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Health - Which are doctors more likely to prescribe for severe pain: Oxycodone or Morphine?

Discussion in 'Opiates & Opioids' started by dyingtomorrow, May 1, 2009.

  1. dyingtomorrow

    dyingtomorrow R.I.P.

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    SWIM was just wondering if anyone knows which is considered more "severe" or likely to be abused. It seems like millions of people at least in the US have an Oxy problem, but SWIM doesn't really get the same social feeling about morphine / dilaudid.

    In other words, would it be harder to get a morphine/dilaudid RX than an Oxycodone one?
     
  2. Somniphile

    Somniphile Silver Member

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    Re: Which are doctors more likely to prescribe for severe pain: Oxycodone or Morphine

    Hmmm, SWIM just saw his doc today for something stronger than codein. Doc said "...just take more, because I don't want to give anything stronger. The next thing would be morphine." SWIM has heard the exact same thing earlier from another doctor :mad: just give SWIM the morphine then, damn it!
     
  3. LinusMundane

    LinusMundane Silver Member

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    Re: Which are doctors more likely to prescribe for severe pain: Oxycodone or Morphine

    Did SWIY point out to his doctor that taking more if it contains APAP would be very detrimental for someone's health?!?!? That that was very clearly poor advise from a "medical professional"?
     
  4. Somniphile

    Somniphile Silver Member

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    Re: Which are doctors more likely to prescribe for severe pain: Oxycodone or Morphine

    It is pure codeine phosphate, no acetaminophen in those pills that SWIM got. But nevertheless the required dose makes SWIM feel codeine side effects so SWIM wishes he would get something stronger.
     
  5. trannyboy

    trannyboy

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    Re: Which are doctors more likely to prescribe for severe pain: Oxycodone or Morphine

    Morphine 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.

    trannyboy
     
    Last edited: May 1, 2009
  6. EyesOfTheWorld

    EyesOfTheWorld R.I.P.

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    Re: Which are doctors more likely to prescribe for severe pain: Oxycodone or Morphine

    My monkey has legitimate, severe, lifelong upper back pain issues from two near fatal car wrecks that each somehow affected the same area in his upper back. 3 slipped discs, torn muscle/scar tissue. bone-on-bone grinding etc. He has always found that doctors dispense oxycodone like tic tacs, but morphine, only by IV in a hospital setting. He found that by telling his doctor that the APAP in his percs was hurting his stomach, after he had been taking them for about 3 months (and not hurting his stomach due to cwe), he was placed on Oxy IR 5 mg/ 2 tabs 5x day, which eventually by doing simple math with his doctor was switched to oxy IR 10mg 5x day (much less binder to insufflate). Of course Monkey lucked out in the doctor department, he knows people in much worse pain than he is who can only get codeine, MAYBE Vicoprofen if they're really lucky.
    Always helps to build a rapport with one's doctor, even if its mundane banter about the wife and kids and the local pro sports team and why they suck this week.
     
    Last edited: May 3, 2009
  7. returntozero

    returntozero Mercury Member

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    Re: Which are doctors more likely to prescribe for severe pain: Oxycodone or Morphine

    it sees like hydro 5/500 and oxy 5/325 are commonly prescribed for pain

    swim recently met a total stranger who had hernia surgery and gave swim 25 percs for free because they made him itch!