What Is The Dosage Equivilent From Dilaudid 4mg To Opana Ir 10mg And..

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thirdeyemama Says:


I was just changed from the best pain meds I have found in 12 years of chronic pain (Exalgo ER 16mg + 4mg x 4 for breakthrough) because of a Medicare deal.

Now I'm dealing with Opana ER 30mg twice daily and 10mg hydromorphone.

So far the itching hasn't killed me, but I am reminded of why we switched in the first place. On the other hand, the strength seems more...

I haven't been able to fill Opana ER (from Thurs to Tues is a long haul especially if I didn't have a spouse who hide meds when I need them to...)

My math sucks. Not as much as withdrawal or OD though. What's the conversion?

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My first day here, glad I found you.



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Verwon Says:

Yes, you are on a slightly higher dosage, now. Thats why it feels like the strength is more.

This is a narcotic analgesic, so it has the potential to be habit forming and may cause side effects, such as nausea, dizziness, drowsiness, dry mouth and constipation.

For instance, it takes just 21.33mgs of the Opana to equal each 16mgs of the Exalgo.

Is there anything else I can help with?

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rick Says:
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Dilauded IR is cheap and effective. Dilauded ER is excellent, but very expensive. It's made by Abbott Laboratories. They do offer financial assistance to those who qualify. Abvie, Abbott's subsidiary drug researcher and manufacturer group, is headed by Rick Gonzalez. He's a very nice guy. Give him a call. Tell him Rick Bossen referred you.

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Being here NOW Says:

In June I had my doctor switch me from MS Contin 60mg. x2 a day plus 3 4mg. dilaudid for breakthrough pain. It is a pain clinic-one of many I have been to over the last 20 years. This is the lowest does narcotics I have ever been on. I argued for better pain control and finally when they put out the generic Elago (dilaudid) ER I was switched to 12mg.tablets once a day. and 4 x 4mg. hydromorphones. This is my 2nd month and I am still getting withdrawals if I do not take the single hydros every 3 hours.
I am totally confused. I actually am on medicaid and was out of the long acting twice
while my insurance company duked it out with the doctor's office over incomplete paper work and not saying correctly why I was not on the fentynal patch first. If I had not been progressive with both offices I would have waited longer than 10 days to get it approved. Not having the long acting when you have been taking it forever is horrible.
The patch is cheaper than Elago now. I could not use the patch-caused great big red welts on me. I am afraid to get anything changed since it takes so long to get it preapproved and my doctor will not do it ahead of time. Can you imagine getting a prescription-taking it to the pharmacy and being told it will take a week or longer to get it approved. Anyhow-thanks ahead of time if anyone has had experience with Exago. I am not that impressed with it. I know I have a tolerance for hydromorphone. But I can not get them to increase my breakthrough meds.

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Maxundergroundchem Says:
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12mg of hydromorphone is equal to 20 of oximorphone

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Maxundergroundchem Says:
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Half life of hydromorphone instant release is 2-3hours so one every 6 hours makes no sence these doctors are not folowing manufacturers recommendations on dosing for hydromorphone it says right in guide for 4mg hydromorphone take every 3-4 hours i know tons of peaple in you situation and its not fun i showed my doctor the dosing guidelines that the manufacturer produces and know i get 240 hydromorphone 4mg every mounth and morphine ms contin 60mg 90 a mounth and i ushaly have 40 to 60 extra hydromorphones and this has worked the best for me ben tru the oxi to hydromorphone 4s only 4 a day to exstended relerelease 16mg hydromorphone with instant release 4mg to fyntynal and at the end itold my doctor i wana go back to mscontin 60mg and my original oxicodone 30s he said he could put me back on morphine but not oxicodone and kept me on the hydromorphone and you know now that hes prescribing them the way the manufacturer says it works wonderfully the hydromorphone is such a clean high or effect and provides the best pain relief ever when taken every 3-4hours i dont get nausea and dont feel groggy like the high doses of morphine and oxi would and valium 40mg a day its vary energetic but i know what you mean when i was perscribed for hydromorphone every 6 hours id be good for the first 3 them my pain would come back then id withdrawal for 1 or 2 hours and this happens 4x a day with hydromorphone 4x aday you need absolutely need an exstended relerelease opioid formula but if you cant get scrit for xr best bet is to breake in half and take half evey 3 hours or ask for 2mg pills to take every 3-4 hours trust me you will be better off

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Maxundergroundchem Says:
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12mg oral hydromorphone = to 20mg oral oximorphone. Bioavailability of oximorphone is 10% oral 40-50% nasle and 100% iv. Iv doses are ushaly vary small since your getting 900% more of the drug is entering the body and protien binding is 10%. Hydromorphone bioavailability is 30% oral 55% nasle and 100% iv and binds to proteins at 20%

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Maxundergroundchem Says:
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12mg hydromorphone = to 20 oximorphone oral convertion

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Ds Says:
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Maybe you need to think about the meds you are taking. You don't make sense dude. Just saying.....

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Mick Says:
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Re: Maxundergroundchem (# 5)

Do you mind giving out any kind of contact info. I have a couple questions that you might be able to answer for me. I'm just not comfortable asking over and open thread.

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