Pain is an undesirable sensation that might end up being discomforting at greater strengths. The typical websites or origin of pain are back, eye, face, stomach, joint pain, tongue etc. The triggered pain can be of different types like severe, moderate or even moderate. Several types of pain killers are readily available in the market to obtain rid of the pain. Pain killers are offered in pharmacy either as over-the-counter drugs however some may need prescription from a medical doctor. Below is the list of common pain relievers (for moderate pain and for severe pain), both over-the-counter and prescribed, along with their effects, potency and adverse effects.
Painkillers by Strength Level and Usage
| Painkiller | Strength Level | Typical Usage |
|---|---|---|
| Paracetamol (Acetaminophen) | Mild | Mild headaches, fever, minor aches |
| Ibuprofen | Moderate | Inflammation, arthritis, moderate pain |
| Tramadol | Strong | Chronic pain, post-surgery recovery |
| Morphine | Very Strong | Severe pain, cancer pain management |
This chart categorizes different painkillers by their strength level and typical usage, providing an overview of when each type of medication is most commonly used, ranging from mild pain relief to severe pain management.
List of Strong Painkillers with Reviews
General Guideline
- Pain killers which are NSAIDs (nonsteroidal anti-inflammatory drugs) works on the patho-physiological processes that elicit pain, fever and other signs of swelling in the body.
- Corticosteroids pain reliever are usually given for the management of musculoskeletal injuries due to its effect on shutting down inflammation causing processes.
- The pain which is set off by any damaged or sensitive nerves (see most commonly in cases like sciatica or shingles) is generally handled by nerve blockers or anti-depressants. These tablets have the capacity to regulate the understanding of pain by main worried system.
- Some pain- killers are made use of as muscle relaxants to decreases the intensity of pain triggered by the muscles group. This pain reliever serve as sedative for main worried system.
- Factor behind consuming medication is to enhance the lifestyle. It is essential to recognize that every pain reliever is connected with some negative effects in short term or long term. Therefore it is encouraged to learn and determine potential drawbacks prior to taking in any painkiller.
Onset Time for Different Painkillers
| Painkiller | Onset Time |
|---|---|
| Paracetamol (Acetaminophen) | 30-60 minutes |
| Ibuprofen | 20-30 minutes |
| Tramadol | 30-60 minutes |
| Morphine | 15-30 minutes |
This chart provides a comparison of the onset times for different painkillers, showing how quickly each medication typically starts to provide relief after being taken.
Following are the description of a strong and effective pain relievers:
Paracetamol
It is among the popular pain killers readily available (primarily utilized for the management of common headaches and non nerve discomforts). The efficient dosage is 2 tablets which can be consumed a minimum of 4 times a day (or at every 6 hrs interval). This dose and dosing routine is thought about safe for grownups. There are no common adverse effects for this medication and this drug can be used for longer time period. Nevertheless overdose of paracetamol can trigger some serious negative effects; for that reason it is highly recommended not to increase the dosage if the intensity of pain increases. If pain symptoms cannot resolve within 3 days, get in touch with the basic physician.
Ibuprofen
This drug is a type of NSAIDs i.e. non steroidal anti inflammatory drugs. It works best on inflammation triggering drugs in a very same method it is used for dealing with arthritis or any injury. This drug is not enabled to be made use of for longer time periods unless the swelling does not vanish. If this drug is consumed for longer time periods, it can result in significant adverse effects like bleeding, indigestion, heart problems and kidney issues. It is highly encouraged not to take in overdose of this drug as it can trigger severe repercussions.
Codeine
This drug does not work well alone but can provide far much better results when used with paracetamol in a single formulation. Over the counter drugs are available under the label of co-codamol (which is paracetamol integrated with lower amount of codeine). Greater potency of codeine should just be utilized on doctorโs prescription. Some other painkillers with greater potency consist of Zydol (tramadol) and dihydrocodeine.
Drugs under this category are considered as habit-forming or addicting. The factor behind is these drugs makes an individual feel unhealthy for a short time duration when stop taking in. If for any certain factor this drug is consumed for longer period then consult your basic doctor for suggestions.
