Anyone Here Take Oxycodone IR 5's

[BrokenBladder]

I was just given a prescription for them today by my rheumy to replace my Vicoden 7.5/750. What kind of comparison will I see? I took the Vicoden every 4 hours now this every 6 hours.
Any thoughts good or bad would be appreciated!!

[jena1225]

Lisa, aren't you on a B/L med as well?

[BrokenBladder]

Yes Oxycontin 80's TID

[curiousforever]

Sorry but no.

[krashleen]

Waving hand! I do, I do.

I have oxy 20's for b/l med..and 5's for b/t.

I love the oxycodone 5's for b/t rather than vicoden. The vicoden gives me "foggy head" and no side effects...don't let the small pill fool ya, it gives good pain relief.
You might have a harder time..although I *think* they are almost equal in strength..

[BrokenBladder]

Thanks Krashleen!!! I just googled Oxycodone and found out it has acedemedfine(sp) which is what I was advised to stay away from according to my GI. I put a call into him this afternoon, but haven't gotten a call back. I'm feeling really frustrated right now and completely in the dark!!

[jena1225]

Maybe he meant Oxycotin! Only because he seemed confused about the whole Tylenol/Acetamnetaphin thing...

Can I ask what the IR is?

[krashleen]

No there is oxycodone 5 mg IR (instant release) that has no acetaminophen, no aspirin. Nothing but oxycodone. Tiny little white pills.

I thought thats what was meant. I don't tolerate the percocets very well. No fillers for this girl.

[jena1225]

Sorry, forgot you were already on Oxycotin...

[lobelsteve]

Yes Oxycontin 80's TID

So your daily total long acting is 240mg and your doc gave you 5mg tabs for breakthrough.

I'd call him/her an idiot to his/her face if I could.

1/48th the long acting dose is an inappropriately low dose and is likely to be completely ineffective. It will have you wanting to take more than prescribed because the dose is without merit. Even a 15mg dose is too low, but I would not go ovr 30mg owing to the nonavailability of higher mg pills. Treatment goals should be reasonable and the fewer pills taken in a day is better from a psychological standpoint. Why remind yourself how much you hurt by needing to take a pill every 4-6 hrs to get relief, and why have to take a handful of pills to get that relief. It is disheartening. YOur doctor should consider a medication for BT from another class if tolerated such as Dilaudid 8mg, MSIR 30mg, Opana IR 10mg. This may help prolong the length of time in which you may develop tolerance.

[BrokenBladder]

Steve thanks for letting me know!! I had no idea what to expect!! I'll start them tomorrow and I will be on the phone with my doctor when I'm in pain.

[krashleen]

So your daily total long acting is 240mg and your doc gave you 5mg tabs for breakthrough.

I'd call him/her an idiot to his/her face if I could.

1/48th the long acting dose is an inappropriately low dose and is likely to be completely ineffective. It will have you wanting to take more than prescribed because the dose is without merit. Even a 15mg dose is too low, but I would not go ovr 30mg owing to the nonavailability of higher mg pills. Treatment goals should be reasonable and the fewer pills taken in a day is better from a psychological standpoint. Why remind yourself how much you hurt by needing to take a pill every 4-6 hrs to get relief, and why have to take a handful of pills to get that relief. It is disheartening. YOur doctor should consider a medication for BT from another class if tolerated such as Dilaudid 8mg, MSIR 30mg, Opana IR 10mg. This may help prolong the length of time in which you may develop tolerance.

Can we clone you?

I love the way you think...those of us with chronic pain, and no way out, well it just makes sense.

[jena1225]

That is what I have learned as well... that if I have to take that many pills in one day, there is something missing. So that is when I went on Oxycotin. Now I am not, what everyone calls "chasing my pain". Although I do need my B/L increased I think :eek: But, the better my B/L the less B/T I have to take. That was some of the best advice I have gotten here!

[slipnslide]

Treatment goals should be reasonable and the fewer pills taken in a day is better from a psychological standpoint. Why remind yourself how much you hurt by needing to take a pill every 4-6 hrs to get relief, and why have to take a handful of pills to get that relief. It is disheartening.

Interesting thought and I agree. But, what should be done when your doctor tries you on an extended release formula of the Rx you are already taking but it causes cramping and nausea?

