Starting MS Cotin - advice needed.

Okay, so I have been suffering from pain for a few years - getting mostly compounds and needed to take 30-40mg 3 X a day, ~120mg max.

Finally got insurance again, went to pain doctor thinking, I would get thrown out on the street and have to deal with it. Nope.

He said he was worried a bit, bad back pain, now knee's, gastritis not to long ago, other symptoms that I won't discuss until I get some more labs.

Anyway I told him I took 40mg at a time and he said I needed 30mg x 2 when needed (#180 count, per month), am hoping it works. Some say it's supposed to be better - the idea of getting say a full nights rest with no pain seems to be a HUGE NO WAY - doesn't seem possible.

Got the prescription a few days ago, haven't picked them up yet - my compound is 15mg by 200mg of tylenol - hoping that I don't need these anymore nor the NORCO - doctor says I shouldn't need them and prescribed me 2x30mg each time but said I could start with just 30 but wrote out more in case I needed them - says I need to swim, not to worry, sending me to specialist - but will make me comfortable - hello, he sat with me for over an hour - not to often that you hear that.

Anyway, (again) I pick them up tomorrow - wondering how long it takes before I feel the pain go away and it works NORCO takes 1/2 an hour, and that's if they dissolve in my mouth - the compound 20 minutes - they dissolve quick - doctor knows all the history, again, I was dressed from work, told him like it is, he said, huge difference from addict/abuse vs metabolic and tolerance - said I would feel no side effects from NOT taking COMPOUND HYRDO as the MS COTIN will do the trick - seems like he is going the extra mile - and have found someone that will stay with me until fixed or at least keep me comfortable - hoping its just my back and not something else - hope to get fixed!!

Thanks -

Question: in the AM when I wake up (PAIN) plus a bit of withdraw from the HYDRO - it took about 30+ minutes for it to work - how long before the MS COTIN starts to work - if I was taking 30-40mg HYDRO - and can take 30mg or 60 mg of MS COTIN, how long before I feel it work? Some say you can tell - being pain free is really hard to imagine.

Thanks for being here- please only positive responses.

Thank you all.

 

Hey guys and gals,

Just trying to get advice before picking up - read that it can take a few hours then WHAM if your not not careful - but since I am opiate tolerant, I should be okay.

Just need to know how many hours to wait? He prescribed 2 30mg every 6 hours - but said to start with just one and see. Of course have read dumb dumbs have chewed - but am also guilty of that with hydro - my pain is deep. But don't want to do something stupid and then be in a bad way.

Advice appreciated -
Thanks.

 

Morphine is very weak, especially when taken orally...

I currently am on Oxycodone for pain management so I can't really say how well Morphine will work, but I do think that you are on a really low dose for that much pain.

 

One more question, since it seems, or so I've read, that the first dose takes a while to peak, I am wondering what the initial does should be if my body is used to 30-40mg of Hydro 3 times a day. Thanks.

 

Well he gave me #180 30mg for 30 days - said I can call him if it doesn't work. Said 1 to 2 30 mg tablets at first and go from there.

Have only read that "it's weak" only once - most say it is not weak and very steady - of course others have said they have crushed it (like everything else).

What makes me concerned is how fast or not it works as I have also read that some have taken it and thought it wasn't working, then took more, then they were hit with a huge wallup and slept until the next day - so this is something I am trying to avoid.

Thanks.

I have no doubt that if it doesn't work I can get something else - I just want to watch the cost. Thanks

 

For many people, what U4ia says is the case. They dont metabolise well.
But for me MS Contin is the best opiate I've come across, and I've used most of them in excessive amounts, and for several years.
30mg's is not going to be much different than the Norco, but 60mg's is the perfect amount for me with no tolerance.
If they do in fact end up working for you, and you just take them down with a glass of water or whatever, you should notice effects within 20 minutes, slight mood elevation and general warming sensation, and in just under an hour, you will have eased the pain tremendously. Dont expect to be pain free entirely though, the only way to be 100% pain free is to be rendered unconscious lol.
Hope they are what you are looking for and ease the pain.
God bless

 

As well, coming from Vicodin or hydrocodone, I would think that this would be stronger.

 

It is. Much stronger, but what you have to realize is that morphines bioavailability is like 30% so by taking a pill you are not going to get anywhere near the full potential of this alkaloid.
However, as I said above, for many people they either simply do not work, or the effects are very light, and for some people like myself, they are more pleasant than Oxycontin. Sure, the rush is not the same, but the overwhelming euphoria and pain killing effects are much better in my own experience.

 

Hmmm, when you say Norco, can you be a bit more specific? i.e., if they are 30mg and I was taking 2-3 15 mg Hydro, are you saying 30 mg of MS Cotin is about 30-40mg of Hydro? Or is 60 mg more likely to be the needed does before working?

Keep in mind, if I can take 30-45mg of Hydro, and find the 30/60mg (at a time), of MS Contin doesn't work - I can always take more to get me through the weekend yes? Then go to the doctor on Monday, Tuesday - geesh, really hoping that is NOT the case and that it works at least at what he prescribed - which was 2 x 30mg every 6 hours, surely that has to have some effect at 60mg per 6 hours, or 180mg per day.

20 minutes? Then an hour? Lord I hope so - he was very caring and if there are problems, I am sure he will accomindate - back, knee pain and also mentioned possible metabolic problems.

Please advise.

 

Well, I pick them up today and like I said, he wrote it for 30 mg either one or two, every six hours, 60mg every 6 hours so it has to be close if not better than 30-40mg of hydro every 6 hours? ? ?

