oxycontin vs Morphine

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crohns13
New Member


Date Joined Feb 2009
Total Posts : 12
   Posted 2/11/2009 6:24 PM (GMT -7)   
HI I was just curious I have been taking 120mg of oxycontin and oxy5mg ir for about 3 years. Does anyone know if 90 mg morphine oral is stronger than the oxycontin? I was thinking of asking my doctor about my pain meds. Most websites say 90mg and higher are for opiod tolerent patients only. Does anyone know is there a big difference between 120mg of oxycontin daily compared to 90 mg of morphine? Thanks John 

kttn251977
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Date Joined Jul 2007
Total Posts : 554
   Posted 2/11/2009 7:25 PM (GMT -7)   
John, I have NO idea... but I take oxy 80, holly smokes you are on some high dosage of oxy. I prefer it over morphine, just different with us all.... maybe ask a pharmacist? Good luck & welcome!! :)
RX's: Oxycontin 80mg 2x's daily; Oxycodone 30mg 5xs daily; Zanaflex 4mg 3x's daily; Restoril 15mg 1x; Soma 3x's daily; Lyrica 100mg 3x's daily (pain & fibro.); Phenergan 25mg (as needed); Amitriptyline 25mg 1x (chronic pain); Cymbalta 60mg 2x's daily (pain from fibro); Abilify 5mgs at bedtime (depression); Metoclopram (as needed) & Senokot (as needed).
"The most critical choice you'll ever make is the one you make about what you're going to do with this. The past is over. The future hasn't happened yet. The only time is now."
- Dr. Phil


Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 2/12/2009 1:25 AM (GMT -7)   
Chrohns; Welcome to HW. I don't know if I can even answer your question at all because I am not on oxycontin, allergic causes hives and I really itch badly. I am on a Morphine based medication....Kadian and it comes in 25,50,100 and 200 mg capsules so I do not know if I can even answer your question. There is no clear cut picture for patients as far as this compound is better then that compound or medication X works better then medication Y it's all personal preference really. Many like the patch......many like the oxy.....some like morphine and some like other drugs that work well to decrease their pain. It's pretty much individualized.

Sorry I couldn't have been more help.

Scarred
What doesn't kill us only makes us fight back harder! :P


uniquelyme
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Date Joined Nov 2008
Total Posts : 1037
   Posted 2/12/2009 8:09 AM (GMT -7)   
 
 
How do ya do Chrohns...Welcome Welcome Welcome!!!
 
I will tell you from my own experiences with pain meds that Morphine has never helped me with my pain..I don't know why, but Oxycodone does seem to help to a degree.
 
We are all different with what works and what doesn't.. It has been a very long time since I took Morphine, so I don't know that much about it.  But I do take methadone for my main pain issues, and that helps a little...I also take Roxicodone 15 mg. 4x daily for my BT pain..Well, I did take it until the recall. And I hope to be back on it soon.  Right now I take Percocet 10mg. 4x daily, and it doesn't seem to help as well.
 
If the Oxy's are working why do you want to change? 
 
Me.

 
We are all in the same boat...unfortunatley it seems like it's sinking...
 
Rhonda
Post Lamenectomy Syndrome
Hemi Lamenectomy
Spinal Fusion
 
120 mg. Methadone daily
60 mg. Oxycodone daily
Lyrica as needed 

 


crohns13
New Member


Date Joined Feb 2009
Total Posts : 12
   Posted 2/12/2009 11:12 AM (GMT -7)   
Thanks for your response.
The compamy that makes the morphine starts with an "A" something like Avenza its the company that makes the morphine. they are red and white capsules. time released. I have a brother in law thats on them and he said this will last longer than the oxy. I just dont want to really go up on my pain meds but i am used to the oxycontins and actually read somewhere they have a 60mg tablet coming out which would be a better increase that stepping up to the 80's. I have severe pain around the clock and need this type of medication. If anyone can find out the 90mg morphine wheter it would be a stronger dose than taking 3 40's of oxycontin a day I would appreciate that. Sometimes when you ask your doctor about your medication it kind of feels funny. Thanks everyone for welcoming me and I hope to be able to help somone else who may have questions. Thanks John  
kttn251977 said...
John, I have NO idea... but I take oxy 80, holly smokes you are on some high dosage of oxy. I prefer it over morphine, just different with us all.... maybe ask a pharmacist? Good luck & welcome!! :)


