![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by Fivefires on January 14, 2009, at 20:40:03
My ins dc'd oxycodone. I've been on it a bit more than a couple years; like maybe six(6!?).
I thought the pharmacist spoke of a higher dosage of oxycontin being equivalent to my dosage of oxycodone, 10/650, last night, when I lie frozen in fear at the news I'd need $200 to get my oxycodone. I was just barely able to make quick arrangements w/ pcp and pharmacy. Knew I'd be going into withdrawal midday today. I took a 2mg oxycontin about an hour ago and can feel something working, I think.
Anyway, PCP wrote 2mg oxycontin b.i.d.
You'd like to clobber some of these pharmacists over the head with your purse or broomstick, or rip off your belt and whip 'em, but there is one on the night shift whose straight forward and seems good. I'll give him another call tonight re: his view on equivalency. It seems he didn't say 2mg b.i.d. Seems he said 4, or 40, or 80mg, b.i.d (I really can't remember or even read my handwriting as I was so upset at the whole situation!)
I keep wondering 'won't by body notice the lack of 2600mgs of acetaminophen a day?' I called pcp to ask and staff person said 'there's something in oxycontin to keep this from happening'. Huh? Why didn't I say, 'Like what?' I just said 'Oh. Okay.'. Yes, I'll slap myself on the cheek for ya'! Whoops! Missed it!
Followup very appreciated, 5f
Posted by Phillipa on January 14, 2009, at 21:33:28
In reply to Oxycodone off formulary! FEAR! Oxycontin equiv.?, posted by Fivefires on January 14, 2009, at 20:40:03
Five Fires that's tylenol your liver may thank you. Love Phillipa later after posting ebay will look up equlavency but call the pharmacy as they have copy of script. Love Phillipa
Posted by Larry Hoover on January 14, 2009, at 22:38:29
In reply to Oxycodone off formulary! FEAR! Oxycontin equiv.?, posted by Fivefires on January 14, 2009, at 20:40:03
Based on the acetominophen dosing, I'm going to guess you were taking 8 Percocets a day, 2 every 6 hours?
That amount of acetominophen is not doing your liver any favour, so it's probably a good thing you're stopping that. If you do notice a difference in your pain, you can always take some generic acetominophen. I doubt there are any cheaper drugs out there.
Anyway, it sounds like you were give 2 x 20 mg Oxycontin to replace the Percocet. I can't imagine why your insurance wouldn't cover Percocet. It's not at all expensive as a generic.
Anyway....I had a problem with Oxycontin not lasting as long as they said it would. It's supposed to last 12 hours, but I never got more than 7 or 8. I hope you have better results than I had.Lar
Posted by Fivefires on January 15, 2009, at 18:09:21
In reply to Re: Oxycodone off formulary! FEAR! Oxycontin equiv.? » Fivefires, posted by Larry Hoover on January 14, 2009, at 22:38:29
> Based on the acetominophen dosing, I'm going to guess you were taking 8 Percocets a day, 2 every 6 hours?
>It was one 10/650 4x a day.
> That amount of acetominophen is not doing your liver any favour, so it's probably a good thing you're stopping that.
>I think that's the same thing my PCP was thinking, and I too, but worried a bit how my body might react.
>If you do notice a difference in your pain, you can always take some generic acetominophen.>
I have been. I woke up 'in pain'; feeling awful actually, and have been taking Excedrin alongside it for a while. Haven't had this pain for a long time; waking pain. I remember the years and years of this sour look on my face and pouting lips and squinching eyeballs. Usually I'd call this break-through, but this I'd call aggravated pain!
>
I doubt there are any cheaper drugs out there.
>If so, maybe he can get a prior auth. I don't understand either. What will they give patients after some surgeries?
> Anyway, it sounds like you were give 2 x 20 mg Oxycontin to replace the Percocet.>
Two a day. There is nothing on the bottle about 20mg acetaminophen.
>I can't imagine why your insurance wouldn't cover Percocet.>
I couldn't either!
>It's not at all expensive as a generic.
And too, I didn't feel this funky low depressive feeling with it. W/ oxycodone I'd always felt a bit of an 'it's okay' feelin', which was something I think 'understood' betw PCP and I, but not discussed.
