oxymorphone IR

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spinal soldier
Veteran Member


Date Joined Dec 2009
Total Posts : 627
   Posted 1/30/2011 12:25 PM (GMT -6)   
generic opana IR only is now available in 5 and 10mg. i think ENDO is the manf.. i tried opana IR before for brkt. but since it's oral bioavailibility is only about 10% i needed a much higher dose than what i had (10mg 4x/day). the manufacturer suggest 20-30mg q6hrs. as a starting dose. my co-pay would have been 2500 for that so i wonder how cheap they will offer it.

CrohnsPatient
Regular Member


Date Joined Feb 2008
Total Posts : 314
   Posted 1/30/2011 4:49 PM (GMT -6)   
Im not sure how much it will cost you. I have medicare and they pay 100% of what I get because I also have Medicaid in Virginia picking up the rest of what I dont get from medicare, unless its a tier 3 or 4 drug and even then I have to pay $1.10 or $3.00 one or the other depending on the tier.

I was taking opana prior and then the dr had me on oxycodone 30mg for breakthrough but he tried to add opana IR to it also I believe the 10mg ones well I dont remember how many at a time but thats irrelevant the point is I had 6 a day or 8 a day for a month supply of 180-240 count and medicare would not pay for a single one of the IR but they'd pay for the CR, ER whichever youd like to call it 100%. and it was $680.00 or there about for 180 of those IR...I said to myself there was no way I was paying for that. I asked how much I could get for 150 and I think it was like 11 or something not even enough to get me back to monday morning since it was a friday afternoon...(Dr's office closes as 1pm on Fridays and I was the last appt so there was no way to go back to the dr.) anyway he had added this to my opana CR and oxycodone 30mg for breakthrough but the opana IR was added because I was having pain issues during one of my crohns flares and he was trying to control the pain while my GI at a local Medical School got it under control...long story short because they wouldnt fill the IRs I ended up in the ER and later that night admitted into the hospital that weekend.

By the way it took me 3 or 4 different 'chains' and pharmacies to even find someone that had it....only place I found that carried it, not had enough but that even had 1 pill wasa privately owned pharmacy I believe it was a Good Neighbor I think their called....Good Neighbor Pharmacy? Idk I live in Virginia you might not have any in your area.

Ny the way my name is Chris....

Chutz
Veteran Member


Date Joined Jan 2005
Total Posts : 9090
   Posted 1/30/2011 10:23 PM (GMT -6)   
HI SS~

I sure hope you can get this figured out. Many of us have had some serious shocks to our wallets with copays that are near the national debt! I've had to switch several of my meds because if it. No way can I pay over $11/day for just ONE of my meds.

I hope you find a way to afford what you need. For those who don't have medical insurance benefits we have some links in the Chronic Pain 101 topic that can help you get the meds you need at either reduced copays or free. The problem I'm seeing now is many people not being able to even handle the copays for their med's.

Good luck!
Chutz
Moderator on the Fibromyalgia and Chronic Pain forums
~*~*~*~*~*~*~
Daily Donnybrook: Fibromyalgia, Insulin Dependent Diabetes. Ulcerative Colitis, Rare form of Dermatitis, Collapsed Disk, Osteoarthritis (especially in right hand and neck) and a couple of other adjunct agitations.

"Gravitation is not responsible for people falling in love." Albert Einstein

spinal soldier
Veteran Member


Date Joined Dec 2009
Total Posts : 627
   Posted 1/31/2011 10:18 AM (GMT -6)   
just got home from the pharmacy. opana ir in generic, made by Roxanne Pharma. by the way, 10mg #120 retail is 362.39$ at walgreens. my insurance paid 217.43 so 144.96 for me. that is way down from the brand which i think was 600.00. this is disgusting, and 10mg per dose is not high enough but i also went back on MSER and cancelled the fentanyl patch because it will not stick if i move around much less exercise. i also take dilaudid 8mg 4x per day so the 10mg of opana is part of the cocktail. my pharmacist said in a couple of months the price will go down because more generic manufacturers will be making it. it is a good med so i hope more people can get it.

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 3555
   Posted 1/31/2011 10:23 AM (GMT -6)   
What gets me is that some hospitals are now demanding that doctors prescribe the newest, most expensive medicines in the hospital and when they discharge their patients, even though cheaper ones and generics would do as well or better. The hospital gets paid more when the more expensive meds are used.

At least some docs change the scripts as soon as the patient comes in for a followup visit.
Alcie
 
 

cogito
Veteran Member


Date Joined Oct 2010
Total Posts : 808
   Posted 1/31/2011 6:12 PM (GMT -6)   
A caution regarding Opana IR...

I was prescribed it (10mg prn) about a year ago. The label indicated that it should be taken at least and hour before eating or 3hrs after -- if I recall.

I found that its effects were extremely variable: from no benefit to too much.

That may be due to meals, as suggested by the label, or some other cause.
C4-T4 Scoliosis (disk degeneration, stenosis, narrowed neuroforamen, bone spurs)
RT hip and SI joint damage from car accident
Current meds: Ultram ER 300mg daily, breakthrough - hydrocodone 10-15mg, or oxycodone 5-7.5mg. .5mg ativan as needed for sleep.

spinal soldier
Veteran Member


Date Joined Dec 2009
Total Posts : 627
   Posted 2/1/2011 12:54 PM (GMT -6)   
i think the variableness is because oxymorphone has a very low oral bioavailibility and possibly the food and drug compete for absorbstion. it's still too much $

cogito
Veteran Member


Date Joined Oct 2010
Total Posts : 808
   Posted 2/1/2011 2:22 PM (GMT -6)   
It is expensive and in my opinion, not worth the money.
Apparently, its side-effect profile is better than more common opioids but its unpredictable absorption undermines the gains.

I suppose if you can figure out relative to meal time and food consumed (Oxymorphone is highly lipophilic) an optimal time to use it, then you might find it better than alternatives.

Personally, I filled a prescription of 60 pills (I forget the cost at this point) -- but it was expensive. Over a few months, I used perhaps 15 pills and despite being aware of the issues related to food, could never figure out when best to take it.
C4-T4 Scoliosis (disk degeneration, stenosis, narrowed neuroforamen, bone spurs)
RT hip and SI joint damage from car accident
Current meds: Ultram ER 300mg daily, breakthrough - hydrocodone 10-15mg, or oxycodone 5-7.5mg. .5mg ativan as needed for sleep.
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