My partner used to take opana but is now on ms contin because medicaid will not cover opana and at nearly 2,000 a month it's out of the question! She never felt releif from either, they were more to control the peaks and valleys in taking the short term pain pills. She now takes Percocet 10/325s every 3-5 hours and cymbalta 60mg 2x day. The ms contin she also takes 2-3x a day depending on her pain level. These amounts seem very high, and they still don't fully control her pain but on a good day it is down to about a 7. She was taking neurontin and that really helped, but the high dosages basically turned her into a zombie. She was also in a car accident on her 25th birthday (6 years ago) when this all started so her doctors have taken to more short term solutions so she can try to live a little bit of her life rather than worrying about long term effects and having no chance of any kind of life. I would definitely suggest trying cymbalta. There were also times she had taken dilaudid and steroids on top of these medications for 2 weeks to break the pain cycle and try to start over again.

It's going to take a lot of trial and error and frustration. For example, morphine and dilaudid don't really work for her. lyrica and elavil did nothing but high doses of neurontin did but weren't worth the side effects. the hydormorphone in opana worked better for her than the morphine in ms contin. upping the cymbalta to 60mg twice a day instead of 30mg helped some of the nerve pain but also made everything easier to deal with.