My LFTs had always been okay.
> Anyway....I had a problem with Oxycontin not lasting as long as they said it would. It's supposed to last 12 hours, but I never got more than 7 or 8.>
>I already told my doc this will be just like every other XR or SR out there. I metabolize too fast. I have to take Effexor-XR morning and midday.
>I hope you have better results than I had.
>Think I'm having pretty much the same results. Were you feelin' kinda' low in mood as well? This is a WAY NOT GOOD LOW THAT CAUSES BAD THINKIN' for me.
Let me check bottle re: 20 (acetaminophen right?) ... okay it just says oxycontin 20 mg and on the side (I tripped and hurt my knee .. dangitall!) it says, now I lost it, my room is a mess, so very unfamiliar and uncomfortable for me .. okay .. I went to get the bottle and grabbed cell as had 2min to call doc. Left message awoke with pain and still have it w/ a front office person. Round, pink, Side 1: 0C Side 2: 20. Is that 20mg acetaminophen? It doesn't say anything. If is, that's a huge drop in it.
I called insurance and asked what they covered and they said the following per my scribbling:
oxycontin 80mg
(Now, the following one, I'm not sure if was per my insurance or if I wrote it after called my doc', but it's 20XR x4, ...... not x2! o_o
Then...
oxycodone HCI 10mg 12hr (I don't understand.)
no Roxicet
Vicodin HP 600mg/10
Vicodin ES 750-75
Lortab 500/5
Darvocet A500-100
" N100-650
N50 ? 325-50Then called and read them off to the pharmacist whom has seemed most knowledgeable at my pharmacy and asked him which is most compatible with oxycodone 10/650 4x a day, and I'm thinking it's the 20XR x4 I've written here below 80mg.
> Lar
Could you tell me what you think further pls? It's been a long time since I've seen you here. I've not been well all of 2008, oh, and, got turned down for 2-3 days a week come into home, re: meds, see that I eat, etc. It's not a conscious effort tomake myself ill. It's just doing as I feel and I've been awaiting this year. Really. Something good is supposed to come this year. Idk.
Tks all. Hope this makes sense.
5f
Posted by Phillipa on January 15, 2009, at 19:59:57
In reply to Re: Oxycodone off formulary! FEAR! Oxycontin equiv.?, posted by Fivefires on January 15, 2009, at 18:09:21
Five Fires I'm confused. After surgery depending on in patient or outpatient and the proceedure depends on the meds. If a stay in hospital necessary could either be IV pain meds or by mouth? I was given low dose of percocet for a few days after mine. And the lidocaine pump which lasted a few days til empty. I'm sure you realize acepamophilline is tylenol right? Not very strong for pain. spelled it wrong. Did you get the comparison I sent you? Love Phillipa
Posted by Larry Hoover on January 15, 2009, at 21:15:12
In reply to Re: Oxycodone off formulary! FEAR! Oxycontin equiv.?, posted by Fivefires on January 15, 2009, at 18:09:21
> > Based on the acetominophen dosing, I'm going to guess you were taking 8 Percocets a day, 2 every 6 hours?
> >
>
> It was one 10/650 4x a day.Oh. Never heard of that dose before. Percocet and generics thereof are 5/325. I've always been prescribed multiples of that. Must be a big *ss pill?
> > That amount of acetominophen is not doing your liver any favour, so it's probably a good thing you're stopping that.
> >
>
> I think that's the same thing my PCP was thinking, and I too, but worried a bit how my body might react.Positively. Acetominophen is hard on glutathione, and depleted glutathione can contribute to fatigue.
> >If you do notice a difference in your pain, you can always take some generic acetominophen.>
>
> I have been. I woke up 'in pain'; feeling awful actually, and have been taking Excedrin alongside it for a while. Haven't had this pain for a long time; waking pain. I remember the years and years of this sour look on my face and pouting lips and squinching eyeballs. Usually I'd call this break-through, but this I'd call aggravated pain!So, the 10/650 got you through the night, but a 20 mg Oxycontin doesn't? <Spock eyebrow>
> >
> I doubt there are any cheaper drugs out there.
