What Is The Best Replacement For Oxycontin.high Dose Long Time User For Chronic Pain. It Seems Like Nothing Else Works As Well.
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I was on the Oxycontin 80mg.3xaday for 16 yrs. I have been tried on alot of other things . I went on methadone w/2 40mg of oxy then they quit making the methadone that iI took. None of the kadian or other things in that class have worked. I am now taking ms contin 100mg. a day w/15 mg.2x a day it is not enough and my Dr. who gave me a hard time off and on about the oxy's now refuses to do the irs that are still available with any other meds. I've took the opana and at the time it seemed fine but pricey that has beeen a couple of years ago just to see. They have a cap I did not take the er's though. My Dr. is funny about writing large numbers of meds. This ms contin could work but he will not for instance give 60 more mgs. He would rater write 200mgs.3x a day because of amts. of pills Go wonder . Thing is getting to that dose reuires going through the additional meds unless he jumps me directly up. I am tolerenat after so many years and in worse condition as well. Is the regular morhine stronger than the sulphate in anyones opinion? At least with these catagories of meds there aren't these strcict 8 hr. guidelines ect. Nothing has ever lasted 12 hrs. for me. Thanks Anyone with comparisons or experiences with having to come off the new oxy's let me know. My Dr. said I was the only pt. to complain about getting sick. I find that hard to beleive. Only slight mentions of little diifferences.Please help

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26
zaborav Says:
 
Try Palladone SR hydromorphone or the Canadian HydromorphContin. Available up to 24mg, 32mg has been withdrawn.
Otherwise, why not consider immediate release oxycodone on a qds basis?

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25
DreamY Says:
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I seen someone telling you to try the patch which baffles me. Trust me. I know what I am talking about. You DO NOT. I REPEAT DO NOT WANT TO EVEN CONSIDER THIS. It is 50x stronger than other opiates. You just try getting that monkey off your back. I lost 70lbs in 1 year. I'm down to 94lbs! ! Well I was 3 wks ago. I am now already up 19lbs. Which does scare the crap right out of me. Lmao. My sz 0 jeans that I wore 3 wks ago no longer fit. Just praying I cut out all the eating soon. But after not eating for 5 yrs other than once every 5 or 6 days (and I'm a type 1 diabetic) so I am enjoying actually trying to gain weight for once in my life. I went from sz 0 to size 2 soooo fast. Sorta freaking me out. And I never ever abused my patch. Wore them as prescribed. But he had me on 100mg patch every 24 hrs instead of the intended 72 hrs.

But my Dr is a major quack. We have a shortage of Dr's here and all 4 of us still derostered (fired) him 3 wks ago. 3 of us insulin dependent, me and kid's and hubby had kidney out last month. So obviously we all really need a Dr. That's how bad and not to mention veryyyyy touchy too!!!! We'd all rather be without a family Dr than to remain with him. He tells us our neighbors diagnosis. Which is sooo highly illegal. I've recorded my last 8 monthly visits. I've got sooooo much on tape it's not even believable! Anyway I've obviously went way way off track here. Sowwie.

