Oxycontin = Oxycodone

Updated

Consider this!
With the change related to Oxycontin my problem is the OP type of Medication just doesn't work!
So... My doctor has added additonal 30mg Oxycodone's to my monthly medication list. The problem we are having is coming up with a near equal dosage. Depending upon which phamacist you talk to we are getting differnet answers.
It doesn't matter howe many tablets you are prescribed the research is done by considering one 80mg Oxycodone and trying to come up wit hthe equal dosage using 30mg Oxycodone.
Opinion's
- One 80mg Oxycontin is supposed to last 12 hours giving 80 mg of oxycodone for the ful 12 hours, so if that is true then there has to be 960mg. of Oxycodone in each 80 mg Oxycontin.
30mg of Oxycodone tablets are prescribed for 3 - 4 hours.
So it would take "about" 2 1/2 30mg tablets taken every 3 or 4 hours (75mg) to be close to one 80mg Oxycontin Tablet. It appears that it will take a total of 10 - 12 30 mg tablets to be close to dosage for a 12 hour period of time.
or another way to look at it.
If the total mg per 12 hour period of time is 960mg then the near equal would be 32 - 30mg Oxycodone Tablets!!!
30mg x 32 tablets = 960mg...!
Screwy no matter how you look at it!
If you look at the medication release charts provided at perdue's website related to 80 mg Oxycontin the release is shown at 12 hours and 24 hours...and it in itself is confusing.
They show 80 mg tablets given every 12 hours as providing at least 80 mg of Oxycodone sustained release each hour.
So it's either 32 tablets for a 24 hour period of time or 32 tablets for a 12 hour period of time...either way it looks like a lot of tablets.
Either - 960 tablets per month using 24 hours
or 1920 tablets using 12 hours
When we get to this point all the phamacists throw their hands up in the air and surrender..and then they refer the patient back to the doctor for conversation who then refers the patient back to a phamacist!
Ad this to the normal dosage given for breakthough pain and we start talking about alot of tablets..
What are we to do? Check my math!!! Please reply

28 Replies (2 Pages)

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1

This math is not correct. The amount of drug given in 80mg over a 12 hour period, slowly releasing the drug in increments then tapering off as you reAch the 80mg. It is not 80mg per hour for 12 hours.

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2

You are correct. I spoke with Perdue Pharma today and was corrected. It appears there is 80mg in a 80 mg ER tablet.. In fact I was told the use of the ER tablet is for convience of not having to take multiple tablets all the time..However on top of the 80 mg tablets I take I amn takimng mulitble IR tablets and it was suggested I simply take more of those rather then even take the 80mg ER type. The cost is a lot less as well.
I stand corrected..thank you

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3

I have to say that that is probably the first I've heard those words in a long time as I've been married to a wonderful husband for 8 Years! I'm a nurse so I have am unfair advantage:). But, more
Importantly in this situation, I am a chronic pain patient and have to deal with that stigma along with the stigma of being a mom and nurse and being on meds attached to words so heinous I can't even speak about my issues to anyone... Thx for this!

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4

I have to say that I am very surprised by this and, if it were me, and the pharmacists contacted did not know the same information that was provided here by Mamao and by Purdue, I'd not be returning to their pharmacy for any of my prescription medication needs! On top of that, I'd be reporting it to whatever corporation/store they work for, so they can be educated on the matter, because such erroneous information creates a very real risk to other customers/patients.

When I was on pain management, I never ran into such a problem.

A rule of thumb for anyone in the future that might need to know such details, even if a medication is time released, if it says it is 80mgs, that is the maximum amount in the tablet, that the person taking it can have released in their bodies for whatever the given time period may be!

https:/­/­www.medschat.com/­wiki/­Oxycontin/­


And thanks Wayne and Mamao both for posting back with the correct information to help others. It is very much appreciated!

Are there any other comments or questions?

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5

I am a biologist/chemist. It is impossible yes impossible for any medication to hold its peak dosage value for 12 hours. The pharmacutical company is totally misguided in thier attempt to mislead you the consumer. The complicated formula of our bodies stomach acids/thru the blood system/to our brains nuerotransmiters/into the brains pain & pleasure centers to create your high & pain relief will reduce the chemical strenght starting minutes upon ingestion. I'm an addict of 30 years too. Have 911 ready the day you take 900-1800 30mgoxicodones please.

