pain prescription written differently

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Regular Member

Date Joined May 2009
Total Posts : 58
   Posted 9/29/2009 7:03 PM (GMT -6)   
I haven't been on in awhile, however I have not forgot the forum.  I have had so many problems with my stomach and nausea and vomiting that I couldn't stand sitting up at a computer.  Fortunately I go back to see the stomache doctor tomorrow.  I live on pills for the nausea so I can eat a little now and then.
I have a question which may sound silly but to me it's important.  I was in to see my PM Specialist Sept. 3 and she was so busy that she just gave me my script for my oxycodone and smiled and that was about it.  I wasn't upset but after about two weeks taking this script I noticed a change in wording on the script bottle and hope I have been taking these things right as that has been the way they were always prescribed before. The prescription on my bottle read "take every eight hours as needed for severe pain."  I had previously been taking them every eight hours.This was only my third script for the oxycodone.  I still had the same pain as always only the day I went into see her I was in terrible pain as the day before I had received that new Rheumi medication called Reclast since the Rheumi doc said I had stress fractures in my pelvic and the Osteoporosis was more than severe after a scan was performed. The Reclast made me feel like I had been hit by a train with pain all over my body.  I wanted to scream it hurt so badly.  I deal with a lot of pain anyway because of fractures, peripheal neuropathy, sensory neuropathy, osteoarthritis and rheumatoid arth.  But the side affects of that Reclasp was horrendous and I couldn't handle it....
Anyway, what is the difference in the writing of this script.  I can't take anything with Tylenol in it and that is why she put me on Oxycodone and not Oxydontin. Which is fine with me.  I certainly have some quality of life life now.  Does the variation in writing mean something to the pharmacy or am Igoing to have a problem now. I don't know to much about this stuff because I have never been referred to a PM Spec. before.  My urine test always are clean and never toxic.  I don't get into drugs or anything like that or over use my meds but fear now that I am not doing this right.
greatgrannytoo idea    
Disabilities include Degenerative Joint Disease, Osteoporosis, Rheumatoid Arthritis, Chronic Fatigue Syndrome, Fibromyalgia, Supraventricular Tachycardia SVT (cardiac), Artherosclerosis, Peripheal Neuropathy, Polycystic Kidney Disease with kidney stones, Restless Leg Syndrome, C5,6, and 7 herniation/spinal compression, herniated L5, 6 and 7. 

Regular Member

Date Joined Aug 2008
Total Posts : 326
   Posted 9/29/2009 7:39 PM (GMT -6)   
If you're talking about "take every 8 hours as needed for pain" vs "take one every 8 hours" then no, there's no difference. Some times my doc writes it as "every 8 hours as needed" and other times it's "every 8 hours as needed with maximum of 3 per day." In her particular office it just depends on which one of the MA's or CNA's actually type up the prescription. But the end result is the same for me. Take one no more than one every 8 hours is what it means to me.

Honestly, it doesn't sound like anything to be worried about, but if you have questions you can always call the doc's office just to make sure.

Hope this helps
Curious people are interesting people...I wonder why that is.
~Bill Maher

Veteran Member

Date Joined Nov 2007
Total Posts : 6795
   Posted 9/29/2009 11:25 PM (GMT -6)   
Is the total number of pills you received different? That would be the thing I would check, just in case she was trying to get you to take less of them. Or like Piercings described, there is often an MDD (Maximum Daily Dosage). Knowing how many pills were prescribed would tell you if anything has really changed, or if as Piercings has said, it was just one of the optional ways to write it.


New Member

Date Joined Oct 2009
Total Posts : 4
   Posted 10/5/2009 9:33 AM (GMT -6)   
The doctors are so regulated and watched when they write for opiates that prescription writing may change with the last seminar, email, or chat with a colleague. I am a retired (by disability) psychologist. Oxycontin is such a superior medicine to all the other serious pain relievers that force you to take acetominephen along with them.
I avoided oxycontin just because of all this press about abuse, but I have found that time release opiates are far preferable to the immediate high and progressively lower and lower effect of Percocet (which I still take for breakthrough pain).
My doc gives me 10mg which I break in half to make Percocet 5mg with half the acetominephen. He writes it for half the dose and I can take it 3 times a day. My pain varies. If I spend a few hours shopping, which means standing for long periods (two hours) I will need all three.
I also get facet injections in my spine for low back and neck pain every 6 months, but that does not dull the grinding bone pain in my right hip from a boating accident in which I shredded the cartiledge.
Definitely ask your doc these things. I am sure your doc will be willing to explain the difference in prescription to you.
And oxycontin is a great medication. It gives you a lot of freedom.

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