Pain breakthrough medication alternative

bill Community Member October 16, 2007
  • Greetings all

        I currently am taking M.S Contin (a sustained release morphine pain medication) there are times when my pain breaks through and my Dr has me on oxycodone immediate release. unfortunately I find the oxycodone wreaks havok on my moods. I am desiring to switch to a different breakthrough medication perhaps of a different chemical makeup, also one that is covered by medi-cal. I have been researching and was steered to Dilaudid (oxymorphone). My question is, will this work as oxycode has as an immediate release pain medication ??  Are there any others here who use it as such ?? It is so odd that I tolerate the morphine but have such mood problems with the oxycodone. Thanks in advance everyone.

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                  peace and blessings

     

                          bill

10 Comments
  • Darla
    Oct. 17, 2007
    Hi, I was also given dilaudid.  It didn't take my pain away completely.  Took it from a 10 to an 8.  Not much relief but I could at least tolerate it.  Morphine, oxycodone and many many more that made me sick.  My dr. finally put me on Stadol nose spray.  I get instant relief from it.  You can actually feel the pain leaving. ...
    RHMLucky777
    Read More
    Hi, I was also given dilaudid.  It didn't take my pain away completely.  Took it from a 10 to an 8.  Not much relief but I could at least tolerate it.  Morphine, oxycodone and many many more that made me sick.  My dr. finally put me on Stadol nose spray.  I get instant relief from it.  You can actually feel the pain leaving.  The best medicine I found for me.  The only drawback is most insurances don't pay for the amount you really need to relieve chronic pain.  My doctor gives me 1 bottle per week.  Ins. only pays for 1 per month.  But it is worth every penny.
    • bill
      Oct. 17, 2007

      Hi Darla

         Thanks for sharing your experience with me. I have never heard of a nose spray for pain, the things you can learn in here. Unfortunately I can't subsidize the portion not covered if any part is covered at all by Medi-cal. So I will continue to inquire what others are using for breakthrough other than oxycodone, which makes my moods...

      RHMLucky777

      Read More

      Hi Darla

         Thanks for sharing your experience with me. I have never heard of a nose spray for pain, the things you can learn in here. Unfortunately I can't subsidize the portion not covered if any part is covered at all by Medi-cal. So I will continue to inquire what others are using for breakthrough other than oxycodone, which makes my moods off the charts. The morphine sustained release actually is fairly well tolerated by me, but on those days I need immediate breakthrough I hope I can find something that is easier on my psyche...lol

       

                     peace and blessings

       

                         bill

    • gloriaathmer58
      Feb. 08, 2008

        Hey there,   who is so upset by your mood swings??    I am an old grump by nature and it's kinda fun!!!    I am kidding of course, but for real, who is upset by you being upset?  (If they told you that.....what poop-heads!!)  Pain is a lonely road to travel.... alone, and perhaps you have the right...

      RHMLucky777

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        Hey there,   who is so upset by your mood swings??    I am an old grump by nature and it's kinda fun!!!    I am kidding of course, but for real, who is upset by you being upset?  (If they told you that.....what poop-heads!!)  Pain is a lonely road to travel.... alone, and perhaps you have the right to be a grump.   Have you been on oxycodone as your only pain med ?  Have you given it  time to make sure the ugliness is a chronic horror?   Are you grumpy from the Rx or because of the pain the Rx does not relieve?  I am on an oxycodone kick right now as my only oral pain relief and love it.  It doesn't do much good for the pain, but it knocks me out!!   haha   I also go to pain management for the epidural block and it has made me a new woman.  Good luck to ya darlin', hang tight and know there is a brighter tomorrow for us all!  Think happy thoughts!!Grin

      Love,

      Gloria 

    • Rayne
      Jul. 17, 2008

      I realize this origional post is old, but I thought I'd comment.......

      Stadol Nasal Spray is a Godsend! It is the fastest, most effective pain reliver. I used to take it for migraines and it took them from a 10 down to 0 in 5 minutes. I try and request it in the ER IV or IM, if they are kind enough to ask what works best or me. Unfortunately a lot of Dr's will...

      RHMLucky777

      Read More

      I realize this origional post is old, but I thought I'd comment.......

      Stadol Nasal Spray is a Godsend! It is the fastest, most effective pain reliver. I used to take it for migraines and it took them from a 10 down to 0 in 5 minutes. I try and request it in the ER IV or IM, if they are kind enough to ask what works best or me. Unfortunately a lot of Dr's will not rx it (WHY?) You're right, most insurance covers a bottle a month (which can vary in doses of 7-15 depending on how many times you prime the bottle and the effect is short lived) Thankfully it did come out in a generic form, but it's still 70.00-100.00. Currently I take Percocet, which I agree w/ many, it makes me moody and grumpy when I'm already grumpy! It also makes me itch like crazy and I get facial swelling. My Dr was not "helpful" by telling me to just drink more water......I already drink an enormous amount of water daily. Perhaps it's a reaction to the med. (duh) It's prescribed daily and is now useless. I built a tolerance in no time. He hasn't increased the dose. That is what lead me to research Dilaudid. I have too many ailments to list, that lead to chronic daily pain. I desperately need to convince the good doctor to adjust or change my medication. It's not helping the pain. It's only adding to my new found depression and frustration........and I'm not a pleasant person to be around. Any suggestions? Smile

    • bill
      Jul. 17, 2008

      Good afternoon

            I'm sorry you suffer chronic pain, I'm also sorry you are in the same situation as me, dealing with the different meds they offer. I'm lucky in one regards, my Dr is wonderful and not at all shy about increasing or totally switching the meds if I'm either having bad reactions or not getting sufficient pain relief....