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6

PRUDE screwed all of us that really need the pain relief. They did this to make themselfs look better trying to stop addiction...There patten is going to be up in two years. When that happens the other drugs companies are going to make the old OCs under a different name. PRUDE knew there time was up so this was there plan. You can get the old OCs at a compound pharmacy in 2014 also. Trying to stop addiction, thats a joke. they want you to take there pills.

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7

ya it's 80mg over 12 hrs, not 80 released every hour...that is just absurd....if that was true then it would be 960mg oxy and not 80mg lol

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8

OF COURSE THE PHARMACIST THRU UP THEIR HANDS CUZ THEY WERE LOOKING AT A SOMEONE WHO WAS TRYING SEEKING DRUGS!

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9

Biologist? chemist? You may still need to go back to school because your spelling is really bad.

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10

I am taking 240 oxycodone 80 milligrams a month your doctor can prescribe you more the 80s

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11

I would rather have the knowlege of a biologist/chemist than be the greatest speller on earth. I don't think your post has anything to do with Oxycontin--Oxycodone.

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12

Typically this new formulation will release 1/3 of the 80mgs within the first 2-3 hrs(12.5mg a hr) then releasing the other 2/3rds of the 80mg dose(or 50mg) (roughly 7.0mgs over another 7 hours) over the remaining 7-8hrs.

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13

my pain Dr has me on 240 80 milligram oxycotton and 240 30 milligram oxycodone
Try this

