Oxycontin 160mg Daily. 2nd Medication For Breakthrough Pain?

Overall this medication & dosage is effective reducing chronic pain. However, occasionally I have severe breakthrough pain.
Does anyone have experience or recommendations of a secondary medication that would be effective reducing the breakthrough pain.
Having taken this higher dosage of Oxycontin for so long, I'm having difficulty finding a medication strong enough to reduce this occasional, severe breakthrough pain.

REPLY

REPORT

Ask your doc about adding methadone altho its a pain for withdrawing from alot of docs add it for breakthrew pain.

REPLY

Was this helpful? 0

@Kev,

Something else to keep in mind is that your tolerance continues to increase as well with higher dosages, eventually rending each higher dose ineffective (unless you're titrating down then back up, etc). So finding that middle ground between feeling slight pain vs managing how much medication you're taking seems to be equally important when it comes to maintaining a lower tolerance in order to help get the most relief out of what you do take. I tell ya, it's a double edge sword when it comes to this type of thing because on one end you can keep adding more meds and increasing your dosage, yet that same dosage inevitably becomes null over time if you're not keeping the body's tolerance levels in check. I'd be curious to know if chronic pain patients taking their medication in this manner makes a typical daily dose as effective as it was the day they first took it? Does that make sense? I don't mean to get off track.

REPLY

Was this helpful? 0

The methadone is for drug withdrawal..however some doctors use it as an add on with oxy because it builds up in the system over 5- 7 days and it holds a pain blocking level as long as its taken....however if you dont take it, wham the level drops and it shows on the drug panels...also it has severe withdrawal symptoms such as leg cramps, spasm, joint pain and more..so if you get it perscribed to you...take as prescribed

REPLY

Was this helpful? 0

I am disabled in NE Florida and have been on a pain management regime for about 12 years now. I am currently prescribed ...

2 REPLIES

HOW DO I GET MY DOCTOR TO PERSCRIBE ME THE ACTIQ SUCKERS THAT I ONCE TOOK FOR ABOUT A YEAR AND A HALF THAT WERE PERSCRIB...

1 REPLY

I was laid off from my job after 18 years!!! I have been taking OxyContin 60 for over 5 years now for chronic pain. I ha...

27 REPLIES

Recently put on opany5mg with oxycodonehcll 5mg for breakthhrough pain 1 -2daily. I took the 2 this am but still feel th...

3 REPLIES

Is 1 to 2 tabs daily too much? Feel I need it twice daily ## Which one are you referring to? The Opana? If so, this is a...

2 REPLIES

I take 1 Opana 20 mg every 12 hours, plus 1-2 tabs of Vicodin 7.5 for breakthrough pain. Does anyone think that's be...

1 REPLY

Iam a 65yo male with osteogenisis imperfecta,scoliosis,osteoarthritis,IBS,hypertension etc. I had both knees replaced 22...

1 REPLY

Please in need of pain management in ky area that perscribes methadone and breakthrough meds going to be out soon I was ...

4 REPLIES

If you are having bad side affects from Oxy OP find a compounding pharmacy that will make the formula for you. Not easy ...

1 REPLY

I am on 25 mcg of fentanyl patch can I use exalgo 16 mg for breakthrough pain ## Hi Nereidao, From what I could gather, ...

1 REPLY