What May Work Better Than Oxycodone 15mg For Severe Neck Pain?

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Susan Says:
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I have had two cervical fusions, five levels of herniated lumbar disk, stenosis, bone spurs and arthritis. I have been taking Oxycodone 15mg 3 X daily for one year. I have noticed less pain relief for shorter periods lately. I see a pan management MD once a month. I don't want to come across as asking for stronger drugs. I would like to know what the next step is when Oxycodone is not effective any longer? Also, how is the best way to talk to my doctor about this? I have had steroid shots and neurotomies performed with little success. I am still keeping up my Grandchildren every day and have no problems with addiction. I have noticed my pain has slowed me down though and I'm just tired of hurting all the time. Any info will be very appreciated. Thank you!

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1
Intoomuchpainformyage Says:
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Its is tolerance and normal, just tell your doctor whats going on or better yet make a pain chart and describe what your feeling. Its likely time to go up in your dose.

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Verwon Says:
 
Yes, it is always best to speak to your doctor and let them decide what might be an appropriate change to make, if any. If you go in asking for any specific medication, that is often seen as drug seeking behavior, so you should always let your doctor make such decisions.

However, there are higher doses of Oxycodone that you can try, as well as a time released formulation of it called Oxycontin.

The FDA warns that it carries the risk of being habit forming and may cause side effects, such as nausea, dizziness, headache, dry mouth, and constipation.

Is there anything else I can help with?

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Marjorieson Says:
 
I am in the same club! Same situation. However, my pain md has me up to only norco7.5mg tid and tramadol 50 mg bid. Most days its not enough to cover the pain. I also take Horizant 300mg qd. I feel like I suffer a level of pain 18/7 that most people would run to the emergency room with ! The legitimate chronic pain sufferers are living in a bad time now..... With all of the attention on opioid addiction and the drug abusers and seekers have made it extremely difficult for those of us who suffer We are judged now because of that behavior! Maybe we all should start calling our representatives and senators and give them OUR story.

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Eric Says:
 
I'm on 10 mg oxycodone every 4 hours and find that that the best relief of the very sharp nerve pain by adding Lyrica. I take the 50 at night or with breakout pain and 25 during the day if I can get by.

Gabapentin might work as well but I would recommend avoiding it if the cost differential isn't a problem.

I think the Oxy might be more effective for you if you go to the 10 every 4 hrs vs the 15 every 6. You avoid the high and it's much less stress on the body because it keeps the level in your blood more constant during the day.

Dr's are under a lot of pressure to cut people off medication so it's impossible to predict how he will react but maybe asking about an adjustment in the Oxy schedule that maintains the same daily amount and the addition of Lyrica which is of less concern for addiction will help allay concerns of drug seeking.



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Cactus Arizona Says:
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Verwon (# 2) --

Well I was taking Opana and that drug was truly a life saver. I recently had to switch because of the abusers out there. I have chronic pain. I am not going to get into all of that. I can say truthfully that I'm legit. Anyway no the oxycodone I'm on for long term only provides limited relief. I went to Percocet and got off of Norco because I was thinking I may have developed some tolerance since I was on the drug for years and years. Any rate. No I honestly feel they work the same. The 10 mg Norco Vs the 7.5 Percocet is nearly the same for me in potency. I cannot tell you how frustrating it is to not be covered from the long acting one and being told I have to be cut down to 2 break thrus a day. What in Gods name are they doing to us? We all need to speak out. This is our lives. We're not abusing it. We're needing it to be functional. I feel like moving to Germany so I can get the pain relief I had when Opana was around.

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Cactus Arizona Says:
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Eric (# 4) --

It sounds like you take ONLY break thru meds. That's probably why your taking them every 4 hours. Not good, the acetaminophen is bad for your liver. Ever try to go to Pain management and get on a round the clock long term pain med??? Or are you already going to a PM Doc? At any rate. I take long term med it's every 12 hours and break thru meds three times a day. There cutting that down to so I just hope you find a long term one cuz there cutting out short acting ones. For real.

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7
methadionian Says:
 
Cactus Arizona (# 6) --

He's taking oxy 15's no APAP. Tylenol. Agreed maybe a couple of higher dose extended release pills & lower the break through meds. What he's gotten & rightly so is a tolerance. 2 schools of thought here, be honest & tell the M.D. exactly what's going on & risk losing or be put on a decrease. Or inquire as to ways to augment the 15's casually, hoping your M.D. will understand & offer the XR's & Ir's for breakthrough himself. If you ask, it can be very easy for an m.d. thinking of here's another 1 wanting more. I've had 7 failed fusions, severe scoliosis, & I have M.S. I've learned over 30+ of my 48 years that it's a very slippery slope. Good luck. You seem genuine & I hope you can find a solution.