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14

I was started on Oxycontin in 2001. In NY. I moved to PA in Jan 2002. I took months to find a doctor but when I did I hit the jackpot. My doctor was legit, not a dr that writes those scripts for just anyone that asks for it. He started me where I left off in NY; 2 80mg every 8 hrs. About every year, he would increase my dosage due to my tolerance. I never pushed or asked for increases. I would just say the current dosage doesn't seem to be working anymore and I'd leave it in his hands. The thing is he didn't have any problem with (Quanities). Alot of doctors think they cant presbribe more than 120 a month, so they don't get flagged for over prescribing but my dr would just add another 80 mg every 8 hrs approx every 8-12 months. After being with this Doctor from 2002 - 2010, I worked my way up to 10 80mg Oxycontins every 8 hrs. Thats 30 pills per day. I was also on 8 mg dilaudid every 4 hrs (6 tabs). On a monthly basis, I was getting 900 80mg Oxycontin and 720 of 8mg Dilauid for b.t. pain. I was only paying my co pay which was $10 for each script. I was also on 3mg Xanax ER 3x/day and Ambien CR 12.5. I ended up losing 2 jobs because I was nodding off at my desk at work. After being on around 1900 pain pills/month, and not able or really interested in finding a new job I decided it was time for a change. Sometimes I wish I never moved back to NY but deep down I dont think i would have lived much longer being on so much pain medication. My family was concerned. My dad was in recovery for 23 yrs for alcoholism. He was able to make a call to a friend of his and he got me into detox to get off the oxy and morph. It sucked and even after getting out of rehab, I was back in pain constantly and not getting any sleep. My mind was going in a thousand directions. After being home from rehab for 2 weeks I called my dr in PA and told him I tried staying off the pain meds but I couldn't function. Couldn't work. Couldn't sleep. When I went to see him, he did precribe me oxy and 30 mg Morphine IR. But he was only starting me back on 1 every 12 hrs for the oxy and the 30mg Morphine every 6 hrs. He said he didn't want to see me back on the amt of meds I was up to before rehab. I was honest with him before I went to rehab telling him I decided to try and get off the pain meds. So he knew I went through detox. I could have just went to detox w/o telling him and all I'd would have to do is call and ask for my monthly refills... I wish I didn't tell him I went to rehab because It was like I had to start over from square one with the dosages. I tried the 1 every 12 hrs but my tolerence was still very high. Not as much as when I was on 30 of oxy and 24 dilaudid per day but the 1 every 12 hrs definitely wasn't cutting it. Even before the rehab thing, I had asked him out of curiousity if I wanted to get off the meds on my own, how would I do it. At that time he said at min, I would have to reduce by 1 pill per month to avoid withdrawl. I couldn't understand how that was the case if I did it my own, but since I went to detox, was on methodone for 2 weeks, I guess he was just playing it safe. I did take more than I was precribed one night and woke up the next morning on the floor of my bdroom with a huge cig burn on my leg and no idea what happened. I probably almost Overdosed. I took around 3-4 of the oxy's, the morph bt pain and xanax... Then since I moved to NY I couldnt keep going to him in PA. Once my insurance changed, I had ot find a doctor in NY. I took months just to find a doctor that would prescribe pain meds. they were not going to give me anything close to what my old dr did. They put my on the Fentenyl Patch 100mcg every 48 hrs and dilaudid 8mg 1 every 8 hrs. That was the best I could do. Now with all these teenagers and adults overdosing and dying in classrooms, it's a nighmare. I was referred to a pain mgmt doctor who was also a drug abuse treatment physician. He took me off the xanax and dilaudid and just kept me on the patch. I am now on Opana 40mg 3x/day 3 yrs later. They will not give you breakthrough meds and they switched me from the xanax to klonopin, 2mg 3x/ day. Even now, since its been over 3 yrs since my 1900 pill a month dosages, I don't get the relief from pain and I feel like I'm going through withdrawal just taking 1 40 mg opana 3x daily. I need to take 2 40mg at once to get the relief. My doctor says the medication isn't made to supposidly be taken 2 pills every 12 hrs. It's frustrating as hell. It's like i'm not even taking anything when taking 1 every 8 hrs. I don't know how to convince my dr I'm looking for extra meds to make myself feel high, i'm not trying to take advantage of anyone meaning my dr. Why can't they prescribe 2 every 12 hrs instead of 3 every 8 hrs. I just don't see what the problem is... I'm not asking for 2 every 8 hrs. It would only increase my daily dosage from 120mg to 160 which I don't feel is a problem. I know my body and obviously I've been on alot more than that in the past. I'm not going to OD from taking 2 of the 40mg instead of 1. I ended up taking 2 in the AM and then I just take 1 in the PM so I don't go over the 3 max per day. I live on long island. I can't find another doctor. When you call a new doctor, they hear the word pain, and suddenly they don't have any appts available or they are taking new patients. As long as I'm not abusing the medications and taking as prescribed, I can't understand what the problem is. I have the docs and med records supporting my pain issues and causes and validation of the medicaiton I have been taking for the past 13 yrs. As long as you have all that, why is it such a problem. The FDA approves these meds for a reason, yet, half the doctors or more are afraid or just will not prescribe them unless they have known you your whole life. Anyone been in the same situation as myself? I'm just frustated and venting. sorry if I went off the topic. Also, my pain dr won't write the opana er script without writing DAW on it so I can only get the brand name, and not the generic. He told me its because the genenic are not reformulated which from what I've been reading, these brand name pills don't work half as well as the orig kind. The generic are not made of plastic. If the doctor writes DAW and the pharmacy only has the generic, are they allowed to give me the genenic if I ask for them? If my doc won't let me take 2 every 12 hrs, I want to see if I can get the generic to see if there is any difference in providing the relief i need.

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15

can oxycotin 80mg cause heart problems or heart attacksor chest pain

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16

I'm amazed at the help you all seem to be getting. Getting any relief from my pain is like pulling teeth where I am. I think it's because there was not a major trauma like a car accident. Instead, I have scoliosis and a Chiari II Malformation which causes terrible low back pain and headaches. I've been to a lot of doctors, but they always only give me a one-time prescription and then I go back to being miserable. It's very depressing. Sure would love to feel good for more than a week or two at a time.

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17

Jennifer, Don't know what part of the country you are in, but perhaps you could talk to a doctor about an ER medication. I was taking 30mg oxycodone 5x daily and am now with insurance and a doctor who has prescribed Opana 20mg ER with 10mg oxycodone IR for breakthrough. The Opana ER is the most wonderful pain medication I have ever taken. It can be sedating at times, but that's the only side effect I have noticed and it has been completely and totally effective at pain relief.

