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Old 04-30-2004, 04:00 PM   #1
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upatnite58 HB User
hydromorphone and percocet...Difference???

hi all...my friend has had agonizing back pain for a number of years now and has managed well. however, in the past 2 years he has gone from walking 8 kms a day to needing a cane after 1 block. he was given percocet for pain and used about 6 to 8 5/325 tabs per day. he is 63 yrs old and started having some bad reactions to it. his doc switched him to 2 mg. hydromorphone 2 to 3 times a day. just wondering if this is a good conversion as he needs the dosing at least 3 times per day. any experts (shoreline??) out there...

 
Old 04-30-2004, 11:05 PM   #2
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wirry1422 HB User
Re: hydromorphone and percocet...Difference???

Percocet is the brand name of a combination of oxycodone and acetaminophen (tylenol). The numbers on the percocet script indicate the amount of oxycodone/tylenol in each tablet in mg's. There are about six different combos of oxy/tylenol percocets, ranging from 2.5/325 to 10/650. Oxycodone is a strong opioid pain reliever and is a class II narcotic. 10 mg of oral oxycodone converts roughly into 15 mg's of oral morphine. However the conversion rate can vary from person to person, but in general oxy is about 50% stronger than oral morphine. Hydromorphone, on the other hand, is the active ingredient in Dilaudid, and a few other generics. Hydromorphone always comes alone, never with tylenol or other secondary active ingredients. Hydromorphone, like morphine, and unlike oxycodone, is available both orally and intravenously. Orally, hydromorphone is approximatly six times more potent than oral morphine, and approx. 4-6 times stronger than oxycodone. However this can also very widely from person to person, as some people actually prefer the oxycodone to the hydromorphone. Hydromorphone generally lasts a relatively short amount of time, about four hours in comparison to other narcotic pain relievers. also, most people find that hydromorphone does not produce the same euphoric effect as oxycodone, which some people actually prefer. Hope the info helps in understanding these meds a little better.

 
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