Which Is Stronger: 30 Mg Of Morphine Sulphate Er Or 10 Methadone

justme Says:

I am in a confusing debate with my ex husband: Which is stronger, 30 mg of morphine sulfate E.R or 10 mg of methadone?

124 Replies (7 Pages)

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Verwon Says:

Methadone is stronger than Morphine, just as an example, if you were taking the 30mgs of Morphine, the equivalent dosage of Methadone would only be 3mgs, so it's a roughly 1mg to 10mg ratio.



Is there anything else I can help with?

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Frank Says:

I was on Methadone tablets for 13 years with a NY pain mgmt doctor who worked alongside an Orthopedic surgeon who originally diagnosed my lumbar-sacral pain from DDD (L5/S1) and nerve damage in my legs, plus osteoarthritis in hips and spine. My Methadone dose began at 30mg/day, and at it's highest 10 yrs later, was on 150mg/day. I had gastric bypass surgery in 2009, and lost 130 lbs by 2010. My Methadone dosage was able to be brought down to 90mg/day. I was OK with it.
I moved to PA in 2010, and after a yr traveling back-n-forth to NY every other month to see the pain mgmt doc, I switched to a PA pain mgmt doc. Gave my diagnosis proof and all. After being prescribed 90mg the first visit, the next visit, I'm met with a story that "a new study has shown that 60 mg Methadone" should be the new daily maximum to prevent QT prolongation.
I never had a heart problem. I've had ECG's in the past. I told him my tolerance is too high now for 60mg...He said I'll reduce you by 10 mg a month, and your body will adapt to it. This wasn't sounding right to me. When I got home, I spent hours looking all over medical journals & articles, and seen no such thing stated about Methadone dosages being newly recommended to 60mg max/day. I can't even nicely confront him about it, because if I "put his back against the wall" so to speak, he'll tell me to see someone else then. I already looked into that though my PCP in PA, and he said, doctors in northeast PA have a problem with Methadone. My insurance is only for PA doctors this yr. So I can't see a new doctor back in NY yet, and I haven't felt the pains I've been having in a long long time...I either have to suffer in silence or bear it another 6 months, then change my insurance and try a NY doctor again...He won't speak to my old NY doctor, and my numerous MRI films are from 10 yrs ago, but my DDD is either the same or worse, so how can he have this approach? A couple visits ago, I told him that I was uncomfortable, and he says, "You don't like you're doubled over in pain". I'm saying to myself, 'what a nightmare here'..My pains are least between an hour after waking and around 2pm. Then the pain areas start getting aggravated as the day wears on. I don't know what to say or do.

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Kathleen Says:

Is there any thing medication on the maker for Migrains besides trip tans,which I cannot I am AFAID to do the BOTOX,MIDRIN ALWAYS WORKED,I am taking forocet which helps a little.

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Lori Says:

Frank, I really feel for you my husband is 45 and has had 5 back surgeries, he has been on everything from Oxycontin to Fentanyl lollipops ( which was a very bad). He is now on Methadone 175mg a day and he is pain free. He has bad days and good days but for the most part he is doing well. We live in NJ and all the docs here think your a drug addict when you ask for a medication that works for you such as Methadone. The only way he could get this medication was to join a Methadone Clininc in Newark, NJ, so now once a month he goes and stands in line with all the people that are abusing the system by doing drugs and getting free Meth from Medicaid. It is a real shame that people like you and my husband have to suffer in silence and do what the doctor says. Most of these doctors have not had a day of pain in their lives and they base their recommendation for medication on information they have read in a medical journal instead of listening to their patient. I am sorry this is happening to you and I hope you will be able to get what you need. Hang in there.

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Tanya Says:

Morphine is by far more potent than methadone almost regardless of strength! There are opiates out there that are stronger than morphine however, methadone IS NOT one of them. Hope that helps clear confusion.

