Anyone here know anything about MS Cotin? - Pain Management Message Board

ScoobyDoo · 08-08-2007, 05:29 PM

I couldnt get my oxycotin so they gave me something else. MS Cotin. I have never heard of this before. Anyone here taking them or have heard of them?

ScoobyDoo · 08-08-2007, 06:39 PM

Okay i think i mispelled it. its ms contin. its like morphene (sp). im a bit afraid to take it. i never have.

bwitht · 08-08-2007, 07:14 PM

Here is what I know from research, mind you I can not take either so I am not talking from experience.

Oxycontin is oxycodone HCL time release. It has a back pain effectiveness rating of 8.5

MS contin is morphine sulfate time release. It has the highest back pain effectiveness rating of 10.

I would say, as long as you can take morphine, your pharmacy did you a favor by substituting a stronger med.

PS. I can only take Darvoset which has a pain rating of 3.8, just slightly above the nsaids.

forginon · 08-09-2007, 02:48 PM

Each of us responds differently to these medications. For some, Oxycontin works better, for others it's MS Contin or even something else.

Your best bet it to follow doctor's orders and give it a try - see how it manages you pain and take it from there. The dose can always be adjusted to your needs.

steve

Shoreline · 08-10-2007, 03:23 PM

Hey Bwithit, I've never seen a chart that rates the efectiveness of individual pain kilers on specific types of pain, I would like to see it and you are alowed to tell us wjere if it's at a .edu sight or .gov sight. I just alittle skeptical as to how a chart predicts individual patient reponse. I've seen lots of charts and tables and thone of the hardest things to find is one that matches what some other chart says. Particlualry conversion rates, Comoparing morphine to oxycodone for example, I can pull 3 charts up that have 3 different conversion rates, if you put too much credence into what one chart says, it seems your predicting the outcome before even trying the med.

If there is anything I have learned in my years of researching Pm on the net is you can find just about any abstract article, POV or school of thought to suport any position. From should opiates even be used to treat non malignant pain to SCS should only be used on neuropathic pain. The only thing that seems to be true is that it's trial and error for everyone and everyone reponds diferently to each med. Is that a 10 to people that don't experience any sinegative side efects to morphine or does it include the people that can't tolerate the sedation, constipation, urinary retention and other potential side efects that may cause a med to be discontinued despite it's claim of effectiveness.

It seems if you expect very little pain relief, that's pretty much what your going to get not to mention there are plenty of back conditions that have a huge inflamatory component to their pain and by ignoring that how can a med claim to be the most efective on all back pain.
Morphine is hardly the stongest med and have had 3 major back surgeries and given the choice of PCA morphine or PCA dialaudid, I would choose dilauid hands down. Howeverw when it comes to oral meds versus IV meds, Oral dilaudid is no where near as effective as IV for several resons and I would chose oral morphine at the right dose.

Just curious if it's link you can post and how they came up with this and how I missed it. Take care, Dave