Mel_inCAI have cancer and a lot of pain. I like Oxycodone IR but it don't last long enough or through the night so my doctor says use Oxycontin. The Oxycontin doesn't make me nauseas in general, but twice a day I get an extreme urge to vomit. I do, and the pill usually comes out too. I think my stomach can't tolerate the time release coating in the Oxycontin. The Oxycodone IR doesn't make me vomit like that so I know it must be the coating. Too bad because the pain relief is great. Other option is the Fentanyl patch which I hate. Any suggestions? Are there different brands of Oxycontin? Maybe a brand name with a better time release coating? I really wish I could tolerate the time release pill. I could also try Methadone or MS Contin but those might be too strong. Thanks!
Responses (2)
I<3theOcean19 Aug 2010
Ok first off, MS Contin in my opinion is weaker than Oxycontin. Also the part that makes OC timed release isnt the coating, its a substance thats part of the entire pill. It makes the whole pill dissolve slowly, not just the outside part. But that could be your cause of feeling sick. Ive never heard of it but anything is possible. Are you taking the same dosage of the IR and the ER? Lastly, Oxycontin is the brand name version so there are no other brand names. There are some generic versions possibly still out there but they have stopped production because they got taken to court by Perdue Pharma because they got a patent on timed release oxycodone. So the generics are pretty hard to find now, its mostly all brand name OCs.
dr. trevor28 Jun 2011
Hi There, I thougt you should know that OxyContin is the 2nd strongest opiate known to man. The only thing stronger is hydromorphone (Dilaudid) and oxymorphone ( in which 75% of doctors don't even prescribe b/c its so potent! You should be on some anti-nausea pill or a benzo? Are u?
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Thanks for the answer. I won't bother looking for another brand then. Last time I took OC, it was 20mg twice a day. Before that I was taking 5 or 10 Oxycodone every 4 hours. But when the pain comes back before 4 hours, it's time to step it up to a long acting drug. I know the Fentanyl patch will work for the pain, but it makes me feel like a zombie. Right now I'm taking percoset 7.5/325 every 4 hours and I'm barely making it. Are there any other long acting medications? The doctor mentioned Methadone, which I've never heard of.
Most people on here would not recommend methadone. Ive never tried it but I dont want to from what Ive heard/read. When you took the 20mg OCs, you were swallowing them whole right? If you chewed them up or broke them up, it would release much faster and thats why it would make you feel sick. If you still have any, you might want to try taking half of one and see if that still makes you sick so you will know if its just the dose or the actual drug. There are a lot of long acting drugs out there but the most common ones are Oxycontin, MSContin, and Fentanyl. Then theres Opana which is less common and actually one that worked well for me was Oramorph. Its timed release Morphine. I havent heard anything about it for years though so Im not sure if its still available. MScontin is also timed release Morphine but its a tablet whereas the Oramorph was a capsule with beads inside. Then theres Extended release Dilaudid which works well too.
Also heres another quote about a new drug that seems like it would be good.
"Palladone is an extended-release formulation that comes in 12, 16, 24, and 32 milligram (mg.) capsules. This drug should only be used in patients who are already receiving opioid therapy and who require a total daily dose of at least 12 mg. of oral hydromorphone or its equivalent. Palladone offers a therapeutic choice for opioid-tolerant patients who might otherwise be candidates for other opioids and who do not achieve satisfactory therapeutic results with these other products."
I was swallowing the OCs whole(definitely know not to chew or crush them). It's good to know about the dilaudid, right now I don't have a ton of pain but that could be a better option in the future. I had it after a surgery in the recovery room once and it is really powerful. I'm seeing my oncologist tomorrow. RIght now, percocet 10/650 is taking away the pain, just not lasting more than 4 hours.
Thanks so much for your help. This site is great!
You're welcome. Yes this site is great, Im happy to help out where I can as well as get help when I need it.
I saw my doctor, now I'm taking Oxycodone fast release, 10 or 15 mg every 3 hours. That's 60-80 mg per day. It's controlling the pain pretty well for now. I'm thinking about trying the Oxycontin ER again. I just feel so much better, happier and motivated on Oxy than Fentanyl. I don't mind taking the pills every three hours, but at some point it doesn't make sense and I need something long acting. I checked my old drugs, I have the Oxycontin(brand name) and "Oxycodone ER" which is the generic one. Maybe if I insist on the brand name I will throw up less.
i am having the same problem glad to see it is't just me. they last longer if i can hold it down. also make me feel loopy so i can't drive, i want to go back to my roxicodone.