Oxycodone long acting
Common Questions and Answers about Oxycodone long acting
oxycontin
ve decided (and sent an email) to talk to the NP at the pain clinic about switching me over to a long-acting medication for my pain. I'm thinking it will give me better relief. Even though I'm on a high dose now (45 mg. every 4 hours of oxycodone,) my pain seems to return after 2 to 3 hours. And I did have a bad flare-up this weekend; most likely due to the fact I ran low on medication due to my script not coming in the mail.
Now it's a question of which medication???
OxyContin is long-acting and oxycodone is immediate release. How often were you prescribed the OxyContin? Just to make sure: you were taking oxycodone 15 mg. for 3 months?
Some types of pain require a slow release with the long-acting med. Sometimes, often, you may need something for breakthrough pain, though you can also use OTC meds.
Were you not getting good pain relief with the 15 mg. of oxycodone?
While many doctors do prescribe a short acting med along with the long acting med, the short acting meds are typically written to be taking AS NEEDED for breakthrough pain (of course, also giving a time frame such as every 6 hours) - the breakthrough meds are not typically written to be taken EVERY day. In fact, the goal of a long acting med is to reduce the need for breakthrough meds. therefore, you may or may not need to take any more narcotic than what is in your long acting med.
BT pain is not a new concept.
Of course, I've had pharmacists ask (when reading my Rx), "What is BT pain?"
Chronic pain is not taught in medical schools, except as a side. Perhaps we need a new word -- when people see "chronic pain" they probably believe its like the pain of a broken bone, only it lasts longer.
I have no idea what kind of education a pharmacy PhD grad receives on the disease state known as chronic pain.
I'm not a doctor, so keep that in mind. Mg for mg, hydromorphone is definitely stronger than oxycodone. It is hard to figure out exactly because you really need to add in a cross-tolerance when comparing the two and that varies person to person. If you use the lowest "medically acceptable" cross tolerance, 10mg of oxycodone (not long acting) is equal to about 3mg of hydromorphone (again, not the long acting type).
If pain breaks through the long acting opioid, oxycodone or some other Immediate Release opioid is used to relieve the breakthrough pain.
I used to take only short acting pain medication as well but I found that I was chasing pain all day as the effects wore off so quickly, way before it was time for another dose.
I think you would do much better on a long acting opioid such as MS Contin, Kadian, Fentanyl, or even oxycontin which is oxycodone in extended release form.
Gracie, I need to make clear to you that the Oxycodone is made in both the Long-acting and the short-acting med. The Percocet that i take is the Short-acting of course. I was assuming that you were talking about the short-acting.
If you are talking about the Long-acting, it's still my understanding that the Fentanyl is still the stronger of the 2 meds. I'm sure that others will be along that might have more information. for you.
Your physician took you off the OxyContin (Long Acting Opiate) and ordered the Fentanyl Patch (Long acting Opiate). Your question is can the (Long Acting) OxyContin and the (Long Acting) Fentanyl Patch. If I have your question correct the answer is no. Only one long acting opiate can be ordered at a time. You may take the OxyContin or the Fentanyl, not both.
If you are unhappy with the medication change please talk to your prescribing physician. Tell him/her just what you told us.
First off, I'm hoping that all those that were in the path of Hurricane Irene are okay. Some downed trees and branches around here but nothing too bad from what I can tell.
Some of you know a few weeks ago I was hospitalized. I'm feeling okay, not myself but hopefully will get to the bottom of things soon. I have an appointment with my primary care doctor on Thursday. I think this has been going on longer than I realized, possibly even as far back as a year ago.
To my knowledge Methadone is stronger longer acting than Oxycodone. Since you were not on it long that is the way I would decide.
The Oxycontin 20mg is a long acting medication that is taken usually twice a day, the oxycodone is an immediate release medication for fast relief of breakthrough pain. Its very common to be prescribed both a long acting med and a short acting med.
The Marinol, i would say is more for the nerve pain, which is probably why he is still on the oxy meds.
I hope that helps some. Good luck!
Some patients are only prescribed 2 doses, or tablets per day of a "long acting" pain killer (oxycontin, mscontin, methadone, etc.), on the assumption that they should be only taken every 12 hours. "Breakthrough" medicine ("quick acting, oxycodone, percocet, vicoden, etc.) is usually prescribed to combat any increases in pain throughout the day.
do i still wait it out? and for how long? if not...should i try a different long acting before getting to into the opana ...heard u tolerate quick...which wouldn't matter if the plan is to continue... but...i think u get what i'm asking...gotta sum it up eventually, right lol.
so lemme recap questions...so i can help u help me...
- has anyone gotten headaches and felt drowsy on opana er?
Being that you have been taking hydrocodone/acetaminophen for 5 years it is probably best to switch to a long-acting opioid and use the hydrocodone/acetaminophen or a similar short-acting opioid for breakthrough pain.
I have been taking combination short-acting opioids for over 4 years now and I was just recently switched from percocet to oxycodone IR for breakthrough pain.
They are taking Hydrocodone off the market all together and replacing it with a long acting med called ZoHydro. it is Vicodin without the tylenol 500 mg of tylenol is way way too much for your liver to handle. I am on Roxy's which is oxycodone 30 mg no aspirin they do fine and for the long acting i am using Morphine Sulphate.
If your question is can a long acting opiate be prescribed together in addition to the Norco regime you are on, the answer is yes. Physicians can prescribe OxyContin and Norco (hydrocodone) together.
I don't think it is common to prescribe two short acting opiates and allow you to chose which one you will take on any given day. I am sure it happens. This must be a decision between you and your physician.
My doctor loves to offer titrations on the long acting med but not the short acting med. I believe this is because the long acting med has less potential to release euphoria which is the main driver of opioid addiction. What they don't realize is that with real chronic pain, there isn't any euphoria or very little which can be attributed to happiness that the pain went down versus the med producing it in and of itself.
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