kttn251977
Veteran Member


Date Joined Jul 2007
Total Posts : 554
   Posted 2/12/2009 12:01 PM (GMT -7)   
the first morphine tablet i had was avenza, you are correct..... that tells you exactly how i feel about it vs. oxycontin.... and the 80mg oxy works a lot better. next visit i am asking for 100, at least until i can finally get my pump.
RX's: Oxycontin 80mg 2x's daily; Oxycodone 30mg 5xs daily; Zanaflex 4mg 3x's daily; Restoril 15mg 1x; Soma 3x's daily; Lyrica 100mg 3x's daily (pain & fibro.); Phenergan 25mg (as needed); Amitriptyline 25mg 1x (chronic pain); Cymbalta 60mg 2x's daily (pain from fibro); Abilify 5mgs at bedtime (depression); Metoclopram (as needed) & Senokot (as needed).
"The most critical choice you'll ever make is the one you make about what you're going to do with this. The past is over. The future hasn't happened yet. The only time is now."
- Dr. Phil


crohns13
New Member


Date Joined Feb 2009
Total Posts : 12
   Posted 2/12/2009 2:49 PM (GMT -7)   
Here is the question I have been trying to  get out. Thank you all for the responses. Is the Avenza 90mg tablet stronger then lets say 2 40 mg of oxycontin? I never take medication unless it was prescribed to me but my brother in law says that he swears by the avenza and should try one after a day I have taken nothing. Does anyone know if this would be too strong for me given the fact I have been on 120mg of oxycontin daily with oxy ir 5mg capsuls usually around 5 of them daily for breakthrough pain. Also I was on dilaudid for about 5 months oral and iv. I know  have a high tolerance but am very curious if the morphine capsule would hold my pain off all day since it says the dosing schedule is 1 daily. I hope someone can answer this. This is the best forum I have found out there. People look at most of us that have to use these opiats as addicts which really makes me mad. Just because a few bad apples abuse their meds and do anything for them is not fair to judge us that need them. I thought I was the only one in this mess of trying to keep pain under contril. Thank you for everone who is listning and replys.   John  

kttn251977
Veteran Member


Date Joined Jul 2007
Total Posts : 554
   Posted 2/12/2009 3:16 PM (GMT -7)   
crohns, i am no dr, but just in my experience i had no luck with avenza. now i am on 80mg oxy ER, what you take is wicked strong, you know that. the choice is your to try- but in my case i'd stick with the oxycontin. but we are all different.... the choice is yours. if you don't have enough pain management talk to your dr. now your IR oxy can go up to 30mg- you still have room to play around there. maybe consider that? i take 5 a day. only the dr will know your type and where to go if you are not getting enough relief from your meds. i have had everything from morphine, to patches, dilaudid. no luck. hope it helps some, maybe someone else will come around with more info. my best advice is to talk to your PM dr.
RX's: Oxycontin 80mg 2x's daily; Oxycodone 30mg 5xs daily; Zanaflex 4mg 3x's daily; Restoril 15mg 1x; Soma 3x's daily; Lyrica 100mg 3x's daily (pain & fibro.); Phenergan 25mg (as needed); Amitriptyline 25mg 1x (chronic pain); Cymbalta 60mg 2x's daily (pain from fibro); Abilify 5mgs at bedtime (depression); Metoclopram (as needed) & Senokot (as needed).
"The most critical choice you'll ever make is the one you make about what you're going to do with this. The past is over. The future hasn't happened yet. The only time is now."
- Dr. Phil


Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 2/12/2009 3:24 PM (GMT -7)   
I took Avinza for a week or so. It was an awful experience. Once you swallow
that Avinza, you can't take any other medication. I kept calling the ER and they
kept telling me "Don't come in, we can't give you anything stronger." I was
taking this from a General Practicioner and he didn't know much. I had to go
offf Oxy to go on Avinza.