Amitriptyline and Gabapentin
Gabapentin is the drug used for dealing with epilepsy and amitriptyline medication and is used for dealing with anxiety. Both of the drugs are also given to patients for dealing with pain activated by damaged or hyper-sensitive nerves that includes sciatica, shingles or nerve pain caused by diabetes. This medication is taken in when prescribed by the general doctor. Adverse effects of both the drugs consist of dizziness and drowsiness.
Morphine
This drug is thought about as effective and best pain reliever offered. Some other drugs fall under this classification consist of fentanyl, buprenorphine and Oxycodone. It is encouraged to book using this pain killer just in severe pain. These medications are only consumed when recommended by pain professional or general physician as the doctor will keep an eye on the development on dosage potency. These drugs are typically used for long term to administer the pain.
Strong opioids are medicines used to deal with severe or long-lasting (persistent) pain. Although there are numerous kinds of strong opioids, morphine is the most frequently utilized strong opioid and usually the first one your doctor will prescribe,ย according iytmed.com.
Oxymorphone hydrochloride extended-release tablets are suggested for the management of pain severe sufficient to require daily, ongoing, long-term opioid treatment and for which alternative treatment choices are insufficient.
The most typical side-effects are constipation, feeling sick (queasiness), and tiredness. It is uncommon for individuals who take a strong opioid to deal with pain to become addicted to strong opioids.
The following table lists more OTC and recommended painkillers:
List of Painkillers by Strength (from Strongest to Weakest)
| OTC Pain Killers | Generic Name | Per Pill Dose | Strength | Best Uses |
|---|---|---|---|---|
| Motrin 800 | Ibuprofen (effectively used as an antipyretic, and analgesic). Classified under NSAIDs | 220 mg, 800 mg | โ โ โ โ โ (3.5) | Treat rheumatism, arthritis, and musculo-skeletal issues |
| Naproxen, Aleve | naproxen sodium (one of the very potent and powerful anti-inflammatory agents) NSAID | 220 mg | โ โ โ โ (3) | Management of arthritis pain and inflammation. Also effective for other musculo-skeletal ailments |
| Nuprin, Advil, Motrin | Ibuprofen NSAID, 44 291 tablet | 200 mg | โ โ โ (2.5) | Treat muscle aches and fever |
| Vanquish | Combination of acetaminophen and aspirin (NSAID) | 325 mg, 500 mg | โ โ โ (2.25) | Acute management of headache |
| Excedrin, Anacin, Tylenol | Acetaminophen, L374 caplet | 500 mg | โ โ (2) | Treat fever, alternative to aspirin for salicylate-allergic patients, treat arthritis, rheumatism, and musculo-skeletal issues |
| Bufferin, Bayer, Anacin, Ecotrin | Aspirin (NSAID or acetylsalicylic acid) | 81 mg, 325 mg | โ (1) | Management of pains and minor aches |
| Prescription Pain Killers | Generic Name | Per Pill Dose | Strength | Best Uses | Problems Caused |
|---|---|---|---|---|---|
| Palladone (caps), Dilaudid (tabs) | Hydromorphone hydrochloride | 1 mg, 2 mg, 3 mg, 4 mg | โ โ โ โ โ โ โ โ โ โ โ (11) | Dilaudid is considered as more effective as compared to morphine with some serious side effects | ย |
| Fentora, Duragesic, Actiq | Fentanyl | Lollipop or Skin patch | โ โ โ โ โ โ โ โ โ โ (10) | Powerful substance for treating fragmentation and gunshot wounds. Overdosage associated with serious side effects; mishandling can lead to death due to respiratory depression. | ย |
| Opana | Oxymorphone | 5 mg, 7.5 mg, 10 mg, 15 mg, 20 mg, 30 mg, 40 mg | โ โ โ โ โ โ โ โ โ (9) | Management of severe pain requiring daily, long-term opioid treatment when alternatives are insufficient. | ย |
| MS Contin, RMS | Morphine sulfate | 15 mg, 30 mg, 60 mg, 100 mg | โ โ โ โ โ โ โ โ โ (9) | 4th most powerful drug available. | ย |
