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Vicodin vs. Percocet

gmiller22ggmiller22 Posts: 34
edited 06/11/2012 - 8:55 AM in Pain Medications
I have a question, I have taken percoset in the past due to dental issues, now that I am being treated for my back issues my Dr is giving me Vicodin...

The vicodin really upsets my stomach whether I eat or not, I spent all weekend hugging the toilet. When I was being treated for my teeth on the perc I didnt get sick at all. Arent they basically the same drug? Can I tell my Dr that and he will switch my med's?

Thanks for any advise.

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Comments

  • no they are not the same medicine,percs are much stronger last longer and to me much better.i cant take that cuz my liver i take 10mg tylenoless percs or my doc calles em (pure dope 100% tylenol free)ask him if you can change medications becuase your having unwanted side effects thats cuaasing severe tummy pain and vomiting,they will.for me i cant even get vicodine if i tried-yuck lol tell him! he needs to know about your health and well being is number 1!
  • Thanks Mike! I am going to call him today. Have an appt next week but am in a lot of pain and cant stand the side effects of the vic's so hopefully he will give me something else. I have tried Ultram before and that didnt even come close to touching the pain and i dont think you can call in or fax pain meds so i might have to wait til next week.

    Thanks again, i will let you know what he says :)
  • MetalneckMetalneck Island of Misfit toysPosts: 1,301
    Vicodin is hyrocodone ... Percocet is Oxycodone .. both of these meds contain actometaphine (tylenol).

    Percocet should be about 5X stronger than Vicodin.

    Percocet is short acting OXYCONTIN.

    Good Luck .... hope you can get control of your back pain .... Have you had an MRI or other tests to diagnose whats wrong with your back??

    Regards,


    d
  • Hey D!

    Thanks for the info, that is good to know.

    I have had an MRI on my thoracic area because that is where most of the pain is and has been for about 6+ years (no injury) but the MRI came back negative so I don't know what is wrong but that was the last thing that i wanted to hear that day. The Dr seems to think its my muscles but i don't believe it, if its muscles why would it last 6+ years? I start PT this week but am dreading it without pain meds so i may wait until I hear from my Dr on the Vicodin because i really cant take that stuff. He is just my PCP so i don't think he will give me anything stronger but maybe he can send me to a PM doc... i don't know, but i cant live like this forever and i am only 24... Will update once i get an answer from the Dr.

    Thanks for your info.
  • Hey D!

    Thanks for the info, that is good to know.

    I have had an MRI on my thoracic area because that is where most of the pain is and has been for about 6+ years (no injury) but the MRI came back negative so I don't know what is wrong but that was the last thing that i wanted to hear that day. The Dr seems to think its my muscles but i don't believe it, if its muscles why would it last 6+ years? I start PT this week but am dreading it without pain meds so i may wait until I hear from my Dr on the Vicodin because i really cant take that stuff. He is just my PCP so i don't think he will give me anything stronger but maybe he can send me to a PM doc... i don't know, but i cant live like this forever and i am only 24... Will update once i get an answer from the Dr.

    Thanks for your info.
  • Dave- I don't think percocet is 5x stronger than vicodin, I read it is about 1.5x stronger. I prefer the vicodin, it does not help the pain as much, but it takes it down to a tolerable level. The percocet makes me very sensitive to light and sound and gives me a huge headache!
    ACDF C4-5 June 23rd, 2011

    Another surgery in the near future. I am 26 years old.

    Current Meds- Norco 7.5/325, Cymbalta 60mg, Gabapentin, Adderall 20mg
  • communication is the differance between pain and pain relief,i remeber going to my pain managment docotor and just sitting there staring at the celling and stuttering ahh my back hurts ahh ect... hehehe!now i call his ass and half day later i get what i want,im a life time high status chronic patient tho. TALKING IS MANDITORY,HE CANT READ MINDS AND WILL NOT KNOW YOU THREW UP UNLESS YOU TELL HIM YOU DID.DONT BE SCARED LEAST THING HE WILL SAT NO,BUT IM SURE HE WILL GIVE YOU A ALTERANTIVE MEDICATION GOOD LUCK HOPE U GET BETTER-MIKE
  • MetalneckMetalneck Island of Misfit toysPosts: 1,301
    Opioid Strength (Codeine) Equivalent Dose (30 mg codeine) Strength (Morphine) Equivalent Dose (10 mg morphine mg)
    Aspirin 1/36 1080 mg 1/360 3600 mg
    Difusinal 1/16 480 mg 1/160 1600 mg
    Dextropropoxyphene 1/4 120 mg 1/40 400 mg
    Codeine 1 30 mg 1/10 100 mg
    Tramadol 1 30 mg 1/10 100 mg
    Anileridine 2.5 12 mg 1/4 40 mg
    Demerol 3.6 8.3 mg .36 27.8 mg
    Hydrocodone 6 5 mg .6 16.67 mg
    Morphine 10 3 mg 1 10 mg
    Oxycodone 15-20 1.5-2 mg 1.5-2 4.5-6 mg
    Morphine IV/IM 40 .75 mg 4 2.5 mg
    Hydromorphone 50 .6 mg 5 2 mg
    Oxymorphone 70 0.4 mg 7 1.4 mg
    Levorphanol 80 0.26 mg 8 .8 mg
    Buprenorphine 400 0.075 mg 40 .25 mg
    Fentanyl 500-1000 0.03-0.06 mg 50-100 0.1-0.2 mg
    Carfentanyl*** 1,000,000 30 pcg 100,000 100 pcg

    I don't research EVERY time I make a comment ... but I guess I can if you want me to !!!

