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Morphine / Oxycodone
For the last year I have been taking15 mg Morphine2 times a day, and 5mg Oxycodone HCI For pain in back and hips, and knee. At this dosage I have been getting some relief.Could one say that I'm chemically dependent. I'm 6 ft tall and 172 lbs. What is the suggested dosage for 61 yr old? I just had surgery in my chest and the pain level is 10 by times 10. they increased the oxy to 10 mg every 4 hrs and the Morphine 3 times a day 30 mg a day. with little effect. I increased the second time I took these meds to 30 mg 3times day and the oxy15 mg 4 times with only some relief bring the pain level 4/5, but only last for 2 to 2 1/2 hrs. What would be the next meds to change to. I believe my tolerance level on this medication has reduced the effectiveness.
how long doe 4mg long acting pill stay in system how do you removw faster my doctor droped me afrer twenry years i got plss test nurse told me on phone very mean would not let me talkto doc i brought up doc patient rhey didnr care im suffering i have tumor one foot othe broke ghout poping up scoliousis and more help
1 Comments
4 mg long acting pill of what? Was it prescribed to you or not? Did you fail the urine test? It sounds like you were dismissed, but the question is why?
Sorry I am a bit tardy to your question. It's been one of those weeks! :o)
To some degree I think an opiate is an opiate is an opiate. In my case hydrocodone had worked best for my particular pain, even better then the bigger opiates. I know that makes little sense other then the explanation that everyone is different and every pain region responds to differently to different meds.
When I developed a new source of chronic pain (my huge lumbar/abd mesh failed), hydrocodone did not touch that pain....thus I was prescribed a long acting opiate that addresses that much better. That took some trial and error to find the one that was the most effective at low levels.
It's my opinion that the particular opiate either works or it doesn't. Yes to some degree it depends on the dose. As I said earlier morphine has to be at such a high dose in order to be effective that I cannot function. The current long acting/slow release opiate I am on is at a very low dose by every one's standards. But it's effective. It is what my body responds to best... or my pain responds to...how ever you want to state it.
In my opinion prescribing 5mg of Morphine to treat severe chronic pain is like fishing with a naked hook ... it gets you nothing but at least the fisherman can say she has something in the water. In this instance you can interchange the word fisherman with physician. :o)
In my humble opinion I would ask the physician to increase the current dose to see if the opiate was the right one to treat the pain. You certainly are on an extremely low dose. If that wasn't effective at a moderate dosage I would try another opiate before pushing up the dose. I am far from an expert, this is just my opinion.
Hope this gives you some food for thought. I'll look forward to hearing how you are doing. Please try to communicate your pain to your physician. You deserve to be comfortable!
~Tuck
To some degree I think an opiate is an opiate is an opiate. In my case hydrocodone had worked best for my particular pain, even better then the bigger opiates. I know that makes little sense other then the explanation that everyone is different and every pain region responds to differently to different meds.
When I developed a new source of chronic pain (my huge lumbar/abd mesh failed), hydrocodone did not touch that pain....thus I was prescribed a long acting opiate that addresses that much better. That took some trial and error to find the one that was the most effective at low levels.
It's my opinion that the particular opiate either works or it doesn't. Yes to some degree it depends on the dose. As I said earlier morphine has to be at such a high dose in order to be effective that I cannot function. The current long acting/slow release opiate I am on is at a very low dose by every one's standards. But it's effective. It is what my body responds to best... or my pain responds to...how ever you want to state it.
In my opinion prescribing 5mg of Morphine to treat severe chronic pain is like fishing with a naked hook ... it gets you nothing but at least the fisherman can say she has something in the water. In this instance you can interchange the word fisherman with physician. :o)
In my humble opinion I would ask the physician to increase the current dose to see if the opiate was the right one to treat the pain. You certainly are on an extremely low dose. If that wasn't effective at a moderate dosage I would try another opiate before pushing up the dose. I am far from an expert, this is just my opinion.
Hope this gives you some food for thought. I'll look forward to hearing how you are doing. Please try to communicate your pain to your physician. You deserve to be comfortable!
~Tuck
Hey Tuck,
Thanks for your response.
