responding to backpain t

Paterson, NJ

#23 Oct 18, 2011
I wouldn't say hydromorph is stronger than oxymorph.... I look at it this way... Hydro is like a vicodin,lortab; oxy is oxy,roxy..... I'd say opana is stronger, but I'm told the exalgo hit different brain receptors to affect the pain (relief)... Personally, exalgo is nice for me cuz I can take one at night and not wake up n middle of night 'craving' oxy, even tho I do still need the oxy, at least I'm not wakin up sweatin/chillin as bad....Dont get a buzz from exalgo, but do get mild pain relief. Not completely pain free, but it helps.
for exalgo abusers

Paterson, NJ

#24 Oct 18, 2011
The comments earlier for crushing with plyers..... I hope u take the plastic coating off.... When u cut them in half, and Yes, have a very good knife or it will 'pop' from ur grasp...there is a white part, a gray part, and a thick plastic coating enclosing the med.... Use a razor to peel off the plastic coating..dont try to snort that! If anything, put it in ur mouth and get any leftover med off.... Then take a razor and press down between the gray and white... Basically cut them away from each other. If u know about the OPs, u'll know what ur options are from here. And btw, the reddish brown coating will just fall off once u cut the pill in half. And also, the little hole in the pill where the med releases, that's usually the best place to push ur knife thru. DO NOT TRY to shoot these as they will gel in ur vein!!!(unless u know how to break them down) For tooters, u can razor the white part down to small enough pieces to put up ur nose, just make sure the straw is as far up ur nose as u can and follow with some nose spray and snort hard to get it out of ur sinuses if u don't know what I mean about the OPs... If u don't, u will feel the gel ooze back out ur nose like glue....imagine that stuck in ur sinuses...talk about sinus problems! Really, best thing is to swallow them whole, u just don't get a 'buzz'.... To each their own...
Whitney

Milford, MI

#25 Oct 28, 2011
ca_lynn wrote:
Dr. Just switched me from 20mg Opana 2x/day, to the 8mg Exalgo 3x/day... Before this I was up to Oxyxodone 30mg- 4x/day..which is when she added the Opanas for extended release, in hopes of decreasing need for the oxy... Adding the Opanas didn't seem to add any pain relief, so, after September being 'pain management awarenesss month' and having more training updates/classes, seminars, etc, she switched me to Exalgo and cut my oxys down to 15mg (wench!) 4x/day...only thing she told me about the Exalgo was that "people don't like em cuz they don't get you high"..and "they hit different receptors in the brain"... I'm not sure what to think at the moment... I was thinking she should of just raised my Opana mg, but guess she, likes to yo-yo everyone's meds without concern for withdrawals, which ticks me off more than anything. I have a high tolerance to narcotic meds; used to be on 2 80mg Oxys/day with previous doc (who got shut down for writing too many meds).. now I'm reading previous posts saying some are taking 400/mg of Opanas/day, 16 Exalgos/day..damn, more than I would even try to take, and at one point I was so addicted to Oxy that I was 'taking' 10 80s a day, and no, not orally as directed.. anyway, my question to all u guys is this- anyone taking the Exalgo (who has opiate tolerance) have chest tightening as an effect? I went to Em.Room few nights ago- they did ekg and it was fine...just wondering if the Exalgo could be doing it..??


I have never been prescribed Opana, and don't know much about it. I have been on Oxycodone 5 mg(8x/day) for years for chronic pain, and it still wasn't enough - pretty severe breakthrough pain. My doctor switched me to Exalgo 16 mg/1 @ night) about 4 months ago, and cut my Oxy down to 5mg(4x/day) for breakthrough pain. This combo is excellent for me. The Exalgo keeps the majority of the pain away consistently. No more waking up every morning in pain, no "severe" breakthroughs during the day. I do still get minor breakthroughs during the day, but they are not as bad as before, and 4 Oxy's throughout the day is more than enough. I think that this combination works so well because 1) I am on MORE than before (while the Oxy dosage has been cut in half, the added Exalgo at 16mg is comparable to (8) 5mg of Oxy, so it's roughly (12) 5mg of Oxy per a 24-hr period, there are just two different drugs and release methods now - the Exalgo (ER) and the Oxycodone IR. The Exalgo does not get me high, the Oxy is nice. I would put myself in the middle of the spectrum of posters here (there is the "I hate people who abuse painkillers because it hurts people that need it like me!" and the ones that for example, crush the Exalgo - to each their own, I just don't do that). So basically, I want something that keeps the pain at bay, and something that makes me feel nice too, leaving me able to function. Just because you like the high off of an Rx does not mean that you don't have chronic pain (to the whiners on here who say that they don't like to get high and that "addicts" ruin everything for them). But I digress. I responded to you specifically because you mentioned "chest tightening" as a side effect. I have never experienced that in the four months I have been on it. Do you have anxiety? Just throwing it out there, as I have GAD and "chest tightening is a symptom. Also, September is "Pain Awareness Month" - what?! This really exists? Good to know. Glad my doctor didn't start changing shit on me last month. Sorry your doc cut your Oxy in half :( While that sucks b/c the Oxy gets you high and the Exalgo doesn't - it is effective for pain, this combo that is. Good luck to you.
Whitney