| Oxycontin 40 | Oxycodone HCl | 40 mg | โ โ โ โ โ โ โ โ โ (8.5) | Powerful and very effective for pain management. | NOTE: The strength is an estimation. |
| Percocet | Acetaminophen and oxycodone HCl | 2.5 mg to 650 mg | โ โ โ โ โ โ โ (7) | ย | ย |
| Percodan | Aspirin, oxycodone, terephthalate oxycodone HCl | 325 mg, 4.50 mg, 0.38 mg | โ โ โ โ โ โ โ (7) | ย | ย |
| Demerol | Meperidine HCl | 50 mg, 100 mg | โ โ โ โ (4) | Opiates are considered powerful pain killers but can lead to addiction. | Including large quantities of Tylenol (acetaminophen) with these drugs is prohibited as it can cause liver damage. |
| Lorcet | Acetaminophen and hydrocodone | 5 mg to 500 mg | โ โ โ โ โ (5) | ย | ย |
| Vicodin | Acetaminophen and hydrocodone | 5 mg to 500 mg | โ โ โ โ โ (5) | ย | ย |
| Lorcet Plus | Acetaminophen and hydrocodone | 7.5 mg to 650 mg | โ โ โ โ โ โ (5.5) | ย | ย |
| Vicodin ES | Acetaminophen and hydrocodone | 7.5 mg to 750 mg | โ โ โ โ โ โ (6) | ย | ย |
| Norco | Acetaminophen and hydrocodone-APAP | 5 mg to 325 mg, 10 mg to 325 mg | โ โ โ โ โ โ (6.5**) | ย | NOTE: The strength is an estimation as it was not available when study was conducted. |
| Lortab | Acetaminophen and hydrocodone | 10 mg to 500 mg | โ โ โ โ โ โ โ (7) | ย | ย |
| Vicodin HP | Acetaminophen and hydrocodone | 10 mg to 660 mg | โ โ โ โ โ โ โ (7) | ย | ย |
| Ultram | Tramadol | 50 mg | โ โ โ โ (3.8*) | Gives relief from moderate pain | Constipation, nausea, dizziness, drowsiness, headache, and vomiting |
| Celebrex | Celecoxib (COX-2 inhibitor) NSAID | 100 mg, 200 mg | โ โ โ โ (3.7*) | Rheumatoid, osteoarthritis, other sources of acute pain, and menstruation pain | Moderately increases risk of stomach bleeding, stroke, and heart attack |
Notify your health care expert about any previous history of substance abuse. All patients treated with opioids for pain require careful tracking by their healthcare specialists for signs of abuse and dependency, and to identify when these analgesics are not needed.
New Prescription Pain Relievers Released in the Last Two Years:
Over the past two years, several new pain relief medications have been introduced, offering innovative options for managing various types of pain. Below is a table summarizing these medications, including their brand and generic names, dosage forms, strengths, best uses, and potential side effects.
| Brand Name | Generic Name | Dosage Form | Strength | Best Uses | Potential Side Effects |
|---|---|---|---|---|---|
| Tofidence | Tocilizumab-bavi | Injection | 162 mg/0.9 mL | Treatment of rheumatoid arthritis and systemic juvenile idiopathic arthritis | Risk of serious infections, liver enzyme elevations, neutropenia |
| Tyenne | Tocilizumab-aazg | Injection | 162 mg/0.9 mL | Treatment of rheumatoid arthritis and systemic juvenile idiopathic arthritis | Risk of serious infections, liver enzyme elevations, neutropenia |
Note: Tocilizumab biosimilars such as Tofidence and Tyenne have been approved to provide more accessible treatment options for conditions like rheumatoid arthritis. These medications work by inhibiting interleukin-6 (IL-6) receptors, thereby reducing inflammation and pain associated with autoimmune disorders.
Most Popular Pain Medications in USA in 2024
Examples of nonprescription pain medications include:
- Acetaminophen (Tylenol)
- Aspirin
- Ibuprofen (Advil, Motrin IB)
- Naproxen (Aleve)
Common Side Effects by Painkiller Strength
| Painkiller Strength | Common Side Effects |
|---|---|
| Mild (e.g., Paracetamol) | Nausea, Rash |
| Moderate (e.g., Ibuprofen) | Gastric irritation, Dizziness |
| Strong (e.g., Tramadol) | Constipation, Drowsiness |
| Very Strong (e.g., Morphine) | Respiratory depression, Addiction risk |
This chart outlines the common side effects associated with painkillers of varying strength levels, highlighting how side effect severity often increases with stronger medications.