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24
Sad in Sunny Marci Island Says:
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I too have severe pain. A lot of the posts that I've read are people complaining of pain, but not doing anything about it. I have been in pain for 8 years, it started with what I thought was horrible arthritis in my fingers, knees and back. I went to a pain mgmnt dr and he STARTED me out on 240, 30 mg Oxycodone (7 a day), 90, 10 mg Diazepam (3x a day) 30, Lunesta, (at night), 120, 350 mg, Carisoprodol or Soma (4 x a day).This works the best out of all my meds. It took care of my pain, but I have a very high tolerance to pain meds. So after 3 years he upped my Oxys to 320 a day. My knee pain after 2 years with this Dr did not get ANY better, I found out I had a torn miniscus & I was losing the bone in my right knee. A year later, I had to have surgery again on the same miniscus & they said my knee was worse than it was in the last MRI. The pain meds were not touching the pain, I think it has to do with MY tolerance. I started to get debilitating migraine headaches, so he prescribed me another prescription called Sumavel Dose Pro, it is an air based inj. that I use on my leg, it feels like a bee sting, but they work in seconds. About 3 years ago, my pain mgmnt Dr just up & split town. Needless to say, I had to find another Dr so i decided to use a pain mgmnt neurologist because of the headaches and fibromyalgia. Now I managed to do something awful to my back. He took one look at my chart, that I was lucky enough to get from the nurses cleaning out my old Dr's office, & my Dr asked me how I was still standing up with this much medication in me? I told him I didn't feel any different than he did except that I was in excruciating pain. He cut my meds WAY BACK the first day that I saw him, believe it or not, my pain was less in my knees, I'm going to need a knee, but now I take 3, 60 mg ER Oxycontin, 4 15 mg Oxycodone for break thru pain (mostly because of a botched titanium disk that I had put in August 3rd) & it didn't work. SO MY DILEMMA IS: I'm pretty much immune to my meds, (& I take Lyrica, but after reading one of these posts, I will most likely go off of that too & it screws up with SHORT TERM MEMORY LOSS, ill just have to deal with my fibromyalgia. I didn't know weight gain was a side effect, I can't remember any thing & I couldn't wrap my head around why I gained so much), I'm having surgery again in 4 weeks, Dr is putting 3 rods screwed from my tail bone up to L7. I KNOW my meds won't work. The Fentanyl patches that I got after the last surgery only lasts 2 days & it really doesn't help the pain, I'm almost tempted to use two Fentanyl patches at once, this is a much complicated surgery.There keeps being mention of another drug in these posts, I can't remember it now, but I'll try to edit this when I find it. Do they still make Secanol? Is that for pain, or just to help for sleep? PLEASE, for all you people out there that are taking 80's & don't think you can, I didn't see a difference with the Dr cutting my Oxy 30s to 15s & my Oxycontin's from 80's to 60's, & before my back surgery in August, I was on 2, 60s and only 3, 15's a day. Had an epidural shot in my left lower back yesterday, have to go back in 2 weeks for another one. Yesterday's shot didn't even work. PLEASE HELP???

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23
Jolene Says:
 
I am so sorry for all of you. We are getting treated this way because of the people who use and abuse. I am on 4-10mg Methadone a day plus 1 & 1/2 -8 mg Dilaudid, 6 times a day for breakthru pain. It is nothing that we have done, please believe that. The people who abuse, doctor hop, doctor and emergency room shop are to blame. I have Spinal Stenosis, Scoliosis, degenerative disc and joint disease, osteo arthritis and a partial amputation of my right leg. I cannot walk more than about 10 feet at a time without having to sit before my legs go out from underneath me because of the Spinal Stenosis. I am in major intractable pain. Sometimes my medications work and sometimes they don't. My physician wants to up me as he knows my pain isn't being controlled. I don't want to be upped because when I had my amputation, my pain wasn't controlled for four (4) days. My nurse got on the phone to the doctor on call at the hospital because I was screaming in pain. I could hear him screaming at the doctor to do something for me because I was suffering. And I was suffering!!! I am with all of you... I suffered until I found my wonderful pain physician. I tried this doctor. They'd tell me, "I don't prescribe narcotics". Or "I don't treat chronic pain"!! For 20 + years I suffered because that's how long it took me to find a legitimate caring pain physician..One who has never been in that kind of pain does not know what pain is like. Fortunately, my pain management physician loves his job and what he does, cares about his patients pain and is wonderful at what he does. Some doctors just don't care and frankly, don't want to have to deal with the D.E.A..I don't blame them. They have rules to follow like we all do. But to change someone's medications to so something that wont work is ridiculous!! And not to mention, cruel too! People have pain. Its a fact. That's why they have pain medications. They are to treat pain.

