Oxycotin vs Percocete?

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Screaming Eagle
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   Posted 10/8/2009 4:45 PM (GMT -7)   
Can anyone tell me the difference in these two drugs? I have been told that the oxycotin is a big step up from Percocete. Also is it more of an adictive drug? Trying to get my PM to switch to the oxycotin ER, as the Percocete does not work as well anymore. I have neen on them for more than 2yrs #10 325mg x3
Michael


Chutz
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   Posted 10/8/2009 6:51 PM (GMT -7)   
Hi Michael...

I don't know if it's a BIG step up, that would depend on the dose but the main difference is that Oxycontin is time released, like those time released cold capsules. And the one problem with that is if you were to bit into one or crush and take it you would get an 8 hour dose all at once. Hence the controversy. The "druggies' want it just for that reason and add to that the media and we have a perfectly good medication that has been trashed to the point that we can barely fill a prescription if we get one.

The Percocet is oxycodone mixed with acetaminophen. They last about 3-4 hours and come in many dosages and mixtures but don't have the same problems as Oxy.

I would make one serious suggestion. When you see your doc it's not a good idea to ask for a specific medication....specifically Oxycontin! That's one clue they watch for in drug seekers. Now you and I could be perfectly honest and have done our research before we ask and be perfectly innocent, but doctors have to be so careful because of the goofballs who abuse them and the prescriptions that they pretty much have no choice.

So, when you go just talk to him/her about your pain control, or lack of. Ask about possibly trying something that last longer than the Percocet and let the doc take it from there.

Another wonderful idea that many folks have used very successfully is to keep a pain journal. I'll leave a link below. Copy as many pages as you need, one for each day. Fill them out daily and whenever you go to any doctor ask them to look at it and review your pain management. This way they know you are serious plus they get a great picture of the pain you live with and how the medications you currently take are working. Also, you will be able to see how and when your pain increases or decreases.

Relax, be very straight forward with the doc and you'll in turn be treated with respect. Good luck and keep in touch...
Chutz

http://www.painfoundation.org/learn/publications/files/TargetDailyLog.pdf
Play fair. Don't hit people. Say you're sorry when you hurt somebody.
~Robert Fulghum

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Jim1969
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   Posted 10/8/2009 7:23 PM (GMT -7)   
Oxycontin: Generic Oxycodone

Percocet: Generic Oxycodone and Acetaminophen

As mentioned it would depend on the exact does of the oxycodone as to how much of a step "up" it would be. For some reason many doctors do consider it to be "stronger" but since you can get Oxycontin in the same dose that comes in Percocet I really can't understand how they come to that conclusion.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.


BionicWoman
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   Posted 10/8/2009 9:03 PM (GMT -7)   
Oxycontin isn't just generic oxycodone. While both drugs have the same narcotic base of oxycodone, one is immediate release and one is extended release.

When you take Percocet, it releases the whole dose of oxycodone immediately and then it's done, which is why it only lasts 3-6 hours. Oxycontin releases a small immediate dose of oxycodone, then continues to release a controlled dose for the next ~12 hours, so it's in your system and active much longer than Percocet.

Extended release medications are always considered a step up from immediate release medications because of the move from intermittent to constant dosing.
The difference between perseverance and obstinacy is that one comes from a strong will, and the other from a strong won't. ~Henry Ward Beecher


Splashdancer
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   Posted 10/8/2009 11:36 PM (GMT -7)   
The available dosages for Oxycontin (oxycodone, extended release) are: 10mg, 15mg, 20mg, 30mg, 40mg, 60mg, and 80mg. Purdue introduced the 15, 30, and 60mg in 2008. They used to manufacture a 160mg tablet, but I believe it has been discontinued. The available dosages for Percocet (oxycodone + acetaminophen, instant release are: 2.5/325, 5/325, 5/500 (capsule), 7.5/325, 7.5/500, 10/325, and 10/650. Hope that helps.

uniquelyme
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   Posted 10/9/2009 4:13 AM (GMT -7)   
I have never taken Oxycontin...so I know nothing about it..but I do take Oxycodone 30 mg. Many people get the 2 confused, maybe because of the name? I do have one question...what is the difference between MS Contin and Morphine?