> >
>
> If so, maybe he can get a prior auth. I don't understand either. What will they give patients after some surgeries?I was referring to how cheap generic acetominophen (Tylenol) is.
> > Anyway, it sounds like you were give 2 x 20 mg Oxycontin to replace the Percocet.>
>
> Two a day. There is nothing on the bottle about 20mg acetaminophen.Oxycontin doesn't have any acetominophen in it. Just oxycodone. The 10/650 tablets were 10 mg of oxycodone, and 650 mg of acetominophen. In place of two of the old tablets (2 x 10), they've given you one Oxycontin (20) tablet, which is supposed to last twice as long.
> >I can't imagine why your insurance wouldn't cover Percocet.>
>
> I couldn't either!!
> >It's not at all expensive as a generic.
>
> And too, I didn't feel this funky low depressive feeling with it. W/ oxycodone I'd always felt a bit of an 'it's okay' feelin', which was something I think 'understood' betw PCP and I, but not discussed.You don't get that with the Oxycontin?
> My LFTs had always been okay.That's good.
> > Anyway....I had a problem with Oxycontin not lasting as long as they said it would. It's supposed to last 12 hours, but I never got more than 7 or 8.>
> >
>
> I already told my doc this will be just like every other XR or SR out there. I metabolize too fast. I have to take Effexor-XR morning and midday.How many hours after your Oxycontin dose do you feel the need for augmentation?
> >I hope you have better results than I had.
> >
>
> Think I'm having pretty much the same results. Were you feelin' kinda' low in mood as well? This is a WAY NOT GOOD LOW THAT CAUSES BAD THINKIN' for me.It sounds like you're in a mild withdrawal, which is a sign this isn't a good match for you.
> Let me check bottle re: 20 (acetaminophen right?)No, it is 20 mg oxycodone. No acetominophen in it.
> ... okay it just says oxycontin 20 mg and on the side (I tripped and hurt my knee .. dangitall!) it says, now I lost it, my room is a mess, so very unfamiliar and uncomfortable for me .. okay .. I went to get the bottle and grabbed cell as had 2min to call doc. Left message awoke with pain and still have it w/ a front office person. Round, pink, Side 1: 0C Side 2: 20. Is that 20mg acetaminophen? It doesn't say anything. If is, that's a huge drop in it.
Oxycontin stands for OXYcodone CONTINual release.
> I called insurance and asked what they covered and they said the following per my scribbling:
>
> oxycontin 80mg
> (Now, the following one, I'm not sure if was per my insurance or if I wrote it after called my doc', but it's 20XR x4, ...... not x2! o_o
> Then...
> oxycodone HCI 10mg 12hr (I don't understand.)That's sometimes called oxycodone IR, for immediate release. Similar to what you had, only no acetominophen.
> no Roxicet
same as Percocet, i.e. usually 5/325> Vicodin HP 600mg/10
> Vicodin ES 750-75
> Lortab 500/5
> Darvocet A500-100
> " N100-650
> N50 ? 325-50> Then called and read them off to the pharmacist whom has seemed most knowledgeable at my pharmacy and asked him which is most compatible with oxycodone 10/650 4x a day, and I'm thinking it's the 20XR x4 I've written here below 80mg.
Yes, sort of. Same total daily dose. You might be better off with the oxycodone HCl. That would be 4 times a day, as before. You'd have the option of taking some acetominophen with it, if you wanted to exactly match what you had been on before.
> > Lar
>
> Could you tell me what you think further pls? It's been a long time since I've seen you here.I haven't been well enough to post for a long time.
> I've not been well all of 2008, oh, and, got turned down for 2-3 days a week come into home, re: meds, see that I eat, etc. It's not a conscious effort tomake myself ill. It's just doing as I feel and I've been awaiting this year. Really. Something good is supposed to come this year. Idk.
>
> Tks all. Hope this makes sense.
>
> 5fI think we're getting somewhere.