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Cactus Arizona Says:
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Oh I'm sorry, my comment was regarding another post. After I went back to read your post I noticed. Well I was taking oxymorphone AKA Opana. They cut that medicine out now because of abuse. I know you're in legit pain because from what you say. I also am going through similar things. I just had a nerve block done for my spinal stenosis. Anyway here's my suggestion. You have to be honest with your doctor. Tell him/her that the oxy isn't cutting it for your pain. I would hope you established a good relationship with your doctor and passed all the evaluations that you need to do. I'm sure your doctor knows your in Legit pain because you're on Oxy. Now I was on opanas like I stated and then I tried Morphine / MS CONTIN and that helped the pain somewhat but I felt so so sick. Now everyone is different so maybe Morphine will not make you sick. So I have tried about three different drugs since I had to get off the Opana and it was Zyohydro which did not work AT ALL for me. Morphine and now OxyContin. I agree with you. I don't get adequate pain relief on this either. I take Percocet for break thru but the long term one doesn't hold me for 12 hours. No not at all maybe 6 hours but thats it. If I can't get out of this pain I will go to fentanyl. I don't want to. I was on it before and I did not like it. I just want to be on something and still be able to function and be a mom as well as be able to do normal things. Like I said the Opana did that for me but now I'm in the same boat. Good luck. I hope you find some relief.

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methadionian Says:
 
Marjorieson (# 3) --

It's not us true chronic pain patients who are overdosing. It's this kind of reaction that pushes the use of illicit drugs & pills laced w/ fentanyl, etc. They are screwing the wrong people while helping the people that are misusing or have had to resort to illicit drugs. People are now afraid to say anything to their M.D's & be branded a "drug seeker".

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10
Angry 65 year old Says:
 
Cactus Arizona (# 5) --
Opana was useless for me. The nurse tried to tell me Opana takes a month to work. BS!!!! NO one who cares about having their teeth should take ANY med with a 'NO CRUSH" coating on it. It will not only upset U'r stomach but it will destroy U'r teeth from the inside out. TRULY. Read all the other posts on it. I take 5 mgs of Methadone 3 x a day but I'm 65 now and the 120mgs of Methadone I used to need
was a ridiculous amount and now I'm allegic to everything, so Methadone is your choice be prepared to not have a procedure w/Twilight Sleep. It won't work!!!

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11
Delilah Says:
 
Hi, I have chronic pain, and see a pain management doctor. I take oxycontin and, then oxycodone for the break through pain. With all the stuff you have wrong and the chronic pain you have, you should try to find a pain management doctor and get him to prescribe you some oxycontin. It comes in 20, 30, 40. 60, 80 mg. Also, I have RA and I take 5 mg of Prednisone that works really good. I hope you get some relief because I know what it is like to be in pain all the time. I'm a grandmother also and I know how important it is to be able to spend time with your grandkids.

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Cactus Arizona Says:
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Angry 65 year old (# 7) --

Well everyone is different, if Opana didn't work for you and Methadone does than that's great. I tried Methadone and it didn't help me at all. Opana isn't for everyone in fact it's off the market. For constant round the clock pain control there are other drugs is all I'm saying. I'm not on Opana anymore. I am on Oxy and it works so so in my case. To each there own I say. What works did me doesn't always work for someone else but there are other alternatives and Methadone for me is not a option and may not be for others as well.

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Cactus Arizona Says:
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Angry 65 year old (# 7) --

They do the crush resistant because of people abusing it. It was not that way when I started taking it. It was a powerful pain killer and like I said maybe it was too strong for you? In any case, like I said, for me I don't care if I can't crush it. I don't use my meds any other way than orally, so it makes no difference to me. As far as stomach issues I never had any concern about the coating on it. Doesn't matter anyway as the drug was pulled off the market. Thank you.

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14
Waudet Says:
 
Wow...there's so many combinations to try to find the right one. Currently I'm on 600 mg. of Morphine a day and oxycodone 30 mg. 4 x day, but my body has just gotten used to it. I currently have a broken back and a torn rotator cuff from another accident. I want off of this combination. I'm thinking of Methadone and Narco. I've had Narco before...10 mg. and it worked pretty well but I've never had Methadone. The oxycodone is a joke...any ideas?


