How much oxycodone?

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Emmy
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Joined: 10/29/2010 - 8:06pm
How much oxycodone?

I am seeing a pain management doctor and he changed my from hydrocodone 10/325 4 times a day to oxycodone 10mg 3 times a day. The reason we changed it was because hydrocodone had become ineffective.

The first week it did a pretty good job at controling my pain but it has gone down hill since. I called him to get an early appointment than was scheduled so I could see what we could do about it. I have not seen him yet but he has told me since I first started seeing him about 5 months ago that it would be a trial and error sort of thing for awhile. Mostly we seemed to have errored. I am starting feel hopeless that anything will help the pain.

My question is, how much oxycodone is too much or what are other people her on dosage wise? One other thing, he did offer me oxycontin but I really didn't want to go there if I didn't have to as he said it was quite addictive.

I do feel the oxycodone is helping but I feel the dosage is too low.

Any comments would be greatly appreciated.. Emmy

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Robin
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Joined: 08/17/2008 - 9:45pm
Well, your oxycodone is

Well, your oxycodone is stronger than the hydrocodone, but why he would go from 4 a day to 3 a day is beyond me. I have never found my oxycodone to last very long, and I am Rx'd 15mg every 4 hrs. If I had to wait 8 hrs I..well I couldn't and honestly it is not intended to last that long unless you have an ER type of the medication. Even some people on ER meds are finding their meds wearing off sooner than they and their Drs anticipate.

If you are taking the IR version oxycodone you really can't expect it to last more than 4-6 hrs, and depending on your metabolism it may not last that long. Your Dr is, or should be aware of this, after all, he is a PMD as you mentioned.

You need to have an open discussion with your Dr.concerning the nature of your pain and your requirements. There is nothing wrong in letting him know that your medication is not lasting 8 hrs., or that you are having a difficult time managing your pain with three pills per day, but he may want to put you on an ER type medication so that you can have round the clock pain relief, and it's important to work with your PMD in finding the best way to treat / manage your pain.

Emmy
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Last seen: 3 years 10 months ago
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Joined: 10/29/2010 - 8:06pm
Thanks Robin

for responding to my question. Now that you mention it, I have no idea why he would put me on 3 a day. It just doesn't cut it for me and I am in pain most of the day. I feel like if I could knock it down the first thing in the morning I wouldn't have as much problems the rest of the day.

I hadn't thought that having a high metabloism might cause it to wear off sooner than some people. He had me on MS Contin for about 2 weeks with 2 hydrocodone for break through pain and I swear the mscontin didn't touch the pain, but instead of increasing my dosage from say 10 mg to 15 mg per dosage, he just added one more dose for the day and of course it did nothing.

I do have a problem communicating with my doctor about my pain, I suppose I don't want to come across as some drug seeker. He is a very nice man and does nothing to make me feel intimidated so I don't know why I feel that way.

I have an appointment with him in the morning and I will try harder to get my point across.

Thanks again
Emmy

Emmy
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Last seen: 3 years 10 months ago
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Joined: 10/29/2010 - 8:06pm
I kind of double posting I

I kind of double posting I guess. I have a thread in pain meds as well.
Anyway I went to the pm yesterday and saw his PA instead of the pm although he was there. They decided to put me on diluid 2 mg up to 5 times a day. Huh! I told her that the oxycodone was working, but just not long enough and I thought if they could just up the dosage it may work. Instead after talking with the doctor she comes back and writes me the script for diluid.
I don't think it is working although it is making me rather loopy. Why is he so afraid of just upping the dosage rather than changing it everytime?

Uncle Rob
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Last seen: 3 years 10 months ago
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Joined: 01/28/2011 - 11:09am
Effective Pain Meds

Emmy,

I know what back and neck pain is like, as well as inadequate treatment. I've had 8 lumbar surgeries, 6 of which were fusions and re-fusions w/instumentation. After my 8th surgery--about 8months--I broke my T-spine in 2 places. I also have 3 herniated discs in my neck and two in my L-spine, below the levels that are fused. I also have several sites of vertebral degeration and disc degeration. After my first fusion the pain was beyond comprehension and didn't go away when it was supposed to. I had almost no pain management until I relocated and got another doctor, after my 3rd fusion/re-fusion. I finally had a doctor that worked with me. It probably saved my life. It took trying several meds, finally taking oxycodone, but the ER (extended release)OxyContin, in addition to experimenting with the dosage. I was also put on a tricyclic anti-depressant (Nortryptiline or amytriptiline--excuse the spelling) and an anti-seizure med (Neurontin, gabapentin the generic), and was also given Soma or Valium for a muscle relaxer. The pain med alone did not aleviate the pain, but it was definitely needed to help manage it. The pain was not completely eliminated, but it eventually got managed. I also went through physical therapy, but most of it was just walking until the surgeries healed, but walking helped--even when I had to use a walker. Talk to your doc about a long acting pain med: Some are oxycontin, Duragesic patches, Opana ER is a newer and effective med, methadone is commonly used for severe and/or chronic pain and works pretty well when used with the other types (anti-dep, anti-seizure, and muscle relaxant). Also express the need for a short-acting med for breakthrough pain, which sounds like that's all you have now. Don't give up. Check out these meds on the internet and print the favorable articles you find on them. Take your research to your doc and politely discuss your findings and ask if he would try you on something that might work a little better. Tell him you know the pain cannot be completely eliminated, but you're just trying to manage it to a level where it's tolerable. If you don't abuse it, addiction is rare. Some docs are concerned about toleration and having to increase the dosage, but that's been overly hyped in recent years. Switching meds from time to time can help prevent that, but isn't always necessary. In some cases it's necessary to find another pain specialist who is willing to work with you. Don't be afraid to express your needs and concerns, but keep your expectations within reason. Keep the faith and a positive attitude.

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