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18

Thank you CO Susie. I'm in Seattle. I don't know if they are weirder about pain meds here or what, but this is good information to know. I know a guy who has had 8 surgeries on his back and he even has a difficult time getting pain relief! Good luck to you. Jennifer

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19

Yeah,Im a Scoliosis person too.Now,I have to go to a 'pain clinic' every month,which is filled with hookers,dirty people{like dirt,not judging their character] and shifty individuals that look like they could snap! at any moment..Its so unfair.The gaggles of strippers that come in w/their male 'escort' add to the delightful tapestry of humanity.But my useless PCP is afraid of pain meds,and used to deliberatly 'forget' to leave my script on the Friday b4 a holiday,and Id be w/out meds for almost 4 days!!!Ok,why cant they just use their common sense and eyes to tell them what is going on?So,trying not to catch mersa,or anything else,I have to go to this horrid place,45 minutes away,to get pain relief...Just does NOT make sense.

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20

My brother is taking about 6 80mg oxycontin's per day. Is that considered a lot? He is abusing them, obtaining them through illegitimate means (obviously it's a problem, I am trying to figure out how severe it is). Thanks

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28

Get off your high horse , there are people actually in pain. And YOU or anyone else is not allowed to judge a person without being in their shoes. So please, the high horse...you're breaking its back.

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27

You have to go back to the doctor everytime you are hurting. You have to show them a need for daily meds. They will then refer you to a pain specialist

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26

I've been on some meds since 1986. I've been in a plane crash and five car wrecks. I'm pretty banged up. The Oxycodone and Oxycontin was on the 80 mill., but the Opana 40 milligram is better than the Oxycontin now. I will say that the Opana is very very good and I do take that along with the Oxycodone 30 milligrams. If you can, try not take it because when you get old like me s*** nothing seems to help. Back in the day Tylox / Percodan used to be the pill of choice.

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25

Hi, I'm 53, been taking pain medication for 15 years gradually increasing the dose as my tolerance increased. I'm currently on 90mg of methadone after changing from 50mg twice daily of SR Oxycontin...the dose your brother is taking is a very high dose, you didn't say if he was taking it for pain, perhaps originally he did...that level of oxycodone, yes, is obviously addiction based. He may be able to function ok (that amount in a day would kill most people) the problem is what happens when he can't get it...horrible withdrawals. He needs to get himself into a detox as soon as he can. All the best caring sister.

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24

When a 12 hr sustained release tablet/cap says it's 80mg then that is all you're going to get over the 12 hr period, which means you divide the 80mg by 12 hrs....6.6mg per hour. But debating the accuracy of the 'sustained release' process i doubt that each hour one would receive the same dose (if only!). From my experience SR Oxycontin was only really good for 3-4 hrs before i was wishing it was time for the next dose. Different results for different biologies. And even solely for marketing and advertising purposes, if you were getting 960mg of oxycodone in a 80mg SR Oxycontin tablet, they would be letting you know! Nevermind the legal repurcussions for not letting you know that you're deceased husband who had just chewed up a SR tablet, had actully consumed nearly a thousand milligrams of the dreaded stuff instead of the 80mg it said it contained on the packet.

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23

I'm prescribed 30 mg oxycodone six dail and 10 mg methadone three times daily. I'm still in constant and severe pain but because I'm thirty I feel my Dr is hesitant increasing m cuz I have a metal rod in my leg for life due to an injury last year. My pain is so severe that I'm barely functioning.is there any suggestions that I could bring up to my Dr. ..

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22

i had back surgery in 11/14/14 and are sill sufering with pai i need a name of a doctor in syracuse area that will give me a scrip if i show him my ex rays

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21

When I started on opiates. I was taking 30mg a day. That's probably a normal dose for someone who is opiate naive. However, I've been taking Percocet/Oxycodone, hydrocodone, etc. for 3 years and im up to 135mg a day. Anyway you stated he is taking 6 80mg OC per day. that's 480mg of oxycodone a day. Yes that is a high dose for anyone, I mean tolerances can build as did mine but that's still a high dose. If this is about you and are worried, if u are able to keep your eyes open and function normally your not gonna overdose, though it probably isn't good on the kidneys but yeah, tolerances can build so that dose is high but for someone with a really high tolerance could take that and be fine all day.

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