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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 14 of 14. This is the beginning of the thread.
Posted by kerria on September 12, 2009, at 17:11:24
Hi Everyone,
Please - can any pharmacy knowledgable people tell me what would be the equivalent of 80mg of oxycontin three times a day (240mg daily) if i have to change over to kadian (morphine) ?
i'm so scared bc i've been taking the oxycontin for severely terrible pain for a long time- years now - and my appt isn't for a few days. my dr is out of town and not seeing patients until the day of my appt.--i have to wait - i called:( i don't even think i was short, maybe one day or so.
Anyways, does anyone know how much kadian i should take and what the dosing schedule would be?i have kadian- 100mg caps and avinza 90mg and 60mg. The avinza lasts for 24 hours and the kadian is taken twice a day. Also they are both expired, is that ok? avinza was from 2004 and Kadian 2005. i hope they're still good !!!!!please God.
Please asap- i already took my last oxy about 1-and-a-half hrs ago and afraid of having panic attacks. i have no short-acting meds to take if i mis-calculate and i have to go to work tomorrow (Sun) and Mon. too.
i'm getting desperate and will be so thankful for accurate equivalent dose info.
Best wishes to you in your situations also. Life is so hard so much of the time.
tears,
kerriaThanks so much
Posted by Phillipa on September 12, 2009, at 21:52:17
In reply to Anyone know equivalency of oxycontin and kadian?, posted by kerria on September 12, 2009, at 17:11:24
Kerria did you put a search in google compare strengths and name the two meds? I do this often. Love Phillipa
Posted by kerria on September 12, 2009, at 23:58:02
In reply to Re: Anyone know equivalency of oxycontin and kadian? » kerria, posted by Phillipa on September 12, 2009, at 21:52:17
> Kerria did you put a search in google compare strengths and name the two meds? I do this often. Love Phillipa
Hi Phillipa,
It's good to see you:)
Yes- i wasted hours searching online, all afternoon, reading comparitive studies with the two meds and even found a site with a conversion chart. It gave guidelines that differed by 30mg. Multiply that by the amount of oxycontin that i take daily and it's a confusing mess to try to convert it. Then there are notes about cross-tolerance, etc, also math is not a strong point here. however do you do decide how much to take?
It's way more difficult than i could ever imagine, Phillipa. Nobody wants to help me with this and i don't really know no matter how i think - i'm scared bc i don't feel adult most of the time and it's too scary. stuck again.
in the morning i will wake up in pain and decide then i guess. common sense says that if i take 80mg oxycontin three x a day and if that's stronger than the morphine (kadian or avinza) than i should at least take equal the amount of morphine- like at least 80mg of that three x a day. i have 100mg caps so maybe i will just take that instead of oxycontin and see how i feel.
i wish i didn't have to go to work tomorrow though.Thank you so much for writing, Phillipa. it feels a lot less lonely.
love,
kerria
Posted by kerria on September 13, 2009, at 7:36:40
In reply to Re: Anyone know equivalency of oxycontin and kadian?, posted by kerria on September 12, 2009, at 23:58:02
everyone gets suspisious of you when you have to take meds for pain- at another site- even a pain forum- people were doubting that i would have been careless to run out if i was being treated for chronic pain. The stigma is horrible to live with .
but it hurts too much to do anything if i don't take the medicine and i hate the pain worse than what anybody thinks of me.
100mg kadian isn't equal to 80 mg oxycontin- i still hurt so much. i guess i will take more.kerria
Posted by bulldog2 on September 13, 2009, at 10:06:57
In reply to i hate having to take meds for pain, posted by kerria on September 13, 2009, at 7:36:40
> everyone gets suspisious of you when you have to take meds for pain- at another site- even a pain forum- people were doubting that i would have been careless to run out if i was being treated for chronic pain. The stigma is horrible to live with .
> but it hurts too much to do anything if i don't take the medicine and i hate the pain worse than what anybody thinks of me.
> 100mg kadian isn't equal to 80 mg oxycontin- i still hurt so much. i guess i will take more.
>
> kerriaI take percocet for hip pain. Can't walk without it. Don't give a bleep what people think.
