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    Medication Question
    irish_eyes_k8 posted:
    My pain management doctor wants to change my medication, but I want to clarify a question first without acting like I am challenging her. It's hard enough to find a good pain doc already!
    I am currently taking 10mg oxycodone. My doc wants to change me to 15mmg MSIR. Which of these is stronger? And is it just a little stronger or a lot stronger? I don't want to walk around like a zombie, but do want my pain controlled as I am dealing with spinal arthritis, RA in knees and hips and fibromyalgia. A real triple whammy!
    Thank you for your help with this quandary.
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    acozy responded:
    MSIR is morphine, an opiate, and oxycodone is a synthetic opiate which means it was created in a lab. Oxycodone is generally tolerated better by people, less respiratory distress, fatigue, itchiness, and nausea (side effects) than medications with morphine.

    I have many of the same conditions as you do and I'm just wondering why you are even taking this medication to begin with. Your arthritis pain would be best managed by a medication that actually treating the arthritis. Treating the pain isn't going to make it any better, and you're going to have to keep increasing your dosages. By decreasing the inflammation (and maybe some pain relief if you really need it) you will see much better results. With fibromyalgia I'm also surprised you aren't taking any neuro-meds to treat the pain that fibro causes.

    I don't want to see like I'm challenging you here (just as you didn't want to your doctor) but I really think that your pain could be managed much more effectively with less damage to your body in the long run. I do take a lot of medicines, but they aren't going to cause the same internal harm that opiates do. I'm not judging, I don't want to come off the wrong way, because I know the ridiculous pain of having both fibro and arthritis. I just want you to feel better and not be hurting yourself for later, something your pain management doctor will never tell you. My grandmother (who was the one that passed the arthritis down to me) had a pain management plan that just pumped her full of narcotics to deal with her RA pain, and in the end her immune system was so weak she died from pneumonia. I don't think anyone else who suffers like we do should have to take that with us to our death beds.

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    For more information, visit the Duke Health Pain Disorders Center