Updated List of Prescription Medications for Pain Management
| Category | Medications |
|---|---|
| Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) | Nabumetone (Relafen), Ibuprofen (Motrin), Fenoprofen (Nalfon), Piroxicam (Feldene), Indomethacin (Indocin), Ketorolac (Toradol), Sulindac (Clinoril), Oxaprozin (Daypro), Diclofenac (Voltaren), Naproxen (Naprosyn), Meloxicam (Mobic) |
| COX-2 Inhibitor | Celecoxib (Celebrex) |
| Opioid Analgesics | Morphine (MS-Contin, Avinza), Oxymorphone (Opana), Hydrocodone with acetaminophen (Vicodin), Oxycodone with aspirin (Percodan), Hydrocodone (Zohydro), Tramadol (Ultram), Buprenorphine (Butrans), Oxycodone sustained release (OxyContin), Methadone (Dolophine), Hydrocodone with ibuprofen (Vicoprofen), Oxycodone with acetaminophen (Percocet), Fentanyl transdermal patches (Duragesic), Tapentadol (Nucynta), Hydromorphone (Exalgo) |
| Mixed Opioid Agonist/Antagonists | Pentazocine/naloxone (Talwin NX), Butorphanol, Nalbuphine (Nubain) |
| Antidepressants | Desipramine (Norpramin), Bupropion (Wellbutrin), Venlafaxine (Effexor), Duloxetine (Cymbalta), Amitriptyline (Elavil) |
| Anticonvulsants | Carbamazepine (Tegretol), Pregabalin (Lyrica), Lamotrigine (Lamictal), Topiramate (Topamax), Gabapentin (Neurontin) |
| Fibromyalgia Medication | Milnacipran (Savella) |
| Anxiolytics | Diazepam (Valium), Alprazolam (Xanax), Lorazepam (Ativan) |
| Muscle Relaxants | Methocarbamol (Robaxin), Cyclobenzaprine (Flexeril), Baclofen (Lioresal), Tizanidine (Zanaflex), Carisoprodol (Soma) |
| Corticosteroids | Cortisone, Methylprednisolone (Medrol), Dexamethasone, Prednisone |
This updated list includes current prescription medications for pain management, categorized by type and commonly prescribed options.
Obviously, one canโt always get every option onto a table like this but I believe that Oxymorphone is conspicuously missing.
Yes it is i wonder where it fits in because thatโs what i take !
Thanks for reminder. Opana (Oxymorphone) was added to the list.
I would say that Fentanyl is the strongest, with Opana as number 2, and Oxycodone as number 3.
People mistakenly believe fentanyl to be the strongest but it is actually dilaudid.
what about Dolo 650
It is Acetaminophen, which already mentioned in the list.
What about acetaminophen with Codeine aka T-3
I would have to respectively disagree, as I have personal experience with everything on this list and can say with confidence that Paul is correct!
how many of them are available in india?
Where are the Sufenta, Etorphine, and then the king Carfentanil. im sure the basic compounds are listed but these drugs are at the top, they are deadly, not so much Sufenta but the other 2 are adn probably cannot be consumed by humans without dying.
I had intravenous Morphine, which wasnโt touching the pain, so the went to Dilaudid. Before the nurse was finished injecting I was floating away. Have never in my life had a pain med that hit that hard that fast.
Of course it also made the room spin wildly for days and I had to be put back on fluids because the nausea was so severe.
I had Fentanyl patches for back injury but I didnโt get enough pain relief so I took Tramadol too.
The patches that you had to take it home tramadol are very strong if you do them in violation of their label. They can be eaten and thatโs all Iโm saying because I donโt want to be blamed for any deaths!
I had a bone infection. Morphine and oxcies were useless, doc put me on dilaulid. Wow that stuff is great. Dangerous if your not careful.
This list is weakest to strongest and not strongest to weakest per the title.
Thank you, Gregory. You are right. A will do correction in the tables.