Lar
Posted by Phillipa on January 15, 2009, at 21:29:02
In reply to Re: Oxycodone off formulary! FEAR! Oxycontin equiv.? » Fivefires, posted by Larry Hoover on January 15, 2009, at 21:15:12
Larry sorry you haven't been well shoulder? Love Phillipa glad you're back though
Posted by Larry Hoover on January 16, 2009, at 7:45:50
In reply to Re: Oxycodone off formulary! FEAR! Oxycontin equiv.? » Larry Hoover, posted by Phillipa on January 15, 2009, at 21:29:02
My shoulder's fine. It's the severe neuropathic pain (complex regional pain syndrome/reflex sympathetic dystrophy). It just wore me down.
Lar
Posted by Fivefires on January 16, 2009, at 16:20:27
In reply to Re: Oxycodone off formulary! FEAR! Oxycontin equiv.? » Fivefires, posted by Larry Hoover on January 15, 2009, at 21:15:12
> > > Based on the acetominophen dosing, I'm going to guess you were taking 8 Percocets a day, 2 every 6 hours?
> > >
> >
> > It was one 10/650 4x a day.
>
> Oh. Never heard of that dose before. Percocet and generics thereof are 5/325. I've always been prescribed multiples of that. Must be a big *ss pill?
>
> > > That amount of acetominophen is not doing your liver any favour, so it's probably a good thing you're stopping that.
> > >
> >
> > I think that's the same thing my PCP was thinking, and I too, but worried a bit how my body might react.
>
> Positively. Acetominophen is hard on glutathione, and depleted glutathione can contribute to fatigue.
>
> > >If you do notice a difference in your pain, you can always take some generic acetominophen.>
> >
> > I have been. I woke up 'in pain'; feeling awful actually, and have been taking Excedrin alongside it for a while. Haven't had this pain for a long time; waking pain. I remember the years and years of this sour look on my face and pouting lips and squinching eyeballs. Usually I'd call this break-through, but this I'd call aggravated pain!
>
> So, the 10/650 got you through the night, but a 20 mg Oxycontin doesn't? <Spock eyebrow>
>Positively. I awoke a couple times last night too.
> > >
> > I doubt there are any cheaper drugs out there.
> > >
> >
> > If so, maybe he can get a prior auth. I don't understand either. What will they give patients after some surgeries?
>
> I was referring to how cheap generic acetominophen (Tylenol) is.
>Oh. I thought you were saying oxycodone is cheaper than oxycontin.
> > > Anyway, it sounds like you were give 2 x 20 mg Oxycontin to replace the Percocet.>
> >Yes
> > Two a day. There is nothing on the bottle about 20mg acetaminophen.
>
> Oxycontin doesn't have any acetominophen in it. Just oxycodone. The 10/650 tablets were 10 mg of oxycodone, and 650 mg of acetominophen. In place of two of the old tablets (2 x 10), they've given you one Oxycontin (20) tablet, which is supposed to last twice as long.
>Yes.
> > >I can't imagine why your insurance wouldn't cover Percocet.>
> >
> > I couldn't either!
>
> !
>
> > >It's not at all expensive as a generic.
> >
> > And too, I didn't feel this funky low depressive feeling with it. W/ oxycodone I'd always felt a bit of an 'it's okay' feelin', which was something I think 'understood' betw PCP and I, but not discussed.
>
> You don't get that with the Oxycontin?
>No. At least not yet???? Melancholy w/ collective thoughts leading me back to that big bad thot.
> > My LFTs had always been okay.
>
> That's good.
>
> > > Anyway....I had a problem with Oxycontin not lasting as long as they said it would. It's supposed to last 12 hours, but I never got more than 7 or 8.>
> > >
> >
> > I already told my doc this will be just like every other XR or SR out there. I metabolize too fast. I have to take Effexor-XR morning and midday.
>
> How many hours after your Oxycontin dose do you feel the need for augmentation?
>Yesterday, maybe 5, and even 6 would be stretching it.
> > >I hope you have better results than I had.
> > >
> >
> > Think I'm having pretty much the same results. Were you feelin' kinda' low in mood as well? This is a WAY NOT GOOD LOW THAT CAUSES BAD THINKIN' for me.
>
> It sounds like you're in a mild withdrawal, which is a sign this isn't a good match for you.
