Other - Swim takes oxycontin for pain not helping any advice

[weareone222]

HI swim takes 120mgs of non generic oxycontin cr twice daily and not helping for pain. Swim has a high tolarance for opiates. It helps a little but still gettng migranes and back pain. Should swim have hi dr up it to 160mgs twice daily or try something else .. Any ideas will help...
Swim has tooking dilaudid and helped a little but swim was on methadone then too. before swim was put on oxycontin cr. Like swim asks any ideas or anything will help..

[Richard_smoker]

you're taking 240mg of oxy per day, and it's not helping??

what kind of pain do you have?? CANCER?

you should ask your doctor about this, but not knowning anything about you or your medical history, I'd definitely say that you probably need to augment with NSAIDS (ibuprophen or naproxen sodium) and/or Tylenol (acetaminophen).

you can take 400 to 800mg of ibuprophen at once...if you're need it all day long, I would take 600mg up to three times/day. this drug requires reasonably healthy kidneys for excretion and if you have kidney problems, ask your dr about this.

1000mg of acetaminophen is probably stronger for neurogenic pain. I think you can take this up to 4x a day...uses the liver to be excreted...take too much and you'll damage your liver. if you've already got liver problems, then consult your doc.

everyone bitches about the tylenol in tylox and lortab, but there's a reason why most prescription opiates have tylenol or ibuprophen mixed with them...they increase the effectiveness of the opiates for relieving pain by a factor of 2 to 5x...and also, a normal side effect of hydrocodone is HEADACHE! if you're not already taking something OTC to augment the narcotic, then that will probably fix the problem.

-DICK

[Songcycle67]

Absolutely in concurrence with Mr. Dick. SWIM'd also suggest adding some diphenhydramine (commonly benadryl) into your dose regimen as it helps with sedation and increases the effectiveness. He would advise taking 100mg every four-six hours as needed.

And SWIY should definitely watch that oxycontin intake. Tolerance builds quick with stuff of that quality and accuracy. Oxycontin is an extremely accurate painkiller, even moreso than heroin due to the way that it binds/pharmaceutical cleanliness. SWIM has very high tolerance and knows how it feels to be persecuted for high doses, but with oxycontin the more you try to fight your tolerance the more it builds.

[thebige]

Swim is not a doctor nor does he play one on tv.But sometimes you can add another long acting or controlled release pain medicine and find that the pain does subside to a level that provides you relief.........Your doctor could try a instant release medication even at a much lower mg ...For "break-thru-pain-control" or "break-thru" alot of doctors don't belive in this method,but swim wonders if they are really doctor's or just play one on tv.

[Richard_smoker]

Originally Posted by thebige

Swim is not a doctor nor does he play one on tv.But sometimes you can add another long acting or controlled release pain medicine and find that the pain does subside to a level that provides you relief.........Your doctor could try a instant release medication even at a much lower mg ...For "break-thru-pain-control" or "break-thru" alot of doctors don't belive in this method,but swim wonders if they are really doctor's or just play one on tv.

yeah, but i can't see adding anything to 240mg/day of oxycontin. what would you add? oxyIR?

I'm curious what kind of condition you've got that requires so much oxy; and also how/why did the dr place you on so much oxycontin? how long has this process been going on where the doc kept increasing the dosage? -DICK

[Songcycle67]

Dick, isn't 1200mg or more of acetaminophen per day considered dangerous to the liver? I know there are people who take far more but generally SWIM has been advised not to exceed 1200mg per day if he uses it daily for longer than a week.

Edit: I'm also extremely curious as to how anyone could get a prescription of that magnitude. Barring cancer/aids/etc, I don't think any doctor would advise taking over 150mg in one day, let alone prescribe them. I'm not sure on the LD-50 of oxycontin, but that's got to be cutting it close.

[OhCasey]

4000mgs is the max daily limit.

Most doctors would probably prescribe some oxy ir/roxicodone, percocet, norco for breakthrough but fentanyl lollipop lozenges are another option that are probably just as strong if not stronger than oxys and using a different opiate for breakthrough might be more helpful than just loading up on one opiate.

[Codone]

Originally Posted by Richard_smoker

yeah, but i can't see adding anything to 240mg/day of oxycontin. what would you add? oxyIR?

I'm curious what kind of condition you've got that requires so much oxy; and also how/why did the dr place you on so much oxycontin? how long has this process been going on where the doc kept increasing the dosage? -DICK

Dude, he has a tolerance. He has to take a certain amount to get over the "hump" and then his pain is relieved. He's prescribed it, so he obviously has pain that needs to be treated.

[Richard_smoker]

Originally Posted by Codone

Dude, he has a tolerance. He has to take a certain amount to get over the "hump" and then his pain is relieved. He's prescribed it, so he obviously has pain that needs to be treated.

thank you. just because he's prescribed it doesn't mean that it's appropriate. obviously the prescribed therapy isn't working out so good, wouldn't you say?

perhaps you should take time to familiarize yourself with the discussion before you start trying to educate other people.

[Songcycle67]

SWIM would also agree with OhCasey in that different opioids do different things. SWIM'd suggest norco, because it already has some acetaminophen (usually 325mg per 10mg of hydrocodone). He dunno enough about the LD-50 of fentanyl to endorse it, but he knows that it's a very articulate and strong painkiller that's available as IR.

Whatever the case, SWIM would try as hard as possible to get that daily dose down. Employing different variants of opiates is a good way to go, but at the same time if they add it to what they're already taking 30mg or so of norco may put SWIY in the hospital.

[fnord]

http://www.drugs-forum.com/forum/showthread.php?t=10884

the easiest fashion of potentiating your opiates is through time potentiation with antacids, this of course only works with oral users. you can easily squeeze another 4 hours of high out of 2 medium strength tums taken with your dose.


now a more tricky potentiation is with grapefruit juice. you should only take about 2/3rds of your average dose when you do this. drink the juice one full half hour prior to dosing, then eat some antacids to nuetralize the citric acid's raising of your stomach PH. this affects both the time and intensity of the experience. particularly with dihydromorphinones

Reputation Comments on this post:

Excellent, safe addition to this thread. Finally something that won't make the OP OD.

[weareone222]

Swim takes this meds. for pain. It helps but like you said swim gets alot of break through pain thats why it was up from 80 mgs 2x a day to 120 mgs 2x a day case swim was taking alot of irs with the oxycontin . Should swim try going back on some irs to try first before swim dose anything.?

weareone222 added 101 Minutes and 1 Seconds later...

swim also wants to ask swim also take xanx 1mg 4x aday swim dose not sleep very well. is morphine cheaper then oxycontin. like swim says take 120mgs oxycontin 2x a day every 12hrs swim gets 180 40mgs and takes 3 tabs every 12hrs swim is alegeric to blue die in 80 mgs. Like swim asks would morphine be more help full then oxycontin for pain,sleep,and cost.... or what would be close to swims oxydose in pain med wise.?

[Songcycle67]

SWIM always wondered why whenever he ate tums to relieve his aggressive heartburn problems he got SO much more relief. He always thought it was just placebo from having the heartburn out of the way. Science rules.

That is a really excellent addition to this thread, fnord.

[fiveleggedrat]

Talk to your doctor. He can really help more than anyone here. You need different medicines or a different regiment. The type of pain management you currently have is clearly not working.