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change or increase or other?

For about the last 7 years I have been prescribed compounded Hydrocodone (no tylenol). I have not had an increase in the amount in over 2 years and am definitely having more pain lately. My daily dose is 20% higher than it was 5 years ago.

When I was first injured I had only Codeine for the first 5 or so years and it worked pretty well, I think Hydro is relate to codeine? I have also tried morphine and methadone , neither are good for me. I also was prescribed Oxycodone for a while and it was great at first but I soon need increases for it to work well.

I feel I need a change but I don't like to shake things up either. I have read about switching meds sometimes helps. If I switched back to Oxy for one month would that help the hydro to work better again, or does it need to be longer? Or should I just try to get an increase of the Hydrocone?


  • From what I have read and heard from acquaintances with CP and from 1 PM Dr. switching from hydro to oxy and back, etc. helps about 30 to 50% of the time. The period required is more like 3 to 6 months.
    Severe DDD, Severe neural foraminal stenosis at 2 levels, moderate canal stenosis at 2 levels, significantly impaired left shoulder & arm function. Chronic moderate compression fracture at C6.
  • From my experience and the help of my PM I did use one as the main Med and the other for a breakthru. When that did not help as much we switched them up again about six months apart. I believe it helped me as my body was just getting use to it and even a small change would help.
  • t9crushedtt9crushed Posts: 118
    edited 12/27/2012 - 1:40 PM
    The 30-50% odds of helping sounds pretty good to me. but I don't know if I can go 3 months on oxycodone. Last time I wanted to switch right back to the hydro but it's been a lot longer this time. Five years since I have had oxycodone. I still remember the first time I took one and how great it was for the pain.
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