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  #1  
Old 02-12-2011, 18:42
mistman mistman is offline
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Opana not as addictive as other opiates?!

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.
  #2  
Old 02-12-2011, 20:03
TheBigBadWolf TheBigBadWolf is nu online
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Re: Opana not as addictive as other opiates?!

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.

TBBW

Post Quality Evaluations:
Excellent point raised about underlying emotional issues.
  #3  
Old 02-12-2011, 20:22
mistman mistman is offline
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Re: Opana not as addictive as other opiates?!

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?
  #4  
Old 02-12-2011, 20:55
TheBigBadWolf TheBigBadWolf is nu online
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Re: Opana not as addictive as other opiates?!

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.

TBBW
  #5  
Old 02-12-2011, 21:49
StinkinLincoln StinkinLincoln is offline
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Re: Opana not as addictive as other opiates?!

Quote:
Originally Posted by TheBigBadWolf View Post
A

I understand the doctor's idea to prescribe fentanyl patches, because they themselves can't be misused that easy as pills are.
I have to disagree with you on that. I have seen two people die with my own eyes from chewing the patches
  #6  
Old 02-12-2011, 22:09
TheBigBadWolf TheBigBadWolf is nu online
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Re: Opana not as addictive as other opiates?!

Quote:
Originally Posted by StinkinLincoln View Post
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.


TBBW
  #7  
Old 02-12-2011, 22:41
mistman mistman is offline
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Re: Opana not as addictive as other opiates?!

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.
  #8  
Old 03-12-2011, 03:06
Drummer16 Drummer16 is offline
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Re: Opana not as addictive as other opiates?!

Opana is hands down the best and most addictive pill form opiate. Hands down. One taste gets people hooked. Other opiates don't even give you euphoria once you get an Opana habit. It's the champagne of opiates.

Post Quality Evaluations:
From where do you get this insight? Withoput any sources this post is worthless. Even if it's an anecdotal view, this ought to be worded.
  #9  
Old 06-12-2011, 21:22
Axiom Of Choice Axiom Of Choice is offline
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Re: Opana not as addictive as other opiates?!

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.
  #10  
Old 07-12-2011, 17:29
Axiom Of Choice Axiom Of Choice is offline
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Re: Opana not as addictive as other opiates?!

I will post more citations and information as I research it, but it takes some time to find good citations and information. Here is what I have so far:

1. For images "opioid Receptor.jpg" and "morphine chart.jpg"
Reference Type: Book Chapter
Author: Moallem, Seyed Adel
Author: Balali-Mood, Kia
Author: Balali-Mood, Mahdi
Author: Balali-Mood, Mahdi
Editor: Mozayani, Ashraf
Editor: Raymon, Lionel
Primary Title: Opioids and Opiates
Book Title: Handbook of Drug Interactions
Copyright: 2012
Publisher: Humana Press
Isbn: 978-1-61779-222-9
Subject: Biomedicine
Start Page: 159
End Page: 191
Doi: 10.1007/978-1-61779-222-9_4


Axiom Of Choice added 5 Minutes and 47 Seconds later...

Why are my attachments not showing up? I attached two photos that were under the 100KB maximum. I am new to this site and I am not used to NOT being able to edit my posts so I am a bit confused.

So, how do I allow my attachments to be visible? The information I want to show to the community is all in those images.

Last edited by Axiom Of Choice; 07-12-2011 at 17:29. Reason: Automerged Doublepost
  #11  
Old 14-12-2011, 01:24
djsjjd djsjjd is offline
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Re: Opana not as addictive as other opiates?!

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.
  #12  
Old 14-12-2011, 02:44
helikophis Gold member helikophis is offline
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Re: Opana not as addictive as other opiates?!

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.

Post Quality Evaluations:
A really astute observation of perceived addiction potential.
  #13  
Old 14-12-2011, 15:47
MadOne MadOne is offline
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Re: Opana not as addictive as other opiates?!

hi
Are there any uk patients that are prescribed opana or generic oxymorphone am really intrested in this opioid is it stronger orally than oxycodone ? and no its not a hook up line ok never heard of anyone getting this drug in uk and am intrested in how different opioids work !

peace

Post Quality Evaluations:
The latter part of your question regarding comparisons has already been answered. Please use the search engine.
This post sounds like a hookup question.

Last edited by MadOne; 09-08-2013 at 20:15. Reason: just to clarify something
  #14  
Old 15-12-2011, 20:04
Tony Williams Tony Williams is offline
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Re: Opana not as addictive as other opiates?!

I think the thing with Fent and Opana is they are too strong for most people so less used unless has to, asbuse is dangerious.

Fent BTW is the CRACK of OPIS - glad I never got into it but my mates all say that.
  #15  
Old 15-12-2011, 21:51
mistman mistman is offline
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Re: Opana not as addictive as other opiates?!

Quote:
Originally Posted by MadOne View Post
hi
are there any uk patients that are prescribed opana or generic oxymorphone am really intrested in this opioid does it stronger orally than oxycodone ?

peace
It is a very strong opiate, but has very poor oral bioavailability.
  #16  
Old 16-12-2011, 05:15
mikzemaj mikzemaj is offline
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Re: Opana not as addictive as other opiates?!

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.

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14-hydroxydihydromorphinone, analgesic, fentanyl, fentanyl patch, fentanyl patches, morphine, numorphan, numorphone, opana, opiates, opioid, opioids, oxycodone, oxymorphone

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