What r u going to do w/o generic oxy??

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BigLucy
Regular Member


Date Joined Mar 2007
Total Posts : 413
   Posted 6/1/2008 2:09 PM (GMT -7)   
Been on generic oxy about a year, works well for me, but now my HMO (Kaiser) will not pay for brand label (looked into it, talked to MD, Pharma, etc.) MD willing to prescribe morphine, but reason I didn't go with it in the first place is I suffer with bad nausea and any time I've taken morphine nausea hits me hard. Don't want Fentanyl patch b/c of skin condition. Methadone is out too. So, I can still get oxy and pay approx. 140.00 a month for it or switch to morphine and pay the co-pay of 5.00--really big difference. I can at this time afford to pay full price, but I feel I should save money for my very unpredictable future. What to do, what to do. I have one month to decide.

For those who take morphine (better yet, if you have switched from oxy to it) what's the pro's/con's? I guess I should mention that any time I've had morphine it's been in a crisis and given IV or IM, so there could be a difference with oral.

Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 6/1/2008 2:44 PM (GMT -7)   
Big Lucy says,

"Methadone is out too."


Lucy,
I got to the point where Oxy did me no good at all. When the doctor took me off it and put me on Avinza (Morphine) I went into withdrawels.
Nobody guessed that's what was wrong with me. It was TERRIBLE. Finally, I got better and went on Methdone. I'm not great, but better.
Pamela Neckpain
P.S. I don't know how to use this board yet. It will take me months to figure it out.

Morgoth
Regular Member


Date Joined May 2008
Total Posts : 177
   Posted 6/2/2008 2:58 PM (GMT -7)   
You can't compare oral administration to IV or IM. The side effects of morphine IV, and to a lesser extend IM, are more profound than those from oral administration. Most people have side effects from morphine IV (depends of course of the dosage, but IV is usually a more serous dosage than an oral administration and is usually only used in emergencies).

I use an opium tincture for intestinal problems. Morphine and codeine are the most well known derivatives of opium. The opium is mixed with alcohol which improves preservation and increases the effect (that's the basic idea behind any tincture). Had some side effects in the early stages (taking it for years now) since the initial dose with very high but nothing to worry about. There has also been a time when I injected myself with morphine (IV). Those side effects were much worse, yet morphine IV was the only thing to take out the pain in sufficient quantities to make me function (function like a zombie, but still function ... more or less).

I suppose you won't be allowed to inject yourself with morphine in the States (I live in Belgium. Here it is only allowed with a special permit from the Ministry of Public Health). Think you should try it out. If the morphne works fine, keep it, otherwise, go for the $ 140.00 a month (if that is legally possible in the States of course, I'm always looking at this from a Belgian point of view).

I have one question though. Why do you have to switch from generic to brand in the first place? Here in Belgium, the doctor who prescribes makes the decision, though patients always have the right to ask for the cheapest alternative. The doctor's choice to prescribe the brand has to be medically motivated, such as the patient being allergic to one of the other components of the generic product(s). Please explain to me how it works in the States as I haven't got a clue where to start searching.
To stand and be still at the Birkenhead Drill is a mighty bullet to shew.


BigLucy
Regular Member


Date Joined Mar 2007
Total Posts : 413
   Posted 6/2/2008 3:13 PM (GMT -7)   
For some legal reasons (lawsuits, I believe), the company who made generic Oxy is not going to anymore.  My health insurance provider (we do not have universal health care in the U.S., but you probably know this) will not pay for the brand name.  If I want to continue on Oxy, my doctor will prescibe it, but I will have to pay full price.
 
 You're right about orals not comparing to IV/IM, just tense about the whole thing b/c I suffer from constant nausea and I found Oxy to work for me.

Morgoth
Regular Member


Date Joined May 2008
Total Posts : 177
   Posted 6/2/2008 3:26 PM (GMT -7)   
Thanks.

Have you asked your doctor whether there aren't any meds comparable to oxy (who might be available in generic form) that are less "aggressive" than morphine? After all, one of the reasons to come up with additional opium derivatives was that morphine was so highly aggressive and addictive. I'm sure there must be other meds more closely related to oxy than morphine.
To stand and be still at the Birkenhead Drill is a mighty bullet to shew.


BigLucy
Regular Member


Date Joined Mar 2007
Total Posts : 413
   Posted 6/2/2008 4:49 PM (GMT -7)   
Thanks for the "dialogue" Morgoth.  Is morphine more "aggressive and addictive" than Oxy?  I thought they were in or around the same catagory?  Oxy is slow released with a coating that only if broken/crushed it delivers the medication faster.  I thought Morphine had a slow release option too (?), if so, do you know the names and doesn't it have the same coating as Oxy.  Could ask my doctor all this, but before I make an appointment, I want to consider/research all my options. 

Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 6/3/2008 2:30 AM (GMT -7)   
HI there
Here in Ontario Canada
WE only get brand name Oxy or MS Contin ( morphins)
I went from Oxys to Morphine so I could find a bit of a change in pain levels and I will be going back on Oxys when I want to ask the doc for them
YES the oxys and Morphine Slow release should NEVER be chewed nor crushed ........
They both have coatings
ALSO here in Ontario they are now making OXY with lil beads or gel same as Morphine for ppl that are misusing them ....or to stop ppl from misusing with syringe it will not break down they are saying
I dont get the gel caps
But I dont abuse my meds
The laws are ZERO tolerance here anymore
Just yesterday for the FIRST time I had to sign for my Morphine when Pharmacy delieverd ...I aksed if it was because it is a Scheduled Narcotic and she replied NOPE it is for EVERYTHING now that we deliver


......I find that I feel somewhat better with the M .S Contin now as I have been off it for awhile but I do know the time will come when I go back to Oxy's
I am blessed to have a doc that WILL not let me be in Pain.........LYN
  DX With Crohns,Pyoderma Gangrenosum,Anxiety/Panic,Fibro & Other DD
 
Moderator @ Anxiety Panic..Alzheimer's..Co mod @ Crohns
                               FIGHT the FIGHT with all YOU HAVE
 
   
 
                   
 


Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 6/3/2008 4:31 AM (GMT -7)   
I went from Oxy to Methadone. Oxy wasn't doing a thing for my pain. (I thought)
The doctor prescribed some pretty hefty Morphine and told me not to take
Oxy anymore. OY! Going off Oxy was just too hard to go off. EEEE! OWWWW! It took a long time -of shaking and bone cold and sick sick.'
The first prescribing doctor wasn't a pain doctor. I went to a pain doc and he prescribes Methadone. I'm not comfortable. (I never will be) but Methadone seems to do
good for me. Good Luck.
Pamela Neckpain

Lindaloo
Veteran Member


Date Joined Sep 2006
Total Posts : 1713
   Posted 6/3/2008 2:56 PM (GMT -7)   
Big Lucy,

Here is an idea. Try writing a formal letter to your insurance company, preferably someone in administrtion and detail your need for the brand name drug. Also, have your doctor write a note describing the reasons as well. Once things are in writing, sometimes an insurance company will make an exception. It doesn't cost anything to try and you just might get somewhere.

Personally, to answer your initial question, I was on percocet and it wasn't working for me, so I switched to oxcycontin and then to morphine. I found there were more side effects and the pain control wasn't much better, so eventually I went back to the percocet and it now works for me with no side effects.

I hope you find some relief without having to pay over a hundred dollars a month for your meds. That is so outragious and so unfair as well

Good Luck,

Lindaloo
Moderator Chronic Pain
 
Believe in yourself.  Be kind to fellow humans and animals.  Take time to smell the flowers and the coffee.
And by all means, when you are down, ask me for help.  I will be there.
 
Linda


ReactiveConstellationNE
Regular Member


Date Joined Dec 2005
Total Posts : 256
   Posted 6/3/2008 7:46 PM (GMT -7)   
personally, I switched to methadone and like it a lot better, though it can be tricky to find an effective "breakthrough" medication that will work alongside it at the right methadone dosage for your primary pain......fentanyl is generally the best choice for that. I take hydromorphone (dilaudid), and I have some doubts as to how well it really works through the methadone's blocking effect.
Conditions: Reactive Arthralgia/Reactive Constellation, Chronic Pelvic Pain Syndrome, Sacroiliitis, Costochondritis, widespread Tendonitis, severe back pain & spasms with numerous spinal problems, barely able to type anymore due to severe full-body runaway inflammation, and on and on. Typical daily pain levels exceed 8.5(!)

Medications: Methadone, Dilaudid, Oxycodone, Marinol, Cesamet, Lidocaine Patches, Flexeril, Zanaflex, Soma, Desipramine; many herbs & supplements.


Previous medications: Oxycontin, Opana, Fentanyl patches, Kadian, Avinza, MS Contin, Lortab, OxyIR, Baclofen, Testosterone (oral, patches, gel), Cymbalta, Lyrica, Neurontin, Amitryptyline, every NSAID known to man, Prednisone....and many, MANY more.


Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 6/6/2008 9:13 AM (GMT -7)   
Dilaudid has never done anything for my pain
Have no clue why but it is fact

LYN

I am finding the 100 mg of Morphine and 60 in the afternoon and then another 100 mg at night is rerally helping but I am feeling almost too emotional if you know what I mean
Like I am crying alot ..or snappy ..........never know what to exppect..........
  DX With Crohns,Pyoderma Gangrenosum,Anxiety/Panic,Fibro & Other DD
 
Moderator @ Anxiety Panic..Alzheimer's..Co mod @ Crohns
                               FIGHT the FIGHT with all YOU HAVE
         Be Well All and Stay With Us We are Here To Help
                               LYN 
   
 
                   
 


BigLucy
Regular Member


Date Joined Mar 2007
Total Posts : 413
   Posted 6/6/2008 9:36 AM (GMT -7)   
Thanks everyone for your responses. I've been thinking about all of this and I'm seriously considering just going off the Oxy and not switch to anything else and see what happens. I'll still take Percocet for bad days, but at at this point everything is starting to overwhelm me (not just the med decision). Went back to work FT recently and really starting to become fatigued--which, come to think about it, will be interesting w/o my pain meds, just another thing to worry about. sad

gracehunter
New Member


Date Joined Jan 2008
Total Posts : 2
   Posted 6/6/2008 10:28 AM (GMT -7)   
I too am taking Oxycontin.  When generic Oxycontin became unavailable, my doctor gave me a discount card from the manufacturer of Oxycontin (PurduePharma) that discounts the brand name Oxycontin $50 per script.  It is valid for 5 or 6 fills, and then he gives me another card.  I give the card to my pharmacist, and they input the numbers into their system, and it automatically gives me the discount every month.  It just so happens that my co-pay is $50, so in effect, I get it for free.  I would think you could ask your prescribing physician for one, or have them ask the Purdue Rep. for some.  They exist, so everyone should be able to get one.  The discount is applied after insurance, if you have it, and is like $50 cash. One time I filled my script, but forgot to get a new card.  I payed the full amount for the script at the time, and returned two weeks later with the new card.  The pharmacist gave me $50 cash back. I am in Arizona. I don't know if it is available in other countries.  I hope this helps some.

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 6/6/2008 11:33 AM (GMT -7)   
Big Lucy,
I know you know what you're doing, but I wonder if that's wise - going off the oxy and only using perc. for bad days...all this while still trying to work FT? Try getting those coupons - maybe there's someone you 'know' through your work that can help you get them if your doc doesn't have them.

Funny, I'm just thinking about trying oxycontin, but yes, the $$ is on my mind because I don't know how much longer I can keep paying for my COBRA. My cousin's going to help me for a bit, but that can't last long. I hate going on Medicaid even temporarily because of even more limits on treatments and meds. but I may have to.

Take care,

PaLady

BigLucy
Regular Member


Date Joined Mar 2007
Total Posts : 413
   Posted 6/6/2008 9:19 PM (GMT -7)   
The coupon is a good idea--even though my HMO has a in-house pharmacy and am wondering if they take coupons?--but, I feel really bad using a coupon when actually I could pay the full 140.00/month right now b/c currently working FT; don't want to take any opportunity away from someone who can't afford their meds. Just having a hard time paying it on principle b/c all my other meds cost me 5.00 per RX. Furthermore, trying to save as much as possible b/c who knows what my health is going to be like in the future.

Yes, I could write a letter, etc., but just really tired right now and it's just takes all my energy to go to work nine hours a day (yes, nine with lunch factored in). I have been thinking about calling the patient relations dept (which deals with complaints/quality of services issues), but I think I've been hesitating b/c we're talking about a narcotic and don't want to deal with the stigma or be flagged in any way.

PAlady: sorry to hear your economic situation is getting worse. Are you working at all anymore? I've been back to work now, what, 2-3 months and finally found a routine, but, wow, is it exhausting. The days are sooooo long when you have chronic fatigue from a chronic illness(s). Added bonus is that I just can't eat while at work b/c of all my gastrointestinal issues, hurts too much, slows me down, etc. so I have very little energy, no nutrients to keep me going. I keep well hydrated and take supplements, but not good enough.

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 6/6/2008 10:06 PM (GMT -7)   
Only working very few hours a week. Don't know what the future holds. Wish I just had some stamina.

If I had a FT job I'd probably try to see if I could function, but to find and get a job with my health at my age...not real probable. I've got a lot of grieving to do!

The schedule you're keeping doesn't sound like something that's going to work long term, does it? Do you have any options - such as reducing your hours? This all just sucks doesn't it? The heat isn't helping me tonight. We went from using our heaters earlier this week to 90 degrees today. Haven't had a chance to get my A/C unit put in my window and the guys who help put it in can't come for a week! Now I've really got no energy!!

PaLady
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