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dgardineerddgardineer Posts: 158
edited 06/11/2012 - 7:25 AM in Pain Medications
I was just switched from vicodin 10mg 4xs a day to oxycotin 10 mg 2xs a day and was wondering what the best way to take it would be do you just spilt your day in half ?Also when you first started taking it did you need breakthrough meds right away or was it after a while?


  • I've tried various types of pain meds and it didn't seem to take long for my body to build a tolerance so I would have to have to dose increased. I am currently weaning myself off pain meds but it's hard when it HURTS SO DARN MUCH ~X( The doc is not in favor of his patients taking pain meds and said that my body has become dependent on them therefore it does not ward off pain naturally.

    Anyway, splitting them in half seems to be a good idea, however you may want to call the pharmacist to see what they suggest.

    Both meds are extremely addictive so please be cautious of this.

  • with oxycontin, YOU DO NOT WANT to cut pill in 1/2 or otherwise, its extended release(meaning 12 hrs supposedly,I don't take them).You will get a large dose released at once and make cause you to be ill, possible overdose.It has a warning on the bottle.

    Best way would be pick like a 1@7 am @7 pm dosing schedule or what works w/ you pain levels.
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  • Very good advice! When you are prescribed a medication that is twice daily, it usually means every twelve hours... This will keep medication "theoretically" in your system all the time.
  • With meds directed @ 2 x, I have found that bedtime and early in the day are best. When taken @ bedtime, I usually sleep better. With OC, a certain amt is released immediately, and then gradually throughout 12 hours.

    Assuming one sleeps 8-9 hours, taking it again mid morning ensures you have good pain control through most of the day.

    Re: BT meds, it just depends on your level of pain and tolerance. Everyone is different. However, once you move "up" in potency, it's not unusual to need less BT meds in the short run. However, over time, your body adapts to the increase, and BT meds are gradually required more often.


  • I know you meant split the day in half, by 12 hours, as you said, and not 'split pills in half'.

    So yes, take one at say, 8am, and then one at 8pm, easy as that; you can verify with your doctor if you need. Oxycontin does take about 3 days to reach it's peak concentration in your bloodstream, so I suppose if you still had a vicodin or two left for breakthrough, your doctor would likely give you the OK to take them if needed during the first day or two, but after that, you should be fine (ask first though).

    Stick to your schedule tightly, don't ever take your next dose early, never double up if you miss a dose, and this should keep your tolerance low for a long time.

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  • thanks everyone thats exactly what I was looking for I figured that was how to do it but just wanted some reassureance.
  • Hey another Pennsylvanian??? Me too!
  • dilaurodilauro ConnecticutPosts: 11,349
    Under NO situations should you Ever break or crush or crush Oxycontin ER tables. That also applies to ANY medication that is intended for Extended Release. These pill have a coating that provides you with a time release of pain medication. If you damage that coating, you run the risk of taking too much of the drug at one time. You can also run the risk of Respiratory Failure doing that.
    Ron DiLauro Veritas-Health Forums Manager
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
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