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Oxycodone...Dr confused me...

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2

Comments

  • dilaurodilauro ConnecticutPosts: 13,304
    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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  • There really isn't alot that's confusing about Oxycodone. Most people just don't take the time to read. And some others do their research but not thoroughly. For instance, Dilauro left out the 30 mg IR oxy which is a very common strength here in South Florida, where as the 20 mg strength is ratehr hard to find. Anyway, let me see if I can't straighten all of this out. Before I do, let's differentiate right now between Oxycodone and OxyContin. OxyContin is the BRAND name drug for Oxycodone Extended Release pills. This comes in 10, 15, 20, 30, 40, 60, 80, and back again by popular demand, 160 mg strengths. These are all made by Purdue Pharma and contain NO APAP. They have recently added the 15, 30 and 60 mg tablets. Now that we've cleared that up, we move on. Another Brand name oxycodone drug is called Percocet. Percocet comes in strengths of 2.5, 5, 7.5, and 10 mg. All of them contain acetaminophen or APAP. All of these have a generic equivalent also, it's just called Oxycodone with APAP. Now as we move on, it's going to get a little sticky and there will be a quiz following this presentation so please pay attention. There are several companies now producing a Generic OxyContin or Extended Release Oxycodone. The key here is to remember that Oxycodone is the narcotic agent. Generic oxycodone also comes in an immediate release form too without acetaminophen. So lets see if we can't lay this out for you.

    Oxycodone Extended Release Formula--
    remember this is generic OxyContin
    and it comes in strengths of 10, 15, 20, 30, 40, 60, and 80 mgs. There is no Generic 160 mg pill. At least not yet.

    Remember, none of these pills have anything but Oxycodone in them and they are all extended release formulas.

    Oxycodone Immediate Release Formula-
    This is just plain old oxycodone in an immediate release (which is regular delivery) formula. There was a time when only 5 mg IR pills were made but now the strengths vary and they come in-
    5, 15, 20, and 30 mg. strengths.

    To most of you, it can be a bit overwhelming, but its always good to know about these things. One day I went to my Neurosurgeon and he wrote me a script for Oxycodone 10/500. Well, I didn't look at the script until I reached the pharmacy to see what he had written and needless to say, I had to go back to his office to get another script because the 10 mg oxycodone/apap only comes in 10/325 or 10/650 forms.

    I hope this has helped some of you, and if it hasn't, I'm going to leave a website for you that not only describes all of these narcotics, but it has pictures of most of them. The site is Pharmer.org but specifically---

    www.pharmer.org/imprints/narcotics#oxy

    Try it, you will see an amazing amount of pain meds that you may not have been aware of. It includes Hydrocodone, Morphine Sulfate, Hydromorphone, Oxymorphone, etc.

    Sometime within the next year or so, there will be a brand new TAMPER RESISTANT Extended Release Oxycodone medication out on the market called Remoxy. It's a gelcap that keeps the 12 hour action at 12 hours. Pretty cool. Lots of money is going to flying around with this med's arrival to the general public.

    And now, it's time for that quiz:

  • Sandi,

    I think you are confused. There is a formulation of IR oxycodone that I guess is even faster than what we all commonly call IR. Its called Oxyfast. Comes in capsules and liquid. Its different from the regular old 5 mgs of IR. I think Mominpain was originally prescribed a "regular" IR tablet of 20 mg. oxycodone, not oxycontin 20 mg. And yes, these tabs of 20 mg. of regular oxycodone are hard to find because that is a fairly high dose of oxycodone. I think that is why she has to take four 5 mg. tabs at a time and then the addition of the extra 20 mgs. Sounds like she just needs the oxycontin and the regular oxycodone for break through pain. It could get awfully confusing taking that many pills in such a short time..

    Gary
  • Millsajo,

    I think Mominpain said she was just taking the oxycodone 5 mg tabs with no tylenol.

    Gary
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  • Herrball,

    Thanks for the info and link. There seems to be much confusion regarding the oxycodone formulations. Talk to your doctor when ever you have questions. But, even a lot of them dont know all of this. just look at some of their script mistakes for things that dont exist. Talk to your pharmacist too. They are probably the best source.

    My pet peave? titrate means to adjust meds UP. taper means to adjust meds DOWN. How can you taper a med UP? But, you will see it here many times!

    Gary
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