    Regards,


    d

    The formatted table can be found here:

    http://www.pharmer.org/forum/discussion-prescription-and-otc-meds/opioid-comparison
  • Metal...while that can be a conversion chart online....it doesn't factor in that some medicines are actually in MICRO grams...not MILLI grams...As the Fentanyl is prescribed...so the chart above is incorrect as it's listed in mgs...

    As well as there is a + and - by 20% of cross tolerance level to each medication...

    And it depends on the dosing of each compared to the new medicne a patient is trying...

    There are just WAY too many variables to ever make an exact conversion...

    As well as every single person reacts differently to every medication..Depending on their total health, issues with metabolism, any other medications they are on..etc...

    So..even though Percocet which is both Oxycodone (opiate) and Acetaminophen...and Vicodin is Hydrocodone and Acetaminohphen.....some people have greater results with Vicodin....

    So it's really up to each patient...

    There are short acting medicines...and long acting medicines....but one isn't always stronger than the other..

    If someone was on 20mg of Percocet a day (5mg...4 times a day)...

    They could move to 20mg total of Oxycontin (brand name of long acting Oxycodone)...and take one 10mg Oxycontin every 12 hours...

    This would be the exact same dosing in a 24hour period as the Percocet...just released throughout the blood stream in a different way...

    So it's just being careful about saying one is always stronger than the other...

    Gmiller....sometimes people have reactions to Hydrocodone rather than Oxycodone...or...it can actually be the Acetaminophen that is making you sick as it is in higher doses in the Vicodin many times like 5/500 (the first number is the Hydrocodone...the second number is the Acetaminophen)...

    I moved to generic OxyIR which is just plain short acting Oxycodone without Acetaminophen...as I was getting nauseous all the time with the Percocet after a few years of taking it...

    It's certainly best to always talk with your Dr...we can offer empathy and care here...but none of us are Dr.s...

    Are you prescribed a muscle relaxer as well? If they think it's muscular...this seems like something that would help...I take generic Flexeril and it works very well for my muscle pain...there are many choices like this or Robaxin, Skelaxin...etc...

    Wishing you well...
  • MetalneckMetalneck Island of Misfit toysPosts: 1,301
    Absolutely correct that Fentnyl is RX'd in micrograms (mcgs)

    But heck I'm not a physician, pharmacist, or chemist or the keeper of that table or website to which is referenced.

    As always .... any opinion or information obtained via any web site should be basically disregarded, considered suspicious, and or incorrect. That is why everyone should discuss these issues with their licensed healthcare providers ... and take any information provided here and basically consider it speculation and of great suspect.

    Thanks for pointing that issue out,

    d
  • I hope I didn't come across as snarky as that wasn't my intent at all...I just wanted people to know that those online conversion charts really don't work as there are so many variables so it's best to work with one's Dr..

    So it wasn't personal towards you at all. I've been really blessed to learn a lot from my PM Dr. who is a friend of mine now outside our appts. over the last 4 years..but that doesn't make me a Dr. either by any stretch of the imagination!! LOL...How about if we stayed at a Holiday Inn Express??? (remember those commercials..:)

  • MetalneckMetalneck Island of Misfit toysPosts: 1,301
    I am the King of snarkey so you can't take that title yet !!!

    No harm no foul .... except my hypersensitivity ...
    we all come at this with the same intent ..... and that is to be of help to our brother-sister chronic pain spine "client".

    I always try to "do no harm" so any descrepencies in my thoughts, or provisions of information are always good have brought to the forefront. I don't always accept guidance as graciously as I should.

    The main point is we both care, and are trying to be of help. Can't put a price on that!!

    Warm Regards,

    d

  • Yes I am now on a muscle relaxer also. Flexeril 10mg 3x daily. I have been on it about a week so far and really makes me tired so I been taking it at night or if I am really bad I will take half during the day and it seems to be working pretty good. Had some side effects from it at first but they seem to be going away, I guess just my body has to get used to it.

    As for the Vicodin, I am still on it but the DR prescribed me Phenorgan (sp) for nausea and it seems to be helping a lot with me getting sick.

    Thanks for all the helpful answers. You guys are awesome :)
  • Phenergan (promethazine) is an antihistamine with strong sedative effecs. Sometimes is used as a sleep aid. Be careful, as Flexeril also produces CSN sedation, and when used together Phenergan and Flexeril their side effects can intensify.
  • You are so right! I am exhausted when I take both of them, learned the hard way to only take it at night LOL. I had no idea Phenergan was used as a sleep aid until recently.
  • Stomach upset is very common with vicodin, I am on oxycodone without tylenol and it manages the pain well and does not upset my stomach, I would suggest taking a stool softener though for any extended narcotic use as it really tends to decrease bowel movements to the point of constipation
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