going from methadone to oxycontin

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Rhonda in Nashville
New Member


Date Joined Nov 2008
Total Posts : 14
   Posted 11/16/2008 1:18 PM (GMT -7)   
  
 
Hi everyone, I have been on methadone 130mg. daily for over 10 years at a MMT clinic.  Recently started seeing a pain doc for post lamenectomy syndrome, spinal stenosis, I have had 2 back surgeries over the years, the last was 4 years ago, fusion of 4 vert.
 
My question is this:  After being on methadone for so long I have just started on oxycontin 80 mg.  How long will it take before I "feel" the oxy's?  And how bad will the withdrawls be?  I am terrified that stopping methadone one day and taking oxy 80 the next will send me into severe withdrawls.
 
Any help would be helpful as I am scaring myself into severe anxiety.....

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 11/16/2008 1:59 PM (GMT -7)   
Hi, Rhonda,
Welcome to the HW forum for chronic pain. It's important you know we're not doctors, and can only share our experiences and lend support. That being said, this kind of abrupt switch doesn't sound right to me. Were you on methadone for pain or for addiction issues? I think you really need to make sure your doctors are working together. Methadone can be used for pain, also, so IF you were taking it for addiction I wonder if it should also be continued for pain management. If it was for pain and not working, and that's the reason for the switch to oxycontin, it still seems kind of abrupt but I don't know. Did you ask your PM doctor? What did he/she say? I'd really suggest talking with them.

PaLady

Rhonda in Nashville
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Date Joined Nov 2008
Total Posts : 14
   Posted 11/16/2008 4:34 PM (GMT -7)   
I was niave about using methadone for pain, after several years of taking Lortab with minimal help, I followed a friends advice and went to a MMT clinic...since they do not give it for chronic pain I took it for addiction. After several years I found out that a doc could give it to me. But I didn't have any idea of how to fond a doc to do it. So, I just stopped going to my clinic and started with a Physiologist (sp)? He was the doc that recommended my fusion surgery a few years ago. So, now I took my first 80 oxy earlier and I don't feel Bad, but I don't have the same energy I did with the methadone. I am more concerned about withdrawls...My doc knows about me coming off the clinic and that might be why he hasn't gone that route with me....He wants me to try this and see what happens. He's not much of an advocate for methadone for pain. So, should I worry about going through withdrawls?

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 11/16/2008 7:32 PM (GMT -7)   
Rhonda,
I'm still a bit confused. You say you took the methadone for addiction - are you saying you have an addiction problem in addition to pain? Or that you claimed to have one to get the methadone? Either way, you really need to be up front with your doctors. And ask them about withdrawal advice. If you have addiction issues, then the oxycontin would just activate cravings.

If the methadone was helping with your pain, why not find a doctor who will prescribe it for pain? Sorry I don't have better suggestions but I'm not a doctor, and I really think your doctor needs to guide you on this.

PaLady

Rhonda in Nashville
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Date Joined Nov 2008
Total Posts : 14
   Posted 11/16/2008 7:54 PM (GMT -7)   
I went to the clinic in order to get the methadone period...I was up front with my counselor about it and it helped...but it was a big hassle. I didn't know that Dr.'s could give it to you for pain...after a few years I did go to a doc. I am very up front with my doc. he thinks I should try the oxy for a while. He claims that I should be okay but I'm hearing differently from other people and I am scared. Withdrawing from methadone isn't fun and I'm scared of the pain, but the oxy should help...

Hound-Dog
Regular Member


Date Joined Oct 2005
Total Posts : 183
   Posted 11/17/2008 2:29 AM (GMT -7)   
There is a drug conversion table at www.globalrph.com/narcotic.cgi Check it out and talk to your Dr. if bad pain or withdrawl shows up.Dr's are carefull with methadone because it stays in your system much longer than most narcotics and overdose is a fear when changing to a different narcotic pain medication.I hope the table helps.............Rod

Rhonda in Nashville
New Member


Date Joined Nov 2008
Total Posts : 14
   Posted 11/17/2008 6:14 AM (GMT -7)   
Thank you Rod....I am checking it out right now...

Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 11/17/2008 6:33 AM (GMT -7)   
Rhonda,
I took Oxycontin for pain. I was on it for about 6 months and got very
little pain relief. After that the Dr. put me on Avinza. It didn't work either!
Looking back I realize that I didn't go off Oxycontin slow enough. (My
Dr. didn't know. He was just a GP)
He sent me to a sadistic pain dr. That guy decided to take me off EVERYTHING.
I finally got transferred to a pain clinic where they safely got me started on
Methadone for pain.
Changing from one opiate to another takes a medic who is highly skilled in
making the transfer.
I'm doing just ok on Methadone now. I really worry about having a surgery or
something and not getting the pain relief I need because Methadone blocks
Opiates from working. "Worry" is not the word. I'm terrified.
Good luck with your situation. Let us know. OK?
Pamela Neckpain

Rhonda in Nashville
New Member


Date Joined Nov 2008
Total Posts : 14
   Posted 11/17/2008 7:06 AM (GMT -7)   
I had my first back surgery while on methadone...I was soo scared of what would happen. Well, I was worried for nothing. Because I was honest and told the surgeon about the methadone they were great with my pain control..That was the first time that I had ever taken Dilaudid and could really understand why people like it!! Actually methadone doesn't block other opiates, you can still get pain relief from other pain meds, you just don't feel a "high". I took MS Contin along with the methadone after my surgery and had pretty good relief. I took my first oxycontin on Saturday and I was surprised at how good I actually felt. Now, 3 days off methadone and 2 days on oxy I'm not as sure. I woke up at 4:00am with serious aches and cramping and all over edginess...I am hoping it will all work out.

Thanks to everyone for all of your support and help..Not many people are willing to listen to someone in chronic pain because they think we are all junkies looking to get high. I would be happy with just feeling "Normal" like all the people in the world who have never had any pain or taken pain meds. That would be my dream.....AHHHH in a perfect World????
 
 
hemi-lamenectomy L-4 1998
spinal fusion with own bone L-3 to S-1 2005
Degenerative disc disease
spinal stenosis
several epidural injections
caudal block
high blood pressure
GERD
sleep apnia
arthritis in both knees
Post Lamenectomy Syndrome
 


straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13455
   Posted 11/18/2008 12:14 AM (GMT -7)   
Hi Rhonda, sure do hope the Oxy is helping you. CP is no fun and unless you live the life of a CPer no one else has a clue for sure. Keep us posted on how you are coming along. Hugs Susie


kttn251977
Veteran Member


Date Joined Jul 2007
Total Posts : 554
   Posted 11/18/2008 6:04 AM (GMT -7)   
Hi Rhonda....i went from methadone to oxycontin. i like it, but they built me up to oxycontin 60 mg. (I started at 10) so i was a little suprised at the high quantity you are on. i am sure that any dr to put you at that dose knows what they are doing. i was afraid of oxycontin when i first started just because of the hype the drug itself has. once i began to read the material, i knew it would be ok. so far it the only thing that has helped cut some of the pain. (i have been on methadone, diuragesic patch, ms contin, avinza, etc) the list goes on for me. but my question is are you taking anything for the BT pain? As for the med itself, everyone is different. you are on a higher dosage of oxy- so be cautious. if you have questions call the pharmacy about taking anything with it. my dr says the question to ask yourself is if you don't have the med, how is the pain? does it help? they may have to tweak it a few times. what i don't understand is that if you have a history of addiction & your dr knows you do----why on earth would he take you off methadone (which is a non-addictive drug) & put you on a highly addictive drug? methadone is a very "safe" drug. Especially if it worked for you? You have to be honest with your dr, let him know your concerns. definitly let him know you have addiction issues. good luck & be safe!
RX's: Oxycontin 60 MG 2x's daily; Oxycodone 30 MG 4x's daily; Soma 3x's daily; Lyrica 100 MG 3x's daily (all for pain & fibro.); Phenergan 25 MG (as needed); Amitriptyline 25 MG 1x at bedtime; Cymbalta 60mg 2x's daily (for pain & fibro); Restoril 15mg at bedtime; Zanaflex 4mg 3x's daily; Metoclopram (as needed) & Senokot (as needed).
"The most critical choice you'll ever make is the one you make about what you're going to do with this. The past is over. The future hasn't happened yet. The only time is now."
- Dr. Phil


QTKaren
Veteran Member


Date Joined Apr 2008
Total Posts : 605
   Posted 11/18/2008 11:38 AM (GMT -7)   
The only way she thought she could get on the methadone to begin with was to say she was an addict and get it for an addiction she never had. But later she realized she could get the methadone prescribed for pain through a reg doctor and switched over to that,so she has always used the methadone for pain only but it wasnt working for her pain anymore so her doc changed her over to the oxycontin but without weaning her from the methadone at all before starting the oxycontin and what shes worried about is any withdrawel from the methadone even though she is now on the oxycontin.
Karen
 
Mom of one gramma to 4 lover to One
 
Fibromyalgia,IBS,Stroke x2,endometriosis,Diabetes type 2,neuropathic pain,nerve damage due to tailbone removel,nerve damage due to fractured back,deppresion,high blood pressure,severe nausea,atrophy,chronic pain,nerve damage due to botched bladder surgery,torn hip joint,hypoglycymic
 