      RHMLucky777

      Read More

      Good afternoon

            I'm sorry you suffer chronic pain, I'm also sorry you are in the same situation as me, dealing with the different meds they offer. I'm lucky in one regards, my Dr is wonderful and not at all shy about increasing or totally switching the meds if I'm either having bad reactions or not getting sufficient pain relief. Out of all the years I've been dealing with this as far as pain relif goes what he has me on now works the best. It's called Opana e.r, Opana is a long acting form of Dialaudid, it works great.....BUT, like all the rest there are side affects. Constipation is one, which we handle with something called Laculose syrup. It is specifically made to use daily with no dependence caused from it.  Works great. Second thing that is an issue with all opiates is needing to up the dose to gain pain relif from it. It is something that I deal with like this, I over time allow the dose to escalate, then I go through a period of detox to lower my body's dependence on it. Of course during this time your pain comes back a bit, but not as extreme as before. Then after a while I can again benefit from a lower dose. Sounds funny, up and down, up and down. Along with the Opana if I get breakthrough pain I have a quick release form of Dialaudid that enters my body immediately, they work wonderful together. But oh yes, the itching...lol

          I'm surprised your Dr is giving you Percocett for chronic pain...two reasons, it is a short acting pain releaver so you get peaks and valley's with your pain rather than giving you a LONG acting for of pain relief. Second reason it usually is not given for chronic pain...the thing in the percocett along with the opiate is like asperin or ibuprophen.......over a long time of using it, it can and will cause kidney or liver damage. Stick to the clean opiates.

       

                             peace

       

                               bill       lover_m47@yahoo.com

    • kristelyne
      Dec. 29, 2008

      I can't tell you what does work, but I can tell you what doesn't!

       

      I was taking 40mg of Opana twice a day (every 12 hours) but found that it totally wore off within 8 hours. The doctor said this was impossible (ha!) but prescribed two doses of 5mg of Opana "instant" release for break-through pain. I found that the 5mg helped a little bit but was virtually...

      RHMLucky777

      Read More

      I can't tell you what does work, but I can tell you what doesn't!

       

      I was taking 40mg of Opana twice a day (every 12 hours) but found that it totally wore off within 8 hours. The doctor said this was impossible (ha!) but prescribed two doses of 5mg of Opana "instant" release for break-through pain. I found that the 5mg helped a little bit but was virtually useless. I might as well have been swallowing an M&M.

       

      This doctor said they did not believe in using a different medication for break-through pain. In other words, if the patient was taking an extended release of Kadian, then they had to use an instant release version of Kadian for break-through pain.

       

      I don't know if there is any validity to this theory, but I know people who take oxycontin ER for extended pain relief and take percocet for break-through pain. They have told me this mix is very effective.

       

      Maybe more miligrams of the instant release Opana would have worked, but taking 5mg twice a day was virtually useless.

  • Anonymous
    Johnnie
    Oct. 16, 2007
    I had severe side effects with this drug. Be careful. It will make you crazy. It will reek havock on your personality, weight loss, weight gain. Be sure to ask your dr. about this drug. Maybe I just had a horrible experience with this one but please be careful. Love and peace J
    • bill
      Oct. 16, 2007

      Wow Johnny

           That is sort of the same issues I am having with the oxycodone for breakthrough relief. Really the only problem is what it does to my personality, it makes me sooooooo cranky and grump. No issues with the long acting morphine but only with the oxycodone. Have you found anything better for breakthrough ???

    • Anonymous
      Johnnie
      Oct. 16, 2007
      Nope in the last 8 months I have endured 2 back surgeries by 2 different surgeons and still no relief. I also have been going to pain manag. since November to no avail. Right now I am on the fentanal patch 125mg. with percocet 10/325 for breakthrough pain. I am also tired of dealing with everthing to do with this chronic pain. Until last Oct. I was a successful...
      RHMLucky777
      Read More
      Nope in the last 8 months I have endured 2 back surgeries by 2 different surgeons and still no relief. I also have been going to pain manag. since November to no avail. Right now I am on the fentanal patch 125mg. with percocet 10/325 for breakthrough pain. I am also tired of dealing with everthing to do with this chronic pain. Until last Oct. I was a successful 46 year old female with no health problems. I work for 3 attorneys, one managing shareholder, 1 partner and 1 associate. On a good day I can make it on bad days I just suffer. What about you?
    • bill
      Oct. 16, 2007

      Hi Johnnie

         Well lets see. I'm a 51 year old, ex general manager of a hotel when I was injured. It's been almost 4 years now, I refuse any surgery because according to the Dr's it's a roll of the dice. Soooooo, living in pain and not need a wheel chair is a plus. Right now I use M.S Contin for sustained releif, when it breaks through...

      RHMLucky777

      Read More

      Hi Johnnie

         Well lets see. I'm a 51 year old, ex general manager of a hotel when I was injured. It's been almost 4 years now, I refuse any surgery because according to the Dr's it's a roll of the dice. Soooooo, living in pain and not need a wheel chair is a plus. Right now I use M.S Contin for sustained releif, when it breaks through I have been using the Oxycodone and dealing with the mood swings. Tired of that, thats the reason I am looking for an alternative such as the Dilaudid.I'm surprised they have you on Percocett for any long term, my Dr said that or Vicodan is not a "clean" pain med, hard on the liver due to it containing other ingrediants other than pain meds.

          So we endeavor to perservere. Nice meeting you by the way.

       

                  peace and blessings

       

                         bill