Posted by Phillipa on September 13, 2009, at 19:59:28
In reply to i hate having to take meds for pain, posted by kerria on September 13, 2009, at 7:36:40
Kerria did you find out how to convert the doses? Love Phillipa
Posted by kerria on September 14, 2009, at 7:40:59
In reply to Re: i hate having to take meds for pain » kerria, posted by Phillipa on September 13, 2009, at 19:59:28
tears
no- not really- i just tried to understand the not understandable calculater at some site and have been taking kadian and avinza. feeling bad most of the time. too much pain so i couldn't do anything- not even eat or try to go through the trouble of making anything bc all i can think about is how much it hurts.
then the meds i took started to work - for a while it was ok- not taking all the pain away though and when i added more that i thought was right - it wasn't. All last night i was too groggy and that terrible feeling in the pit of your stomach when you take too much pain meds.This morning we called the drs office again and have an appt tomorrow- not today bc dr isn't seeing pts today.
tears i feel like nobody cares about me and i can't stop cryingi don't want to take the old expired medicine for another day
i better take it soon bc it's wearing off very soon. i wish someone would tell me what is the equilavent -i'm so upset that nobody will.
sometimes i hate my life so much
i'm sorry bulldog - i didn't respond- it's terrible to be in pain and have to depend upon meds and other people. Best wishes to you and to you Phillipa. Thank you for writing for caring about us.
kerria
Posted by kerria on September 14, 2009, at 8:36:30
In reply to Re: i hate having to take meds for pain » kerria, posted by Phillipa on September 13, 2009, at 19:59:28
Anyone know what's the right conversion dose?
i was taking 80mg of oxycontin three x a day and breakthrough 5-10 mg oxycodone.the conversion chart says 270mg(25% for cross tolerence - whatever that is) oxycodone to morphine.
so would that be three 60mg and one 90mg avinza(270)?a pharmacy said that it was about equal.
would that be two 90mg and one 60mg avinza (240mg)?yesterday i took 100mg kadian at 6am but was in terrible pain and took one 90mg and one 60mg avinza with that at 9:30am and felt better but not all pain gone. pain became worse towards 6pm - kadian lasts only 12 hrs but it was a mistake maybe , when i took another 100mg kadian- felt terrible - it was too much or maybe just bad medicine bc expired.
what should i take? anyone know?
it's so hard for me to make decisions and not to worry bc of making mistakes so much that seem right and afraid of medicine:(i have to take it very soon.
thank you,
kerria
Posted by bulldog2 on September 14, 2009, at 14:52:18
In reply to Re: i hate having to take meds for pain, posted by kerria on September 14, 2009, at 7:40:59
> tears
> no- not really- i just tried to understand the not understandable calculater at some site and have been taking kadian and avinza. feeling bad most of the time. too much pain so i couldn't do anything- not even eat or try to go through the trouble of making anything bc all i can think about is how much it hurts.
> then the meds i took started to work - for a while it was ok- not taking all the pain away though and when i added more that i thought was right - it wasn't. All last night i was too groggy and that terrible feeling in the pit of your stomach when you take too much pain meds.
>
> This morning we called the drs office again and have an appt tomorrow- not today bc dr isn't seeing pts today.
> tears i feel like nobody cares about me and i can't stop crying
>
> i don't want to take the old expired medicine for another day
>
> i better take it soon bc it's wearing off very soon. i wish someone would tell me what is the equilavent -i'm so upset that nobody will.
>
> sometimes i hate my life so much
>
> i'm sorry bulldog - i didn't respond- it's terrible to be in pain and have to depend upon meds and other people. Best wishes to you and to you Phillipa. Thank you for writing for caring about us.
>
>
>
> kerriaI think pain is bad as it begins to wear you down mentally and makes me depressed.
So I'm thankful that pain meds are available for relief.My wife can always tell when my meds are working by my moods.
My ortho doc only gives me enough meds for 12 hours so laying in bed in pain makes it hard to sleep. I use the meds during the day when I need to around.
I will try to find out the conversion thing.
Posted by bulldog2 on September 14, 2009, at 17:30:18
In reply to oxycontin converts to how much avinza?, posted by kerria on September 14, 2009, at 8:36:30
> Anyone know what's the right conversion dose?
> i was taking 80mg of oxycontin three x a day and breakthrough 5-10 mg oxycodone.
>
> the conversion chart says 270mg(25% for cross tolerence - whatever that is) oxycodone to morphine.
> so would that be three 60mg and one 90mg avinza(270)?
>
> a pharmacy said that it was about equal.
> would that be two 90mg and one 60mg avinza (240mg)?
>
> yesterday i took 100mg kadian at 6am but was in terrible pain and took one 90mg and one 60mg avinza with that at 9:30am and felt better but not all pain gone. pain became worse towards 6pm - kadian lasts only 12 hrs but it was a mistake maybe , when i took another 100mg kadian- felt terrible - it was too much or maybe just bad medicine bc expired.
>
> what should i take? anyone know?
> it's so hard for me to make decisions and not to worry bc of making mistakes so much that seem right and afraid of medicine:(
>
> i have to take it very soon.
