Morning Dose

[U4IC]

I definitely enjoy a morning dose, but i find that I need 25% more in the morning to get the same desired effect. I guess it just because I havent dosed since the night before so there isnt as much in my system already. I actually like my evening dose more though because i can relax and enjoy it instead of having to work!

[mgbigsandco]

I can normally sleep untill whenever.....depends though....if I am taking Percs...or Roxy then NO I wake about 9am to 10am tossing n turning sweating and cold....now on my norm meds,,,Hydromorph...I can sleep till noon or 1pm if I want with no problem..that is if my last dose is about midnight...(that is in both cases with percs and dilly) about midnight...seems like Oxycodone doesnt last near as long and I am hurting and WD both in short amount of time!!!...odd to as they say Hydro morph is used up quickly in body???hMMM/.....My norm first dose in Morn is 3 to 4 of the 8mg Hydromorphs

[eukodalic]

mgbig-- wanted to ask you how the hydromorph's work for you...don't they have pretty low
bio/availability for most ppl? I had them prescribed at various times and they are not too
strong for me- esp. if any food is also in stomach. I realize there are other R/O's for this
med, but orally I prefer some of the other CP medications instead of HM. Maybe in the
"morning dose" they did work a little better; when your receptors are more "unloaded" after
a night of sleep?

[mgbigsandco]

yes Hydromorph is weaker to a degree...now in staving off withdrawls swim has noticed if swim is using HM....he can go untill prob noon to 2pm the nextday without dose and not be in WD...be in pain but not WD....now with Oxy etc....if swim takes like norm.....and has last dose at midnight.....swim is in pretty good WD by 9am!!!! odd right???

Now for fun or buzz....if you plug HM...it is AWESOME!!!!! I am assuming you read about swim getting blood work at DR and feeling woozy n such so as many would guess...swim does not would not....has not used a pin ugh!! the thought makes me sick lol!!! anyhow swim says plugggen MS CONTIN and HM is really really good!!!

have you tried this?

[eukodalic]

yes Hydromorph is weaker to a degree...now in staving off withdrawls swim has noticed if swim is using HM....he can go untill prob noon to 2pm the nextday without dose and not be in WD...be in pain but not WD....now with Oxy etc....if swim takes like norm.....and has last dose at midnight.....swim is in pretty good WD by 9am!!!! odd right???

Now for fun or buzz....if you plug HM...it is AWESOME!!!!! I am assuming you read about swim getting blood work at DR and feeling woozy n such so as many would guess...swim does not would not....has not used a pin ugh!! the thought makes me sick lol!!! anyhow swim says plugggen MS CONTIN and HM is really really good!!!

Yeah, I can see how if the last dose is around midnight; that a person would be in WD by 9 AM; it works that way for my friend. Also, that's kind of
depressing when your main pain med is doing only one thing- preventing WD, ie. keeping you well-- instead of giving you any pain relief and you
can totally forget about a "buzz" of any kind. Yeah, my friend tried plugging HM- he said it was fairly effective. The nice thing about HM is that it
is a very "clean" opioid with few toxic metabolites or junky stuff that stays in your system. Methadone, for example, really "stays around" in your various
organ systems, I've been told and have read. HM, being short acting- once it's gone, it's gone. My friend tried a pin once- he said he gave himself 8 mg.
carefully prepared and injected subcutaneously (skin pop.) He said it worked very, very well...he never tried it again and did not IV it.
But I'm like you, MrBig- do not like pins at all.

Opana is another one of the King Opioids- that has terrible bio avail orally. Plus way expensive w/o insurance. Still-it a princess chemical, if your
doc ever agrees to let you try it, MrBig- go for it... It used to be one of my therapy meds, until I could no longer afford it. Very pure; no extra
stuff in it like APAP/Tylenol. That's the really toxic stuff for your liver if you go over the standard limits, which I believe is 4,000 mg./day for non-
compromised patients- far less for anybody with liver issues or other sicknesses. Again, ask your doc- go with what he/she says- they went to a lot
of school to tell us these things, huh? I'm not trying to give any medical advice here- (disclaimer!)

euko

[mgbigsandco]

yes Opana....I did not like it.....surprisingly....swims 2nd doc...if you have followed along which I think you have lol...the 2nd doc for swim the one whom freaked out about swim being on 180 8mg HM and the ms contin...at first gave swim only Opana...and Gapabernol (sp) swim didnt even fill the Gap...just Opana..he was given the Green...I think 20mg dose...it is hard to plug it or anything...swim read on the phile that railing it is the way to go...so swim railed it....swim didnt get a buzz and pain use was minimal...I do not know if this was because swim was use to taking 48mg of HM and 60mg of Ms Contin a day...actually a little more...or what deal was but swim told 2nd doc Gap made him dizzy and sick and Opana was to expensive..that is when 2nd put swim back on Ms Contin and Oxy....which was way to lil to control any pain..let alone rec use.......Swim would like now to get doc to rx opana and oxy but this doc is very very very cautious...swim still has to deal with the whole MRI issue with 2nd doc...and still is unsure how to do this...the MRI has first docs info on it...refering Dr name basically....not sure what to do or say there....maybe swim will have to go ahead and get a 2nd MRI.....which swim does NOT want to do....Swim is a bit closterphobic (sp) and that 20 to 30 min was very very very hard!!......I digress

Yes the perfect rx for swim would be...60 Opana 20mg and maybe 140 8mg HM...this would do swim good and no 2 doc method....swim has to do something soon as the state will be inacting a RX monitoring system at latest Dec 2010!!! so no more 2 or more pharmacy....couple with insurance couple cash......and yes OPANA is Pricey!!! had Blue cross and the opana co pay alone is 50.00!!! norm co pay is 10!!! so I couldnt imagine full price....now with the move swims wife has diff insurance...the first mri was done via blue cross...so doing another isnt out of the question at all...but swim would like to figure out a way to use the first one still looking for any ideas on what to do!!

Currently swim is down to just 55 30mg ms contin and a few HM left and no appt till 5-19 so swim has to ration and live in pain for a few days...best swim figures he will be out by 5.14 and may have to find a 3rd doc to get by a cpl days......swim just would like love to find one dr that knows what he is doing and rx swim what he needs to just live a normal pain free sick free month!!!!

Swim doesnt abuse his meds...he uses pretty much as rx'd but if swim has to use just 1....ONE lousy pill extra say 7 times in 30 days...this puts swim in a terrible position at end of the 30 days...and as most of you know...going back just a day early is not acceptable to these leagal pushers....now to a real doc...and caring doc...a day or two every so often isnt a big deal...oh how swim wishes his old doc lived here...swim NEVER had a problem in 2 years....before moving to the sunshine state!!!.......and to all those who say this state is the place to be!!!! Swim says BULLSHIT!!!! this is NOT the place to be.....!!!!! maybe it is is u find a "pill mill" but for those whom are CP and want a real doc!!! we get screwed....how messed up is that....that a user...abuser....black market seller...has it better then those who need it!!!! total Bullshit!!!