[Kira]

What is a reasonable amt of oxycodone IR to take for breakthrough when the base med is 37.5 mcg/hr of fentanyl (patches)?

I have been getting essentially no relief from my B/T meds, and after reading Steve's comments, I wonder if they are just really under-dosed.

Thanks...

[debhun]

What is B/T meds? I am very new at this. And one more thing. can you use the fentanyl patches if you work out in the yard or go on a boat fishing in the heat. I heard you can't. Sorry to ask but I don't know much about meds. Just what I take.Trying to learn.

Deb

[gracie05]

If you have bladder problems (and I assume you do by your username!) you should most definitely stay away from tylenol (acetamenophen)!!! It is HORRIBLE on the liver, kidneys, and bladder!! Oxycodone IR 5's (better known as percoset) has 500mg of tylenol. There is an oxycodone IR 5 called Roxicodone that does not have any tylenol. It would certainly be a better choice for you. The hydrocodone med (vicodin) with 750mg of tylenol was absolutely one of the WORST choices a doctor could have made for you short of giving you straight 1000mg tylenol several times a day! The 5/500's is better, but not ideal by any means. Since your base med is oxycontin, it makes good sense to use the same med for BT, but they should have given you Roxicodone without the tylenol. All the tylenol does is give it a little boost that makes it work a wee bit better. If you need the boost, then you have the option of taking a little tylenol or ibuprofen from over the counter rather than having it mixed into your med. Ask your doctor to change it to Roxicodone so you get the same med without the tylenol.

As for how it works in comparison to vicodin, it is a little (but not much) stronger. You should get about the same level of relief with the 5mg oxycodone that you did with 7.5 of hydrocodone. However, since it will work a little better in conjunction with your base med you might find it working a little better than the vicodin (though the 7.5/750's are usually called Lorcet). Anything with -cet or -set on the end has tylenol in it. On your prescription it will be labelled as APAP. Vicodin and Norco are two exceptions to the -cet rule but they will have the APAP on the rx label.

Do not give up on getting this changed!! With urinary tract problems it is literally a matter of life and death! If necessary, get your urologist involved, but somehow, some way, make them change that med so you do not get the tylenol!! Be persistent. It is your body and you have the right to not be poisoned by being given inappropriate medication for your condition! In the meantime, take as little as you can get away with. Try to keep your tylenol dose under 2000mg/day (4 tabs). This is truly an issue of your safety. You NEED to be switched to an IR med that does not have tylenol in it. As someone mentioned, dilaudid is another choice, but it is WAY stronger and docs are reluctant to use it. Under the circumstances the same medication you have without the tylenol is probably the most realistic chance you have for a change. Push for it.
Good luck,
gracie

[Kira]

Gracie,

Plain oxycodone IRs DON'T have acetominophen in them. They are JUST oxycodone. They are the generic version of Roxicodone... same exact thing.

Percocet does, and all the generics for Percocet. Percocet (and generic Percocet) do say oxycodone on the bottle... but it will say oxycodone/APAP, NOT just plain oxycodone.

Deb,

You are not supposed to get overheated while wearing the fentanyl patches, because it makes you absorb more fentanyl through your skin than you would normally... which can theoretically cause overdose, etc.

B/T means "breakthrough." B/T meds are the short-acting meds that doctors often (but not always) prescribe for you to take in addition to the long-acting meds. The Vicodin you were taking is an example of a short-acting med... meaning that it wears off after a few hours. Ideally, your dose of long-acting meds would be adequate and you wouldn't need to take anything else on top of it, but sometimes people need something for B/T.

My disorder fluctuates a lot from day to day and week to week, so I am one of the people who needs something extra for the bad times. I have the fentanyl patches for my fairly constant "background" pain, and then I have oxycodone for when I have attacks, when I overdo it, etc.

[Mark N]

Dr Steve, I have to agree with another point you have made about taking less pills if possible by increasing the dose of each med. I used to like taking 3 pills of 20mg MSContin TID so I could adjust and be more flexible with my meds but my insurance wouldn't pay for it any more. Now that I take 60mg tablets it is much easier on me as it doesn't seem like I need so much meds.