Dilaudid vs Norco
Hello- I am new to this forum but have been pain mgmt. patient for 4 years now. Have been on MS Contin 30 mg 3 times per day with Norco 10/325 for breakthrough pain (max 5 per day). After same meds for 4 yrs, they have stopped working as well as they once did, so Dr. suggested I switch to something new for breakthrough pain, because he did not want to increase MS Contin. Just prescribed 4 mg hydromorphone (dilaudid), 1 every 6 hrs, 4 per day. I thought this would be so much better and I wouldn't really have side effects, since the dilaudid is also morphine derivative, but I can't stand them. They don't seem much stronger to me at all, and they must affect different receptors in the brain as well, because there is absolutely NO 'feel-good' (not that I really received that with Norco after a while, but I certainly felt when they were working, and the pain subsided as soon as they entered my system). If anything, I am moody, and other than the first day with dilaudid, they make me tired as well. I work over 40+ hrs a week and cannot afford to be either moody OR tired. First day I took (4 days ago) the new meds, I was VERY hyper and had insomnia as well. After that, they had the complete opposite effect. Has anybody else had bad luck with dilaudid, even after being on MS Contin? I think I am going to ask to switch back to the Norco again, even if they are 'weaker'. Just hate the way I feel on them. I must add that I was taking 2 Norco spaced further apart rather than 1 every 4-6 hrs, because after 4 years, it was no better than taking an aspirin. Feel stuck! Please reply back with any opinions on the dilaudid and/or Norco. Thank you!