Milford, MI

#26 Oct 28, 2011
Rosally wrote:
<quoted text>
I have been in pain management for three years after a car accident left me with daily, severe chronic pain. For the past year, I have been on mostly methadone -- 100 mg per day for a 125 lb young woman -- with 40 mg dilaudid for breakthrough (or actually flare-up of the constant pain) everyday and a few other nerve-pain non narcotic drugs.(on really bad days I snort dilaudid, or go to the doc to get it IV'd) The methadone is the best pain med in terms of low side effects for me. Oxycotin took the pain away well, but I got side effects like headache and nausea from it. I would try the methadone if your doc recommends it, as long as you have something for breakthrough pain. Dilaudid for me is the best for breakthrough, esp IV, though the doc has me trying exalgo now (though can't get it any local pharmacies for a week!)
Good luck!


Oh, one more thing I wanted to add - I would have to drive like an hour to the only pharmacy that carries it. My local pharmacy orders a large quantity in advance for me now. Exalgo (in any quantity) is extremely hard to find. If you are going to be on Exalgo long term, ask your local pharmacy about this.
Backpain T

Aurora, MO

#27 Oct 28, 2011
responding to backpain t wrote:
I wouldn't say hydromorph is stronger than oxymorph.... I look at it this way... Hydro is like a vicodin,lortab; oxy is oxy,roxy..... I'd say opana is stronger, but I'm told the exalgo hit different brain receptors to affect the pain (relief)... Personally, exalgo is nice for me cuz I can take one at night and not wake up n middle of night 'craving' oxy, even tho I do still need the oxy, at least I'm not wakin up sweatin/chillin as bad....Dont get a buzz from exalgo, but do get mild pain relief. Not completely pain free, but it helps.
Ok Truth time: Before i was Rx'd Exalgo, I was taking 30 to 50 mg of methadone only per day, however, my supplier is expensive, but it worked way better than the stupid hydro 10s i was rx'd. I simply cannot afford to keep taking the methadone. So I was rx'd exalgo, now up to 2 16 mg (32 mgs) a day plus the 10mg norco. well, I have taken up to 6 16 mg exalgo with very few norco (2 a day) and that seems to be the best. I am just used to IR rather than waiting for ER to kick in. advice on what I should tell my Dr.? and btw, the Norco, is bs, not really having much success on it anymore. I know my tolerance level is up there going from methadone to exalgo etc..... but insurance covers exalgo etc....
Backpain T

Aurora, MO

#28 Oct 28, 2011
and BTW I loved the methadone, because it has such a long half life that It would last all day!!!! Afraid to ask Dr, for it as she did not mention it in the list of things to try...... she offered opana, exalgo, fent patch, oxy contin, and morph ir. any suggestions? I see the doc next week bc the 2 16 mg tabs im allotted doesnt cut it.
pimpin69

Ethel, MS

#29 Nov 4, 2011
hazmat535 wrote:
Hi,
I was just prescribed Exalgo, a once-a-day, time released pain killer that uses a push-pull sysytem to deliver a constant dose of hydromorphone.
Out of curiosity I tried to cruch one without very much luck. I then proceeded to cut the pill in half & found (inside) one half was a VERY TIGHTLY COMPACTED white matter & the other half was a very tightly compacted gray matter. The whole thing is surrounded by what seems to be a pretty heavy-duty plastic-type shell with a pin-point hole in the center of the one side. My understanding is that the "hard candy shell" is passed out through the stool after the drug does its job in your digestive system.
So....doe anyone have any experience with these new Hydromorphone ER pills yet? They seem to be pretty abuse resistant. Just curious what others have experienced.
I got put these a month ago and from my exp. U suck on it for a few secs and then use paper towel or wash rag to wipe off the out color then use a razor and cut it down the middle to seperate the 2 colors left . The white one is the one u want the gray one will turn to gel . Then slice the white piece into little pieces as many as u can . This is for the 8 mg ones put the pieces on spoon wit 100cc of watet and heat til it starts to boil and then use ur sharp to mash it and sturr it round good it will jell alittle but if ya heat again and mix and mash then Qtips seem to clogg easy so I used no filter and it work fine for me jus watch it so u don't suck up any pieces. I hope this help u out. I know from this exp that the exalgo is better much cleaner buzz than dilladid or the generic hydromophone. Good luck and be careful!!! If u have any dougt don't do it.
pimpin69

