It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Pain Management Message Board

  • Headache from Hydrocodone now on Opana?

  • Post New Thread   Closed Thread
    Thread Tools Search this Thread
    Old 07-25-2008, 04:15 PM   #1
    10sox
    Senior Member
    (female)
     
    10sox's Avatar
     
    Join Date: Jun 2008
    Location: florida
    Posts: 232
    10sox HB User
    Headache from Hydrocodone now on Opana?

    I called my PM office and spoke to the nurse about the headaches I've been getting from my hydrocodone. I only take 2 (sometimes 3) 5mg tablets each day and have only been taking them on this schedule for the past few weeks. Prior, I had been taking them here and there when really needed. (i am one of those crazy ones who hates taking any kind of pill, but realize I need a life and cannot be in pain all day long).

    Anyway, the doctor told me I have two option. Take the hydrocodone around the clock on a schedule OR try Opana 5mg and see how my headaches go. He also told me to make an apt with my neurologist which I have on Aug 5th. How can taking the Hydro around the clock help the headaches?

    Does anyone know know much about Opana? It seems like a much stronger narcotic. I am afraid to take it for fear of an even worse headache. No one can tell me why I am getting the headaches in the first place. Maybe the Neurologist can shed some light on this.

    Thanks!

     
    Sponsors Lightbulb
       
    Old 07-25-2008, 05:53 PM   #2
    Fabrashamx
    Senior Veteran
    (female)
     
    Fabrashamx's Avatar
     
    Join Date: Apr 2005
    Location: Gresham, Oregon
    Posts: 1,341
    Fabrashamx HB User
    Re: Headache from Hydrocodone now on Opana?

    Hi 10,

    This is really weird, but morphine gives me the worst headaches! in my neck and across my forehead, just the most terrible pain. Not a migraine, because I dont get the vision problems, but the pain is almost as bad as one.

    What works for me is to take a few aspirin. It was funny when once after surgery I had a pain pump, and the headache came, and I asked the nurse for 2 aspirin. she looked at me funny and said 'did you know, if you push that little button, morphine comes out?' lol.

    But once I convinced her, it worked. advil works too.

    HTH, Fabby

     
    Old 07-25-2008, 08:04 PM   #3
    BrittleBones
    Senior Veteran
    (female)
     
    Join Date: Jan 2005
    Location: Central Maryland
    Posts: 907
    BrittleBones HB UserBrittleBones HB UserBrittleBones HB UserBrittleBones HB UserBrittleBones HB User
    Re: Headache from Hydrocodone now on Opana?

    Some of my worst headaches have been "narcotic rebound" headaches!! I don't know why, but when I first started taking narcotic pain meds I would always come down with a wicked headache that could only be cured by taking aspirin, putting a cold cloth on my forhead, shutting all the blinds and lights out and laying very, very still. Sometimes even that didn't work and I would end up vomitting (sorry to be so graphic) and that always seemed to bring the headache to an end. As far as the Opana, my doc switched me from the Fentanyl Patch to Opana and it was very ineffective for me. I had absolutely NO pain control and thought it was a waste of my money. I'm sure it works well for others or they couldn't market it the way they do, but I didn't like it. Hope you get some answers!! All the best - Memere (KathyMac)

     
    Old 07-26-2008, 04:03 PM   #4
    forginon
    Inactive
    (male)
     
    Join Date: Dec 2006
    Location: CA
    Posts: 1,569
    forginon HB User
    Re: Headache from Hydrocodone now on Opana?

    Going from a vicodin every few days to Opana is one huge jump in medication. However, the Opana dose is very low, and this particular drug doesn't get processed well in the body so little of it gets to the bloodstream anyway. You should not experience any problems with the med being more potent, but trying it is the only way you'll know if it'll help the HAs.

    Might as well give it a try. At least that way, if it doesn't work, you can advise the doc.

    steve

     
    Old 07-27-2008, 02:15 AM   #5
    Shoreline
    Senior Veteran
    (male)
     
    Join Date: Jun 2003
    Posts: 3,519
    Shoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB User
    Re: Headache from Hydrocodone now on Opana?

    Hey 10sox, They are most likely trying to prevent rebound headaches that any short acting med can causes. Somtimes the tylenol alone is enouh to cause rebound headaches once it wears off. Unfortunately the price you pay for going from a couple vicodin per day as needed to opiates around the clock is physical dependence, not the same as addiction, but still a halthy price to pay for pain relief. The one thing we all have in common is that by useing long acting opiates, its inevatable that physical dependence develops from maintaing a flat level of opiates in our system. It may take weeks or even months but the time will come where not taking the med causes you to experience withdrawal.