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Blacksaddle Says:
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Please try and stay away from methadone, less pain relief, and terrible withdrawal. I am in Michigan and very few pain clinics that prescribe ANYTHING but my friends Dr said effective 1/18, NO Dr, NOWHERE will be able to prescribe narcotics if bill 1040 (I think) passes. This is information doctors aren't telling us until it's too late, then it's tough s***. After being put on ms contin 60mg x2, percocet 10/325 4x, xanax, 25 x3, seroquel 50 mgs daily, my Dr dumped me via letter because I had accidentally taken a 10 mg methadone my husband had left 9n our night stand. My crime? Not putting my glasses on first. I've never been in any trouble, did not ask for these drugs, have been on them 4 years, and now because of laws coming we patients know nothing about they are getting ready to pull the rug out of many senior's lives. Not once in those 4 years did my Dr explain the down falls, the tolerance build, the soon coming laws. I called some drug rehabs but at my age with Medicare nothing is available. Medicare doesn't care, with our age and health problems we have been told how dangerous it is to cold Turkey stop. So what do we do? No one Care, no one. So when dead seniors start showing up in Detroit because from the papers we know we can get something there. Yes ripped off, raped, used, abused and if all goes WELL more illicit drug addicts. What happened to first Do NO harm? Gone with the wind. I'm almost glad I only have a couple years left... Sad state of affairs. Want to win the next out of country war? Airdrop Oxycontins all thru the countries, every day. Purdue brags about how cheap and safe they are, go show em Perdue. My death wears squarely on their shoulders. Watch their vice TV program.

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MARK Says:
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Doctor Sharon Scot in Kansas City is Best you all need to make a apt with her nib judgemental loving listens. U are un charge if ur healthxare and u she will tell u only kniw which pain med work for u. We are all different so it varues abd a tolerence gets built uo abd we have ti increase or switch all the time she understands caresvand wants u pain free. No pain contract just honesty any love u will get

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zenboy Says:
 
Naltrexone 2mcgs to clean the nerve synapses will work

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Janet Says:
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Ask to up the milligrams or to add a long pain medication. Morphine is my long term and oxy short. It's a law in Florida I think. The morphine you usually take every 12 hours.

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Eric Says:
 
Cactus Arizona (# 6) --

When you use the term breakthrough are you just referring to how long it lasts? Why would adding something to a medication to slow down its absorption be good for anything except reducing the number of times you take a pill? I don't see much value in taking pills less often but I find a huge value in not going through the euphoria and withdrawal you get with the same amount of medication on an extended release. The increase in energy, improvement in mood and reduction in digestive issues are huge plusses that make the extra trouble of taking pills more often insignificant. Not having the euphoria and withdrawals every 12 hours also eliminates a lot of the forces that encourage addiction. Being addicted to a lack of pain isn't an issue. Seeking a high or increasing the dosage to avoid withdrawal is.

I don't know if you have tried both without the other in your system but the exact same dose of the extended release made me uncomfortably high in hour 2 and included 2-3 hours of a significant reduction in effectiveness and withdrawal. I get none of that with the Oxycodone and therefore don't spend hours every day thinking about feeling euphoric and going through withdrawal. I'm convinced that this cycle of feeling euphoric and undergoing withdrawal is what causes people to become addicted and to always feel like they don't have enough.

Oxycodone doesn't have acetaminophen which I agree should be avoided. I haven't needed an adjustment in my medication for years. It works just as well today as the first day I took it.

I went to the Stanford pain management clinic. I went from spending 10 years unable to walk over 300 feet, talk with my eyes open or even email family members to working multiple jobs, being able to walk for miles every day and to be viewed as an impressive person in great shape instead of someone people would either avoid or offer help. I prayed for it to end every day for those 10 years and I haven't had a single day where I'd rather not be here in the 5 years since.

Proper medication is the most wonderful miracle in the world and it doesn't have to make you high and cause the cycle of addiction it does in this country. The extended release is what causes that addiction in people who aren't drug seekers in the first place. If someone can't take a pill every 4 hours they probably don't need them.

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Eric Says:
 
Cactus Arizona (# 5) --

Norco and percocet both have Acetaminophen BTW - Which you probably know and are rightfully upset about. Acetaminophen is a poison that is actually used to kill animals in some cases. I'm convinced they prescribe those combo pills to force people off medication before they destroy their livers.

The oxycodone is something I was put on because I can't take Acetaminophen. You might try asking your doctor for the same dosage you are getting but in the form of oxycodone so that you can avoid the Acetaminophen or at least take it separately so that you can more easily limit your consumption.

Not to nag but I really encourage you not to push for the extended release. Oxycodone is the exact same medication but the lack of buffering agent allows you to keep your blood level much more constant and the fluctuation in blood level is what causes almost all of the negative effects.

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