Ethel, MS

#30 Nov 4, 2011
Sinwillfindyou wrote:
Thanks all of you for honesty and yer drop dead sexiness. Lol. I am currently on 4 40 mlg opana er and 2 10 mlg opana ir and today my doc recommended exalgo but I think I will refuse his offer. Opana really is the host with the most. Well...I guess I'm the host..so it offers it's host the most...or Some crazy thing like that. Chronic pain is a bitch and anyone out there asking why we would abuse our own meds the answer is because to get the relief I get from opana taking it orally I'd have to probably take ten at a time and I've yet to meet a doc willing to do that! Don't judge till you've had severe nerve damage. And come to think of it, even if you do, you don't have mine. I've found a way to go about my day without self medicating with street drugs or using needles with ANY drugs. Not that I'm judging you if that's what it takes to get yer shoes on in the morning. Crippled rock stars are people too! Just harder to look at or god forbid have sex with! But for those few beautiful ladies that do...god bless each and every molecule and even the atoms that make up those molecules!!! So to wrap it all up with a nice polka dot bow...eat yer veggies, we all have our cross to bear, booze is for squares, and sex with handicapped folks builds strong bones and healthy teeth. Good nite everybody and good luck....ok sorry, I'm a writer and I felt a touch inspired all of the sudden. One love.
stay on the op's I've tryed both and the op's are deffinently better cause I get exalgo 24mgs a day and 4mg ir a day and my brother gets 2 40mg op's er and 4 to 6 10mg ir a day and his is deffinently better way better buzz and pain reliever but my medicare don't cover op's but does exalgo which don't make since to me the op's are cheaper. I was the first patiet dr give exalgo to last month and its near impossible to find I found last month at walgreens and this month they only had a few yesterday so now I gotta go a week witout so when I go back in dec I'm gonna try to get put on oc's cause u can smoke them and it work great and u can get by wit less .
YoDawG

Lugoff, SC

#31 Nov 6, 2011
You all are in North Carolina? How do you seem to find these pain medication? Need a lil push?
Kimbo

Fort Worth, TX

#32 Nov 14, 2011
Ca_Lynn,
Yes!!!!! I got chest pain as well from Exalgo. My PM finally put me on something that works
Oxy ir
Op a ton better than exalgo.
Wanted to tell you same happened. Thought I was having a heart attack. I followed directions. Not a fan of that!
Take care hon!
Capone

Leominster, MA

#34 Nov 21, 2011
All you fools that sit here and talk about tearing a pill apart to get high, are the reason the people with ( REAL PAIN ), can"t get a doctor to help them. Stop wasting insurance companies time and money for your pleasure. You are selfish, brainless, suicidal, and ignorant!
If I hurt your feelings, your drug must have worn off..
Captain

Chico, CA

#35 Dec 7, 2011
I am in the process of switching from 160mg (Kadian)morphine sulfate to 32 mg Exalgo (hydromorphone). I started with half of each until I used up the morphine. It worked well, as no noticeable difference. I was hoping parastalyis would start working again, but there was only a small increase in motility. Constipation is always the worse symptom of narcotics. ER meds will not give you a buzz, which is great, because it saves you from the withdrawls. Use it for pain only, not recreation. Taking more than you should will only screw yourself. Breaking your ER mechanism by splitting pills will take you down the road of the junkie. Don't go there! Please, for your own sake. Talk to you Dr. about your pain, first.
Make sure you go to the pharmacy early to check stock! This med has only been out for one year, and many do not carry it. Sales have been slow to say the least for the company, but they do have some new pain meds in early phase... Ca & Na channel blockers for pain. Also, I heard that Levorphanol my make it to the ER market, which is great new for those with nerve pain, like me. Hang in there!
pharm know it all