    You have to deccide is this a price your willing to pay to manage your headaches? Has everything else been tried before you go down that road? That's why it seems like a major leap from Vicodin PRN to opana around the clock.
    Good luck, Dave

    Last edited by Shoreline; 07-27-2008 at 07:49 AM. Reason: spelling, it was 4am first time around.

     
    Old 07-27-2008, 11:37 AM   #6
    cmpgirl
    Senior Veteran
    (female)
     
    cmpgirl's Avatar
     
    Join Date: Feb 2008
    Location: NY
    Posts: 1,883
    cmpgirl HB User
    Re: Headache from Hydrocodone now on Opana?

    Hey 10Sox,

    You've already gotten some great answers, but I just wanted to add something. For me, it would depend on how much you actually need pain meds. If your pain is at a level where you only have "flare-ups" occasionally, then a long acting med like Opana, might not be necessary. If, however, your pain is constant and causes you to have difficulty functioning on a day to day basis, then I would say that a long-acting med would be very beneficial.

    I can't really comment on the Opana, as I don't take it, but I just wanted to add my overall perspective. Don't know if it helps, but I thought I'd throw it out there. Best of luck, whatever you and your doc decide. Please let us know how it goes. Take care, CMP/MM

     
    Old 07-27-2008, 01:37 PM   #7
    forginon
    Inactive
    (male)
     
    Join Date: Dec 2006
    Location: CA
    Posts: 1,569
    forginon HB User
    Re: Headache from Hydrocodone now on Opana?

    Quote:
    Originally Posted by Shoreline View Post
    ...Somtimes the tylenol alone is enouh to cause rebound headaches once it wears off...
    Hi Dave,

    Great info.

    I have always wondered about this. When you write that the tylenol alone is enough to cause rebound HAs "once it wears off," are you referring to once the "tylenol" wears off?

    This is very useful info for me and I really appreciate you posting it.

    steve

     
    Old 07-28-2008, 09:31 AM   #8
    10sox
    Senior Member
    (female)
     
    10sox's Avatar
     
    Join Date: Jun 2008
    Location: florida
    Posts: 232
    10sox HB User
    Re: Headache from Hydrocodone now on Opana?

    Thank you all so much for your responses. You have given me many things to think about. I am a little confused about the Opana. Many of you say it is a long-acting medicine....how is this different from the Vicodin I was taking? I took the first Opana 5mg yesterday and it only gave me relief for about 2 hours, then I was in pain again. Does Opana only really work if you take it around the clock?

    Shoreline: I am sorry, I don't know how to use the quote function but I think you hit the nail right on the head about my headaches. Last year I was determined not to take the vicodin, so I was taking TONS of motrin, 800mg at at time when my back was at it's worst. I wasn't taking it every day, but here and there as needed. I started having what was later diagnosed as Rebound Migraine Morning Headaches. I would wake up with a headache and start to vomit for HOURS straight. It stopped taking the motrin and haven't had an episode in over a year. So, now I am not sure if it is the tylenol portion for the vicodin that is causing my headaches, or the vicodin itself.

    Can someone please explain what the difference between vicodin and opana? I live in pain every single day, but my pain is the worst as the day goes on. I can usually make it until noon or 2pm before my pain is at a level where it needs medication. However if I am out and about then the pain does come earlier. If I were to go to a park or zoo with my children, I would be in SEVERE pain and not be able to make it more than a couple hours without pain medication.

    Thanks again for all your help everyone.

     
    Old 07-28-2008, 10:01 AM   #9
    cmpgirl
    Senior Veteran
    (female)
     
    cmpgirl's Avatar
     
    Join Date: Feb 2008
    Location: NY
    Posts: 1,883
    cmpgirl HB User
    Re: Headache from Hydrocodone now on Opana?

    Hey 10Sox, The difference between Opana and Vicodin is twofold. First, they are 2 different classes of drug. Vicodin is hydrocodone and Opana is oxymorphone. They are both narcotics, but have different properties. (I wish I could explain those properties better, but I'm still learning that part of it, even after several years as a pain patient)

    The second difference is that Opana is what is called a long-acting (LA) med, which is time released. It starts out by delivering a certain percentage of the medication within the first hour of taking it and then releases the rest over a period of say 8-12 hours. (most LA meds do not last a full 12 hours, so it's more like 8 or for some, even 6) Vicodin is an instant release med, or short acting (SA) which delivers its full dose and lasts roughly 4-6 hours.