>I didn't think of it this way, but from the acetaminophen? I chose Excedrin because Tylenol has always made me sleepy, and I sleep often or just lie in bed fatigued during the day.
> > Let me check bottle re: 20 (acetaminophen right?)
>
> No, it is 20 mg oxycodone. No acetominophen in it.
>
> > ... okay it just says oxycontin 20 mg and on the side (I tripped and hurt my knee .. dangitall!) it says, now I lost it, my room is a mess, so very unfamiliar and uncomfortable for me .. okay .. I went to get the bottle and grabbed cell as had 2min to call doc. Left message awoke with pain and still have it w/ a front office person. Round, pink, Side 1: 0C Side 2: 20. Is that 20mg acetaminophen? It doesn't say anything. If is, that's a huge drop in it.
>
> Oxycontin stands for OXYcodone CONTINual release.
>So, Side 2: 20 means the amount of the oxycontin. There's not a drop of acetaminophen in oxycontin. I'm crazy lookin' for answers.
> > I called insurance and asked what they covered and they said the following per my scribbling:
> >
> > oxycontin 80mg
> > (Now, the following one, I'm not sure if was per my insurance or if I wrote it after called my doc', but it's 20XR x4, ...... not x2! o_o
> > Then...
> > oxycodone HCI 10mg 12hr (I don't understand.)
>
> That's sometimes called oxycodone IR, for immediate release. Similar to what you had, only no acetominophen.
>Well might that have been considered v. oxycontin?
I'm beginning to think this all about extended release medication being considered a priority over immediate release meds. But, in a case like mine, where I metabolize most meds too fast, this could have me in a constant state of withdrawal huh? For those who metabolize properly, fine. I remember being on Effexor v. Effexor-XR and as I recall my life at that time, I was doing better, though don't recall life circumstances which may have come into play. (My pdoc doesn't want me on two diff' ben*os, reason for being on Xanax-R 1mg 3x a day and Xanax 2mg 3x a day.
> > no Roxicet
> same as Percocet, i.e. usually 5/325Oh .. that's what I thought. Not on formulary.
> > Vicodin HP 600mg/10
> > Vicodin ES 750-75
> > Lortab 500/5
> > Darvocet A500-100
> > " N100-650
> > N50 ? 325-50
>
> > Then called and read them off to the pharmacist whom has seemed most knowledgeable at my pharmacy and asked him which is most compatible with oxycodone 10/650 4x a day, and I'm thinking it's the 20XR x4 I've written here below 80mg.
>> Yes, sort of. Same total daily dose.
Well then my pain med has been cut in half???
That occurred to me last night and I called and spoke with a diff' pharm; not one w/ a very good counter-side manner. :( He said two 20mg OXYcodone CONTINual releases WAS EQUIVALENT!(?) to 10/650 oxycodone. In my exhausted state, just said 'oh'; hung up.
>You might be better off with the oxycodone HCl. That would be 4 times a day, as before. You'd have the option of taking some acetominophen with it, if you wanted to exactly match what you had been on before.>
>That thought also occurred to me as I was typing this to you yesterday. It's oxycodone 5mg ?, hydrochloride ?, and 1 what ?
> > > Lar
> >
> > Could you tell me what you think further pls? It's been a long time since I've seen you here.
>
> I haven't been well enough to post for a long time.
>
> > I've not been well all of 2008, oh, and, got turned down for 2-3 days a week come into home, re: meds, see that I eat, etc. It's not a conscious effort to make myself ill. It's just doing as I feel and I've been awaiting this year. Really. Something good is supposed to come this year. Idk.
> >
> > Tks all. Hope this makes sense.
> >
> > 5f
>
> I think we're getting somewhere.
>
> LarHope you catch this today and I hear from you. I'm sorta' a flake sometimes and apologize if I'm 'all over the place' with this.
scratchin head, 5f
Posted by bleauberry on January 16, 2009, at 16:42:33
In reply to Oxycodone off formulary! FEAR! Oxycontin equiv.?, posted by Fivefires on January 14, 2009, at 20:40:03
Have you ever tried a combination of ibuprofen and acetaminophen at the same time? My awesome genius dentist turned me on to that trick. It not only works far better than either drug alone, but has a lower liver damage risk since the dose of acetaminophen is kept lower than if it was taken by itself.