>
> thank you,
> kerria
>
>
>
>http://www.ons.org/publications/journals/CJON/Volume5/Issue4/0504163.asp
Posted by kerria on September 14, 2009, at 22:58:04
In reply to Re: i hate having to take meds for pain, posted by bulldog2 on September 14, 2009, at 14:52:18
> > tears
> > no- not really- i just tried to understand the not understandable calculater at some site and have been taking kadian and avinza. feeling bad most of the time. too much pain so i couldn't do anything- not even eat or try to go through the trouble of making anything bc all i can think about is how much it hurts.
> > then the meds i took started to work - for a while it was ok- not taking all the pain away though and when i added more that i thought was right - it wasn't. All last night i was too groggy and that terrible feeling in the pit of your stomach when you take too much pain meds.
> >
> > This morning we called the drs office again and have an appt tomorrow- not today bc dr isn't seeing pts today.
> > tears i feel like nobody cares about me and i can't stop crying
> >
> > i don't want to take the old expired medicine for another day
> >
> > i better take it soon bc it's wearing off very soon. i wish someone would tell me what is the equilavent -i'm so upset that nobody will.
> >
> > sometimes i hate my life so much
> >
> > i'm sorry bulldog - i didn't respond- it's terrible to be in pain and have to depend upon meds and other people. Best wishes to you and to you Phillipa. Thank you for writing for caring about us.
> >
> >
> >
> > kerria
>
> I think pain is bad as it begins to wear you down mentally and makes me depressed.
> So I'm thankful that pain meds are available for relief.My wife can always tell when my meds are working by my moods.
> My ortho doc only gives me enough meds for 12 hours so laying in bed in pain makes it hard to sleep. I use the meds during the day when I need to around.
> I will try to find out the conversion thing.
>Thank you bulldog. There's not much worse than being in pain. i'm very sorry that your dr is not understanding enough to treat pain for 24 hrs. It should be a basic human right to have severe pain controlled.
Thanks for the link to the conversion chart. i can't understand how to do the math though.
Last week i had to see my regular gp- not the same dr who treats my pain- and explained about the pain meds running out and he printed out a simular chart. He wouldn't directly say exactly how much meds to take though and i can't do math. It''s so frustrating- i can't understand how. maybe it's a DID thing or something, i can't help it.Best wishes,
kerria
Posted by Larry Hoover on September 15, 2009, at 8:21:28
In reply to Anyone know equivalency of oxycontin and kadian?, posted by kerria on September 12, 2009, at 17:11:24
I'm sorry you're struggling so hard with this situation, Kerria. I had to go off Oxycontin, without a substitute offered, and then try to deal with the pain by other means. It was so bad, I lost the ability to speak, to follow conversations, to type....to do anything, really. If anyone wonders where I went about two years ago, now you know. I was "locked in" by pain. I now get nerve blocks, and I've learned mindfulness, but I don't think any doctor understands what it's like. My pain isn't gone, by any means. But I get by.
To answer your original question, 240 mg/day oxycontin is equivalent to 360 mg/day oral morphine. That is an average conversion. As always, your mileage may vary. As you've already indicated, the side effect profile is different, also. You just can't switch one for the other, and assume everything will match up perfectly.
All the best.
Lar
Posted by kerria on September 15, 2009, at 11:15:28
In reply to Re: Anyone know equivalency of oxycontin and kadian? » kerria, posted by Larry Hoover on September 15, 2009, at 8:21:28
Thank you so much, Larry. You are the only person to give me an exact answer. i'm so very relieved that i know now and i know that i didn't take too much. The kadian was spoiled i think so i had a bad reaction.
The avinza works really well, despite being expired in 2005 and i was able to get by with a lot less morphine than the equilavent somehow. i took one 90mg and three 60mg (270mg) and it worked for 24 hrs. As it was wearing off this morning i was able to get to drs and pharmacy to have oxycontin again.
i know now that the pelvic pain is still very bad. It's impossible to live without pain relief.
I'm so very sorry about what happened to you two years ago and can't imagine going through that. Whyever did your dr put you through that? It's terrible to treat someone like that- yes- i think you're right about drs not understanding what it's like. no one understands except those who have experienced severe pain and withdrawal themselves. They should try to understand, then they would help. i think my dr tries to understand.
Larry, i'm glad that things are improved now through the other ways that you're trying. It's so horrible to live in severe incapacitating pain.i wish i didn't have the pain and could do without the medicine and the side effects but i am in severe pain and need the medicine so much now. i had surgery about two years ago that wasn't successful in helping the pain but should look at other options too.
Thanks again Larry. You're the best.
Take care,
kerria
Posted by Phillipa on September 15, 2009, at 19:35:43
In reply to Re: Anyone know equivalency of oxycontin and kadian? » Larry Hoover, posted by kerria on September 15, 2009, at 11:15:28
Kerria Lars the very best!!!! Love Phillipa and so glad you're now getting some pain relief.
This is the end of the thread.
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