Oxycodone...Dr confused me...

Oxycodone...Dr confused me...

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Anonymous (not verified)
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Oxycodone...Dr confused me...

So, Im on 20mg oxycodone 2x a day. I asked my Dr the other day if it would be ok to talk about going on something else or taking an extra dose if needed. She said after Ive taken the oxycodone(my pharmacy only carries 5mg tabs) to take another tab or 2 a couple hours after taking the 20mg?? Anyone ever done this? What should I do? I dont want to overmedicate :&

sandi
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The 20 mg

The 20 mg oxycodone/oxycontin is a long acting form of oxycodone, and it appears that she also gave another prescription for a short acting formulation which is 5 mg . What she was telling you is that if the long acting 20 mg pill is not keeping the pain levels within reason ( not pain free mind you- but allowing you to function as best you can , while keeping the pain levels from going through the roof), that you can take another 5 mg tablet/capsule a few hours after you have taken the 20 mg long acting one.
It should say on the bottles the dosing schedule, how often you can take each dosage, and of course, you should follow the dosage directions from your doctor.
Does that help?
If you are still confused, please call your doctor and ask the nurse to explain the dosing for the short acting/IR 5mg tablets.
Sandi

MomInPain08 (not verified)
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Its not oxyxontin

She prescribed me oxycodone 20mg, and the pharmacy doesnt carry 20 mg (they would have to special order it) so I have to take 4 5mg tablets of it. She said I could take another 5-10mg if needed a few hours later? I just want to make sure that isnt too much for me, I guess. I wonder what effects it would have if I took another 5 mg a couple hours later? I did try oxycontin, but I have no insurance and cannot afford a month's worth of it ($181.25) Im calling her tomorrow to talk about something else that lasts longer.. ~X(

sandi
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Mom, Did you discuss with

Mom,
Did you discuss with her, that the pharmacy didn't have the 20 mg tablets and that you are taking 4 -5 mg immediate release tablets at once, along with now the breakthrough meds of an additional 5 or 10 mg ? Is that what she told you to do, instead of having the 20 mg ER tablets? That can be really dangerous.
The 20 mg tablets are not the same formulation as the immediate release tablets. The 20 mg tablets are meant to deliver a steady dose of oxycodone in your bloodstream for 12 hours at a time, rather than having your body constantly adjust to the ups and downs that come with the immediate /short acting meds.....
Whatever you do, you need to discuss with your doctor any changes to your medications or how you are taking them. They know what they are doing, and meds are prescribed in a certain way for a reason.. plus adjusting meds on your own can result in your not being able to get pain meds at all, and getting blacklisted with pharmacies and other doctors.
Sandi

JWM
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to clarify

It sounds to me like they prescribed you immediate release oxycodone. The pharmacy would only substitute 5mg tablets if it was immediate release (unless they made a mistake).

Personally, when I took the immediate release tablets, (they are pretty small right?) they didn't really work unless I took one every hour or two; this may be common, and may be the reason your dr. suggested taking them that way. You are unsure, so start on the safe side, take less, give it time to work, and do call your doctors office to get the official word on these matters!

The oxycontin you had for 181 a month definitely works longer, but is pricey when paying cash.. There are at least two other alternatives with generics that are MUCH cheaper. Good luck~

JWM
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.

Edit: I can't find 20mg immediate release tablets anywhere; it seems they only come in, commonly, 15 and 30mg. You're right that the 20mg ones SHOULD be 12 hour Oxycontin name brand. The doctor must have prescribed 20mg oxycodone IR or something similar. Either way it doesnt sound right to me and I'd call the dr..

TerriJV (not verified)
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right

The others have it right call the pharmacy and the Dr.
Something I can totally understand you do not want to go over board with.

Only they can describe it to you properly.

Let us know how you make out hun, I understand your frustration.

Hug >:D<

dilauro
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Oxy..... types can be confusing, so

Ron DiLauro Spine-Health System Moderator
Dont laugh at me

herrball (not verified)
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20 mg Oxy

There is one company that makes the 20 mg. IR Oxycodone. All of the others make the 5, 15, and the 30 mg. To clarify, there is a 20 mg oxy IR that is the exact same formulation as the 5 mg tablet. No acetaminophen in it at all. Not only is there a 20 mg IR tablet but there is also a 20 mg LA tablet. Different companies are now making 10 to 160 mg LA Oxy. (Generic OxyContin) You can get Immediate release in 5, 15, 20, 30 mg tablets now. It's just that the 20 mg is a rare one because I think only one company makes it. Don't ask me how I got here, I have no idea. Lucky, I guess.

MelissaJo
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Oxy

I have done this before. In the AM I took 2 10mg tabs. If I felt some break through pain coming I would take 1/2 -1 more tab. That way I could keep the oxy levels up and the pain tolerable. While you are doing this journalize it. Get a poket calendar or just plain note paper. Write down the day, the time you took your first dose, the time you had to take an additional, how effective it was and the time you took your last 20mg dose. Keep this up for as long as you are taking your meds this way. Bring it with you on your visit that way your doc can see how much and how often you are taking your meds. She may decide to change you to either straight Oxy w/ no acetaminophen or the Oxycotin. The thing that I dont like about what the doc told you to do or the taking of 4 of the 5mg tabs at one time is all the acetaminophen that are in the tabs. Generally Oxycodone has 500mgs of acetaminophen in them. There is a certain amount of Acetaminophen that you can safely take during a 24 hr period. I believe my old PM doc said it was 4000mg. So if you are taking 4 5/500 that is 2000mg of the acet in that one shot. Like I said maybe your doc can prescribe the oxy that has no Acet in it that is not an ER. Just a thought I guess. Good luck and let us know what she says. MJ

herrball (not verified)
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APAP

Oxycodone doesn't have any acetaminiophen in it. Oxycodone is the narcotic agent. Only the generic percocet has the APAP in it. I believe we're talking about immediate release oxycodone or Roxycodone the brand name. It has no APAP only the narcotic. It is 4000 in a day if indeed you were to be taking a 5/325 or a 7.5/325 or even a 10/650. Those are all generic equals to Percocet.

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