Description
Buy Opana online
Oxymorphone is a potent narcotic substitute for morphine. Oral oxymorphone is more potent than oral morphine (3x), hydrocodone (2x), and oxycodone (2x). is a highly potent opioid analgesic indicated for treatment of severe pain. Pain relief after injection begins after about 5–10 minutes, after oral administration it begins after about 30 minutes, and lasts about 3–4 hours for immediate-release tablets and 12 hours for extended-release tablets. The elimination half-life of oxymorphone is much faster intravenously, and as such, the drug is most commonly used orally. Like oxycodone, which metabolizes to oxymorphone, oxymorphone has a high potential to be abused. Buy Opana online
Strengths available
Opana
- 5 mg
- 10 mg
Opana ER
- 5 mg
- 7.5 mg
- 10 mg
- 10 mg
- 15 mg
- 20 mg
- 30 mg
- 40 mg
Criteria
- Opana is being used for the relief of moderate to severe pain where the use of an opioid is appropriate AND
- Patient is under the care of a pain management specialist AND
- Patient has intolerable side effects to ALL of the opioids listed below, and the adverse effects prevented upward titration of dosage to achieve a satisfactory level of analgesia AND
- Patient has been warned that:
- Co-administration with alcohol may increase oxymorphone plasma levels and the risk of potentially fatal toxicity
- Opana should be taken on an empty stomach since food can increase the rate of absorption by 50%. Buy Opana online
Usual Adult Dose of Opana ER for Chronic Pain:
Use as the First Opioid Analgesic or for those who are NOT Opioid Tolerant:
Initial dose: Extended-release tablets: 5 mg orally every 12 hours. Buy Opana online
CONVERSION DOSES:
Immediate-Release Oxymorphone to Extended-Release Oxymorphone Tablets: Administer same total daily dose
-Initial dose: One-half total daily immediate-release requirement as extended-release tablet orally every 12 hours. Buy Opana online
From Other Oral Opioids to Oxymorphone Extended-Release Tablets:
-Discontinue all other around-the-clock opioid drugs when oxymorphone extended-release therapy is initiated.
-Published potency tables can be used to estimate a patient’s 24-hour oral oxymorphone requirement; however, due to substantial inter-patient variability, the conversion should then underestimate a patient’s 24-hour requirement and provide rescue medication as the dose is titrated.
-Alternatively, the following conversion factors (CF) may be used to convert selected oral opioids to the extended-release oxymorphone tablet: Oxymorphone, CF=1; Hydrocodone, CF=0.5; Oxycodone, CF=0.5; Methadone, CF= 0.5, Morphine, CF=0.333
-As an example: Sum the total daily dose of prior oral opioid; multiply that sum by the CF to obtain 24-hour oral oxymorphone requirement; divide by 2 to calculate approximate starting dose to be given every 12 hours, round down, if necessary. Buy Opana online
-These CFs cannot be used to convert from oxymorphone extended-release tablets to the selected oral opioid as doing so will result in overestimation of the oral opioid dose and may result in fatal respiratory depression
Opana side effects
Get emergency medical help if you have signs of an allergic reaction to Opana: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Opioid medicine can slow or stop your breathing, and death may occur. A person caring for you should give naloxone and/or seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up. Buy Opana online
Call your doctor at once if you have:
- weak or shallow breathing, breathing that stops;
- a light-headed feeling, like you might pass out;
- seizure (convulsions);
- chest pain, wheezing, cough with yellow or green mucus;
- severe vomiting;
- high levels of serotonin in the body – agitation, hallucinations, fever, sweating, shivering, fast heart rate, muscle stiffness, twitching, loss of coordination, nausea, vomiting, diarrhea; or
- low cortisol levels – nausea, vomiting, loss of appetite, dizziness, worsening tiredness or weakness.
Serious side effects may be more likely in older adults and those who are overweight, malnourished, or debilitated.
What happens if I miss a dose?
Since Opana is used for pain, you are not likely to miss a dose. Skip any missed dose if it is almost time for your next dose. Do not use two doses at one time. Buy Opana online
