Hydromorphone | GTAMotorcycle.com

Hydromorphone

M

mstram

Well-known member
I'm taking hydromorphone for a tumor in my L5 bone.

Has anyone here taken/ing it ?

The strange thing to me is how the dosing has been prescribed.

Aka "take a guess" what he might need .

I started off on 1mg "fast acting" / 4 hrs as needed about two mths ago, before it had been determined that I actually had the L5 tumor, but it was known that there was cancer in the area of the L5.

Then it was increased to 1x 3mg "long acting" tabs 2x day, with the same 1mg "fast acting" 1mg 4x day.

Now I'm at 3x 3gm "slow" and 1mg "fast" at 4x day (or "more" if I need it).

Last visit to the hosp, the pain-med Dr. said they could increase my 1mg "fast" doses, after seeing IF I had to increase my 1mg "fast doses".


I've asked them, and another pharmacist yesterday, what is the max dose someone can take.

The answer is "it depends on the person", but no "HARD #'s" were given to me.

Using Google or Chatpgtpt LOL .... says 20-30 mg / day is close to the limit.


On my last radiation treatment, my leg was killing me before the treatment, and I could barely hobble down to the hospitatl.

I took it upon myself to take 10mg before I left the house.

Got dizzy as hell (one of the known symptoms of hydro over dose), but made it down and got my radiation.


Next day I have endema in both legs (fluid swelling), that only now ~3 wks later is going away.

Got tested in emerg for the endema, they couldn't find the cause (heart normal ..... everything else normal).

Pharmacist told me yesterday that high doses of hydro would NOT cause the swelling.


What a "fun" year I've just had (prostate TURP, radiaiton for L5 tumor, just started Chemo yesterday),


New leg pain experienced 15 /10 on pain scale yesterrday .



So what better time to be shopping for a bike ????? :) :: ))



Mike
 
I was on it several years ago coming out of some intense surgery.
5 days in hospital on daily oral dose, with first 3 days additional IV self dosing. I tried being a tough guy at first but gave in and was clicking when needed.

After they sent me home with 3 days worth of what I guess was fast acting. It wasn’t enough. The surgeon somewhat reluctantly prescribed me 5 more days with lots of warning to try to wean off it as fast as possible. I understood the intent, opioid addiction and all that. In a few more days I was suffering through the days and only used it for trying to get through sleep. I ended up not using the whole bottle after all.

I was in a lot of pain, but assumed it was working. When I was just night dosing by the end, it felt more like it was taking the edge off rather than the “omg this is awesome” feeling.

Sorry to hear about all you’re going through.
 
Ya, they seem to be very conservative about the dosing.

5-8 mg of fast acting seems to be "my sweet spot".

I had surgery for my colon about 5 yrs ago. Oxycodin was great to relieve the pain then.
 
Ya,, but every time I ask them for a NUMBER, all they say is "it varies by person"

Next time, I'm gonna ask, "ok ,but what is MY number(s)" ?

And "There must be a number that IS fatal to everybody" .....
Hmm maybe not even on that.
A google hit on "hydromorphone overdose" turned up case studies showing fatal doses anywhere from
what is considered to be a safe starting dose (~ 4-5 mg) to "high" doses (30-40 mg)
 
I’m not a medical doctor but I know a bit about these drugs, you should consult a medical professional though but they are right in terms of what they are telling you. Tolerance for drugs like these (opioid narcotics) can sometimes build up over time and it depends on the individual too. Weight, BMI, even genetics etc all play a part. The drug is in the same family as heroin, codeine, morphine and even fentanyl (same receptors). Side effects are respiratory depression and constipation among others . It’s the respiratory depression that’s the fatal part of overdoses usually. Your body can sometimes build a tolerance for the analgesic effects and so the doses can need tinkering with as time passes but this is a longer term painkiller than most.

They are among some of the most effective painkillers we have though despite the side effects. It’s trade name is Dilaudid if you want to look it up some more. Hydromorphone (Oral Route) Description and Brand Names - Mayo Clinic

I’m sorry to hear about your diagnosis. I hope things get better soon.
 
Guys, thanks for all your replies

Please NO MORE SORRY TO HEAR THIS RESPONSES !!!!!!!!!!!!!!!!!!

Unless you're phrasing like "sorry to hear you smashed up your car ! """"
rofl.gif


I'm treating this like a 2023 problem, scientific / medical .. etc.

I may quite possibly croak from this, wtf, we're all probably (??) going to do die eventually unless medical miracles are discovered in the future.

I feel great right now, my peeing is back to normal, my kidney recovered.

My left leg, is the main symptom now, as a result of the tumor pressing on the nerves.

That can hopefully only improve following my rad treatment two weeks ago, and my chemo starting yesterday.

Looking forward to riding my bike in the next few weeks and getting back on the golf course !!!



Mike
 
MacDoc said:
geeez I'm getting either .25 mg or .5mg as I request. Smaller than a grain of rice.
Click to expand...

The dosage seems to be inconsistently / written two ways.

I think it depends on some kind of "base unit"

I suspect that you are getting either 2.5 or 5mg in "my units".

Mind me asking what you are getting it for ?

