Avinza Q as well - Pain Management Message Board

Chaddyfriend · 10-31-2005, 06:17 PM

I am on 90mg once in morning and once at night. As well as 10mg of oxycodon for BR pain which is not getting rid of the BR pain. These are my Questions.1.Is 90mg a good dose? 2.Should i get a better BR med, like that morphine immediate sulfate thing that i have seen on here? I am the person who posted that im 19yrs and need help, and i do really need help.A lil background again, chronic shingles and just got switched to avinza from the fentanyl patch. I would appreciate all help and experience possible that anyone could offer. thanks again guys.

Fibbles · 11-01-2005, 08:23 AM

Quote:

Originally Posted by Chaddyfriend

I am on 90mg once in morning and once at night. As well as 10mg of oxycodon for BR pain which is not getting rid of the BR pain. These are my Questions.1.Is 90mg a good dose? 2.Should i get a better BR med, like that morphine immediate sulfate thing that i have seen on here? I am the person who posted that im 19yrs and need help, and i do really need help.A lil background again, chronic shingles and just got switched to avinza from the fentanyl patch. I would appreciate all help and experience possible that anyone could offer. thanks again guys.

If the Avinza is not working as much as you think it should, you shoulod discuss it with your doctor. You could ask for MS-Contin instead since it needs to be given every 12 hours.

My doctor gave me immediate release morphine in 10mb tabs for breakthrough back when I first switched to Avinza from Fentany. They are much stronger than Oxycodone, but I was worried about the short acting morphine increasing my tolerance to the long acting morphine (Avinza - which is supposed to last for 24 hours), so I stopped it and went back to Oxycodone.

How does it work given twice daily? If it truely does last for 24 hours, would you, in essence, be on a 180mg dose for the most part?

scotty12 · 11-01-2005, 11:28 AM

i am taking MS Contin 60mg every 8 hrs and find it to be decent coverage.i dont think it last 12 hrs,or atleast not at a theraputic level.i can go 12 hrs at night but thats laying down and/or asleep.

i have been offered to switch to kadian 2x a day or avinza 1x day but im hesitant to switch as this is working ok for me now.

the one thing i like about morphine is i do not feel as though im on narcotics as i did w/oxycodone.i have a clear head and it is very smooth at this dosing interval.

i dont think a doc will write avinza 2x a day but maybe switching to one of the other LA morphines at different dosing schedule may be better.then again the dose may be low.

once again i find a big difference in the way morphine works and i do not feel it "kick in" as i did with oxycodone.just decent pain relief.

scotty

Chaddyfriend · 11-01-2005, 01:51 PM

i am not familiar with ms contin, wat is the difference between ms contin and avinza? both morphine right?

scotty12 · 11-01-2005, 02:14 PM

MS CONTIN is considered a 12 HR med but most docs rx q8

kadian is q12

avinza is q24

thats all the LA morphines

ms contin is the cheapest also but it works well q8