Norco(double strength vicodin) 80 to 100 mg @ day
Ms Contin(morphine) 45 mg @ day,Lyrica 600mg @ day
 
 
 


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 11/18/2008 12:43 PM (GMT -7)   
QTKaren,
Something here just doesn't add up, and I say that as someone who has professional background in addictions as well as a person who's a chronic pain patient. You just don't walk into a legit methadone clinic and say you're an addict and get methadone. There have to be signs & symptoms, be they truthful or not. I have no problem with someone who's dealing with both chronic pain and recovery from addiction, because that's truly a challenge, but one of the most important things for such a person is honesty with treatment providers and that doesn't seem to be evident here although I could be missing something. If so, I apologize.

But one thing that bothers me is when people with chronic pain aren't truthful with their doctors because it ends up hurting the rest of us. We've got an uphill climb with stigma with both our doctors and the public as it is. I have to wonder why Rhonda isn't working directly with her doctors to get information and help about withdrawal, but I'm not going to get into any further discussion about it here.

PaLady

Post Edited (PAlady) : 11/18/2008 12:46:24 PM (GMT-7)


Rhonda in Nashville
New Member


Date Joined Nov 2008
Total Posts : 14
   Posted 11/18/2008 9:53 PM (GMT -7)   
Okay, back when I first had trouble with my back all the docs would give me was Lorcet plus (that's how long ago it was). Then they cut me off after 6 months. So, I did anything I could, buy them off the street, anything... The girl that was selling me the tabs was goiung to a methadone clinic and put some of hers in a bottle and had me take it. OMG!! That was it. I started at the clinic 3 days later. Back then they didn't really ask too many questions, and my mom was with me. So, fast forward a lot of years....I heard about pain doctors...It took me a long time to find one and even longer to find a good one. so, here we are. I go back to my doc in 2 days for a follow up. I think I am gonna ask to go back to the methadone. The oxy 80 seemed to take the pain away but it's not as good as methadone for how long it lasts. They have me on Lortab 10 for BT pain by the way. I know that it will take time to find the correct meds for me, all I know is that if I had nothing to take I would be in such a deep hole I wouldn't be able to get through it. So, I'll let everyone know what happens on Thursday with the doc....hopefully things will be good.....
 
 
hemi-lamenectomy L-4 1998
spinal fusion with own bone L-3 to S-1 2005
Degenerative disc disease
spinal stenosis
several epidural injections
caudal block
high blood pressure
GERD
sleep apnia
arthritis in both knees
Post Lamenectomy Syndrome
Bipolar Disorder
 


Rhonda in Nashville
New Member


Date Joined Nov 2008
Total Posts : 14
   Posted 11/18/2008 9:59 PM (GMT -7)   
 
 
Who told you that methadone was a nonaddictive drug?  It is one of the most addictive drugs there are...I wish it wasn't..
 
After being on it for so many years it has lost a great deal of effectiveness on my pain.  All I know is that when I don't have it for a few days I am in seriously bad shape.  It seems like time stands still, nightmares, all the wd symptoms..that is one of the reasonsd I wanted to try something else.  But now I think I have to go back to it, but through my pain doc.  I don't ever want to go to another MMT clinic again.  That was some of the worst years of my life...Don't get me wrong, the methadone worked great!!  It was the stigma attached to the clinic that got me.
 
Now I think going to a doc for it will  be sooo different for me and my family. Not to mention cheaper...

 
 
hemi-lamenectomy L-4 1998
spinal fusion with own bone L-3 to S-1 2005
Degenerative disc disease
spinal stenosis
several epidural injections
caudal block
high blood pressure
GERD
sleep apnia
arthritis in both knees
Post Lamenectomy Syndrome
Bipolar Disorder
 


straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13455
   Posted 11/18/2008 10:24 PM (GMT -7)   
Rhonda you are so right, Methadone is highly addictive. In fact, no one should ever be put on Methadone unless its going to be for long term use ony. It is not a short term use drug. I am sorry to hear that the Oxy is not cutting it for you. I can understand wanting to try something else. But, I will tell you, Methadone is a killer to get off of if you can. Coming off of Methadone is a very, long, long process. I understand your statement perfectly as to how you got on Methadone. You have made it clear and I think someone posted by the name of QT Karen posted correctly how you started on Methadone. Now, you have access to it and see your drs you can be honest about whatever medication may be needed. Rhonda be sure to talk with your dr when you have questions concerning a drug or your pharmacist. Thats your two best sources. Do not rely on us here at HW because we are not drs or pharmacist and I sure would hate to see you get some bad input. Let us know how your appt goes.Susie

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