Toms River, NJ

#36 Dec 8, 2011
why wou cut it open unless you plan on doing something your not supposed to? dont think you should post things like this online!!!
hazmat535 wrote:
Hi,
I was just prescribed Exalgo, a once-a-day, time released pain killer that uses a push-pull sysytem to deliver a constant dose of hydromorphone.
Out of curiosity I tried to cruch one without very much luck. I then proceeded to cut the pill in half & found (inside) one half was a VERY TIGHTLY COMPACTED white matter & the other half was a very tightly compacted gray matter. The whole thing is surrounded by what seems to be a pretty heavy-duty plastic-type shell with a pin-point hole in the center of the one side. My understanding is that the "hard candy shell" is passed out through the stool after the drug does its job in your digestive system.
So....doe anyone have any experience with these new Hydromorphone ER pills yet? They seem to be pretty abuse resistant. Just curious what others have experienced.
Hooter

Saint Albans, WV

#37 Dec 27, 2011
For God's sake people please call your doctor before you cut, crush or otherwise alter your meds. Just one mistake away from death.
MRH

Franklin, TN

#38 Jan 21, 2012
ttaM wrote:
I've experimented by cutting & skinning them of their tough plastic shell as well. From online diagrams of exalgo pills online I believe the white side is the hydromorphone layer & the dark stuff is the push/pull stuff to make it release throughput that little hole in the center. I have had an impossible time getting the white substance to flake up or be ground into a fine powder so the best I can do now is swallo it. If I have 2 16mg ones at once I feel the effects very minimally. I'm usually taking 200 - 220 mg of Opana daily as per my dr's prescription, and after giving exalgo a shot for a few weeks it proves that Opana Is what works best for me.
Anyone else taking two 40' er opana ER twice daily & 4-6 10mg opana IR for breakthrough & still not getting what I consider adequate improvement with my pain? Any suggestions? I will sometimes take up to 320-400mg of Opana per day on bad days & i can still function perfectly fine.I realize that I'm on a pretty high level of Opana, but my insurance covers it & I only pay $50 total per month for 120 40mg er & 180 10mger.
I've tried Methadone, all the different morphines out there & now finally exalgo without nearly the effectiveness of opana.
I hope I'm not threadjacling too bad, but I've never posted before.
tt
To ttaM: I was recently prescribed Opana, however, my insurance doesn't cover it so the cost is outrageous. Could you tell me what health insurance you carry? Thank you.
RockGirlS

Pittsboro, NC

#39 Jan 23, 2012
Polaroid-Princess wrote:
<quoted text>
I find it sad that people just want to abuse these medications. I have terrible nerve damage that has led to RSD/CRPS (Complex Regional Pain Syndrome) as well as MS. As a 21 year old you couldn't begin to imagine the hoops I have had to jump through to get the correct pain medications because so many people abuse their pain meds. I am on Opana er which by the way is specially made so people cannot abuse it. It contains a silicate I believe so when anything liquid or moisture it turns into a very thick gel almost like liquid nails.Thus making Opana virtually impossible to abuse, when snorted it gels in your sinuses etc. Also there is no way that you could inject iv. I know this because as a Psych Major I like to educate others about the dangers of these types of medications. I am also on a fairly moderate dose of roxicodone. The point is, when so many people abuse pain medications it makes it harder for people like myself to get the medication I need, thank god for my pain doctor but I had to pretty much sign my life away to get the medication. There is a huge difference between abuse and need. I cannot make it through the day without my medication and am on crutches until the day comes that I will require a wheelchair. Anyways I just find it upsetting that because of people who abuse narcotic medications people who really truly need them have such a hard time getting them. Its even worse that some of you have doctors that don't mind to give you tons and tons of pills when there are ways to control pain without scripts of hundreds of pills, granted some people need them but that should solely NEED them to manage their pain. And to those of you with doctors that are loose with their prescription pads should have their medical license's taken away. They are just adding to the drug abuse epidemic. Just remember when you abuse medication it makes it that much harder for someone like me to receive their essential medications.
To be a psych major, your pretty damn stupid. Sure, there are plenty of people out there who need their pain meds to function, and yes, there are also a bunch of junkies who just want to abuse them......but, your totally wrong about Opana, people have found many different ways to inject them. I've heard it takes some effort, but they CAN extract the medication and inject it.
RockGirlS

Pittsboro, NC

#40 Jan 23, 2012
To be a psych major, your terrible ignorant. Sure there are people out there that need their pain meds to function, and yes, there are junkies as well who just want to get high off of their medications........but, plenty of Opana users have found different ways to inject them. I've heard its a difficult process, but you can break down the pill and extract the actual oxymorphone. So, instead of worrying about people abusing these medications, worry about your education, and maybe take a spelling class. Its ridiculous you spend this much time dissing the abusers. Just be a hypocrite, and take some more of your pain meds, and do your homework.
RockGirlS

