What New Opioid Is The Best? (Page 2)
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I'm taking oxymorphone 20mg ER. I used to take the 30's which worked wonders. Now my msil in pharmacy is not filling for this anymore. So my question is what new opioids are equivalent to my oxymorphone? Exalgo, Morphabond, Methadone, Fentanyl, Demerol, Nucynta or Fentanyl? Anyone taking any of these I'd like your opinion. I really don't want to change meds but.....

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Re: Rawdog (# 2) Expand Referenced Message

That's on the patches mate, ask him for the lozenges because they relieve pain very quickly. For breakthrough pain I would personally take Oramorph but if you've been on oxys, I can't see it helping you. Have a look online but I don't think you'll find much stronger than oxys. It's going to be like putting a band aid on a compound fracture.

Good luck dude

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Re: Rawdog (# 2) Expand Referenced Message

I wouldn't call Fentanyl transdermal patches a, "last resort", but I will agree that it is usually saved as a later in the opioid rotation game, type option.

I tried Opana 30mg once daily. Didn't like it. See, agreed again...we are all different. Currently I am on MS ER 60 mg bid, but I have been using this for over a year now and want to try another medication. I have a vibe to try generic Exalgo or its generic, hydromorphone ER. You said you didn't like that one?

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Hiya mate
If you've got to change then morphine salts basically or fentanyl lozenges

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Why are they not filling? Because Doctor lowered it because they are out? I ask because the company only makes this medicine 1x a year & I am on 40mg. My pharmacy can’t get 40 until maybe next month so I have to switch to taking 2-20mg to equal the correct amount. I am allergic to many pain meds so this is the only one I can take. When the brand name went out they tried a new ER but allergic to them all. I even use Hydromorphone for break thru but the ER is as strong for me as but it is equal to Oxy in ER way but needs Prior Authorization & has QL on them. I hope this helps. I am getting annoyed that the people with real chronic pain have to suffer for the idiots who do it for pleasure.

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Re: VerFree (# 1) Expand Referenced Message

I have basically tryed them all Diluid does nothing for me I'm not a fan of Fentanyl cause it only lasts 2 days and doc only write for every 3 days. I just tryed Xtampza 36mg and it was just o.k. I heard Nucynta was garbage and all types of morphine just plain suck. Oxycontin is o.k. I guess but the only mg that works is the 60mg and my doc won't write for that high of a mg. And my insurance will only cover 60 pills of ER a month so i couldn't even get 3 30mg oxycontin if i wanted to. I just want back my oxymorphone 30mg i go to the doc 9n Monday im gonna ask him to bump me up from the 20's

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There really is no best opioid that anyone can recommend, since it can vary from person to person. We are all different, so what works well for someone else may not work at all for you, and vice-versa. Most opioids carry the risk of being habit forming, and causing side effects, such as nausea, dizziness, headache, and constipation.

Fentanyl is the strongest you can get for use outside of a monitored healthcare setting, but it usually prescribed last resort, since it really leaves one nowhere else to go, if their pain worsens. There is a new one that was approved last year, called Dsuvia, but it can only be given by a healthcare professional in a monitored setting, since it is even stronger than Fentanyl.

Have you discussed your options with your doctor? Have you checked into what else your insurance might cover?

What other analgesics have you tried?

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