What do I look for if it doesn't work? I suppose I up the dosage until I find something that works then let him (Pain Clinic) know and see what happens from there.

So will be getting in a few hours - - will start with one (1) 30mg, wait about 1/2 hour or an hour? Or just start with 60mg (which he wrote so I could get 180 for 30 days) but will be seeing him much sooner than that.

Look, sure there is a bit of euphoria from Hyrdo, no doubt, but am looking for relief - period as well as NOT needing the HYDRO. Am afraid about crushing (as others said they did, other forums) but since I am getting today, have some norco left, a #120 15 mg HYDRO I can pick up Thursday - I should be okay - at least until I see him next or the week after - - real stuff going on, just like most here, work, and was the only doctor that didn't make me feel like SCUM and really understood as well as said there could be other stuff going on and to call him, should it NOT work, but would think that if you kept taking enough, it would have to work - can't imagine 12 hour relief, would love to see 9+, long enough for sleep - will increase dose for bed if need be (also have RESTORIL (5+ years) for sleep - - works better than any of the AMBIEN, LUNESTA stuff - old fashion sleeping pill, same family as valium - tamazapam.

Apreciate feedback - this is what I was looking for.

 

40mg's hydrocodone is going to initially be stronger than even 60mg's MS Contin, but only for that first hour or so. Hydrocodone as instant release is going to have you feeling wonderful in less then 20 minutes, but will wear off completley before 4 hours go by. The first hour is powerful and very effective at numbing pain, but it's gone as quickly as it comes.
MS Contin, however, at 60mg's wont feel as powerful as hydrocodone until about an hour or sometimes even 2 hours after you take them, and then it settles in. It comes on much slower than hydrocodone, so if you take 60mg's and dont feel good in an hour, I would not recommend taking more right away. It takes awhile, sometimes an hour, sometimes 2 like I said. If you dont feel anything that your expecting within 3 hours, Id say you probably will want to switch medications. But dont be pushy about it, give it the proper respect and wait for at least 3 hours before making that judgement. It is not the same as hydrocodone so I cant really compare, it is more sedating and more relaxing, while hydrocodone is more stimulating and more of an actual high. Not saying that morphine wont give you the euphoric high, but it is, well, different is all I can say.

 

Hope this is to be true for me - it's all about being able to move, walk, roll over or not.

Please God, (I've been praying) that this is the first step in pain management - and swimming and that the tests come back negative and that its just back and lower (3/4" drop in pelvic)... and can figure out a way to get better. Hoping (and praying), it's not anything else.

Thanks.

 

Oh and I realize you are looking for pain management, but the high cant be denied lol that's the only reason Im making these comparisons, so you will know what to expect somewhat.
If MS Contin fails you, even at 60mg's taken at once, even if you take 60mg's at once twice a day (every 6 hours, lets say) over the next few days, maybe a week, then talk to your doctor about possibly getting put on Oxycontin 40mg's. They are, without a doubt, the best pain management for the majority of people suffereing from common back/neck pains associated with injury or growth problems, people who arent dying of cancer or had a limb chopped off lol they need much more powerful drugs.

 

Yeah, this is what I was looking for - as I read about one person who said he had never taking anything like this and got a few 200mg tablets - he went on to say, he took 1/4, didn't really feel anything for a while, took the other half and the next thing he knew it was the next day -

I totally understand the "respect" thing - so was looking for the "window" time frame and totally agree that the Hyrdo leaves just a fast as it comes.

Really hoping it helps - as the doctor said, if it didn't work, well, would hate to say that, then it looks like I don't know what - at the same time, it's all about pain, so am sure, that #180 tablets at 30mg should get me from today to the time I can get in to see the doctor, right? Just want to make sure, like you and others have said, that it takes a few for it to work and not feel over medicated simply because I was impatient -

Doctor also mentioned that it SHOULD make me NOT need the Hydro -
or rather, the desire for it.

He knows I am for real - also prescribed something called Enchrontin or something.

 

You know, a bit worried now that it wont work - doc said it was possible.

Geesh.

 

At the least, it will diminish your physical and mental desires for other opiates, especially knowing that your just a doctor visit away from correcting the situation, should the morphine fail you.

 

True - true - picking it up in an hour or so (12:00 noon Pacific Coast) now, will pick up at one. Just want to make sure, like you said, don't over react, nor under estimate.

Guess I will start at 30mg, wait 2 good hours before a second dose, as a 2nd dose 2 hours in will bring a peak effect around hour 3-4, and need to make sure I wait it out at least 5+ hours, especially at 60mg, before anything else - sounds like a medicine that could CREEP up to you.

 

Let's just HOPE (and Pray) that it diminishes as well as takes away the pain, will know soon enough and hope it is MUCH more than expected and exceeds my expectations -

Keeping a journal as well...

 

Honestly I would say start with 60mg's, especially if you have developed a tolerance to hydrocodone at similar quantity.
Either way, please let us know how it turns out!
God bless

 

Thank you for all your help. One more thing.

Since I had, at times, let the compound hydro (30mg/400 ACAP), at times, dissolve in mouth, what would happen if I took one (1) 30 mg with water, then let the other dissolve. Don't want to do anything stupid. Just need to make sure the pain goes away. Don't want to come across as odd, am sure people do it, but I suppose that is something to think about if need be, until I have to make that trip to the doctors -

hoping it doesn't come to that and
works as advertised....