Where does methadone fit in this list
We will check and add in future. Thank you.
I see codeine mentioned in the text, not the chart itself.
I just had spinal fusion surgery and I was on the heaviest of pain meds. My doctor asked me to take a dose of each of Percocet, Injected Dilaudid, Opana, Fentanyl, and Oxycodone. In descending order, the strongest of what I took (it depends on how your brain reacts to the meds to relieve pain) I would say Dilaudid(injected), Opana(tabs), Fentanyl(tabs), Percocet(tabs), and finally Oxycodone(tabs). I have an extremely high tolerance to pills and unfortunately an extremely low tolerance to pain so really none of them really helped ME. But I based that list off of what lessened the pain the most. Our brains are all different and we all react to pills and pain differently. I just had my L4, L5, and S1 vertabraes fused together so you can imagine how bad that pain is (about 50 times worse than a compound fracture to me). Just try around and see what works for you, if youโre looking to get high off theseโฆ Percocet, Fentanyl(BE VERY CAREFUL WITH THIS!), and Dilaudid are the best. Keep away from high dosages and be careful because you can end up in very bad situations. AND DO NOT MIX WITH ALCOHOL UNDER ANY CIRCUMSTANCES, YOU WILL REGRET IT.
Methadone provides a decent euphoria and can also be enhance with other medications like Promethazine (antihistamine), Benzoโs, and marijuana. Despite what people say Methadone is not difficult to come off of physically. I was on it for 10 years and was taken off of it by decreasing my dose by 20% every 3 days. It wasnโt pleasant by any means but I heard horror stories about coming off of Methadone and it wasnโt the worst thing in the world. Take Care.
Opana is oxymorphone !
is xanax considered an opioid
No, Xanax is not a narcotic, it is a bezodiazepine. Please read more about xanax here: https://iytmed.com/xanax/
Is Fentanyl made in pill form or only patches? My friendโs husband has terminal cancer and is in excruciating pain. When he was in the hospital he had a morphine drip but it didnโt seem to help much. They sent him home with hydrocodone (but gave them a hard time about it!) Next time in hospital he got dilaudid which did help. Hospice has given him methadone(?) and Fentanyl patches but he is still in pain. Seems like they would give a dying cancer patient the strongest thing there is whatever that is.
Thanks for putting this list out here. I had surgery for prolapsed hemorrhoids. Morphine via IV helped but did not completely relieve the pain. Dilaudid took care of the pain pretty fast!
In the hospital, it was 2 Oxycodones, plus the dilauid every 4 to six hours. Pain free is a good feeling.
Now I have a pinched nerve in my head that gives frequent and sometime severe ear aches. I take regular tylenol type meds in the day, and a bit of hydrocodone with some more tylenol type at night.
So far, the spiking pains in the night havenโt disturbed my sleep more than once or twice in the 8 hours I try to sleep. I just hope I can manage the level of pain with low dose codeine and the tylenol. If I can sleep, I can tolerate the discomfort pretty good duing the day.
This isnt veey accurate. Theres thr morphine side and condiene side. On the Morphine side it goes Morphine to Dihydromorphone (Dilaudid) , to Oxymorphone (Opana)
i had mulitple breaks and fractures the worse one was pelvic with dislocated hip, doctors not helping me at all, i am buy herion off the street. scared that i might get a bad batch, but i no other chioce. so annyoing the pain is, what can i do any suggestions, please and thanx
Yo Marshall
Just had the same fusion a month ago . U have a laminectomy also?
Agreed. Personally I think fentanyl is not worth my time. Dilaudid actually works.
Anyone who has to use the stronger ones certainly has my sympathy. Must be horrendous living with pain THAT bad..
where does butalb-acetamin-caff 50-325-40 fall in the strongest to weakest chart
sad states everyone..no one should require painkillers which damages your liver/kidney..our bodies can naturally repel pain through simple breathing exercises without resorting to addictive drugs..
Sorry Brian but exercises does not work for me have try not help there for me
Sorry brian wondering if you have every suffrted with excruciating pain?.m
I believe the last was an open wound surgery without local Anesthetic..I requested for it..the pain subsided as we gotten deeper into it..