My husband is dying. He has Huntington's Chorea. If you aren't sure what that is, its a genetic disease that destroys the brain and spinal column. It doesn't cause pain that I know of but his body was abused his whole life from the work he did. He worked very hard his whole life and had to go on pain management. He was taking 3-10 mg methadone and 2-25 mg tramadol a day. They finally upped him to 3-5mg Vicodin a day and slowly (and I mean very slowly) upped him to 5 a day of the 5 Mg's. So they finally upped his Methadone to 4 a day but a few months later, downed it to 3 again. He is in pain as I am. He says to me, "In dying, what does it matter what I'm on"??? I have to agree.. Why do we have to suffer if we are in pain and suffering?????? I think what its going to come to is us people are truly in a lot of pain and not faking it like the abusers are will have to stand up, or sit in our wheel chairs and fight for our rights as pain management patients. Because I'm sure if the government has their way, we will all be suffering.. They don't care from what I've experienced and it also sounds like a lot of you have too!!!! It really pisses me off that those of us who are suffering, will continue to suffer because the government wants to be in our business where they don't bloody belong. Stand up for your rights!! I hate the people who have ruined it for us pain patients who take our medications as prescribed and follow the rules. Its the ones who have addiction problems over pain issues who have really messed it up for people like us who have severe pain.. I know many people like that. And I hate to say it but people who honestly take their medications as prescribed are lumped in with addicts...Those have addiction issues more than pain issues. That's why it took me so long to find my pain physician.. I do feel for people who get addicted. Addiction is a disease and people who are addicted need help, badly.. But they shouldn't put pain patients in the same category as addicts. If I abuse my medications, then call me an addict. Until then, I and my husband are pain management patients!!!!

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22
Skydog Says:
 
I was in the same Boat. I know have a great combo of 100mg Fentanyl patch every 2 days and 60mg Oxycotin 4@day. My pharmacy CVS carries the old Oxys so I think that is the Reason I'm getting good relief. Good Luck I have been there and really feel sorry for You.

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21
Gatorz86 Says:
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When is all of this happening? Does this mean those of us with chronic pain will have to take 2 IRs daily?

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Mark Says:
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I distinctly remember Obama's speech on the prescription drug problem in America and he was going to do something about it, so who do you think has the DEA breathing down the necks on doctors... Seems to me you're just another Liberal mouth piece making excuse for more failed leadership from Obama. You have NO clue what you're talking about! You show your own ignorance with your comments...

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19
Euboom Says:
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Stop blaming the president for the crackdown on pain medication first and foremost informed before you speak. I suffer from chronic pain 24 seven after six surgeries on my hip patella replacement all on my right side. I have one of the best doctors in my opinion in Washington state. She has been my pain management doctor every sense my third surgery on my hip, I have tried everything for pain now on a good cock tail of medication that was working. Please everyone stay away from Lyrica. The side effects are horrendous I was taking it for nerve damage gabapentin made me gain weight and I slept all the time just to lethargic to function. There should be a legal suit about Lyrica by the way. Do nothing Congress is your problem about pain meds. Please read the facts before you blame Pres. Obama. Sorry about your pain believe me I live it every day also we belong to a real small class of people that are going through hell each and every day all day. Take care and God bless you and I hope I did not make you up set about politics.

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just tina Says:
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Thank you for this info. I have saved it and I am going to show my dr. Only bc she wikk understand as I do now of why my 80 mg. Ocs have only been working about 6-7 hours. This is Stupid!

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17
Dr Street Says:
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I just read what you wrote about opana... the reason the opana are not working as well is because the bio-availability on them is so low. When you orally take them your body doesn't break them down as well. The only way to honestly get break thro pain management with them is to i.v. them. But then you run the risk of gettin hooked to shooting up. I believe your best bet would be methadone or fentynal.

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16
MsTweetie Says:
 
@EpiduralPeridural Abcess.. I receive Pain Management papers written by doctors in my email from Medscape. You mention: "From what I hear ALL extended release opiates will become even MORE tamper resistant in the future.....etc.".

Actually, I don't believe opiates will become more tamper resistant. In fact, according to the medical paper entitled:

"FDA Restricts Long-term Opioid Use to Combat Abuse" dtd. September 10, 2013, it says in part: "Extended-release and long-acting (ER/LA) opioid pain relievers are no longer indicated for merely moderate pain, the US Food and Drug Administration (FDA) announced today as part of a sweeping move to stem the deadly misuse and abuse of the drugs.

