13th March 2004
Before we throw in the towel on Avinza, I have yet to see a single patient on a theraputic dose. Consider that the 30 mg tablet is spread over 24 hours, This equates to 5mg every 4 hours and only half of oral morphine croses the blood brain barrier. 30 mgs every 24 hours is virtually a plecebo dose. When I took Kadian I took 600mgs per day, which would give you the same serum level as taking 100mgs of instant release morphine every 4 hours. I don't think docs even understand the strength they are prescribing. Perhaps they think it sustains 30mgs in your system for 24 hours.
That's impossible when each 30mg Avinza capsule only contains 30mgs of morphine sulphate. Obviously the other posters were extremely sensetive if not alergic to the morphine or one of the other agents in the pill. Avinza uses Fulmuric acid as a preservative which is more likely to make you sick than the miniscule amount of morphine in a 30mg capsule. i use 2 30mg MSIR at a time for BT pain. That's 60 mgs of oral morphine released in 4 hours.
I see the same thing happening as far as dosages with Kadian, like docs think a 100mgs capsule that only contains 100mgs of morphine some how sustains 100mgs in your system for 12-24 hours. Most likely if Kadian or avinza didn't work it's because the doc didn't understand how to prescribe these meds.
Which isn't unusual, How many docs have told us that Ultram is non narcotic and non addicting. Both statements are inacurate BS passed along by pharmacuetical reps paid to get as much of their product to the public as possible. ULtram has opiate properties and SSRI properties and should not be discontinued abruptly. I and many others have suffered through Ultram withdrawal while still taking an opiate pain med.
I have had 2 surgeons use it in conjunction with Percocet and Lortab and although the percs or lortab were not discontinued I was sick as a dog when the Ultram was discontinued.
JMO Shore
That's impossible when each 30mg Avinza capsule only contains 30mgs of morphine sulphate. Obviously the other posters were extremely sensetive if not alergic to the morphine or one of the other agents in the pill. Avinza uses Fulmuric acid as a preservative which is more likely to make you sick than the miniscule amount of morphine in a 30mg capsule. i use 2 30mg MSIR at a time for BT pain. That's 60 mgs of oral morphine released in 4 hours.
I see the same thing happening as far as dosages with Kadian, like docs think a 100mgs capsule that only contains 100mgs of morphine some how sustains 100mgs in your system for 12-24 hours. Most likely if Kadian or avinza didn't work it's because the doc didn't understand how to prescribe these meds.
Which isn't unusual, How many docs have told us that Ultram is non narcotic and non addicting. Both statements are inacurate BS passed along by pharmacuetical reps paid to get as much of their product to the public as possible. ULtram has opiate properties and SSRI properties and should not be discontinued abruptly. I and many others have suffered through Ultram withdrawal while still taking an opiate pain med.
I have had 2 surgeons use it in conjunction with Percocet and Lortab and although the percs or lortab were not discontinued I was sick as a dog when the Ultram was discontinued.
JMO Shore
