Question on kadien vs morphine cr and a personal update

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Regular Member

Date Joined Mar 2007
Total Posts : 167
   Posted 2/25/2011 10:41 AM (GMT -6)   
Hey all!  I went to my doc and discussed issues with constipation and my b/t med not working very well.  I am now on morphine cr and hydrocodone for b/t.  My long acting has not changed but my b/t med went from morphine ir 15 to lortab 10/325.  My doc is just awesome.  He listens and I admire that most about him.  He lets me give my opinion on what I think might be good for me and I listen to his and we come to an agreement.  The reason I changed the short acting med was twofold.  I was having more pain and constipation on the morphine ir  and here in fla oxycodone (which is what i had always taken for b/t) has really really really come under fire.  More so in south fl (broward country).  If you have not heard just google or Youtube pill mills south fl and you will see.  It is absolutely crazy!  It is basically legal drug dealing.  They just recently raided these clinics and I am glad they did.  The lortab is working fine for me. The only thing I worry about is the tylenol in it.  My doc says just dont take to many and I dont (max 3 day which is 975mg tylenol).  Anyway I am rambling, I am considering decreasing my dose of morphine long acting and I want to do it slowly.  My doc says morphine cr does not come in 50 mg but kadien does.  I am on morphine 60mg cr now and do not want to drop from 60 to 30 (30 is the next does down from 60 with the cr).  I am considering switching when the time comes to kadien from morphine cr to drop my dose.  (I am basically trying to taper my meds down and try a more natural aproach without so much medicine).  Heres my kadien the same as morphine cr?  any differences I should know about before switching?
Any feed back would be awesome.  I quess my long term goal is to be as pain free as possible with as little medication as possible. Also, have any of you ever had any luck with chiropractors?  I have been thinking of doing this or something like accupunture.  I am just tired of all the medicine and my body is to.  I do have a facet block scheduled for next week.  I will let you all know how it went.  Thanks again for all of your support and advice.  This board has helped me in ways I cannot even express.  It it were not for all of you I would be depressed in pain in a corner all day because as most of you know chronic pain wears you down to the point you get depressed.  Thanks and any feedback, advice or comments would be greatly appreciated.

Forum Moderator

Date Joined Feb 2003
Total Posts : 16775
   Posted 2/25/2011 1:54 PM (GMT -6)   
Shaw If you have disc problems and I cannot remember, then I would not do chiropractic care, they can cause further injury. You just heard that from someone who has done tons of chiropractic care too. Chiropractic care can be good for someone if its a muscular type of problem and something fairly new. But, for a chronic problem you would be throwing good money after bad. I have also done accupunture. I had it done on my neck due to a car accident. I did great because I had terrible muscle spasms going on. I had finished up 3 months of PT that was useless and did 9 treatments of traditional chinese accupunture. My first PM also did the chinese method and tried me on it only because I insisted, he had told me it would not help a chronic problem and he was right, it did nothing for me that time. If I were going to be going to the expense of spending a bunch money because insurance really limits you on the above care, I would invest in a good jacuzzi to use at home. It will not cure your problem but after working all day and those muscles are stretched and strained to the max, a good jacuzzi would do you a world of good.

You know everyone one of us on this forum would give anything to go medication free but I am afraid for most of us that is not in the cards unless we have a miracle come through. I know you have been traveling the CP road for quite a while and in all honesty, yes, your idea sounds good, but I would not get my hopes up for it. I have just seen you come to this forum way too much in severe pain while on medication and have a very hard time thinking you could go medication free. I am not trying to rain on your parade, I am being realistic only because I have followed you along from day one here and know how you have struggled like the rest of us.

Good luck in whatever you decide and know we will support you any way we can.
Moderator Chronic Pain Forum

Regular Member

Date Joined Mar 2007
Total Posts : 167
   Posted 3/7/2011 1:35 AM (GMT -6)   
I really appreciate all of your feedback and help.  I am going to get a facet block this week that hopefully will help.  In the past the facet block has helped the most.  It has been about a year since any injection.  I told my doc I wanted to give my body a break before any more injections.  I have had facet blocks, epidurals, sacreliacs, trigger points and radial freguency lesioning.  I have had it all except surgery.  I plan to keep it that way in that no surgery is in the near future.  I will however only have injections once maybe twice a year.  I am afraid my body will not do so well if I have to many of them.  I have had best results with the facet blocks.  Wish me luck on a pain free procedure.  THanks and have a great pain free day! 

Veteran Member

Date Joined Aug 2008
Total Posts : 3193
   Posted 3/7/2011 1:44 AM (GMT -6)   
Re: your med questions - basically, morphine cr, ms contin, kadian, avinza, etc - are all long-acting morphine and act the same, in most cases.  As morphine has been my long-lasting med for a long while now - I often have had to switch between the different meds. 
I also have had lots of experience in tapering off of morphine.  I agree - the 60mg to 30mg is a big leap.  I usually would decrease my dose by about 15mg.  What my PM doc would do is write me for two strengths of morphine - the 30mg and the 15mg.  So, I would go from 60mg.... down to 45mg (again, combining a 30mg and 15mg).... then to 30mg... then to 15mg.... etc. (I had to do this over the last year, due to my pregnancy). 
Just a thought.  Glad the lortab is working well for breakthrough.  Take good care.... if you have any other questions, let me know.
Main Health Issues: Dysautonomia/POTS; CFS/Fibro; Chronic Pain (back issues, migraines, carpal tunnel, among other things); Chronic Hypertension; Hypothyroidism and Hypoadrenalism; Mixed Sleep Apnea (on BiPap); Depression/Anxiety; Vitamin D Deficiency.

spinal soldier
Veteran Member

Date Joined Dec 2009
Total Posts : 687
   Posted 3/7/2011 12:35 PM (GMT -6)   
hey shaw, how are ya? you can never know until you try but; if your stabilized on this current dose i cannot see what good can come from opioid dose reduction (many of us would love to decrease the dose), your body will not like you and that can lead to a flare thus making your overall pain condition worse (instead of remission). Kadian is a trademarked formula of timed-release morphine that acts like a med pump in your intestine that gives a very stable dose around the clock. one of the biggest differences is MSCR has a element of immediate release in the first 1.5 hours but Kadian has none. Kadian has beads that, at the earliest, become systemic in around 6 hours. many people need a big dose increase due to this and you may be more dependent on brkth. meds. Avinza is like Kadian but it has a immediate release element to the formula. both are pricey. One new thing available to us you might consider is generic Opana IR 5,10mg (oxymorphone). it has similar time properties to MSCR. i'll get back with you, i have to stretch
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