has a higher historical abuse rate, is more widely known, has more side effects
but is not very often prescribed outside of a hospital or pain clinics. Oxycodone
is more widely prescribed today, has fewer side effects then morphine, is widely known about both as a pain medication and an abusable drug
. Oxycodone is usually prescribed by general practioners/ surgeons with acetaminophen
, ASA or possibly ibeprofen to prevent abuse and used short term or as a breakthough medication from a pain specialist. Oxycodone without additives is usually not prescribed outside of pain clinics due to its widespread abuse and diversion. Morphine is usually prescribed in hospitals by injection and then the patient is transfered to the oxycodone with additives for home use because morphine isn't great orally and oxycodone is better orally. Both can be used for the same pain levels and by cross prescribing it limits physical addictions when used properly. Hopes that answers your questions.
Umm dilaudid isn't morphine it is hydromorphone
. It wasn't clear from your original post if you knew that. In my opinion the general public doesn't even know what hydromorphone is much less that it is a well loved drug by opiate
users. It is usually only prescribed in the emergency room for acute severe pain, recovery room post op or by pain clinics for breakthrough pain in congunction with a long acting opiate for chronic pain. Those who prescribe it know how widely abusable and divertable it is and tend to reserve it for patients who are in the most severe acute pain because of its fast onset. In many places it doesn't even have a long asting version available.
Since I don't know why the hypothetical patient is in pain I wouldn't be able to tell you what the doctor is more likely to prescribe. However in general you are more likely to get oxycodone with acetaminophen or ASA then anything else mainly because it's abuse potential is limited and most pain can be sucessfully treated with one or two of those.
Take care and if you tell me what is wrong with the hypothetical patient I might be able to answer your question better.
Somniphile- Read my response to your other post in Airplanes thread about talking to medical professional for my advice in your situation. However I would say that 160mg is already quite high even with pure codeine
. Have you thought about asking your surgeon for better pain management prior to your surgery? Perhaps something longer acting or stronger? Not sure what would be better for your situation as I don't know it.