Dilaudid is defiantly the strongest Iโve had. the last 2 times I was in the hospital (one for a gastroparesis flare and one from being hit by a car) thatโs what they gave me, tho I donโt like opiates at all, they make gastroparesis worse and donโt act well with dysautonomia so they make my blood pressure dangerously low. by anychance anyone know whats the strongest non-opiate pain med?
You are not everyone ! I am in a small group that does not like downers but I hate pain even more ! I had surgery on 8 hammertoes and the pain is close to unbearable for me .I hyperventilate when they were trying to remove the stitches ! The pain is horrific ! It took 3 visits and they do not even offer a topical coolant
You are lucky but I would rather a lethal injection then then amount of pain this is causing me
The worst pain I ever had was detoxing.
I was trying to find out about longtec but no mention in the list
Your mentioned pain medicine uses OXYCODONE HYDROCHLORIDE as active substance. You can find it in โPrescription Pain Killersโ table.
I once tried an Oxyconin 60 ER which was brown and too hard too cut in half. So I took the whole pill. I was amazed at how well it worked and how long it lasted, nearly 24 hours I thought I could handl it it easily because I had been taking Dilauded-8โs and Morphine. This OxyContin ER beat the hell out of any previous combination even my doubling up of very strong Dilauded 8mgs. I could not drive at all. I waited 48 hours before I returned to earth. (ER-Extended Release)
Brian, what caused the worst kind of pain youโve ever had? Iโm sorry to be disrespectful, but if youโve ever woken up in the recovery room following multi level spinal fusion, with rods and screws through your vertebrate,, there is no breathing exercise in the world thatโs going to touch that pain. Get teal for a moment. And Marshall with the fusion, any doctor that prescribed all those meds at once should NOT be practicing. Youโre lucky to be alive. I think all of us with moderate to severe chronic pain can agree thereโs really no magic fix out there for us and that we are NOT simply drug seekers as many like to think of us.
What about Roxanol?
Actually it is one of many brand names of Morphine. We already mentioned Morphine in our painkiller meds list.
Hydromorphone (Dilaudid) Definitely holds up with its own special characteristics at the top. One being a dream like effect a nod as they say and then awaken with a quite long feeling of euphoria. It is one of the more effective for serious long term chronic pain reliever to use for break thru pain when used with extended release Morphine or Oxycodone and others. Dilaudid given by injection or if you rake it not as prescribed but instead chew or let dissolve under your tongue. This way very strong bt pain relief is short. Fentanyl patches used with a course of other meds as with dilaudid is great for pain relief and also has a long half life. Problem is although the half life is long pain relief isnโt so you need more sooner yet you still have your first dose in your system then the second pain relief wears off yet the first and second dosages are still in your system when you take a 4th and usually fatal dose This is what killed Prince. Recognizing my name he reached out being from Minnesota to get a pain clinic recommendation. That was a week before he overdosed on Fentanyl. He hadnโt called my Drs office yet. I wish he had. fentanyl should only be used in the hospital because of how it can remain without effect in the body. He was suffering with the same chronic pain disorder caused by the fight flight portion of pour body being the Sympathetic nervous system it malfunctions and even the smallest injury can set it off . You have intense neuropathic pain ,pain like you would never know. It can expand to involve other areas. It never goes away and there is no known cure. treatments are across the board and Iโve used and am using just about everyone it s called CRPS- chronic regional pain syndrome use to be called RSD regional sympathetic disorder.
I guess Darvocet isnโt event stronger than Aspirin, or at least enough to be mentioned. I was just prescribed Darvocet for my pain a month ago and Iโve only taken about a weekโs worth. They seemed to help me quite well. It is the only prescribed pain medication Iโve ever taken so Iโm guessing I didnโt need much anyhow.
Some notes regarding your list of opiates from weakest to strongestโฆ Morphine, the predominant alkaloid in the opium poppy plant seed, is one of the most powerful all-natural opiate. The effectiveness of all other opioids is estimated against that of 30 milligrams (mg) of morphine โ the estimated morphine milligram equivalent (MME). The MME or effectiveness of an opioid is its dose in mg that supplies about the very same level of pain relief as 30 mg of morphine taken by mouth.
