Question about meds

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Regular Member

Date Joined Mar 2007
Total Posts : 161
   Posted 9/15/2007 1:02 AM (GMT -6)   
Hello all,
Ok short and to the point.  I am on oxycontin 20mg 3 times a day.  2 in the AM and 1 in the PM.  I am fine in the morning but my pain is substantially worse at night.  What should I do?  I am also on percocet 10/325  3 times a day as needed.  I have only taken at the most 3 in one day.  I used to be on percocet 10/650 3 times a day but was worried about the tylenol so my PM doc suggested going to a lower dose of tylenol.  My question is does tylenol really relieve pain.  By itself tylenol has never done anything for me.  Does the combination of the two drugs work better?  I quess what I am asking is should I even take the 10/325 which has the tylenol or is there a short acting form of oxycodone with no tylenol in it that I could take?  I would rather not take any tylenol at all if at all possible.  Should I continue taking the 10/325?  Should I ask my PM doc if there is something with no tylenol in it?  Do I need the tylenol or not?  I would appreciate any feedback.  THanks so much.
One more thing,  I am having a radio freguency lesion done.  Has anyone here had this done and if so did you get pain relief?  How much?  For how long?  What are the side affects?  Do you recommend me giving it a try?
Thanks alot yall and I hope you all are living with your pain with the best quality of life as is possible.

New Member

Date Joined Sep 2007
Total Posts : 16
   Posted 9/15/2007 10:37 AM (GMT -6)   
Yes, there are pain meds that do not contain tylenol--I think the name brand of 1 type is Roxicodone and they call the generic's Oxycodone IR(Immediate Release)--I think they are available in 5, 15 and 30 MG but there may be others with more info--your doc should know--Good Luck--Roger

Multiple Sclerosis
Chronic Pancreatitus

Veteran Member

Date Joined Mar 2005
Total Posts : 4305
   Posted 9/16/2007 9:50 PM (GMT -6)   
You say your pain is worse in the evening.Well if it was me since that was the case I would take the one in the morning and the two at night that was you will have better pain relief.I would ask your Pain Doctor befor doing so though.I am on oxycodone 30 I can take four aday and I am also on the pain patches 50's as well.

Forum Moderator

Date Joined Feb 2003
Total Posts : 13366
   Posted 9/16/2007 9:57 PM (GMT -6)   
I would try switching them around also. What difference is it going to make, you are staying the same dose only changing the time of day you take it. I am not a dr-call the pharmacist if nothing else. Susie

Regular Member

Date Joined Mar 2007
Total Posts : 161
   Posted 9/17/2007 9:05 AM (GMT -6)   
THanks for all of your feed back.  I really do appreciate it.  Most of you said I should discuss with my PM doc about switching to one 20 in the am and two in the pm.  But what if the two 20's in the morning are the reason I am not having as much pain In the am and more in the pm.  I am affraid if I take only one in the am that it will not be enough to cover the pain.  I think I will discuss with my PM doc possibly taking two in the am and two in the pm.  Maybe this would be better.  If this is the case I believe there are 40mg Oxycontins so maybe i can ask my doc if maybe it would be in my best interest to switch to 40mgs and only take one of those in the am and one in the pm.  This would also cut down on the amount of pills i am taking.  As always though I will ask my doctor what he thinks of it.  I always tell him how I am feeling , when my pain is less and when more and he always makes recommendations.  I always trust him in making the right decisions although he includes me in the decision process.  I bring something up and he tells me what he thinks and we both come to a conclusion on what is best for me.  He never makes a decision without it being ok with me.  THat is what I like about him.  He really cares and really listens.
I also asked in my previous post about my breakthrough meds.  I am taking perc 10/325  3x day as needed.  I would rather take something without tylenol. Is there such a thing?  Does tylenol actually help pain?  Does the combination of tylenol and oxycodone together have better pain relieving qualities?  I just dont want to take tylenol if it is not needed.  I know it hurts your liver over time.  Or another thing i could do is take less of the long acting meds and possible more of the short acting ones or maybe ones with higher dosed of the oxycodone.  I am just asking these question to get opinions as i am sure many of you have been through the same thing I am going through. Does it usually take a while to figure out what medicines and in what doses and combinations are best for you?  I quess it is trial by error.  I am just lucky to have a great doctor.  I will definitly let him know what is going on with my pain and my concerns about the tylenol and listen to what he says.  He always makes a decision after we have both talked about it and the decision is one we make together.  Can i have some feedback?  Thanks
Also,  I have had PT, two steroid facet injections, wear a back brace and I am set to have a radial frequency lesion soon.   Has anyone had this RFL performed?  Does it work?  For how long?  What are the side effects?  I would love any feed back.  THanks again and I am sorry for talking so much.  BTW  I have low back and leg pain.  Horrible pain in the hip knee and thigh.  I have facet joint disease or sydrome,  and spondylolythesis.  Also and occational bulging disc.  I am constantly in pain and I really hope this radial frequecy lesion works so I can either stop the meds or at least lesson them significantly.
Thanks and I wish you all great qualities of life

Regular Member

Date Joined Aug 2007
Total Posts : 90
   Posted 9/17/2007 12:33 PM (GMT -6)   
Yes like some of the others said there are versions of oxycodone available without tylenol. The brand name is called Roxicodone and it contains 5mg, 15mg, or 30mg, of oxycodone released instantly. This may be what you are looking for, you may want to ask your doctor about these, I think there may be a 10mg version as well, but I am not sure. The generic, as someone else pointed out is called Oxycodone IR (immediate release). However it is shown that if you combine to differently acting analgesics like Tylenol and oxycodone they relieve pain better than either one alone and potentiate each other. This is why they have these narcotic/tylenol combos. The narcotic allows the Tylenol to work better.

I hope that you get your pain under control, good luck.

Regular Member

Date Joined Jul 2006
Total Posts : 495
   Posted 9/17/2007 6:57 PM (GMT -6)   
If you are looking at taking pain medication the rest of your life, or even if you take it daily, and plan on taking it daily for at least the next 6 months, you need to discuss with your doctor as Gramps mentioned, about extended release pain medications. I was put on MS Contin dont remember the strength 3 times a day and it made a HUGE difference. I ended up just taking those, and maybe one breakthru pill a day, 2 on a bad day.

Once I get into a decent pain management program again, I'm going to bring it up again.

As far as can you get the pain meds w/o the tylenol - yes. I was given the 5/325 percocets, and then given a 5mg of oxycodone to take if I need the extra boost to dimish my pain. there are times I didn't need the extra 5,and there are times I defiantely did. It also meant I could give the one an hour to see if it did enough, and if not, take the other.

Anyways hope you get the relief your looking for.
"When we come to the edge of the light we know, and are about to step off into the darkness of the unknown, of one thing we can be sure; either God will provide something solid to stand on... or we will be taught to fly.'"

"Cause when push comes to shove You taste what you're made of, You might bend, till you break Cause its all you can take; On your knees you look up Decide you've had enough, You get mad you get strong Wipe your hands shake it off, Then you Stand" From "Stand" by Rascal Flatts
Dx.: Polycystic Ovarian Syndrome, Ulcerlative Colitis, Chronic Inflammation of the Colon, Ruptured & Fused L4-L5-S1 w/pinched nerves, Degenerative Disc Disease, Chronic Costochondritis, Back Muscle Spasms, Asthma, Benign Tremmors (hands)

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