What are you going to change your meds to, if you change?

[seven10kids]

Now that Opana is dead just like OxyContin, I was wondering what everyone's thoughts were and if anyone had any good ideas as to not waste their monthly refill on garbage.

The conclusions have come to (had to think about this when OxyContin changed. Couldnt afford Opana and didnt want to deal with PAP as i heard they shipped meds to doctor, which i dont think has been true for a while)


Switch to Roxi, aka oxycodone IR 30s. - Problem with this is that many doctors dont like to write for many breakthrough IR meds. They will give you 60 or maybe 120 to go with an ER med, but most will NOT write for all IR meds. I got lucky and did get switched to IR meds as needed, added up the mg of ER oxy i was taking, then divided by 30 and that is how many IRs i got. was like 420 a month, then that got tapered down pretty fast to 300, now im at like 280 or something, every month 5 get taken off or so.

Another roadbump with this may be that when you take an opana as directed, by mouth, they really arent supposed to be that strong. Its when you crush and toot/shoot that they hit you with a wallop. So if you are getting 120 Opana, the doctor may see it as a dosage INCREASE to switch you to 120 oxycodone 30mg IRs. We all know that Opana sniffed or banged is like a dozen roxis. So that could also pose a huge threat to getting what you want.

Switch to Opana IR - poses pretty much all the problems as stated above. Doc not willing to write for so many IR meds. Also, production has been lacking. Mix that with the fact that they are still brand with only one (?) generic, you may end up only finding brand and having to pay a lot of $$$. At least it would be an easier conversion and hopefully the doc can write for 4 times the amount of 40s you were getting or whatever the case is so you are on the same amount of meds. PAP could still be of use on this one, helping with med cost if they are accepting new applicants (they were NOT accepting new patients when the whole shortage was going down)

Find Generic 15mg ERs and try to add em up to current dosage - If you can hunt them down, or order them thru mail order pharm, you can possibly tell your doctor the new tablets dont work but they still make a generic that does. This could pose a problem with people one tablets above 15mg (many are, i think most seem to be on the 40s or 30s with few being on smaller doses). High count numbers scare doctors. Even if you were on 120 Opana er 40s, you would need 320 15s to equal the same dose. Not to bad of a stretch, but still a number of pills a doctor would only write for if you have extensive medical records telling that you need pain meds. I dont know how much the generic ERs are at the pharmacy either and again you are going to have a tough time finding them besides thru mail order.

H - I know everyone is going to say this, even though it is not really the answer I am looking for. But many people are going to say "switched to H" or already did. This is becoming a very popular choice for many. easy way to not have to care about all the bullshit politics and changes.

Wait for a crisp method/crack em - not too hopeful for this. Look at OP/OCs. No one wants them, even if they can cook em down and kinda use them, this could pose a HUGE health risk too. Having your nose give out on you is the least of your problems. This could lead to shit getting in your lungs, shit getting in your veins and even your heart. I am no medical expert, but there are many things i could see going wrong with these adulterated tablets.

Any other ideas guys?

[Dr. McKay]

I am in the same exact boat.
I have been thinking the same exact thing since I got the new style Opana Er tabs today.
For the first few hours I thought they were not going to do shit for me, but as time goes on I am starting to definatly feel a head buzz , but my body temp is off a bit . I am not in w/d but I dont feel 100% either.

I also get Opana IR 10mg x 5 per day to go with this, but they are on back order every where including the PAP (BTW the PAP will only give you #150 IR tabs a month) .

I would love to go on Roxi 30s and then Opana IR , but in my state roxi are almost impossible to get at the pharmacy.

My doc already told me he could write me a script for them if I wanted to try them, but he told me they are very hard to get at the pharm.

If I could get what ever I could from my doc I would get roxi 30s and Opana 10mg IR for breakthrough. Even thogh the roxis are considered an IR med at least my doc is willing to perscribe it since oxycontin is very expensive and also that they dont make a generic oxy ER anymore.

