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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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On Pain Management For RSD Of Lower Extremities. Suggested Change Of Medicine From 60mg Oral Methadone To 40mg Opana ER. Explain

good morning Doctor. I am on pain mgmt for the past 15 years for RSD of both lower extremities. My Doctor wants to change my medication from 60mg of oral Methadone a day to 40mg of Opana ER a day. What is stronger, the methadone or the Opana ER? What I am seeing is that Opana is nothing more than Oxycodone which my understanding is weaker than methadone. Please help, I do not want to have to experience the RSD pain in full force. Thank you.
Sun, 1 Sep 2013
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Internal Medicine Specialist 's  Response
Hi

Thanks for asking.

You are right, the oxycodone is weaker than the methadone and the pain relief may not be as good as with the previous medicines.

Some times the risk with the opoid medicines is the habit forming nature of them and the them and the doctors want to see if the person responds to the lower doses/ lighter medicines.

Thanks.

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On Pain Management For RSD Of Lower Extremities. Suggested Change Of Medicine From 60mg Oral Methadone To 40mg Opana ER. Explain

Hi Thanks for asking. You are right, the oxycodone is weaker than the methadone and the pain relief may not be as good as with the previous medicines. Some times the risk with the opoid medicines is the habit forming nature of them and the them and the doctors want to see if the person responds to the lower doses/ lighter medicines. Thanks.