    Most people who have chronic pain are prescribed both an LA med and a SA med for breakthrough (BT) pain. Even though the LA meds release over time, because people have to function and be active, there is almost always some amount of breakthrough pain. Some docs do not agree with that theory and feel that the LA meds alone are enough.

    I hope that makes sense. I am having a bit of brain fog today, so if I confused you in any way, please let me know, OK? Take care, CMP/MM

     
    Old 07-28-2008, 03:52 PM   #10
    10sox
    Senior Member
    (female)
     
    10sox's Avatar
     
    Join Date: Jun 2008
    Location: florida
    Posts: 232
    10sox HB User
    Re: Headache from Hydrocodone now on Opana?

    Thank you for that information cmpgirl. However, I do have on other question if anyone can help me. I am on Opana NOT OpanaER. From what I've read online, Opana ER is long-acting, and Opana (not ER) is used for breakthrough pain and taken on a needed basis only. So, if this in fact is true, how does the Opana (not Opana ER) differ from Vicodin?

    Also, I am slowly increasing my dosage of Neurontin. I am taking 600mg 3x a day. I am increasing to 900mg, 3x a day. Well last night I was on the couch with my husband watching TV and I was exhausted from the day. We had been out with the kids ALL day. I all of a sudden felt like I was going to pass out. I grabbed my head (not sure why, it didn't hurt) and I then I was fine. It almost felt like that feeling right before they sedate you. I am not sure what that was from? I took one 5mg Opana at 1pm and another at 5pm. This epidode happened around 10pm. Now I am so scared to drive with my kids in the car for fear of this happening again. I know I am a total worry wart (as my husband calls me), but could this be from the meds?

    Thanks!

     
    Old 07-28-2008, 10:41 PM   #11
    cmpgirl
    Senior Veteran
    (female)
     
    cmpgirl's Avatar
     
    Join Date: Feb 2008
    Location: NY
    Posts: 1,883
    cmpgirl HB User
    Re: Headache from Hydrocodone now on Opana?

    Hey 10sox,

    First, I think the reason you were lightheaded/faint was probably due, in part, to meds. The other factor was more than likely that you were out and about all day, probably in the sun part of the time, and physically active.

    Heat and increased activity can cause narcotic meds to metabolize more quickly, and you can get a bit lightheaded from this. I don't think you should worry too much, because it is also normal to have some side effect issues when you have had a recent increase in dose(s). This should go away in time, as your body gets used to the increase. You may want to cut back on the driving for a bit, just until you are more used to your new doses.

    As far as the Opana vs. Opana ER, the main difference between each of them and Vicodin is still the same. Opana and Opana ER are oxymorphone. Vicodin is hydrocodone. (Opana and Vicodin being "brand names")

    Both of them are opiates/opioids, but each one can target different pain receptors in the brain. While I'm beginning to understand the technical properties, I don't think I can explain them as well as some of the others here.

    I do know there is one receptor that all narcotics target and that is called the mu receptor. There are 3 other receptors in the brain as well.... delta, kappa and I forget the fourth. Some meds target 2 receptors and some target 3 or all 4. Not sure at all which receptors these 2 specific meds target. (I think I dropped out of chemistry )

    I hope this helps and didn't confuse you even more. If it did, please accept my apology. Maybe someone else with more knowledge than I, can explain it better. Take care, CMP/MM

     
    Old 07-29-2008, 12:54 PM   #12
    10sox
    Senior Member
    (female)
     
    10sox's Avatar
     
    Join Date: Jun 2008
    Location: florida
    Posts: 232
    10sox HB User
    Re: Headache from Hydrocodone now on Opana?

    Cmpgirl: thanks so much again for your response. You have me tons of information to look into. Unfortunately, science was not my best subject in college and I remember close to nothing.

    I took the Opana yesterday afternoon and last night I had a HORRIBLE headache, worst than on the vicodin. Now I am afraid I cannot take any kind of narcotic pain med without having rebound headaches. I am a HUGE worry wart and worry about things before I even know for certain what is going on. My dear husband tries to calm me down and says we'll figure it out. I spoke to my aunt today and she told me migraines run in our family and she suffers from rebound headaches quite often. I guess I will see what happens with the Opana again today and if I get the same awful headache. Maybe it was just a coincidene. The only other option I know if is to take the meds around the clock so it never leaves my system. But I hate to do that if I don't actually need the med around the clock for pain management.

