Which pain meds are considered long acting?

[Joe]

Dr. Steve,

Awhile ago I posted a question to you concerning my fluctuating pain levels cause me to have withdrawal symptoms several times a month.  Your reply was to have my oxycodone switched to a longer lasting pain med to help with the withdrawal symptoms.  My next appointment is comming up and I was wondering what pain meds are long acting so I can suggest some to my pain specialist. Someone on the thread also mentioned that oxycontin and ms contin are not considered long acting pain meds even though they are slowly released into the system because the active drug is only a short acting one itself, is this true?

Thanks,

Joe

[BigBadBob]

There is a long acting opiate which is extensively used in Europe but which for various reasons is out of favor in the US.  It is called Contugesic and Codicontin (I'm not sure which is generic and which is brand).  I have used both and I think that Codicontin (Dihydrocodeine Tartarate) is more evvective than Oxycontin.  It is available through certain off-shore pharmacies.  Not being sure of the rules of this BB, I will not mention names.  Just a thought.  BOB

[Shiny]

I'm having them made bigger, I am completly flat chested and can finally afford to have them done.  Course there is the problem that I am 53 years old (they said that shouldn't make a difference) am in good health except for the arthritis (SP) and degenrating disks.  I just want to look normal with a small 34C.  As I said I know I'm going to need other meds, because I don't want to use my other pain meds. I can be e-mailed at Shiny-***@**** Thanks for your concern.

[Frankinscense]

Are you sure it is dihydrocodeine? If it is that medicine is available in the US as Synalgos DC is not a long acting opiate and IMO is no were near as effective as oxycodone for pain.
Dan..

[vickyvortex to tom]

thanks for the acknowledgement!!! I am really not psycho, just had one of those weeks.  I will try to maintain.

[J.B. to Brian and Vicky]

I saw the same program that tom mentioned which aired on PBS recently.  That poor woman was going to be put on Durgesic patches because she simply wanted to leave the hospice and go home for her final days.  The doctors figured her dosage at 400mcg and said it would cost roughly $3000 per month. Apparently she had no medical coverage for these patches and what a shame!  Had she stayed in the hospice, her parenthetic meds would have been a fraction of that. Hopefully, for all chronic painers the patent will run out soon so money is not the major factor to consider here.  Take care, Brian.  We are all pulling for you!

[To sick and scared from Neena]

Just curious...are you having them made bigger or smaller?  I have some experience ( not personal) but with friends.  Just a note...If you are having them enlarged, talk to someone that has large breasts naturally, like me.  They might change your mind.  It's no fun hauling these things around and being made fun of.  If you are having a reduction...I'd like to hear about it and how you are doing, because I would like to have mine both chopped flat off.  :)