your friends or evenall your docs some of them are addicts too on and off the job
Peace out from Big Eric a.k.a. 69 DAV USMC

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Brynn, I'm sorry I haven't answered yet. Give me a couple of days to go thru your post so that I can think on it and give you the answer you deserve.
Sincerely, Art

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Post #217 Mr. Cohen, I appreciate it, I don't know how much I've left for you to answer! This week was not an easy one so I suppose, like everyone else, I just do my best and I know my end game so addiction is irrelevant I'm told. I plan to just do my best to live as full and graceful life as possible but I thank you for your thought and wisdom. Wishing you as little pain as possible.

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Hi Brynn,
I will have a reply for you when I am back from out of town tomorrow [wed feb 26] srom surveying land in the mountains. Thank you for you patience. I haven't forgotten about it.....Best Regards, Art

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I tapered down to 1mg a day over a two week period then quit cold turkey. Be strong its 99% mental.

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Post #219 Dear Mr. Cohen,
It's awfully kind of you to put so much thought and effort into my situation. Just want you to know it is really appreciated. Honestly, it's just nice to have nice people to talk to that can relate on any level w/these meds and pain's affect on our lives. Now I am back to more dosing than before due to increased bone pain and I am going through what seems like much more pronounced fatigue/sedation than I ever recall and I just can't shake this intense need to sleep. I feel like a slug :-(. Look forward to hearing from you.

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