    Thanks again for all the support.

     
    Old 07-30-2008, 07:18 AM   #13
    Shoreline
    Senior Veteran
    (male)
     
    Join Date: Jun 2003
    Posts: 3,519
    Shoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB User
    Re: Headache from Hydrocodone now on Opana?

    Hey steve, people can suffer rebound from almost any anelgesic, whether it's OTC or prescription. Rebound occurs when the med wears off, even something as simple as coffee can cause rebound when the cafeine wears off. Have you ever seen a nutristionist that's associated with a PM doc, There are alot of triggers that can also be avoided and are known to cause increased pain, Tomatoes for example .

    The only way to prevent rebound is to either avoid anelgesics and look to the abortives that don't cause this effect, try non medication modalities, or be very careful and try to maintain a constant serum level to avoid rebound. Just another strange FYI, The very meds we take for pain, opiates, one of the more common side efects is headache due to increased inner cranial pressure. Morphine gave me headaches, nothing like a migraine, but a constant dull headache for months untill I accomadated to the med.

    Opana and Hydro are actually in the same family of opiates, Keto synthetics. Same class as Hydro, Oxycodone, hydromorphone and oxymorphone. The real difference is in the strength of each med as the side efect profiles are very similar. There are some variancs in which sub class of receptors these meds bind too. As someone pointed out there are the Kappa, Delta and MU, but in each of those are 3-4 different subclasses within each class. Hydro may hit MU1, Mu2, Kappa1 and delta 1 where another synthtic may hit Mu1, Mu3 ,Kappa2 and have very little delta activity.

    I've tried the short acting opana just to rotate away from Roxi for a month and my experience was that it seemed more impairing but that may have gone away had I stuck with it, but when 5 or 6 scripts scripts puts you in the medicare doughnut hole It's just not a realistic option for me. The plan I have covers generics through the doughnut but the one name brand med, Androgel I take is a killer once you hit it, and I've already hit it for the year. My next script will cost me about 480 bucks but that's a 6 week supply. Last year we increaseed my dose from 5gms to 7.5 grams so instead of 230 bucks a pop it's almost 500 now. I'm not looking forward to shelling out 500 in 6 weeks. My doc doubled my dose so I can increase by a haldf pack a day but doubling makes it last 6 weeks instead of 4. I have at least 3 more scripts to pick up by the end of the year. That or give up sex for 5 months untill the new year and fresh dougnut. something I',m not willing to do at this stage in my life.

    Good luck, Dave

     
    Closed Thread

    Related Topics
    Thread Thread Starter Board Replies Last Post
    hydrocodone without acetaminophen treasa12 Pain Management 20 07-10-2010 08:11 PM
    headache frist then a sharp pain on my right side britt75 Women's Health 0 04-19-2010 04:55 PM
    Opana vs Ms Contin lifeaftr40 Pain Management 12 03-18-2010 01:33 AM
    Opana ER/opinions sammyo1 Pain Management 6 12-15-2009 07:30 AM
    Switched to Opana RobynD423 Pain Management 10 02-22-2008 03:50 PM
    Has anyone tried Opana? shoulderpain Pain Management 7 09-28-2007 05:16 PM
    Opana ER Advice Wren9 Pain Management 1 05-08-2007 06:35 PM
    Opana ER/IR approved! [oxymorphone] wirry1422 Pain Management 0 06-24-2006 06:52 PM
    C2-3 problem w/headache.....anyone every have a Disc-O-Gram ??? Barbi H Back Problems 3 08-28-2003 01:16 PM




    Thread Tools Search this Thread
    Search this Thread:

    Advanced Search

    Posting Rules
    You may not post new threads
    You may not post replies
    You may not post attachments
    You may not edit your posts

    BB code is On
    Smilies are On
    [IMG] code is Off
    HTML code is Off
    Trackbacks are Off
    Pingbacks are Off
    Refbacks are Off




    Sign Up Today!

    Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

    I want my free account

    All times are GMT -7. The time now is 02:03 AM.





    © 2020 MH Sub I, LLC dba Internet Brands. All rights reserved.
    Do not copy or redistribute in any form!