One note and also an idea for a possible Er med is morphine sulfate ER. My doc was giving me the 100g morph tabs for every 40 mg Opana I was getting when the Opana shortage was going on. from what the opiate conversion charts say :you need 3x the morphine to equal Opana. I think it more like 4-5 x though..

I really am hoping someone can figure out at least a way to sniff these new tabs .

That would be the best thing to happen in my book !

[vonwolf]

I got switched from 8 Opana 40mg Er's back to 3 80mg Oxycotton's for the last few months because how screwed up finding Opana's has been. Just like when the oxy's switched to the OP's I'm withdrawing all the time, its such a pain. I go to see the Doc tomorrow and I have no idea what to ask for. Even if I can get the Opana's and I doubt I can, how bad are they going to be?

Are they even worth trying or are the going to as useless as the OP's? I can get roxy 30's or Opana 10's Ir for break thru but there again I can't find the Opana 10 Ir's so it's Roxi's I get. So I just don't know if it would be worth trying the new Opana's or stick with the oxy 80's and get 1 more 80 a day? I guess I'm just asking just how useless are the new Opana's?

[digby]

I was able to get 200 mg morphine sulphate tabs, one for each 40 mg Opana tab, which I think is much closer to a realistic conversion than 100 mg morphine tabs are. The problem is, I feel really crummy on morphine, so I don't see it as a long term solution for me.

Best bet is getting IR Opana or oxy if we are talking about something that is going to work as well as the old ER Opana. With everyone asking their doctors or pharmacies for those, I can only imagine how much more chaos will surround those pills now and in the near future.

Unless policy changes, I see this as the beginning of the end, not only for recreational users of opiates but for pain patients as well.

[seven10kids]

I see this as the end of the end for the most part.

No ER meds left to get a high dose out of all at once. A lot of doctors are capping the amount or IR meds they will RX. called a few places to feel it out and they said either 90 or 120 MAX and that is up to the doctor to see how many they would give you. 90 30s isnt going to do much for me. that is 3 a day and i am coming from 12-15 30 a day.... to 3? I dont think so.

Im lucky to have an understanding doctor, but even he is cutting back the amount or oxycodone IR he is going to write me for. Seems to be a few in the area doling out 240+ but people keep the doctors name under wraps, or the doctors are not accepting new patients, even with extensive medical records or pharm records.

party is over guys. I see roxis prices sky rocketing. 25-30$ is so FL has got to tell you something. There are a TON of opiate dependent users out there now and not enough good tablets to keep them all happy. I know dillys are becoming more popular, but that requires a poke to get anything substantial out of them, and I hear they dont last that long.

At last resort the MSIR and MSContin seem to be the last choice. I dont like how they make me feel either. Would keep them just in case nothing else was around it would keep me from w/d and put me to sleep. Street prices are about $5 for a 60, 10-15$ for a 200 (100mg for same price if you are getting taxed or buying singles or something) but most people dont get them. Everything has officially gone to crap. At least FDA cant really control oxy IR at this point, but I know that is deff their next target. We will see how they do it, could put extra pressure on doctors to yank patients from it or ween them in a certain amount of time, or put a limit on the pharmacies on how many they can buy a month (already like that in some places) or how many they can dispense to a patient (already like that too in some places). They can pretty much do anything they want.

Hope for the best. Expect the worst...

[Dr. McKay]

I see this as the end of the end for the most part.

No ER meds left to get a high dose out of all at once. A lot of doctors are capping the amount or IR meds they will RX. called a few places to feel it out and they said either 90 or 120 MAX and that is up to the doctor to see how many they would give you. 90 30s isnt going to do much for me. that is 3 a day and i am coming from 12-15 30 a day.... to 3? I dont think so.

Im lucky to have an understanding doctor, but even he is cutting back the amount or oxycodone IR he is going to write me for. Seems to be a few in the area doling out 240+ but people keep the doctors name under wraps, or the doctors are not accepting new patients, even with extensive medical records or pharm records.

party is over guys. I see roxis prices sky rocketing. 25-30$ is so FL has got to tell you something. There are a TON of opiate dependent users out there now and not enough good tablets to keep them all happy. I know dillys are becoming more popular, but that requires a poke to get anything substantial out of them, and I hear they dont last that long.