My personal list of really strong painkillers is:
1. Morphine.
2. Fentanyl.
3. Oxycodone.
4. Buprenorphine.
5. Diamorphine.
6. Tapentadol.
7. Hydromorphone.
8. Methadone.
Hi, Avery. Here are my pain medications list (from strongest to weakest)
โ Codeine.
โ Hydrocodone (Zohydro ER)
โ Oxycodone (OxyContin, Roxicodone)
โ Methadone.
โ Hydromorphone (Dilaudid, Exalgo)
โ Morphine (Avinza, Kadian, MSIR, MS Contin)
โ Fentanyl (Actiq, Duragesic)
What is the strongest pain pill out there? Check my rating:
1) codeine (only available in generic form)
2) fentanyl (Actiq, Duragesic, Fentora)
3) hydrocodone (Hysingla ER, Zohydro ER)
4) hydrocodone/acetaminophen (Lorcet, Lortab, Norco, Vicodin)
5) hydromorphone (Dilaudid, Exalgo)
6) meperidine (Demerol)
7) methadone (Dolophine, Methadose)
Kitten, agree with you. Dilaudid is stronger than morphine mg to mg. 30mg of morphine amounts to 7.5 mg of dilaudid. Both are strong pain relievers though. You donโt say how much Dilaudid you were on however your new pain program should do rather well for you. Lengthy performing medications like morphine sulfate ER are much better for relieving chronic pain. This ought to offer you longer term pain relief.
I agree wholeheartedlyโฆ. Iโve been taking Opies(oxymorphone) for a little over 4years nowโฆ Iโve been prescribed the 30mg oxycodones for over 10years, and they lost their effectiveness a long time agoโฆ Until I tried the opanas for the first time, nothing really worked cause my tolerance was so high. The first time I took an opanas, it was like taking a blue for the first time againโฆ I believe that they r โwayโ stringer than any other opioid out thereโฆ And I have tried fentanyl from time to time, and I donโt think they even compare to the Opiesโฆ I donโt shoot any drugs, so everything I take is orallyโฆ
Iโve woke up in hospital with all the rods and screws plus 2 artificial disc. Pain was bad.
Iโve also woke up in the middle of the night at home with a kidney stone almost the size of a nickel, I canโt even begin to describe how bad the pain was. If i would have had a sharp knife I would have been digging it out myself. In the ER it wasnโt until the 3rd push of morphine that it became tolerable.
As I am reading this, I keep thinking about my pain, how chronically controlling it is, how it has affected my lifestyle, movements, even relationships. My prayers are to all of us who suffer from intense pain. What meds work, how well, and how cruel people can be in their judgments of us who are not chasing the drugs, just trying to shut down the pain. To be able to bend again, kneel down to my Grandchildrenโs
eyes meeting, or accept the hugs from my husband of 33+ years, without winching my eyes shut to stop the tears. If youโve never had it, you will never understand. Please be careful, have an honest relationship with your PCP. In closing, there will be a day that comes, where there is no pain.
The oxymorphone works for me better than anything
My wish is that my Dr would prescribe a drug for my pain, but she does not believe in drugs so I am in pain 24 hours a day
I went through the list and it seems that regular oxycodone without fillers such as Acetaminophen or Ibuprofen does not appear..
Fentanyl is strongest by dosage itโs measured in micrograms not milligrams like dilaudid or morphine itโs major downside is that it doesnโt last very long at all and dose intervals can be tricky where as dilaudid can be given consistently every 2-4 hours depending on patient tolerance and severity of pain 1 of diluadid is about 8 of morphine or 4 of herion without as much respiratory distress where as fentanyl is estimated 50 to 80 times more powerful than morphine and car fentanyl 4 ton elephant tranquilizer is the most powerful produced I think itโs 500 times more than morphine pin head size dose and u probably not surviving.
After three back surgeries I have had deluded and oxycodone. I was still screaming after the last surgery and I have never screamed in my life. I have never screamed after surgery (and I have had a lot of them) except for the back surgery. People had to stay with me around the clock. Why canโt they use morphine for a short while. You canโt get addicted to it in 2-3 days. Instead I could not get up for about 8-10 days until I got to the nursing home.