Previously, the labels for ER/LA opioid analgesics stated that they were indicated for "moderate to severe pain in patients requiring continuous, around-the-clock opioid treatment for an extended period of time." The labels now will state that the drugs are indicated "for the management of pain severe enough to require daily, around-the-clock opioid treatment and for which alternative treatments are inadequate." The new labeling emphasizes first considering potentially less addictive measures." You can read the rest of the article here, and sign up for specific news items or medical papers that fit your needs as I did with pain management.

So, it's going to be more difficult for patients having what doctors consider "moderate" pain to be prescribed the long acting and/or extended release meds. I am very lucky to have a great PMDR right now. The fact I found out about her in my orthopedic surgeons practice was a miracle. I had been on massive amounts of MS Contin, Dilaudid, MSIR, etc., from 2002-2010. I was forced to come off them when my PMDR lost his license. Will not go into that history as I'll be here all night, but I was blessed she took me on as a patient and no more morphine (as my tolerance to it is too high.

I'm now on the Fentanyl patches (50mcg) qty. 1 every 48 hours instead of 72. I found they lost effectiveness after 48. Fentanyl is 100 times stronger than morphine. I am also on 20 mgs oxycodone three times a day for breakthrough. I went a whole year with nothing for pain and could not function at all. And I recently had cervical spine surgery due to two herniated discs in my neck (C5-C7) with disc degenerative disease, and I also have frozen shoulder, which is extremely painful if I try to lift my arm above my waist. I have put off THAT surgery for the immediate future. And the Fentanyl patch helps with the God-awful pain that put me on pain meds to begin with. Four back surgeries in 2002-2004, the fourth which was a total reconstruction of my lumbar spine from L4-S1. I was left permanently disabled after the last one.

I just wanted to let folks know that the FDA is clamping down on the Extended Release and Long Acting meds and will at the behest of DOCTORS, not politicians, those suffering moderate pain and do not require 24-hour round-the-clock opioid treatment, will be re-evaluated for shorter acting pain meds.

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Mark Says:
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The old "OC" stamp on pill and now the newer "OP" stamp on pill. The original formulation had a wax coating around the pill and the active ingredient would release over time through the wax coating. People would remove the wax coating and abuse it. Now in its 3rd formulation "OP" stamp on the pill on one side the mg on the other side. The wax is gone and the pill has a normal coating around it. The active ingredient is mixed with some type of polymer that when cured is hard (I'm not a chemist). Now you can't alter the pill and easily abuse it like some people did before. It also gums up when it gets wet. All though all of this so called more tamper resistants has done is slowed down the drug abusers, people are still abusing it. I take it and since this 3rd reformulation it doesn't last 12 hours, more like 8 hours or so. I have read about alot of people who take it complaining about that and other problems. I have actually seen the undissolved white remains in my stools of these pills, meaning it didn't release all the active ingredient before it was passed out of my body. Other people have said this too. I've had to add 4 10mg percocets to my meds to get the same amount of pain control as I did with the original formulation. There's people now taking 3 oxycontin a day 1 every 8 hours since this formulation came out. I've heard from my doctor that Perdue Pharmaceutical who makes oxycontin is making a newer version (the 4th) because of all the complaints. I have no idea when it will release, it hasn't even applied for a new patent yet or applied for trials through the FDA. So to answer your original question, the active ingredient is the same amount, but the time release mechanism is flawed to some extent.

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Mark Says:
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Sorry to hear about your problems. This is Obama having the DEA breathing down the doctors necks about writing for alot of meds. Your personal situation is irrelevant to him. Some states aren't bowing down to it, but most are. Taking 80mg of OC 3 times a day is alot. Your doctor maybe thinking you're having a tolerance to the OC and wanted to try other meds. I know from personal experience that the opiate receptors in my brain don't respond well to all the different opiates out there. I do best on OC with 10/325 percocets for break through. I know some people who take opana er and ir tabs too. They said it works well for them. For some reason hydromorphone and oxymorphone don't work on my pain very well and I'm allergic to morphine. I also have a 32 lead spinal cord stimulator. That along with pain medications 40mg OC bid and 4 10/325 percocets for break through give me a quality of life that pain medication alone couldn't. Like I always tell anyone in our situations, if a doctor won't work with you to help you have a decent quality of life (you'll never be pain free) then find some doctor who will work with you. Just remember to be aware of how the government is cracking down on doctors right now and doctors will protect themselves before they think about our situation. Have you ever considered an infusion pump implant? Their expensive to fill, but I know people who have them and take pills too because their pain is worse than mine. Good luck with your personal situation in trying to find decent pain management. I went through several doctors till I found a good one whose not liberal with meds, but who isn't afraid to write for meds when the situation calls for it.

