Over the last 8+ years, I've been on all of the time-released and immediate released meds - and I always come back to using morphine as my main time-released med. Right now, I'm on MS Contin...but I have used Kadian before for more than a year.
It's really hard to compare a long-lasting med to a break-through medication. It's even hard to compare opiate to opiate. For example, I take both Dilaudid (hydromorphone) and Actiq (oral Fentanyl) for breakthrough.... they are both very strong opiods and should, in theory, work the same, right? Nope. For me, they completely hit different pain paths in my body (hence, why I'm on both, as needed).
30mg of Kadian - in my opinion - is a good starting point. You can always increase/decrease it. I think you'll see a difference in having a constant amount of pain meds in your body - instead of all the peaks and valleys.
I always like to start new meds on the weekend, too.... just in case of possible side effects. I think that's a good idea. I didn't really have any side effects w/ the Kadian.... maybe a bit of tiredness in the beginning...maybe a little dry mouth... but all of that diminshed quickly.
I'd say give it a try tomorrow and see how it goes. If you are having any major side effects - you can call your doctor on Monday to discuss. But I really think 30mgs is a relatively low and appropriate starting dose.
Let us know how you are doing! I sure hope it helps your pain. --Tina
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.