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Oxycodone...Dr confused me...

AnonymousUserAAnonymousUser Posts: 49,208
edited 06/11/2012 - 8:22 AM in Pain Medications
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 :&
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Comments

  • 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(
  • 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~
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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..
  • 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.

    >:D< >:D<
  • dilaurodilauro ConnecticutPosts: 13,562
    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences 
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  • 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.
  • 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
  • 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.
  • dilaurodilauro ConnecticutPosts: 13,562
    this all can be very confusing. the whole subject regarding the oxy... family has so many variations to it... and i am only talking about the formal official drugs, not the generic ones.
    a book could probably be written on this topic and i would venture to say it would contain errors. i have read pharmacy reports, talked to pharmacists, discussed this with pain management doctors and have done research on the web. i have found so much conflicting information and as i said, this does not even touch the generic brands
    there still are some basics:
    er (extended relief)
    ir (immediate relief)
    apap
    hcl
    the list goes on

    what even makes it more difficult to digest is that take the given medication, the formula and you will find it marketed under many different names.
    i think this is one medication that any patient who takes it should discuss it all with their doctor, have more discussions with their pharmacist and if provided the detailed sheets that the pharmacy provides.
    the topic i created (below) is just a simple attempt that i made to try to make things easier to understand.

    some of tis may clear things up:
    oxy medications
    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences 
  • They arent the immediate release tablets either. They are just plain old oxycodone (5mg) tablets with no tylenol. The pharmacy I get the rx filled at does not normally carry 20mg unless special ordered, so basically I had a buttload of 5mg tablets, since I take 20mg 2x a day. basically, 8 pills. Ive been on immediate release and those dont last long at all, thats why Im not on them. I am waiting to hear back from her today. I can barely walk and my legs are like jello. ~X(
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