What New Opioid Is The Best?

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Rawdog Says:
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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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1
VerFree Says:

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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Rawdog Says:
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Re: VerFree (# 1)

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

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SurgicalaAssist Says:
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Re: Rawdog (# 2)

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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Matt Says:
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Re: Rawdog (# 2)

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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Rawdog Says:
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Re: TiredofbeinginPsin (# 3)

What do you mean this company only makes this med one time a year??? I've never heard that before. And how did you find that out or who told you? My mail in told me they were not filling for that med anymore after filling for me over a year. They told me I would have to switch to one of the new age ones: Nucynta, Morphabond, Exlago, Zohydro, or anything that is crush or abuse proof. The thing about all this new crap is it's all garbage and doesn't work and turns to jelly or has so much anti-abuse stuff in it they forget to actually put any of the real medication in it. So in-turn does not work half as good or not work at all. So that's why I'm asking what new med out there right now seems to be the most popular or seems to work the best on the masses? I know everyone is different, I understand that. I guess I should take a poll and find out what people would take given the options of the drugs listed above in the event they had to switch their meds. And Fentanyl is not an option. My doc will not write for that. Thank you for your time and answers.

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Marc Says:
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Re: TiredofbeinginPsin (# 3)

I agree, I'm so upset over it. I was taking oxycodone 30mg for years and it was 6 a day and 90 oxycontin 80mg 3 daily and now I can't get anything. Ive been forced to go to a methadone clinic and have to go every morning, so I go at the worst time of day that my pain in lower back is at its worst and then tried suboxone because a doctor told me it works for pain. Wrong, it works for withdrawal not pain, im suffering. Ive been depressed. Im in severe pain. Here and there I drop to the floor and am forced to take the pain and wait till it gets better. It feels like I got stabbed in the back and maybe a twisting knife as well and electric shock shooting down my leg. Ive told my primary about this and was put on tramadol which did nothing. Im aware that no medication works but meds I was on in the past helped my quality of life and then my doc put me on methadone and mass health only pays a certain amount now. It helped. I could have used breakthrough pain but was grateful for what I got and I asked him a few years later to take me off and going back to the clinic I could not afford it anymore. At the time it was 100 bucks and I was honest with him. I went to the clinic, started working again and asked him to put me back on but he said no. I said I gave it up, u did not shut me off, im not getting it. Asked me to go to a pain clinic. I was shocked. Went to the pain clinic, gave them urine. It was clean and it was unexpected. They gave me nothing. Asked me to come back. I went back and same thing. I gave up as I was in too much pain. I couldn't get them anymore on suboxone again im going to ask my primary again for them and pray I get them. It's crazy and unethical to make a patient suffer. Any suggestions on what to do or where to go? Im in massachusetts. Any information is greatly appreciated.

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9
madog Says:
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Re: Marc (# 8)

I'm in Canada I took Oxycontin till they changed it to Oxyneo... Now they have generic Oxycontin here made just like the good original Oxycontin I take that now so I'm getting the same pain relief.Methadone and Suboxine are free here also.I feel sorry for all you pain patients that got cutoff and live with nasty pain..

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10
kunie Says:

Re: Marc (# 8)

Think about a pain pump. I've been on one for over a year. I go in every 2 to 3 months for a refill. The pain is controlled steadily between 2-3 on the pain scale. It's easy on your stomach and so much better. Talk to your pain management doctor about getting tested to make sure it's for you. I love it.

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11
Frankie Says:

I don't give advice but I will tell you this. Methadone is a hellacious drug to get off of. I don't know your age or your plans but the ONLY way I'd get on Methadone is if I was prepared to take it for the rest of my life and even then I'd be leery. I don't know of any opioid that's easy to stop but Methadone is the worst of the worst.

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Ghost in the Well Says:
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The best I'd Hysingla 80mg. This is pure hydrocodone without Tylenol. This is a 24hr. ER medication. I'd be taking it today but my insurance company wants me to pay $400 a month so I'm back on Methadone which is cheap.

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13
Rawdog Says:
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Re: Ghost in the Well (# 12)

You know it's funny I asked for people's opinions about the new drugs and your the first person to actually do that. I appreciate it im just ttying to get an overall estimate on the new ones like: morphabond, Hysingla, Exlago, Zohydro, Oxecta, Nucynta, Demerol and Xtampza but no one has had any input about any of these. Its pretty sad that no one can chime in with their experience and results with trying these do i can get a better picture on eitch one to try next. Thanx for your reply

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mandy Says:

Re: Rawdog (# 13)

Did you ever think that people are not answering your question or giving you advice on the "new" opiods because they haven't been prescribed them, not because they don't want to answer your question.

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Rawdog Says:
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Re: mandy (# 14)

Ummm.... MANDY, this site is worldwide I'm sure A LOT of people have tried or are on these meds. Also some of if not all the meds I asked about aren't that new most have been out for years now. So yes i do find it hard to believe no one in the world has had experience with all if not most of the meds I asked about.

And whats up with the hostile attitude? If you don't have an answer to my question, then don't reply thank you very much. Wow didn't know it was so hard to get some general input about these.

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Ghost in the Well Says:
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Re: kunie (# 10)

What drug does your pain pump deliver?

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Ghost in the Well Says:
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Re: Rawdog (# 13)

Nucynta is absolutely the worst pain med. You'll get a bigger bang with aspirin.

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Micheal Says:
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Re: Rawdog (# 15)

You have to overlook some people.

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Rawdog Says:
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Re: Ghost in the Well (# 17)

Thank you I appreciate your reply and by the way i bet your right!!

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KDELUX Says:
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Re: Rawdog (# 7)

I'm sorry but fentanyl lozenges are for cancer patients only. That's what they were made for and it's written on every single lozenge. It's people that get them for other chronic pain issues, and trust me I know it's hard, but it makes those of us with cancer fight even harder to keep the one drug that helps us. Too many people that have no business taking this drug and end up dying from it have made a mess of everything.

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