Follow up with forced med change

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shaw31
Regular Member


Date Joined Mar 2007
Total Posts : 167
   Posted 10/27/2010 1:55 PM (GMT -6)   
I finally called my doc.  He called back and talked with me.  He said this would happen and he is sorry it has to.  I have to deal with it until I see him next week.  If any of you do not know what i am talking about look at my post a few days ago "doc forced to change methadone".  I told him I am going through withdrawals and he said I should not because I am still on an "opiate".  He did say I could have days of feeling uncompfortable.  Its a pain in the back litteraly.  My pain levels are up by a few numbers, I am taking more b/t meds, bathroom problems, anxiety and feeling down.  He said it should gradually stop.  He also told me in our meeting next week we could adjust the morphine accordingly.  He also said if I need more b/t med to go ahead and take what I need.  He is a great doc that has his hands tied.  I am on 30mg 3x day of morphine cr.  Is this alot?  I went from 70mg methadone to this.  Is this a good conversion?  Does anyone know?  Are there conversion charts?  Is methadone alot stronger than morphine?  I just cant figure out why I am having these problems if I am replacing one with another.  I just hope my pain levels dont go off the charts.  Any comments would be appreciated.  Thanks and have a pain free day!

Monty's Mom
Veteran Member


Date Joined Aug 2010
Total Posts : 664
   Posted 10/27/2010 2:35 PM (GMT -6)   
I don't know the answer to any of your questions, but was just in a situation of forced medication change also. I am waiting for my fiance to pick up the correct meds on his way home.
 
I am sorry that you have to go through this. I too was changed to morphine controlled release and did not care for it. I used b/t meds all the time, and it  began that bowel and stomach issues all over again. Just keep your appointment with your doctor, and hang in there.
 
Sorry there is nothing more I can do for you, or at least answer your questions. My heart goes out to you, and I hope everything gets sorted out for you quickly.
 
Warm, gentle hugs,
 
Mindy

Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2317
   Posted 10/27/2010 4:29 PM (GMT -6)   
60mg Methadone = 150mg Morphine -- that said, keep in mind that you can't just start out at 150mg Morphine. Dosing would need to be titrated.

Here's the NIH equivalency chart (have to scroll down the page to find it):
www.ncbi.nlm.nih.gov/pmc/articles/PMC1163279/

Also, people don't always need the exact equivalent. For example, when I switched to methadone from fentanyl, the equivalent dose would have been 30mg Methadone. But I can't tolerate that much. Probably over time we will work up to 20mg (that's what I am prescribed) but the side effects when you are starting on a new med can be harsh. If your doc is suggesting a med increase & you are in pain, maybe it's worth a try.

feel better,
frances
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