Unfortunately, I'm somewhat in a class that doesn't allow me to many selections of Pain Management. I have tried and believe that I have to try all avenues with her before I move on to the next Pain Management Specialist. One of things I had to do was to withdraw from vicodin and try there recommendations. You name it I' v tried it.Went back on the Vicodin for another year till it nearly killed me. That when they put me on the current program. So now I'm hunting for different Ideas. I have compared my dosage with other people's dosage's and wondered why can't I get a Doctor like that one. I get 5mg and they get 40 mg. I know all the excuses. Dr. afraid to write the prescriptions because of one reason or another while the true hurting people suffer. Let get off this soap box.
Question. Do you think that changing the kind of opiate would make it less likely of diminishing a tolerance level or is it opiates is a opiate is a opiate? Or sticking it out till one reaches a high level mg of that drug? Moderate? Is that good or bad? hahahahahah
And I do take a muscle laxative ,Cyclobenzaprine 10 Mg. Was truly surprised that it helped. What ***** about my situation is that I'm in the Va system and in that system every one is a drug addict. And my meds are shipped in the mail. Helps my anxiety attacks. Like you said, we are all chemically dependent but that doesn't make us addicts.
There is a huge difference and unfortunately the general population is big time misinformed on that subject.
Thanks for your insight on this mater. I will share with you soon on the next meeting I will have with Pain Management.
BK
Thanks for your response.
Unfortunately, I'm somewhat in a class that doesn't allow me to many selections of Pain Management. I have tried and believe that I have to try all avenues with her before I move on to the next Pain Management Specialist. One of things I had to do was to withdraw from vicodin and try there recommendations. You name it I' v tried it.Went back on the Vicodin for another year till it nearly killed me. That when they put me on the current program. So now I'm hunting for different Ideas. I have compared my dosage with other people's dosage's and wondered why can't I get a Doctor like that one. I get 5mg and they get 40 mg. I know all the excuses. Dr. afraid to write the prescriptions because of one reason or another while the true hurting people suffer. Let get off this soap box.
Question. Do you think that changing the kind of opiate would make it less likely of diminishing a tolerance level or is it opiates is a opiate is a opiate? Or sticking it out till one reaches a high level mg of that drug? Moderate? Is that good or bad? hahahahahah
And I do take a muscle laxative ,Cyclobenzaprine 10 Mg. Was truly surprised that it helped. What ***** about my situation is that I'm in the Va system and in that system every one is a drug addict. And my meds are shipped in the mail. Helps my anxiety attacks. Like you said, we are all chemically dependent but that doesn't make us addicts.
There is a huge difference and unfortunately the general population is big time misinformed on that subject.
Thanks for your insight on this mater. I will share with you soon on the next meeting I will have with Pain Management.
BK
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Welcome to the Pain Management Forum. I am very sorry that you pain levels are do very high.
There actually is no recommended dosage of opiate drugs. There are parameters, meaning beginning or minimum dose and maximum dose. Yes those parameters have something to do with age and body mass but they truly are up to your prescribing physician and to a lesser degree you.
If your pain is not controlled with your current medications please speak to your physician. You are on a moderate dosage. One might consider a change in the opiates rather then a increase.
Sometimes by adding a muscle relaxer or another medication you'll experience greater pain relief. It's really a trial and error process. I urge you to discuss this with your physician and impress upon him/her how high your pain levels have become. Life is short and the goal of pain management is comfort.
Morphine had little effect on my pain, accept at high doses that did not allow me to function, let alone think. There is a general school of thought the we become tolerant to our opiates, and yes I agree with that to a degree. My physician (and I) believe that just as much as tolerance, maybe more so our condition deteriorates. When this occurs we obviously require more or different medications to control the increased pain.
I'm sorry I am not comfortable suggestion a specific medication. What's effective for me may not be effective for you. It's also true that every physician and state has preferences or comfort levels on which opiate they prescribe and the dosage ranges. I found this to be true when I was out of my home state for a number of months and indeed you can see in on this forum.
Yes we are all chemically dependant but that doesn't make us addicts. There is a huge difference and unfortunately the general population is misinformed on that subject.
Be assertive and please let us know how you are doing. I wish you the very best and will look forward to your updates.
Take Care,
~Tuck