Pittsboro, NC

#41 Jan 23, 2012
Polaroid-Princess wrote:
<quoted text>
I find it sad that people just want to abuse these medications. I have terrible nerve damage that has led to RSD/CRPS (Complex Regional Pain Syndrome) as well as MS. As a 21 year old you couldn't begin to imagine the hoops I have had to jump through to get the correct pain medications because so many people abuse their pain meds. I am on Opana er which by the way is specially made so people cannot abuse it. It contains a silicate I believe so when anything liquid or moisture it turns into a very thick gel almost like liquid nails.Thus making Opana virtually impossible to abuse, when snorted it gels in your sinuses etc. Also there is no way that you could inject iv. I know this because as a Psych Major I like to educate others about the dangers of these types of medications. I am also on a fairly moderate dose of roxicodone. The point is, when so many people abuse pain medications it makes it harder for people like myself to get the medication I need, thank god for my pain doctor but I had to pretty much sign my life away to get the medication. There is a huge difference between abuse and need. I cannot make it through the day without my medication and am on crutches until the day comes that I will require a wheelchair. Anyways I just find it upsetting that because of people who abuse narcotic medications people who really truly need them have such a hard time getting them. Its even worse that some of you have doctors that don't mind to give you tons and tons of pills when there are ways to control pain without scripts of hundreds of pills, granted some people need them but that should solely NEED them to manage their pain. And to those of you with doctors that are loose with their prescription pads should have their medical license's taken away. They are just adding to the drug abuse epidemic. Just remember when you abuse medication it makes it that much harder for someone like me to receive their essential medications.
Your absolutely ridiculous. If you get this reply twice I apologize. To be a psych major, you sure are in the dark. If you spent as much time worrying about junkies as you do your education, then maybe you would know that there are ways to extract the oxymorphone from the Opanas and inject it. GO BACK TO SCHOOL HIGH ON YOUR MEDS AND MAYBE YOU WILL LEARN SOMETHING. Or, maybe you won't, maybe that's your problem, you probably go to class high every day on your meds you need so bad.
RockGirlS

Pittsboro, NC

#42 Jan 23, 2012
YoDawG wrote:
You all are in North Carolina? How do you seem to find these pain medication? Need a lil push?
Hun, North Carolina is like the pain pill capital of the entire United States. The county I live in, Wilkes, in like top 3rd or-5th in the US for opiate overdoses yearly. I bet 8 of the ten people I know are on some sort of opiate medication, and probably at least 3 of those 8 are HIGHLY addicted to those opiates. Prescription drugs have overrun NC like heroin or something, its terrible.
Jennifer

Buffalo, NY

#43 Feb 3, 2012
Polaroid-Princess wrote:
<quoted text>
I find it sad that people just want to abuse these medications. I have terrible nerve damage that has led to RSD/CRPS (Complex Regional Pain Syndrome) as well as MS. As a 21 year old you couldn't begin to imagine the hoops I have had to jump through to get the correct pain medications because so many people abuse their pain meds. I am on Opana er which by the way is specially made so people cannot abuse it. It contains a silicate I believe so when anything liquid or moisture it turns into a very thick gel almost like liquid nails.Thus making Opana virtually impossible to abuse, when snorted it gels in your sinuses etc. Also there is no way that you could inject iv. I know this because as a Psych Major I like to educate others about the dangers of these types of medications. I am also on a fairly moderate dose of roxicodone. The point is, when so many people abuse pain medications it makes it harder for people like myself to get the medication I need, thank god for my pain doctor but I had to pretty much sign my life away to get the medication. There is a huge difference between abuse and need. I cannot make it through the day without my medication and am on crutches until the day comes that I will require a wheelchair. Anyways I just find it upsetting that because of people who abuse narcotic medications people who really truly need them have such a hard time getting them. Its even worse that some of you have doctors that don't mind to give you tons and tons of pills when there are ways to control pain without scripts of hundreds of pills, granted some people need them but that should solely NEED them to manage their pain. And to those of you with doctors that are loose with their prescription pads should have their medical license's taken away. They are just adding to the drug abuse epidemic. Just remember when you abuse medication it makes it that much harder for someone like me to receive their essential medications.
Very well put, and I agree with you 100%. It is difficult and sometimes nerly impossible to get most doctors to treat severe chronic pain and the abusers are the reason!! If it were not for my medication I could not bear to live with the level of pain that I suffer from 24 hours a day, every day. I do not like having to take a narcotic pain pill, and I look forward to maybe in a few years to being able to stop taking then if my body is able to recover from the damage that I have now. If you ever have suffered from SEVERE chronic pain, you would never again abuse medications because you would then understand what some people go through and how badly these medications are needed.

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