So actually I was going through withdrawl from Oxy. Oxy didn't help me but going
off it was hel l. Good luck

Pamela shakehead

I'm now managing on Methadone. However, I think I'll be on the pump very
soon. I always wonder why I don't hear more about the Pain Pump.

crohns13
New Member


Date Joined Feb 2009
Total Posts : 12
   Posted 2/13/2009 6:28 AM (GMT -7)   
Thanks for the replys everyone. My doc appt is next wed. I will let you all know how that went. Also I am so glad I have a small country pharmist he orders evertything he knows I am taking and I never have to worry about going to big chain stores to fill them. Can you beleive I had a script for 90 40mg oxycontin and I stopped by a Giant food store and the pharmist said I can fill half of the prescription but then the rest of the script would be dead. I cant believe they can even do that. Alot of the bigger chains I hear hate to fill pain meds. I am so glad I have found a small community pharmist and keep good contacts with him and my doc. The other people look at some of us as addicts. I always say I would rather have 10 years of good life for the rest of my life instead of 20 years of life with agony and pain. I have one question have any of you ever ran out your oxycontin script say a few days early and conserved your ir oxycodone until your next one can be filled, I have been thru withdraws before and never want that feeling again. I thought I could control my pain by just praying on it and exercisiing and everything else but notjing works. Hope to hear back from my friends here. Take care and have a good day John

Tony McGuire
Regular Member


Date Joined Feb 2009
Total Posts : 483
   Posted 2/13/2009 1:19 PM (GMT -7)   
I'm taking Avinza at night. But I also take an ER Morphine, Methadone, Lyrica and Cymbalta in the same batch of pills.

My PM said 'we' should stop the Avinza when my current prescription runs out.

Pamela - why nothing else with the Avinza?
Wife: Liz
Dogs: Koshka & Chomp


crohns13
New Member


Date Joined Feb 2009
Total Posts : 12
   Posted 2/24/2009 10:58 AM (GMT -7)   
I havn't been on for about a week. I had a severe Crohn's flair and was hospitilized they got me back in control and am feeling better now. I spoke with my doctor today and we both agreed that to keep taking the 3 40mg of oxycontin daily and up tp if needed 6 to 8 capsules of 5 mg  oxycodone for breakthrough pain. I have a question that is really making me like no one cares. I have worked at my same company for 18 years and have not been able to work due to my illness has basicly put me out of commission. I have entitlement to 2 years short term disability so that my long term insurance will have a chance to kick in so there would be no overlapping of my income. I keep being told by the insurance company they need my doctors to give them more records I have gave them staacks and stacks and they are still telling me I am normal. I have had several feet of my small intestines removed, and now massive scar tissue has fomed, I suffer from diarriah 6 to 7 times daily have R. arthritis set in and takes me about 45 mins in the morning to basicaly put my pants and shirt on and make it down my stairs. I could go on and on but its frustrating to even type this because it makes me feel that they could give no care in the world for what I go through daily. I am on the verge of losing everything I have due to this. All I hope for in life is to be able to take care of my teenage son and do things with him on my good days. Most of the time I walked hunched over and limp due to my pain. If I didnt have my meds I dont know what I would do. I thank god every day when I wake up and hope it will be a better day. Has anyone one been through this with their work and insurance making it diffuclt just to get 65% of you pay for a short time? I only have 10 years until I can retire but the crohns has taken such a toll on my body I feel sometimes I cant make it anymore. If I could work I would rather work my last 10 years than to give all those years up. Im scared but just take it day by day.  
John  

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 2/24/2009 3:38 PM (GMT -7)   
John,
There are others here who know more than I about disability insurance, but there are tons of stories here about the challenges many of us go through with just about every type of insurance.

When you said you feel like they could give "no care in the world", I hate to say it but you're probably right. I don't now how short-term disability policies work, but if they're like any others they are really designed to make it difficult for you to get. So they will keep you in this constant loop.

First I would ask - do you have your medical records? And do they say specifically what the insurance is asking? Many of us here find what's in our medical records doesn't contain the language the insurance company needs to see. But maybe you also need to consult an attorney. I don't know for sure. I hope someone will come along with a bit more knowledge, but it's not you. It's these systems that don't want to pay out a penny and will make it as difficult as possible, IMHO.

PaLady

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13473
   Posted 2/24/2009 5:15 PM (GMT -7)   
John, PA lady is absolutely right about the short term disability people. What they are doing to you is the standard way they treat everyone who files for it. They are not singling you out at all this is one of their stall tactics. Its nothing but a nightmare. Do you have a book you can read up on about this disability. They usually have good ifo in them. What about someone at your HR dept at your job, sometimes enlisting their help can go a long ways. You might also consider asking the adjuster handling your claim to be more specific about what they need from your dr.

