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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Migraine And Herniated Discs In The Neck

Hi. I was recently rear ended in 2 car accidents within 90 days of each other. I have herniated/bulging disks in my neck and back,have chronic severe migraines since 16 years old, have suffered with spinal curvature since 14 years old and ten years ago, threw my back out when I was pregnant then placed on bed rest (still had my healthy daughter 3 weeks early. She is now 10. My doctor placed me on just 2 of the 2 mg dilaudid 2x a day and Morphine Sulfate ER 30MG 2x a day. I opted to NOT have surgery at this point. I see my doctor on the 13th of March. What is the difference in the Opania 30mg I keep hearing about. Would This provide optimal relief, as I want my life back desperately! Please explain the difference because, I am still feeling pain. The Morphine in general makes me tired vs the dilaudid, which gives me energy I being a single mom and very hard working, I want to be on the best possible medication. Please advise, as I am very confused!!!! Thank You very much!!!!!!!
Thu, 29 Nov 2018
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Neurologist 's  Response
Hello,

Opana (oxymorphone) is an opiate, belonging to the same family as Dilaudid. The difference is that it is much more potent than Dilaudid and it entails a much higher risk of addiction issues, so it is not frequently prescribed due to the risk of addiction and overdose, mainly in terminally ill patients. So I don't think it is suitable in your case. Perhaps your doctor may consider the addition of another medication for chronic pain such as gabapentin or duloxetine.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Olsi Taka,
Neurologist
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Suggest Treatment For Migraine And Herniated Discs In The Neck

Hello, Opana (oxymorphone) is an opiate, belonging to the same family as Dilaudid. The difference is that it is much more potent than Dilaudid and it entails a much higher risk of addiction issues, so it is not frequently prescribed due to the risk of addiction and overdose, mainly in terminally ill patients. So I don t think it is suitable in your case. Perhaps your doctor may consider the addition of another medication for chronic pain such as gabapentin or duloxetine. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Olsi Taka, Neurologist