Mike
 
Geeez - trying to get someone to under stand that Tylenol effect is limited to 4-6 hours.
My partner is a rheumatoid specialist for decades and guides my pain meds.
Long before this accident I took the correct clinical dose of Panadol ( same drug ) 3 x 2x500 mg a day often subbing in 650 x 2 for overnight.
then adding celebrex as needed - 100 or 200.mg ( wonder drug for me ).

So my midnight choice tonight was hydromorphone as no one would budge on getting me Panadol.Pasted Graphic.tiff
Hydro works quickly but so does Panadol....celebrex takes some time.
A good solid sleep every night is the most important thing I can get and the 11 pm Panadol will do that...

sysphis.jpg

The hassle of getting that reliably has been annoying .....hopefully to resolve tomorrow.
Rant over......
At least the food here is better.
 
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free unlimited Hydromorphone, no prescription needed, at the safe supply site in Peterborough if you like the stuff.
 
MacDoc said:
Geeez - trying to get someone to under stand that Tylenol effect is limited to 4-6 hours.
My partner is a rheumatoid specialist for decades and guides my pain meds.
Long before this accident I took the correct clinical dose of Panadol ( same drug ) 3 x 500 mg a day often subbing in 650 x 2 for overnight.
then adding celebrex as needed - 100 or 200.mg ( wonder drug for me ).

So my midnight choice tonight was hydromorphone as no one would budge on getting me Panadol.View attachment 62421
Hydro works quickly but so does Panadol....celebrex takes some time.
A good solid sleep every night is the most important thing I can get and the 11 pm Panadol will do that...

View attachment 62422

The hassle of getting that reliably has been annoying .....hopefully to resolve tomorrow.
Rant over......
At least the food here is better.
Click to expand...

A few years ago I caught my big toe on a towel on the floor and pulled it straight back against the top of my foot breaking it. The pain was incredible. Off to the hospital I went with tears streaming down my face doing my best not to scream every time my foot was moved, got there hoping for some semi decent pain control and I was offered..….3 Tylenol.

The pushback against the oxycontin debacle has been that any addictive narcotic analgesics are bad and must be so carefully controlled that it’s practically impossible to get them when you actually need them. Which is nuts as they are the most effective painkillers we have.

I get the need to be careful, but if the alternative is that you leave the patient in extreme agony there’s something very wrong.

Your Celebrex by the way isn’t a painkiller it’s an anti-inflammatory that is stomach safe. It should be used alongside painkillers. Celebrex acts on the underlying cause of the pain.
 
It is and works but I only use it on occasion ( most days I ride ).

It's stupid I can get Hydromorphone on request 24/7 but can't get Tylenol when I want it, 🤪

ugh …I just realized i’m in Room 101 !!😱
 
MacDoc said:
It's stupid I can get Hydromorphone on request 24/7 but can't get Tylenol when I want it, 🤪
Click to expand...

No it's not. Pharma runs on kickbacks. Guess which one of those two drugs someone in the office is getting paid to recommend.
 
jc100 said:
A few years ago I caught my big toe on a towel on the floor and pulled it straight back against the top of my foot breaking it. The pain was incredible. Off to the hospital I went with tears streaming down my face doing my best not to scream every time my foot was moved, got there hoping for some semi decent pain control and I was offered..….3 Tylenol.

The pushback against the oxycontin debacle has been that any addictive narcotic analgesics are bad and must be so carefully controlled that it’s practically impossible to get them when you actually need them. Which is nuts as they are the most effective painkillers we have.

I get the need to be careful, but if the alternative is that you leave the patient in extreme agony there’s something very wrong.

Your Celebrex by the way isn’t a painkiller it’s an anti-inflammatory that is stomach safe. It should be used alongside painkillers. Celebrex acts on the underlying cause of the pain.
Click to expand...
The first sentence made me cringe. Three bloody Tylenol and no lollypop if you stopped crying?

Shifter or brake toe?
 
nobbie48 said:
The first sentence made me cringe. Three bloody Tylenol and no lollypop if you stopped crying?

Shifter or brake toe?
Click to expand...
Until they figure out your course of treatment ypu get Tylenol and advil. Once they decide an operation is not happening that day, you can get the good stuff.

When I broke my leg, I got tramadol and 1mg hydromorph. I can understand the appeal of hydromorph after taking them. Still have a handful in case they are needed.

On that note, almost everyone should have a lockbox for heavy drugs. Kids make mistakes and/or people have demons we do not know about. A lockbox with a hidden key limits access. It doesn't need to be amazingly secure but it must be obvious if it was accessed. Hopefully the person survives their first indiscretion. Loose bottles means you don't know what is going on for quite a while.
 
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We have enough oxy around the house to tranquilize several small elephants . When my wife had a serious pain they gave her bottles of the stuff so she didn’t need to keep calling . That was a decade ago before “ oxy bad juju” became a thing.

Now that a few doctors have been called co-defendant they are a little more cautious.


Sent from my iPhone using GTAMotorcycle.com
 
crankcall said:
Now that a few doctors have been called co-defendant they are a little more cautious.
Click to expand...

Pretty sure my old GP was under investigation for overprescribing. He was on the OMA board of directors, too. I could see that being awkward.
 
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