Me.
I have been a spectator for so long..Now it's time to participate.......
 
Post Lamenectomy Syndrome, Spinal Stenosis, DDD....
1999 Hemi Lamenectomy/2005 Spinal Fusion(L4-S1)
Methadone 120 mg. a day/  30 mg. Oxycodone as needed(up to 4 x a day)
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PAlady
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Date Joined Nov 2007
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   Posted 10/9/2009 1:08 PM (GMT -7)   
Michael,
Bionic's post is accurate. Beyond that, I really think you need to be discussiong this with your doctor to see what would be in your best interest.

Good luck.

PaLady

BionicWoman
Regular Member


Date Joined Jul 2008
Total Posts : 243
   Posted 10/10/2009 4:19 AM (GMT -7)   
MS Contin is continuous release morphine sulfate manufactured by Purdue Pharma, which also makes the brand name Oxycontin.

I've never looked it up, but I've always assumed Purdue uses "contin" in both of those names as an abbreviation in reference to the continuous release dosing of the respective narcotic. In the case of MS Contin, it's Morphine Sulfate continuous release; for Oxycontin, it's Oxycodone continuous release.

But like I said.. I've never researched that.. wink
The difference between perseverance and obstinacy is that one comes from a strong will, and the other from a strong won't. ~Henry Ward Beecher


PAlady
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Date Joined Nov 2007
Total Posts : 6795
   Posted 10/10/2009 10:46 PM (GMT -7)   
John80,
This is not permitted on the forum. I have reported your post to the administrator.

PaLady

Splashdancer
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Date Joined Aug 2009
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   Posted 10/11/2009 12:09 AM (GMT -7)   
Ditto. (Unbelievable!)

bsjaguar
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Date Joined Jun 2009
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   Posted 10/11/2009 6:30 AM (GMT -7)   
The way I understand it from a friend that uses MS Contin it is extended release morphine which is taken every 12 hrs. I am using Avinza which is morphine which is taken every 24 hrs. My next PM appt I am going to talk to my doctor about switching to extended release morphine taken every 12 hrs because the avinza wears off in about 8-10 and my pain levels aren't being covered long enough. There is a generic form for 12 hr morphine too which is a good thing. I have oxycodone for breakthrough but it tends to make me a little woozy.
---Jag---
 
DDD, osteoarthritis, fusion surgeries C-5/7 & L-4/5 both in 2006, torn meniscus left knee 2000 & 2002, buldging disc L-2/3


Screaming Eagle
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Date Joined Sep 2009
Total Posts : 5005
   Posted 10/12/2009 3:13 PM (GMT -7)   
well.....the reason I ask is that I think the PM is going to send me a script for the oxycotin. That has me a little worried as the Percocet is not working anymore or at least not as well as it used to. You are right, It wears off in about 3 to 4hrs at best. So Im a thinking that the oxycontin will be basically the same drug, only that it last longer. Also I would never try to obtain any drug from a sorce other than my PCD or PM.....sorry to see someone offer a source other than that.

PAlady
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Date Joined Nov 2007
Total Posts : 6795
   Posted 10/12/2009 8:21 PM (GMT -7)   
Michael,
I think if your PM thinks it will help, the best thing to do is give it a try. Sometimes having an extended release which helps keep the pain manageable over a longer period can really make a huge difference. Hopefully, your PM will also give you something for BT pain, although may not do that at first, until you know how the oxycontin works, and how long it lasts. Even though it's supposed to last 12 hrs., it may not for everyone.

Worst that can happen is that it doesn't work and you have to call you PM back to discuss other options.

Relax, and try to think a little more positive, although I know that's not always easy!

Good luck!

PaLady
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