Skeye (& PaLady
You may have seen from some of my posts that every time I have a bad flare (one that lands me in the ER or inpatient) either the hospitalist or my PCP puts me back on Oxycontin (until my
PM gets wind of it and gives me her "that's a medicine that is only for people with end-of-life-cancer-pain" speech and tells me that I need to get back off it pronto).
Yep. Frustrating. But I digress. You asked how it worked, not how much I like my PM, right? LOL!
So... Here's the skinny... First, I want to tell you that you should probably not go by my experience as a rule. I tend to be an "outlier" in the research. I have an extremely high tolerance to medications of all sort (it takes two, sometimes three rounds of antibiotics EVERY time I get a sinus infection - no matter how early we catch it; it usually takes at least two doses of anesthetic to numb me up at the dentist or skin doc; they usually need more drugs than average to keep me asleep during surgery; the list goes on) So, I think probably my reaction to oxy is not entirely typical, OK?
In my experience, oxy did not work as well as Percocet (I know - weird, right?). Also, it did not eliminate the need for percocet for break-through pain. HOWEVER, when I left the hospital and the hospitalist/my PCP had me on a regimen that included BOTH oxy and percocet on regular timed doses throughout the day, those were the only days in the past seven years when I have felt like there was a chance I could begin to live my life again. The pain was not gone, not in the least, but the combo of these two meds (for me, it took fairly high doses) was the only thing that has ever pushed that pain monster into the background of my existence. It was there, but it wasn't everything. Does that make sense?
I'm not sure if that was helpful. Sorry. I'll share this too, and maybe it will help... A previous PM had convinced me to try Kadian (extended release morphine) when percocet alone wasn't helping. (OK, he had reduced the percocet from the hospital's prescribed amount to only 3 5mg pills per day - a drastically lower dose, so HELLO?? no wonder it wasn't working
. But that's another story!
) Anyhow, the Kadian was absolutely USELESS for me. I never got a single moment's relief from it. He continued to step up the dose until I could not take it b/c it made me SO sleepy and SO constipated. UGH! But even then, there was NIL pain relief. Not even a tiny bit. Even as sleepy as I was with that much morphine, I couldn't SLEEP because I was hurting so much. I just laid in bed crying b/c I was in so much pain and so tired. Oxy, on the other hand, did not make me feel that way at all! I did start using Miralax (only 1/2 a dose every other day) to keep the big C at bay, but the oxycontin and percocet combo never made me feel sleepy or dazed or out of it. I never felt that drugged up feeling or anything but a little relief from the pain, which for me was a miracle.
Wow! I kind of wrote a book here. Sorry. LOL! PaLady will laugh with me, b/c I've been really out of touch lately. Been hurting a lot and so wiped from trying to work. I guess this thread and a couple others lately really hit home with me, huh?
I hope you find some relief, Skeye. I think oxy is a miracle med. If your doctor will work with you on the dose I think it can really help. Like Sandi said, though, sometimes it doesn't make it the 12 hours for some people - that's why I still needed the break-through med. Before you switch I would really talk over the plan with your doctor. Ask about
break-through meds and what his plan is for adjusting doses if it doesn't seem to be covering the pain. All my best to you. And you to PaLady!
Post Edited (ryand) : 11/9/2008 12:03:03 PM (GMT-7)