medicine question

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ELderLy
Regular Member


Date Joined Aug 2008
Total Posts : 34
   Posted 11/16/2008 4:06 PM (GMT -7)   
  Im currently on 10mg oxycontin, twice a day, four 10/325 watson oxycodone for BT. At first the 10mg of Oxycontin did purdy good but that only lasted two months. What would be a resonable increase request? My PMD is cool about suggestions, knows that i particpate in legit forum discussions. I feel im terribly under medicated for the amount of pain which is more frequent these days. Would asking for 60mg oxycontin and stonger BT be asking too much? Red Flag senario? Or gradual increase? Problem is that within the few months between appointments and i get ta hurtin bad, seems like a month is a year wait to get a change of meds and that month is a tuff one.

Blessedx8
Veteran Member


Date Joined Aug 2008
Total Posts : 3193
   Posted 11/16/2008 5:10 PM (GMT -7)   
Hi ELderLy - Glad to hear you've got a good PM doc that listens to you.  It is soooo important.  How long have you've been on the 10mg of oxycontin?  Hmmm.  Just from my experiences and such, I think the jump between 10mg BID and 60mg BID is a pretty big jump.  Not saying that's not what you need, it very well might be.  Does the oxycontin seem to work 12 hours for you.  I've been on oxycontin a few times - I've used it 2x/day; there's been other times where my script would be 3x a day (about every 8 hours).  That seemed to give me better, "even" pain control.  The most oxycontin I've been on has been 80mg 3x day w/ a BT med.
 
That being said - I'd ask to jump to 40mg 2x a day.  You could also ask for oxycodone (not Percocet w/ acetaminophen); the instant-release oxycodone.  I think I've used it before in a 10mg or 15mg pill.  Don't quote me on that. 
 
Could you try that for a month, and ask w/ a follow-up appt in a month to "check-in" and see how that's working.  That way, if you need to jump your dose again, you don't have to wait two+ months.  When my doc is adjusting my meds (increasing dosages, changing things, etc) - I always go see him more frequently.
 
Let us know what you decide - Good Luck to you turn    --Tina
 

 

Diagnosed with: POTS/dysautonomia; Fibromyalgia; Severe Hypertension; Hypothyroidism; Adrenal Gland Disorder; Chronic Pain - severe carpal tunnel syndrome, migraines, severe back problems, widespread muscle/joint pain....as well as depression/anxiety.

 

Current Meds: 480mg MS Contin, 90mg MSIR, Soma, Effexor and MANY other meds (heart, thyroid, etc)

Past Meds: EVERYTHING.  Fentanyl patches, Actiq (which caused $$$ in dental work), Fentora, Oxycontin, Oxycodone, Kadian, Avinza, Dilaudid and on the list goes.

 

Waiting On: Intrathecal Drug Pump Implantation (Dilaudid/Baclofen combo)

 


skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2976
   Posted 11/16/2008 5:53 PM (GMT -7)   
Elderly,

I'm just starting Oxycontin. I've been on 10mg twice a day for about a week & a half. It doesn't seem to be doing much for me either & it definitely doesn't last 12hrs. I'm meeting with my PM again this week & we will adjust my meds. The plan is that I see him every two weeks until we find the correct dosage, etc. Perhaps you could talk to your doctor about trying something like this. That way you could increase at smaller increments, give it a "trial period," and then if it isn't helping, increase again? I agree with Tina that a jump to 60mg seems pretty big. You certainly don't want to be taking more than you have to & this might be one way to figure out how much you need. Sorry I can't give any more specific advice than that, my experience with Oxycontin is quite limited. Best of luck to you.

Skeye

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 11/16/2008 7:25 PM (GMT -7)   
Usually going in and asking for a specific dose of a certain med is a red flag to a lot of doctors. If it was me I'd just be honest and say the current dose isn't covering my pain, and ask what the options are. I agree with others that seeing your doc more frequently until the best dose is found is a good strategy.

PaLady

Blessedx8
Veteran Member


Date Joined Aug 2008
Total Posts : 3193
   Posted 11/16/2008 9:36 PM (GMT -7)   
Hi...I (politely, of course yeah ) disagree that by asking for a specific dose, "red flags" would be raised; I still think we need to rethink the way we approach our pain doctors, etc.  However, I do think it's a good idea to listen to what your doc thinks should be the next dose, and what their plan is should this dose not work for you.  Just let them know you don't want to have to wait weeks and weeks at a dose that is still too low.  Titrating a medication up to the appropriate dose can take patience, a lot of work (on your part and your doctor's), etc.  Good luck smilewinkgrin   --Tina

ELderLy
Regular Member


Date Joined Aug 2008
Total Posts : 34
   Posted 11/17/2008 9:43 AM (GMT -7)   
 That huge jump was just an example, no, 10mg does not last 12 hours. I think being the nature of the consistency of the pill, alot of goes thru the system un used. I took a 10 mg and put in my gum/cheek last nite to see what the breakdown time was from saliva/moisture, the majority of the pill was still there after two hours and was hard. Now, everyones system being different. Im sure that i pass more of the pill than my body absorbs. Now at that rate, thats some expensive #@#%. So with the possible increase to 40, and instant release oxycodones, i might possibly get some relief, otherwise to get any relief i double up on the 10/325 twice a day and have some decent pain relief, still there but not as intense. Lately, my rib cage hurts, from holding my breath, anticipating the next wave of  excruciating jabs of pain in the buttox and calf of my leg, like being stabbed with huge knitting needles. Just looking for somthing that works, im sure PMD will come up with a plan, thats his job and he is good at it. He is my neigbor, my friend and most of all, he is my doctor who cares. smilewinkgrin

Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 11/17/2008 10:43 AM (GMT -7)   
ELderLy,
I believe it's dangerous to hold Oxycontin or Oxycodone in your mouth~
I may be wrong. I took Oxycontin a long time ago.
Call your pharmacist!
I think it gets into your system too fast and can cause an overdose.
Pamela

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 11/17/2008 1:45 PM (GMT -7)   
Elderly,
I agree that oxycontin doesn't last the same amount of time for each person. We all metabolize medication differently. Some of this may even be genetic. My thought after reading your last post would be for you to keep some type of pain journal that specifically lists what symptoms you get, when you've taken each med., the relief you get & how long it lasts, etc. and take it to your doc. Then maybe both of you wili see a pattern of how long the oxycontin lasts for you, and what increase you might need, along with BT meds. But I also agree with Pamela that holding it in your mouth isn't good and may be dangerous. Plus it's not the same as having the medication absorbed through your system.

PaLady

ELderLy
Regular Member


Date Joined Aug 2008
Total Posts : 34
   Posted 11/18/2008 7:59 AM (GMT -7)   
ok, should of known better, dummie me. Thanks for looking out for this ole boy, luv ya all. Pain journal =good idea, was thinking of that myself actually. Everyday is different except the time i take meds. Effects are different according to level of pain. With all this screwy weather change and turnin cold i get to hurtin purdy bad. Looks like a trip to Florida to visit my deal old mom is in order. Soak up some rays and heat from warm fine white beach sand, drewling yet? yeah

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 11/18/2008 1:38 PM (GMT -7)   
Yep, I sure am! yeah Can I come visit your Mom, too?! smilewinkgrin

I think all of us in the cold climates ought to be able to "visit" anyone on HW who lives in a warmer place and stay for several months!! shocked smhair

BRRRRR......it's cold in PA!

PaLady
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