Opoids Pain Management

[SteveK]

On 1/6/2020 at 3:14 PM, samuttodd said:

This may help you figure out some medicine equivalents for a dose.    For example,  Hydrocodone is worth 1,   Tramadol is worth 0.1.   So it would take 10 mg Tramadol doses to equal 1 mg Hydrocodone.

 

 

This may help you figure out some medicine equivalents for a dose.    For example,  Hydrocodone is worth 1mg ,   Tramadol is worth 0.1mg.   So it would take 10mg  of Tramadol to equal 1mg Hydrocodone.

 

 

The OP is asking about oxycodone, NOT hydrocodone!

[samuttodd]

You guys are on the right page still... the conversion still works.    Both are on the chart

 

1mg Morphine is equivalent to 1mg Hydrocodone, both are equal to 10mg Tramadol per the chart.

 

1mg of Oxycodone is the equivalent of 1.5 mg of Morphine/15 mg tramadol

 

Edited January 7, 2020 by samuttodd

[samuttodd]

..

Edited January 7, 2020 by samuttodd

[ThaiPauly]

It's now common for the Pain Management Doctors to also be anethietists at the same hospital.

 

I know for sure that the Docs at Bangkok Hospital (Chiang Mai) and Ram don't work at any other hospitals.

 

My wife has seen both within the last month so I know for sure.

 

 

[SteveK]

On 1/6/2020 at 8:29 PM, samuttodd said:

i PICKED UP SOME TRAMADOL E.R. 200 MG tabs at the big pharmacy next to MBK.  They were 250 a 10 pack.    You can use the e.r. tabs and cut them in quarters and they will absorb like a standard release once they have been cut.

 

It was 250 bhat for 10 200 mg E.R tabs.

 

 

Get some hydroxyzine 25 mg tabs and take 50 mg with the pain meds,   It will help you sleep and give you better pain relief,   Especially with an opiate.    The hydroxyzine is an old fashioned antihistamine,   mild tranquilizer.    It is not addictive,  and shouldn't develop a tolerance to it.

 

  I am not certain if the Tramadol is potentiated as well with the Hydoxyzine,  but certainly it will make you very sleepy. 

 

Good luck with your pain.

Hydroxyzine potentiates opioids, so you can expect to feel more sleepy and get more side effects.

 

Extended release formulations are fantastic as you only need to take your pills once-twice a day instead of several times. However, they cost a fortune compared to the basic drugs, if you can remember to take your pills on time I would always buy the immediate release formulation to save money.

 

If someone else is paying, get the extended release (commonly called ER, LA, SR etc.). If you are paying get the immediate release and just take them more often, it isn't that hard.