At last resort the MSIR and MSContin seem to be the last choice. I dont like how they make me feel either. Would keep them just in case nothing else was around it would keep me from w/d and put me to sleep. Street prices are about $5 for a 60, 10-15$ for a 200 (100mg for same price if you are getting taxed or buying singles or something) but most people dont get them. Everything has officially gone to crap. At least FDA cant really control oxy IR at this point, but I know that is deff their next target. We will see how they do it, could put extra pressure on doctors to yank patients from it or ween them in a certain amount of time, or put a limit on the pharmacies on how many they can buy a month (already like that in some places) or how many they can dispense to a patient (already like that too in some places). They can pretty much do anything they want.

Hope for the best. Expect the worst...

From what some pharmacists have told me they are limited to a certain percentage of roxis they can get according to their overall drug sales.

So basicly if the pharmacy is busy they can get more roxis than a slower pharmacy.

Plus once they hit their limit for ordering for the month, theey wont be able to get more until the first of the month..At least that is how it goes in florida as I have been told by a few pharmacists.

Also dilaudids are definatly becoming alot easier to get at the pharmacy, plus my doc has no problem persribing them to me, but as soon as the Opana IR 10s are going to be back I am going to start back on those again since 1 10mg opana is stronger than 1 8mg dilaudid by far , plus they last a bit longer.

BTW as the day has went on my experience with the new Opana Ers is getting better. I guess it just takes getting a few into your system and then you will start feeling just fine..But the pain level is definatly no where as good as when I was on the old Opana Ers.

[duck]

I would want to switch to methadone and fent if I were in that position.

[nick]

I would want to switch to methadone and fent if I were in that position.

Exactly what he said-legitimate pain patients respond well to both of the above regimens.

Truth is the U.S. has developed a pill culture with all the associated ills.What's happening now is the result of poorly thought out policy-policy made by folks with no direct experience of the issues.

I told you guys 2-3 years ago that this would happen unless you got involved and participated in the obvious and much needed changes that were coming down.
So,I'm sorry some of you will suffer and I hope things work out for you,but my symapthy is limited.

[pokergooch]

Yes, i knew of this happening for quite a while. I have weighed my options, etc. Its not like one day Endo just started switching the meds out... This has been in the works for a few years.. I just think that most hoped that someone would be able to defeat it.

I've heard of a few ways to extract the oxymoprhone from the TRF pills, but they are only getting a 50 percent yield.. so, a 40mg ER TRF will only get 20mg of pure oxymorphone.. its also a pain and takes a couple of micron filters and a professional type compressor, (about 160 bucks for everything) too me, its too big of a pain, except the guys that are selling it.. I guess if you are willing to spend the prices that they are selling it for, it would be worth the time and effort to do the extraction, but for the regular user, i dont think its worth it.

EVen when we do see the generics of all strengths come out in september, i bet the prices will be the same.. I dont think that we will see a price decrease until multiple companies start selling the generic.. Watson isn't stupid, they know that they will get whatever they want... I think it will be at least a year or 2 before we see a descent price on the generics, but if your willing to pay for them (and lucky enough to have insurance) then a few months isn't that long to wait...

[theSWPK]

I've heard of a few ways to extract the oxymoprhone from the TRF pills, but they are only getting a 50 percent yield.. so, a 40mg ER TRF will only get 20mg of pure oxymorphone.. its also a pain and takes a couple of micron filters and a professional type compressor, (about 160 bucks for everything) too me, its too big of a pain, except the guys that are selling it.. I guess if you are willing to spend the prices that they are selling it for, it would be worth the time and effort to do the extraction, but for the regular user, i dont think its worth it.

Where did you find this method? Would you be willing to enlighten me?

[norseman]

Is it uncommon for Drs to write for Levorphanol down there? I think I would rather switch to levorphanol and fent, then methadone. It has good legs and is quite potent. It is also mild NMDA ant and I believe there is some SNRI activity as well. Could be better for certain types of pain.