Good luck, Susie


deenewme
New Member


Date Joined Feb 2009
Total Posts : 6
   Posted 2/24/2009 7:10 PM (GMT -7)   
I was on 200 mg of morphine daily and it did nothing for me. The only thing that seemed to work for me is the oxycontin. Its weird because I thought Morphine was way stronger. But like I always say everyone is different.

Osteoarthritis of spine and hip, nerve damage on right side which includes leg, arm, and neck/with chronic nerve pain, bi-polar, anxiety disorder. Taking Oxycontin 60mg OxyIR 30mg as needed for breakthru pain, Xanax 2mg, Valium 10mg, Abilify 10mg


crohns13
New Member


Date Joined Feb 2009
Total Posts : 12
   Posted 2/27/2009 3:33 PM (GMT -7)   
Thanks Pa lady and straydog. I called Cigna myself and after a very frustrating phone call they finally told me what they want as if all my medical records from the last 18 years isn't enough. I took the advice and I asked my doctor what can I do. He advised the system makes it very hard and their hopes are that I give up and make it go away. My doc advised me he knows what they want in their terms and is putting a letter together to send them a response related to my medical records. The insurance company is asking how many times do I go to the bathroom, how many times have I vomited in the past months and on and on. I am very sick and I thought once my doctor sent in all my records everything will be ok man was I wrong. He said not to worry he sees it everyday. It is hard laying at home most of the time and feel good if I make it from the bed to the couch. I wish they could see what I go through everyday of my life. Im can't afford to lose my health insurance. I am in the Johns Hopkins hospital in Baltimore Mdl alot sometimes as long as a month when my crohns is really active and also I wouldnt be able to afford my meds. Thanks for the replys and am glad to be a member of a great site whith people that deal with the same issues if not more.

John

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 2/27/2009 5:21 PM (GMT -7)   
John,
I'm sure glad your doctor "gets it" and is going to be helpful to you. At least now you know it's a game many of these insurance companies play - with our lives!

So hang in there and make sure you win the game! I think the less personally we take it the easier it is on us (I said easier. not easy!) because then we're not as emotionally drained from it.

Good luck - and let us know how it goes. Maybe we should start to write letters for eachother?

PaLady

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13473
   Posted 2/27/2009 6:51 PM (GMT -7)   
John are you sure your short term disability is for two years? Be sure you verify that so that you don't miss out on filing for the long disability. You know they have clauses that say you must file within certain time limits so double check this. Just thinking, Susie

I have crohns and I know what a struggle I have and the cost of medicine is out of sight out of mind.


mom9mom
Regular Member


Date Joined Sep 2008
Total Posts : 489
   Posted 2/28/2009 2:01 AM (GMT -7)   
John I am so sorry that you have to go through all of this.You might want to talk to a lawyer.I do not know if this would help but you could at lest give it a try.The bad Thing is that the insurance doesn`t want to give you the money that is owed to you and the lawyer wants to take half of it if he gets it for you.What a world we live in.


Lost half of my small intestineJan.2008.Ilieostomy for 5 months then reverst in June 2008,Nerve damage to right leg,part of my right hip bone removed Jan. 2008,Cronic pain,hernia,infection in my back called discites,and depression.Gallbladder removed Nov,2008.Surgery to fuse L3 and L4 vertabra Dec. 31,2008.Mother to 9 kids 7 boys 2 girls and 1 stepson.4 grandsons,9 grandaughters.4 of my grandkids I inherited from my twin sister who passed away 6 1/2 years ago from a blood clot after surgery.God has given me my life back after I almost lost it.Even though its a painful and sometimes hard road to walk I take it one step at a time and give thanks to god for every step I take.

