I thought I would wrap up this thread with a few more observations.
I've now been taking oxycontin for a full week and today will be my first day without any tramadol.
I was worried that I would experience some adverse reactions to dropping the latter, but did not have any. On the 19th, I took 2x 50mg tramadol IR then on the 20th and 21st, just 1x 50mg. Although I've read here and there that tramadol withdrawal is much more severe than expected, I didn't have any relevant issues (or they were masked by the oxycontin).
In fact, since the 20th, I've felt great. My hip pain is almost non-existent. I've had zero pain from it except for a transitory ache once or two after sitting too long (or playing xbox-kinect bowling with my wife).
My back pain has gone down from a norm of 3-4 to 1-2 for most of the day. Pain spikes still occur, but are muted -- hitting maybe a 6 vs. a 7-8. They also dissipate more swiftly.
However, since I'm taking just 1 12hr 20mg oxycontin per day, I will have more hip pain in the evening, though still not as bad. Rather than taking BT meds daily, even multiple times per day, I've gone without any BT needs most days.
Headaches, head pressure, etc. have all gone away (at least for the past 3 days) -- and I am so thankful for that. They have been as much of an impediment to working as my chronic pain. My bowels even have gotten used to the medication. I was constipated for the first three days, took some citricil to help one night, and have since done fine just with my morning coffee.
From about 10am until 3pm, my energy is very good. The oxycontin is a bit "activating" at first, as it releases a fair amount of the full dose during the first two hours. It makes me feel a bit drug-loopy for a while, but it doesn't interfere with my concentration. So, not only have I been able to get a lot of writing done over the past few days in particular, but also I've felt up to going out more and taking care of a few things around the house.
Later afternoons, I start to feel a bit tired (but not too bad) and by 11pm or so, very tired -- more tired than I should be from the day. Because of the drug swings, I feel a bit crummy at night, and in the morning until I take my pill. But since I'm rarely in pain at night, I can likely do without a second dose.
Assuming the oxycontin continues to work well without side effects, and my PM is satisfied, it looks like this pill regimen will work out well. It would be nice to offset the crummy feeling I get once the oxycontin has left my system in the evening, but assuming it isn't dangerous or an impediment to daytime overall efficacy, I can deal with it. I'll see what my PM says.
C4-T4 Scoliosis (disk degeneration, stenosis, narrowed neuroforamen, bone spurs), RT hip and SI joint damage from car accident. Also, pectus excavatum, supraventricular tacycardia and mitral valve prolapse syndrome.
Current meds:20mg Oxycontin daily, Oxycodone 5-10mg for BT. .25-.5mg xanax as needed for sleep, Verapamil 240mg SR (for tachycardia).