I think that Yes it is a good idea to keep an IR med on hand for BT. However it should be used for that only in my opinion, and not part of your total baseline. If your Dr can get you script
ed correctly with a ER med that works best for you, in theory you should not need the BT med's except for when your having a flair or your activity has caused you more pain than you normally have. Sadly, there are many of us here who have used the BT med's on a regular schedule, because our Dr, have yet to get our ER med's to the correct dosage. Oxycontin is widely known not to last a full 12hrs for many patients, and many will have it script
ed every 8hrs. This what I had done after a lot of complaining to my Dr about
it not lasting.
As far as one med being better than the other, you have to be careful with opinions, as everyone is quite different. Oxycodone worked quite well on me for several years, and I mean several! I think a good Dr, would change med's every once in a while to keep tolerance levels down to a minimum. Once you build up a tolerance to a certain med, it can be a roller coaster ride for a long time before you get them changed to something else.
Dr's are finicky these days because of all the FDA hoopla, so it may not be so easy for you to get what works best for you. If Opana ER is a med that does not bring your Dr into the FDA spot light, then it may very well be a better med for you in the long run….because of these types of problems, and not because it is a better med for pain. I know that sounds bad…but really, you want it to work as well. What I'm saying is that Oxycontin may work better as a pain med, but if you can get decent relief with Opana ER, then in the long run you may be better off, and your Dr as well.
Spinal is quite right, if you are a long term CP suffer, that yes the 10mg percocet seems quite low a dose, but again, everyone is different. That was my daily script
for a very long time, and was effective for me. I can remember when one 10mg percocet daily, was all I got for several months.
Also I think Spinal is correct in the fact, if you can be script
ed the Oxycodone IR, it might be better than the Percocet, but at those levels of BT your on, you should have no worries about
the amount of acetaminophen intake. You are allowed 4000mg daily, however it would be wise of course to stay on the lower side of it if possible. Currently you are taking a total of 650mg of acetaminophen, way way, below the daily allowance. You can always buy OCT acetaminophen if needed, if your script
ed Oxycodone IR….just be careful of your daily intake.
Good luck, and I highly suggest that you let your Dr suggest the med's, unless he ask what you have in mind. I and a few others have a wonderful trust built up, and at least my Dr will ask that very question, but I always tell him to pick, not me. I will share my opinion with him, and he knows I have done my homework. Another thing I do….is to tell him what I do not want…(methadone, fentanyl)…is it sort of a trust builder if you know what I mean.
Never be eager to be totally pain free and I discourage it, as it is not realistic, and can be dangerous. You need to feel your body and any problems that may crop up. Understand? Stay on the lowest does that you can. For instance if he would happen to script
you #30 Oxycontin, and you find that you are 100 percent pain free, you may want to have it lowered. I did this when my Dr started me out on #40's….it was too much, and I went back and asked him to lower the strength….again it is a trust builder.
Good luck, and let us know how it turns out for you. We also Thank you for your question, and posting it here on our forum…..this is exactly what were here for. Support!