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Larney Sager Says:

I have been on methadone since 1992. I am now on 200 mg Q.D.
I also have to stand in line once a month. But I have to pay $234.00 for my methadone. I am a veteran. I have no insurance. But I have the VA Hospital. The doctors there do not give out more then two weeks of liquid methadone at a time. The clinic I go to once a month gives me 40 mg wafers. I think there is a big difference between Mallincrodt Methadose liquid and Jannson Labs 40 mg methadone wafers. One has time release , one does not. One last 24hours, one lasts about 12 hours.
I was diagnosed with prolongation of the QT interval in 2006. I still m on 200mg Q.D. The doctor at the clinic said that as long as I do not take one f the other drug that prolong the QT interval with my methadone, there will not be any problem.
He gave me the list of drugs that prolong the QT Interval. Ost, ther then Viagra are not at all common. Unfortunately doctors who know alot about methadone, are few and far between. Most doctors do not like methadone, so the do not read about it r prescribe it. Other then giving a patient 20mg B.I.D, or maybe T.I.D. for twenty days. They know nothing past that.
Frank, there must be a methadone clinic in your area that will give you methadone or pain management instead of addiction. Have you checked?

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Bonnie Says:

I was just prescribed Morphine 30mg x 2 on Friday. I was on Vicodin 10mg 6 times a day with Percocet for breakthrough pain. My second dose of morphine gave me very bad chest tightness and because the morphine was ER I would get the chest pains every 20-30 minutes. My Doctor said there are other medications to try. I'd like to research some he may prescribe so I'm informed about his next suggestion. If I had a bad reaction to morphine does that rule out taking morphine in any other form? What other medication is comparable to morphine? Many thanks for your help.

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Tanya Says:

I've been receiving the Botox shots for migraines for almost a year. I was having 20+ migraines/mth. I'm down to maybe 1-2/mth now! I'm an avid believer plus if you have crows feet or wrinkles in your forehead, Botox will rid these automatically! Two birds, one stone!!!

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mipain83 Says:

I take topamax for migraines works great been on everything as far as doans go im at 80mgs a day plus perc 10/325 for breakthrough pain works well l4/l5 problems for 6yrs mich pain doc started me on everything best was fetanyl patch but they are very expensive without insurance

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Larney Sager Says:

I hope no one misunderstood me. Methadone is then it at all good as a pain reliever.
It is unfortunately that it is starting to be prescribed more.
Hydromorphone works best for me.
Oxymorphone is also excellent, except it only cam in 1 and 1 1/2 mg injections for years. Before that (60's) they came in 10 mg blue tabs...mistakenly called blue morphine by street addicts.
Now that are back around. Called Opana and come in narcotic tolerant doses.

I never once said or alluded that morphine was stronger then Methadone
Just looking at the half life of both drugs....it would make no sense to say that.
If I did....I should not be on this forum giving advise.
I have a medical background. (not a CNA) Do you?

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Jason Says:

Same boat here my friend! They will only write me 30 mgs a day here in Alabama. I've been on MD now for 10+yrs woth no dorty ua's I n 4 yrs. Also have DDD and got the same reaction when I said that I javent had a new MRI in bout 10yrs. Duh, its called Degenerative! ! Ugh! These doctors need to walk a mile in mine! Then tell me that I will just have to bear it!!

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Rosee Says:

I have the same problem and switched to MS morphine (time release) with 0 problems.

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vi Says:

thank you verry verry much !

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Tanya Says:

Yes, I do. I am an RN, have been for 23 years. Served in the US Air Force for 20 of them. Btw, what is alladid? Or did you mean something differently. The half life for hydrocodone is approximately 6-8 hrs depending on your body's metabolic process and morphine has a longer half life of 8-10 hrs again depending on individual metabolism.

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Tanya Says:

BTW, I DO NOT RECALL EXPLAINING YOUR POST I WAS SIMPLY STATING MY OPINION, WHICH, THE LAST I RECALL WAS ONE OF MY RIGHTS AS AN AMERICAN CITIZEN. Have a nice day, sounds like you need to add a "happy pill" to your concoction of meds!

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Janet Says:

I can't find a pharmacy that'll fill my long-running scripts for methadone HCL and morphine sulphate IR this month 1/25/14. What to do?

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Rix Says:


1 PER 10 mgs
50mgs 3x day

MORPHINE: 1 PER 20 mgs
20mgs 3x day

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Rix Says:

Find a pharmacy that perscribes medications to hospice facilities

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Antivenin Says:

You are wrong about the half-life of both these drugs. Both are MUCH shorter. Look it up on PubMed or other online opiate charts on medical sites

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Rebecca Says:

Not so... Where do you get your pharmacy info? If you are going 30 mg of morphine, the equivalent would be 3 mgs of methadone.

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