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Andrea Says:
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Please tell me the difference between old oxy and new. Why are new ones worse? R they not as strong?

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EpiduralPeridural Abcess Says:
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I was on 40mg OC oxycontin bid since it's release without any problems of tolerance. My pain level was a 5 on them. I also have the newest 32 lead rechargeable spinal cord stimulator implant. Then along came OP oxycontin my pain went to a 9... My doctor had to add 4 10mg percocets to the OP oxycontin to get my pain back to a 5. I'm taking endocet 10/325 for the percocet brand name substitute.
Anyone who says the new OP oxycontins work the same isn't in severe pain to begin with or their body is breaking down the polymer bonding agent releasing the active ingredient better than in a lot of other people.
My doctor had a lot of different blood work done on me to see what the oxycodone level was in my bloodstream at various times of the day.
It showed that the 40mg OP oxycontin's were around 27 to 33 percent off what should have been in my bloodstream. Now anyone he puts on oxycontin has their blood monitored for oxycodone levels and adjusts the level with different strength percocets 5,7.5,10 to get the desired level the doctor is after.
From what I hear ALL extended release opiates will become even MORE tamper resistant in the future. Which makes me think they'll mess up the pills even more for the people who have to take them, so a few anal politicians and their followers can fool themselves into thinking their helping society, but in reality hurting the lives of people who actually need the medications.

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11
Chris88 Says:
 
I get more than than for minor lower back pain, ur doc is a U know what man! Doc's like that, I wish they could feel u all's pain as I don't have horrible debilitating pain, but if I did, or was I doc. u bet ur butt I would help and give out almost whatever the Pt. said works. I'm sorry as Tramodol is not even a real pain killer as I can use it on my suboxone which makes pain meds not work. Its similar, but no way near the potency of even Codeine, which Is IMHO and my Dr's as well the weakest op. on the market today. So much so that in UK and Canada u can buy both codeine, tramadol OTC! no BS! Even Bupenorphine in small amounts .2, .3mgs called Tamgestic. This would help w/ pain 4sure! Get another doc. or tell him that crap doesn't work and ur suffering! Also the main reason why docs in the USA are cutting dwn pain meds in ER's, pain clinics, etc.. is because the FDA has on going seminars explaining the dangers of LA and ER drugs such as oxy, diladid, morphine, etc... Good luck yo, and I hope u get the help u need!

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Cindy-Lee Says:
 
Yes your story is just like mine I do not have a life.I took my meds for a quality of life!What did I do so wrong? HELP ME PLEASE!!!

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Cindy-Lee Says:
 
Hi this is Cindy -Lee I have the same problem .My Dr. After ten yrs took me off my oxy80's cause I had a puff a day to help me eat.He went on to tell me he was afraid that one day I would not wake up ( after ten years) one would think he would take me off my sleeping pills but didn't!I have broke just about every bone in my body worked hard played hard!Getti g t-boned by a 57 Chevy off my Harley broke my back ended up a para! Have worked hard to walk with two canes! I fired my Dr for all his abuse now my new Dr tells me these 200 mg of TRAMADOL will work! Well they don't! I need a Dr to understand I can't move without oxy HELP ;-(

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Cindy lee Says:
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Yes my dr has pulled me off the oxy 80's 3x per day along with fast acting oxy 20's cold turkey man have I been sick!!!

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Bazoogles Says:
 
As a Doctor in Canada if I write a script for 200mgs I have to report it to the government. Chances are your doc isn't ok with getting red flagged and stuff. He or she probably doesn't know what the limit is. Also here in Canada the copy of the script get copied to the government as they help police the doctors. This is a new procedure but nevertheless it's been done. I know they have a similar program with the DEA. They must notify large narcotic orders to the DEA. Good luck, Feel better!

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