I don't know much about the opioid pain meds, but I just wanted to comment on the combination of tylenol+advil rather than either alone.
Posted by Larry Hoover on January 16, 2009, at 17:59:40
In reply to Re: Oxycodone off formulary! FEAR! Oxycontin equiv.?, posted by Fivefires on January 16, 2009, at 16:20:27
I've got to edit this down.
> > So, the 10/650 got you through the night, but a 20 mg Oxycontin doesn't? <Spock eyebrow>
> >
>
> Positively. I awoke a couple times last night too.10 mg of oxycodone let you sleep throught the night before, but the new tablet of Oxycontin, at twice the dose, does not? You take it just before bed, or a number of hours before retiring?
> > I was referring to how cheap generic acetominophen (Tylenol) is.
> >
>
> Oh. I thought you were saying oxycodone is cheaper than oxycontin.Well, that's true also.
> > > And too, I didn't feel this funky low depressive feeling with it. W/ oxycodone I'd always felt a bit of an 'it's okay' feelin', which was something I think 'understood' betw PCP and I, but not discussed.
> >
> > You don't get that with the Oxycontin?
> >
>
> No. At least not yet???? Melancholy w/ collective thoughts leading me back to that big bad thot.That's a feeling I attribute to oxycodone withdrawal, which is why I brought it up (below).
> > How many hours after your Oxycontin dose do you feel the need for augmentation?
> >
>
> Yesterday, maybe 5, and even 6 would be stretching it.That's not working for you, at all. When my Oxycontin wasn't lasting long enough, my doctors switched me to a lower dose of Oxycontin, but three times a day, to make the same total amount. I still had breakthrough pain, on an eight hour dose cycle. Sounds like the same problem you're having with it.
> > It sounds like you're in a mild withdrawal, which is a sign this isn't a good match for you.
> >
>
> I didn't think of it this way, but from the acetaminophen?No, I don't know of an acetominophen withdrawal phenomenon. I was meaning the narcotic. Black mood is a characteristic symptom of oxycodone withdrawal.
> I chose Excedrin because Tylenol has always made me sleepy, and I sleep often or just lie in bed fatigued during the day.
Excedrin contains acetominophen, too.
> > Oxycontin stands for OXYcodone CONTINual release.
> >
>
> So, Side 2: 20 means the amount of the oxycontin. There's not a drop of acetaminophen in oxycontin. I'm crazy lookin' for answers.That's correct. The 20 is the dose of oxycodone. 10 mg Oxy's are white, 5's are blue.
> > > oxycodone HCI 10mg 12hr (I don't understand.)
> >
> > That's sometimes called oxycodone IR, for immediate release. Similar to what you had, only no acetominophen.
> >
>
> Well might that have been considered v. oxycontin?Hmmm. I didn't notice the 12hr last time. Sorry about that. There are a number of generic oxycodone hydrochloride products in the FDA Orange Book. Just straight oxycodone, all kinds of different doses per tablet.
> I'm beginning to think this all about extended release medication being considered a priority over immediate release meds. But, in a case like mine, where I metabolize most meds too fast, this could have me in a constant state of withdrawal huh?
I was. I gradually developed constant withdrawal symptoms. I had to discontinue oxycodone because of it.
> For those who metabolize properly, fine. I remember being on Effexor v. Effexor-XR and as I recall my life at that time, I was doing better, though don't recall life circumstances which may have come into play. (My pdoc doesn't want me on two diff' ben*os, reason for being on Xanax-R 1mg 3x a day and Xanax 2mg 3x a day.
Maybe you can find out if your insurance would cover plain oxycodone hydrochloride tablets. The 12hr notation you wrote above probably refers to an extended release formulation.
> > Yes, sort of. Same total daily dose.
>
> Well then my pain med has been cut in half???No. You were getting 40 mg of oxycodone before (10 x 4). Now you're getting 20 x 2.
> That occurred to me last night and I called and spoke with a diff' pharm; not one w/ a very good counter-side manner. :( He said two 20mg OXYcodone CONTINual releases WAS EQUIVALENT!(?) to 10/650 oxycodone. In my exhausted state, just said 'oh'; hung up.
