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My wife see an addictionologist for pain because she has had prescription abuse issues. He will not prescribe hydrocodone or oxycodone at all. He begrudgingly gave her the lowest dose of fentanyl patches. But he has no problem at all giving her five Opana 10mg IR's daily. Any ideas why this is? It seems crazy.
As to what I know, Oxymorphone really seems to be less addictive than other opiates because it seemingly provides less of euphoria and sedation in doses that provide equal amounts of analgesia.
I understand the doctor's idea to prescribe fentanyl patches, because they themselves can't be misused that easy as pills are.
And,- there obviously has to be a kind of medication for breakthrough pain. So, it is up to the patients' own responsibility to find out how to work with their medication in a way that won't affect the addict in their mind.
So there is nothing I can see odd in the doc's prescription, it is up to your wife to work on her issues that made her misuse her prescription, criticising the prescriber is easy on the first hand, but what shall he do, when the use of strong painkillers is neccessary?
So I hope you can be of help to your wife to get a connection between her misuse and her (probably) underlying issues.
I just thought it would be more addictive not less so. From some of the things I have read it is difficult to get for most people. Why don't more doctors prescribe it then? And why do some addicts talk about it like its the best thing since sliced bread?
Well, bread for me is best when it comes as a loaf - uncut.</joke>
I really can't say anything about the ways of prescriping american doctors do, - I think it is mostly that they either don't know or don't care about the properties of the meds they prescribe,- see; the more addictive the meds are, the more certain patients come back...
I know this sounds cynical, but this is what I have seen happening to patients of mine when I worked in a residence for elderly disabled patients, one cause of which I stopped working there.
Although I am an opiate addict I can't say anything about the addictiveness of oxymorphone, there is no market for prescription drugs in Germany,
Perhaps some members more experienced than me can help us out here.
I have to disagree with you on that. I have seen two people die with my own eyes from chewing the patches
Alright, disagree with me on that.
Thanks for disagreeing, I should have worded my post better.
What I meant is that people who get fentanyl patches don't tend to put on more patches to get a high from it.
I bet these guys you watched die before your own eyes were not prescribed these fentanyl patches for legit pain...I hope someone had called for an ambulance...was it you?
What this thread is about, is misuse by pain patients, not dumb efforts to get high by -let me say so- unreasonable irresponsible junkies.
The doctor she sees seems to think the Opana is a relatively safe medication and is not really abuseable. He is an addictionologist first and a pain doc second. Seems odd to me looking at other threads on this forum.
From what I have read on Oxymorphone, the rationale behind claiming it's lower abuse potential stems from the fact that it is not as sedating as Morphine nor does it cause the histamine flush like Morphine. And a good amount of addiction specialists hold the belief that Morphine and it's close relatives (diamorphine, nicomorphine, etc.) are the most abuse-prone.
However, I have also seen talk that this idea is somewhat old fashioned and that addiction specialists are just starting to learn about the abuse potential of the "new" opioids (which aren't new-they just weren't prescribed to the general population much until the 1980s and 1990s).
I will try to find some articles when I get to my PC but I am on an iPad. Since I am a grad student, I have access to SpringerLink which has hundreds of thousands of peer reviewed articles, tons on opioid pharmacology.
My friend disagrees that Opana is not addictive. She is alao a pain patient and has worked her way up through the opiate chain. She first had hydrocodone, then oxycodone, then oxymorphone (Opana). She will tell you that Opana is by far the most addictive of the 3. She gets dope-sick in less than 6 hours after missing a dose. And, if it is snorted, it is much more euphoric and much more addictive.
Just an historical side note - it's not unusual for "new" opiates to be (temporarily) believed to be somehow "less addictive" than better-known ones- morphine was sold as a cure for opium addiction, and in turn heroin as a cure for morphine addiction, and methadone as a cure for heroin addiction. Now you have doctors telling people that tramadol is not an opiate, and that oxymorphone has low addiction potential.
The non-addictive, side-effect free, effective pain killer is one of the holy grails of western medicine. It's a safe bet that people will continue to promote unfamiliar opiates as non-addictive or less addictive, despite them being just as addictive as (or more than) previous ones. Honestly I wouldn't believe much of what health professionals have to say about this kind of thing, unless they could back it up with a long, verifiable, and unusually successful clinical history.
From SWIMS's experience, the withdraws from oxymorphone is far worst than oxycodone. The only good thing about oxymorphone is that it requires less doses than oxycodone because of it's potency and it can also help you save alot more money, but note that because of it's strength, the withdrawal symptoms does hit you a lot harder.