Avinza/Morphine IR How much for Breakthrough?

Discussion in 'Fibromyalgia Main Forum' started by PolarBear, Jan 4, 2007.

  1. PolarBear

    PolarBear New Member

    Hello everyone,

    I am taking Avinza (morphine) for my main pain killer and morphine I/R (Morphine Sulphate IR - MSIR) 15 mg. for breakthrough pain. I was wondering of any of you are currently on this combo or have ever been on this combo and how much morphine I/R you take. Currently, I've been approved to take up to 4 a day, but only given 60 pills for 30 days (2 a day). I try my very best to hold off taking any I/R's, but have learned to take them as needed before the pain gets to be too much. Lately, however, my pain levels have been through the roof.

    I'm just wondering if any of you have had experience with this . . . thanks.

    Hugs,
    PolarBear
  2. ETN

    ETN New Member

    I took Avinza for about a year and used norco for breakthru pain. We did have to adjust my avinza a couple of times. Then my ins would no longer cover it and since I am on so many meds I asked if my dr would just switch me to MS Contin which has a generic. I have had that ajusted a few times. I take that now 100mg and still am taking norco for breakthru pain

    I do not take it for my fibro or any of that. I have a back and neck injury that I take it for. Just so happens that I have all my lovely fibro stuff.
    I also have endometriosis and am so sick of all of this! LOL
    how long have you been taking the avinza?

    I really feel I need to start taking something else cause I don't think it's helping me right now.
  3. PVLady

    PVLady New Member

    My mom has degenerative disc disease and she told me the Lidoderm pain patches help her more that anything.

    In addition, she takes Lortabs and low dose Prednisone.

    For your info, if the doctor ever stops your morphine, or if you need to stop it - there is a drug called Subutex you can take that prevents any withdrawal effects. You must contact a doctor licensed to prescribe it.

    I know you are not stopping the morphine, but I like to let everyone know about Subutex just in case they need it one day - it can save alot of suffering.

    My mother tapered once without it and really suffered. It was really unnecessary.
  4. HurtsToMove

    HurtsToMove New Member

    Wouldn't it be easier to just raise the Avinza dosage so you have complete pain relief, rather than supplementing with the shorter-acting morphine? Just a thought.
  5. PolarBear

    PolarBear New Member

    Thanks for your replies . . . I'll write more later . . . but bumping for now, thanks again.
  6. PolarBear

    PolarBear New Member

    etn - thanks for your thoughts about this. I have never tried MS Contin although I tried other meds before they put me on Avinza and they didn't work. I'm on the highest dose they can put me on, 120 mg. I've been on Avinza for a couple of years now. I have connective tissue disease as well as fibro, degen disc disease, arthritis, etc. I also had endometriosis and didn't even know it until I had a hysterectomy several years ago and the doc discovered that I had a severe case of it. No wonder I was in so much pain! LOL! I'm tired of all of this stuff too, LOL!

    PVLady - thanks for your thoughts too. I have tried the lidoderm patches and they do help somewhat. I also have a torn disc in my back that I'm trying to heal. I am supposed to go for another epidural soon. My last one was the end of October and lasted about a couple of months. I'm also taking Cortef, I used to take Prednisone. I go to a Pain Management Specialist and if I ever go off of the Avinza I will be sure to mention the Subutex to her. I am actually afraid to go off of it, although I would love to be able to! LOL!

    Hurtstomove - thanks for your thoughts too. I am at the highest dose already, 120 mg.

    To anyone - I have read here on the board about methadone working for some people. I'm wondering if I should suggest this at my next appointment. Is it stronger than what I'm on currently?

    Thanks again,
    PolarBear