Post Edited (mom9mom) : 2/28/2009 2:04:43 AM (GMT-7)


crohns13
New Member


Date Joined Feb 2009
Total Posts : 12
   Posted 3/5/2009 10:20 AM (GMT -7)   

After my appt with my doctor last week he wrote in again to my insurance company to back up my records for the past 18 years even though the insurance company only wants records from the time i went out of work until current date. It is really a big game. I checked and my job does give me a option of 2 year short term disability but the catch is I didnt realize the insurance company who would be paying me my 60% of my salary would make it so diffcult. To put things in a nutshell my doctor advised me he knows what they are looking for and instead of just concentrating on my crohns disease he made it a clear statement to them. He siad I am on heavy dosages of narcotics for pain management and suffers from severe depression and is following up with a psychiatrist for depression and the last statemnt to them was I am not able to perform any work of any kind. I am wiating to hear back from my work to see what is happening and whether I am approved or not. I have filed for social security disability 5 months ago but we all know how long that can take If all works out if I am deemed disabled I will have my 2 years short term and hopefully have my social security overlap this. If all works out I can retire from my job disabled abd pay the retire ree rate for my health insurance. I feel the system wants us pain patients and other patients with disabilities to give up and just be quiet. My health insurance means more to me than my salary I was making. I can not afford my meds without insurance. I do have a lawyer for my social security and i speak with them weekly. My social security lawyer says I will more than likely get turned down the first time then after that is when she goes to work and appeals the case and go from there. I have learned that most people about 70% get turned down the first time they apply for ssc benefits. I hope the last thing my doctor sent them gets me my 2 years then I will feel I can breathe a little. Hope everyone here is doing ok and feeling good today.

John 


White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3611
   Posted 3/5/2009 2:04 PM (GMT -7)   
John I started off on short term disability, I had to really fight with them to get them to put me over on long term disability, the place I worked told me if I didn't like it I could quit,( they would have really liked that. then I would have lost everything), I told them if they won't let me work, and they won't put me on long term disability then fire me, so at least I can get unemployment till or if I could find something, they said they couldn't fire me because of me becoming disabled. They finally got me put me on long term disability, and soon afterwards the insurance company hired lawyers to represent me to get me on Social Security disability, it took 3 years, my Lawyer said I had an excellent case and well documented, but at the time my age, I was considered to young, so SS kept turning me down. But my lawyer said this was common practice for them, and just be patient, after two full hearings the Judge ruled in my favor and it was all back dated to the beginning. Most of it went back to the insurance company, as they had been paying me long term disability all that time. And what ever SS disability pays out to you, the insurance company doesn't have to pay you. So it is in your long term disability insurance companies interest to have you on SS disability! At least that is how it worked for me, but that has been a number of years ago now! I do know how frustrating this all can be!
Good Luck to You
White beard
I'm Retired USAF, went back to school and became an RN, and now am on full disability!
Degenerative Disc (affecting mostly the thorasic disc but all levels involved), C6/7 laminectomy/diskectomy& fusion, Osteoarthritis, Ulcerative colitis, Chronic Pain, Fibromyalgia, Complex Sleep Apnea, and host of other things to spice up my life!(NOT!)
 
Medications: Oxycontin, Percocet, Baclofen, Sulfasalazine, Metoprolol,  Folic Acid, Supplemental O2 at 3lpm with VPAP Adapt SV


crohns13
New Member


Date Joined Feb 2009
Total Posts : 12
   Posted 3/6/2009 3:45 PM (GMT -7)   
Thanks for the reply whitebeard. Yes I have been on a long and never ending road. My work has done nothing to help me even though I signed massive amounts of paperwork for them to talk to my doctors and get my medical records. I live in Maryland and have gont to every hospital over the years but have spent alot of time at Johns Hopkins in Baltimore. I had to have a tpn line inserted in my chest for 4 months to give my bowels a break. My work didnt care I had to drive or ask someone to take me all the way to Baltimore to obtain my records. The point Im trying to make is it is like no one is on my side if you dont fight for yourself then no one else will. It was interesting today as I was on my way to my psychiatrist appt and the insurance company called and said they still need more records then it looks as though I may be approved. They dont care what anyone has been through with their illness. If just for one day the person on the other end of the phone could live my life I think they could appreciate my disease and be happy they dont have it. Talking to them is like talkin to a wall. But anyway Im keeping my fingers crossed and i should hear Monday if everthing gets approved. I wanted to put this question out there if someone may have the answer. My physicitrist prescribed me 300mg extended release seroquel and was wondering if anyone else here is on this medication. I have not taken it yet but tonight will be the first night and wanted to know will this help me sleep and not be so stressed and high anxiety. Hopefully someone will respond before tonight so I can maybe know what to expect.

John

Medications: Oxycontin, Xanax, Remeron, Oxy Ir, Celebrex, Pentasa, Phenegren, Remicade infusions
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