Equivalent to the 4 10/650s you used to be on, yes. Theoretically equivalent. Obviously, not clinically equivalent, as you're not getting the same effect.
> >You might be better off with the oxycodone HCl. That would be 4 times a day, as before. You'd have the option of taking some acetominophen with it, if you wanted to exactly match what you had been on before.>
> >
>
> That thought also occurred to me as I was typing this to you yesterday. It's oxycodone 5mg ?, hydrochloride ?, and 1 what ?If you were prescribed 4 tablets per day of plain 10 mg oxycodone hydrochloride, you could then take it the same as before.....and add in Excedrin or Tylenol or Advil or whatever.
> Hope you catch this today and I hear from you. I'm sorta' a flake sometimes and apologize if I'm 'all over the place' with this.
>
> scratchin head, 5fI hope this helps.
Lar
Posted by Fivefires on January 17, 2009, at 18:07:19
In reply to Re: Oxycodone off formulary! FEAR! Oxycontin equiv.? » Fivefires, posted by Larry Hoover on January 16, 2009, at 17:59:40
>LAR: I've got to edit this down.>
YEP WAS CONFUSING, SO LONG.
LAR: > > So, the 10/650 got you through the night, but a 20 mg Oxycontin doesn't? <Spock eyebrow>
> >
>
ME: Positively. I awoke a couple times last night too.>
>
LAR: 10 mg of oxycodone let you sleep throught the night before, but the new tablet of Oxycontin, at twice the dose, does not? You take it just before bed, or a number of hours before retiring?>
>YEP. AGAIN I AWOKE LAST NIGHT!
AND YES, PROB' WITHDRAWAL AS YOU'RE RIGHT ON TARGET RE: THE BLACK SPACE.
I'M IN IT.
AND, YES, I DID CALL BOTH MY PCP AND MY PDOC ABOUT THIS YESTERDAY AS SOON AS I REALIZED MY SITUATION AND MY FEELINGS.
I HAVEN'T BEEN 'DOWN HERE' FOR A LONG LONG TIME. THOUGH I'VE BEEN IN BED FOR THE BETTER PART OF A YEAR, I'VE NOT GONE INTO THIS SPACE - COULD THINK COGNITIVELY PROPERLY - TOMORROW MAY BE A BETTER DAY TYPE THINKING - NOW CAN'T SEE IT.
I'M UNDERSTANDING YOU'RE SAYING I MAY BE IN A SORT OF 'NOW YOU'RE IN WITHDRAWAL' 'NOW YOU'RE NOT' BECAUSE THE ER ISN'T EXTENDING LONG ENOUGH. APPRECIATE U LET ME KNOW IF POSSIBLY RIGHT OR WRONG.
(I CAPPED TO MAKE MY CURRENT POST STAND OUT A BIT. I'M NOT SHOUTING.)
5f
Posted by Larry Hoover on January 19, 2009, at 7:48:11
In reply to Oxycodone 2 Contin - Black Space *small trigger*, posted by Fivefires on January 17, 2009, at 18:07:19
> I'M UNDERSTANDING YOU'RE SAYING I MAY BE IN A SORT OF 'NOW YOU'RE IN WITHDRAWAL' 'NOW YOU'RE NOT' BECAUSE THE ER ISN'T EXTENDING LONG ENOUGH. APPRECIATE U LET ME KNOW IF POSSIBLY RIGHT OR WRONG.
Yes. It's also possible that the Oxycontins aren't releasing their oxycodone fully (due to low alkalinity in the small intestine?), so you aren't actually exposed to the dose you are officially receiving.
I think in my case, my body adapted to the oxycodone by speeding up its metabolic breakdown. I started having full-on withdrawal symptoms all the time, despite maintaining my blood level by staggering the intake even more than they told me to.
In your case, you could perhaps test the withdrawal theory by taking an immediate release product, such as your 10/650s, and seeing if your black mood lifts.
I hope your doctors listen to your concerns. Oxycontin is definitely not a fool-proof oxycodone delivery system.
Lar
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.