I was diagnosed with RSD/CRPS1 (Reflex Dystrophy Syndrome)/Complex Regional Pain Syndrome back on January 30, 2004. I have been on oxy's since 2005. My neuorologist (who happens to be the absolute best doctor in the USA, of course this is solely my opinion.) I see him once a month to obtain my Oxycontin 10MG 3 X a day. What is your opinion? Should I ask my neuoro to switch my meds? I am immuned to the oxy's. Please help me!
I have Chronic pain 24/7, 365 days of the year. Thank you so much.
Regards,
Christine A.Bopp
Which drug is stronger? Oxycontin or Dilaudid?
Question posted by chabellb on 7 Nov 2011
Last updated on 16 October 2019 by Bullshitting
9 Answers
Bullshitting
17 Oct 2019
I have 625 oxycontin 80mg and 1,242 40 mg plus 164 20mg and finally 455 percocet 5mg 325mg ,I have not been using them for 6 months now and these are collected up from all my unused from 1999 2011 so some may be stale I don't know ,I will give them to you for free to save you money
Nitro061
21 April 2019
Depends on the person. Dilauded is known to be the second most potent opioid on earth...
I definitely recommend trying different types. My Dilauded is fast acting and leaves the system about 4-5 hours later which I found to be a great positive. Potent punch, no side effects.
Morphine is very weak and I don’t believe you would get anything opposed to your ox. Fentanyl is by far the most potent opioid and I would definitely steer clear of that until it is needed perhaps later in life end life stages etc
I tried them all before settling on hydromorphone.
Man of God
16 April 2019
Dilaudid 8,s are stronger.
immunosuppressed
22 Oct 2012
Absolutely, 10mg of oxycontin, even TID (3 times daily) is not only the lowest dose available, but is time release (8 to 12 hrs). Meaning that you are only receiving approximately .8 miligrams per hour. In my experience with others with RSD, the only way they received true relief was to either get a nerve block (a very risky procedure) or by having a TENS unit implanted (an electronic device that intercepts the pain signal before it reaches the pain receptors). But, as with the nerve block, this is by no means a definitive "cure." Most likely it also means having a pump 'installed' that releases a given quantity of either MS or dilaudid. Put into perspective, oxcontin is 1.5x stronger than MS, whereas dilaudid is 5x stronger. My opinion is to go with dilaudid (for immediate relief) in conjunction with a higher dose of oxycontin (for continual relief).
I have DDD, DJD, rheumatoid arthritis, crohns disease & nerve damage in my legs, so I truly understand the devastating effects that chronic pain has on oneself. I sincerely hope this helps and my heart goes out to you. Remember, I am not a professional and this is my opinion, but I have been in chronic pain for 20 years. Again, I truly hope this helps. Good luck and God bless.
JusticeFlight
21 June 2012
I also have rsd 3 in all four of my limbs. I'm in a wheelchair from muscle loss, and my clothes hurt, my bedsheets hurt... A breeze can be pain!.My nails grow really fast, and then break off at the drop off a hat, and sometimes by legs are purpley-reddish-mauve color. Really attractive. I also have fibromyalsia, so I'm one big ouch! All day, every day. *laugh* what I'm trying to say is, I know what you go through, and it sucks. Your best bet, since it sounds like you really trust your doctor, is to continue to trust him. He will give you the best options for your situation. Be honest with him at all times. Let him know exactly how much you are needing to be comfortable. Understand that while you continue to take opioids, your body will continue to build a tolerance, so the meds will work less and less effectively. There are other options to consider besides strength. Time (half-life)
dilaudid has a very short half-life,which means that while it's stronger than morphine (the active ingredient in the codone series) it doesn't last nearly as long, and you end up having to take it more often. Some drugs have an extended release option. Delivery systems (oral vs. Patch vs. Other)
also, with oral drugs, the sort of run your life. You leave the house, "how long will I be out, and how many meds to I need to bring with me? " you fall asleep and wake up in agony because you slept past your meds time. So, if you find that becoming an issue, you may want to consider a longer lasting medication or medication delivery system. When I was at your stage, I used the patches and had a lot of success with them. Make sure you investigate manufacturers; it makes a big difference which patch you use. Chemical composition
the other thing to consider is this: you have oxy - drugs, and hydro- drugs. In the simplest terms, oxycodone, for example, is the morphine made with oxygen molecules, and hydrocodone, which is morphine with hydrogen molecules. Based on what I have read:
overall, oxy groups pharmacologically are in (general):
*more potent by weight
*have less of an initial euphoric "rush"
*longer lasting
*less sedating
*more tolerance building
that being said, while oxy drugs should tend to work better, for some people it's the opposite. It depends on your body chemistry. Talk with your doctor and don't be afraid to tell him how you feel, and don't be afraid to make changes when needed. If you are in pain and miserable, it's needed! You have the right to be, while not completely pain free, at least not totally in agony. You have the right to some relief. :) good luck!!Some drug examples:
hydrocodone: hydrogen with codine
oxycodone: oxygen with codine
effexor: (hydromorphone) hydrogen with morphine
opana: (oxymorphone) oxygen with morphine
this is all my own opinion. I am not a medical professional. I am not responsible for any decisions made based on the above information. Consult your physician before you make any decisions regarding your healthcare.
pup6767
8 Nov 2011
In a dose to dose comparibility Dilaudid or hydromorphone is definitely a more potent opiate. It is also one of the more nausea producing of the opiates. Opiates stimulate the chemoreceptor trigger zone (nausea center)in the brain. Some people are more sensitive than others to the nausea producing effects of the opiates... hope this helps... be well...
mik934
8 Nov 2011
Deff the Dilaudid! Its 10 times stronger then morphine.. But it depends on what mg they put you on, i was on the 4mgs and they helped but not much but when they knocked me up to the 8mgs they really helped alot.. I was also on liquid dilaudid and that took all my pain away but of corse it only last about 4hrs but very strong.. My pain scale is about a 9 ot 10 everyday and i have been on alot of diff pain meds.. I was on the 10mg oxcy 3 times a day and they did not help me at all then they put me on the 40mgs and it took most of my pain away or at least to where i could deal with it, maybe down to a 3 or 4 on a pain scale which was great to me.. But it depends on what mg your on as far as the Dilaidid but it way strong and of corse very addicting and i had to be weaned off slowly.. your doc will tell you all that i'm sure.. Any questions just ask.. Good luck friend and god bless! Mickey from chicago...
KingAdRock
21 Sep 2012
Man i'm so sick of hearing this. It is NOT 10 times stronger than morphine. Do some research folks. It is "thought" to be about 2-3 times stronger. it is not fully known because it is a man made opiate. Besides, pill form is kinda, ehhhh.
Lapiccolasirena
30 March 2013
YES it is 10x stronger than Morphine. I've had many doctors confirm this. I had one of the WORLD's most renowned doctor tell me this as well, so I'm pretty sure he knows what he's talking about, especially considering he travels all over the world teaching other doctors & whatnot new things & how to help issues. Just sayin.
Buddy1971
8 Nov 2011
Dilaudid is a lot stronger per mg than oxcycontin & I find it doesn't have some of the side effects like itching A's bad either.
LaurieShay
7 Nov 2011
If you are still experiencing pain with the 30mgs a day oxycontin, then yes, by all means let the doctor know. Dilaudid isn't much different than oxycontin, might just benefit from an increase in dosage of the oxy.
Related topics
dilaudid, oxycontin, pain, reflex sympathetic dystrophy syndrome
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