Today my mother switched from Oxycontin to Opana Comments needed

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Regular Member

Date Joined Apr 2010
Total Posts : 35
   Posted 3/29/2011 12:46 AM (GMT -6)   
My mother was switched to Opana 10 mg from Oxycontin 20mg today. The doctor advised her that he would start with 10 mg Opana and possibly proceed to 20 mg Opana to better control her pain. He stated that he wanted to make sure she tolerated the Opana well before proceeding to the 20 mg dosage. Can anyone give me some insight as to how Opana has helped or not helped their chronic pain? After a ten year tenure of being on the 20 mg dosage of OC 20mg she felt that it was not adequately controlling her pain, thus having to use more of her IR Dilaudid for break through pain. I guess I'm hoping to hear good results or even bad results from the switch of the medications and if her tolerance has merely gone up, thus needing more opiate pain medication.

Veteran Member

Date Joined Dec 2007
Total Posts : 1235
   Posted 3/29/2011 1:18 AM (GMT -6)   
I am taking Opana currently and switched from Fentanyl to it. I have found this time around, that it is a good pain reliever. It is several times stronger than Oxycontin and I'm pretty sure that your mother will do okay with it. She may not even need to have it increased since it is stronger than Oxycontin.
Tolerance or as I prefer to call it, habituation is something that any patient on opiate pain medications will experience. Switching to another pain medication is one way of managing increases in dosage and keeping them down in frequency.
Oxycontin is one of those medications that is often criticized for patients who need fairly frequent dosage adjustments/increases so this may work out to be a much better medication for her, if she is concerned about needing increases often. Although at 20 mg of Oxycontin, she was on the 2nd lowest dose available of oxycontin.
Give it at least a month and see how she manages the pain levels. If she needs to go up a bit in dosage, she can discuss it with her doctor at her next appointment.
Best wishes,

Regular Member

Date Joined Jun 2009
Total Posts : 256
   Posted 3/30/2011 11:58 AM (GMT -6)   
I am taking Opana..... I started with 20mg and found out it wasn't doing the trick of controlling my pain... my Dr. popped me up to the 30mg dose and it did do the trick!

Of course it did not take off all the pain (I don't know if that is possible, at least with me) but I could tell it really was working..... if anyone doesn't think their pain meds are working... stop taking
them for a day.... I was really able to see just how well the Opana worked by doing that! With Opana I am able to function.... and it takes off a big edge.

Right now I just went down to the 20mg again as I want to go off them all together.... once my surgery is over... I go in tomorrow (scared)

For me the good thing about Opana is the "feel good" part of the meds is taken out.... it just works for pain. The bad part is the cost.... $400-$500 a month for me... the rebate card ($30) is only good for 12 months.. that's all... I just called them today.

Another thing I found out is it works for only 5-6 hours and not 12.... I still take 2 a day.

Veteran Member

Date Joined Nov 2008
Total Posts : 1037
   Posted 3/30/2011 12:23 PM (GMT -6)   
Draka, Just wanted to say that I am sending Good/Great Healing Thoughts for your surgery tomorrow.....
Spinal Stenosis, DDD, DJD, HBP, Type 2 Diabetes

Methadone 120 mg. X daily
Oxycodone 30 mg. 5 X daily
Lisinopril HCTZ 10/12.5 2 X daily
Novolin 70/30 insulin 75 units 3Xdaily
Novolin R insulin 1Xdaily
Novolin R 0-50-0-0

That's all....but OMG!! isn't that enough?

Veteran Member

Date Joined Oct 2010
Total Posts : 932
   Posted 3/30/2011 3:04 PM (GMT -6)   
I assume your mother was prescribed the time-release Opana ER. I haven't used that, but have used the immediate release version. So, I'm not sure if my comments will apply, but perhaps they should be kept in mind just in case similar issues arise.

First, the IR version says that you shouldn't take it with meals: 1 hr before or 3hrs after. I found that Opana was sometimes effective, sometimes not at all... and I suspect that had to do with the amount of food in my stomach/proximity to meals. In the case of the ER, the time-release mechanism may balance that out.

Second, it caused both dry mouth and made be urinate frequently. These are common side effects of many opioids, but they were more severe in my case. It would also give me a headache later that day or the next day. I suspect it was due to dehydration.... so I drank more water when I took it -- though that also lead to more urination!

Hopefully, it helps your mother. Though I had some problems with it, my PM said that it typically causes less constipation and other digestive issues than most opioids.
C4-T4 Scoliosis (disk degeneration, stenosis, narrowed neuroforamen, bone spurs), RT hip and SI joint damage from car accident. Also, Supraventricular tacycardia and mitral valve prolapse syndrome.
Current meds: Ultram ER 300mg daily, breakthrough - hydrocodone 10-15mg, or oxycodone 5-7.5mg. .25-.5mg ativan as needed for sleep, Verapamil 240mg SR (for tachycardia).
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