I have chronic back pain and scitica caused by 2 large disc herniations at the L-4AND L5 -S1 discs comprimising the exting nerve roots i also have neuorpathy in both legs due from being a diabetic for these conditions i am currently on oxycontin 40mg3×aday&percocet 10/325 for break through pain up to 3 a day for the last year &1/2 that has been my daily regimn but now the oxycontin does not work as well as it did when i started on them the percocet does not either my question is should i just ask my pain dr to raise my dosage as it is not reliving pain like before. Any input would be apperciated, Thanks
I would say crush the Oxys but that leads to misuse and abuse. but the old me would say crush them and disable the time release. But a good thing to do is to take your meds with tonic water that might increase the euphoric feeling. But that doesn't work for everyone we are all different.
I would be honest with your pain doc and tell them that the meds just are not relieving your pain as well as they used to. Tolerance to drugs happens. He may rotate you to another drug that you dont have as much tolerance to or he may raise your dose. It sounds like you are asking for pain relief, not to get high so dont do what the above poster told you because that is abuse and will just get you discharged from your pain Dr!! That is very poor advice! You definitely have room to go a little higher on you OxyContin. The next dose up is 60mg. Thats what my Dr did for me when 40mg 3xa day no longer worked. He raised me to 60mg 3 x a day. So just be honest with him. As long as you are continuously elevating your meds you will be fine. Occasional escalations are expected due to tolerance.
Euphoria wears off very quickly but pain relief is much slower to react to tolerance therefore you can be on a dose for a while and the euphoric feelings may wear off quickly but the pain relief should be there much longer. Good Luck!
It is best not to ask for a higher dose, rather tell the Dr. your concerns and let him/her make the decision. Chances are you may need a breakthrough medication. The continued release (that's the "contin" in Oxycontin) provides a base and it's very easy to build a tolerance to it. Raising the base will often just cause another quick tolerance. Breakthrough is the way to go but again, let the Dr. suggest it.
I've been dealing with chronic pain for 14 years and have tried most of the pain meds out there. I finally discovered Oxycontin to work the best with the least euphoric or mind altering effects. I did experience a tolerance to them after a while. When I mentioned it to my dr. he usually changed the meds to something different but sometimes almost pointless. My complaints seemed to raise some red flags and wasn't treated seriously. What I now do every now and then is taper down and take a week off. Although its a rough week but at least I know I'm gonna feel better when I start again. I feel like I'm protecting myself from full blown addiction, which i'm terrified of. But then again maybe im just fooling myself about that but I would rather take a week off the oxys than have my pain dr. change me to something that doesn't work at all or make me feel stoned for 3 days like fentanyl did. That's my 2 cents! Hope it helps! Good luck.
Best thing to do is tell your Dr. you are no longer getting relief from the current dose of pain medicine( I too am on the same dose as you, but I get 6x 10/325 Perocets for breakthrough daily). This is common over time, it's called tolerance. I went from 30mg Oxycontin every 12 hrs with Norco in between, to 60mg Oxy x3 daily with 6 Percs, in about a year and a half's time. So as you can see this is fairly normal. I have a great relationship with my GP(he prescribes my Sch-2's) and I am very honest with him, I've always just came out and asked for increases in medicine. Remember, your GP, PM, whoever you get your chronic pain medicine from, does not have a clue about how you feel day to day, he relies on you, the patient to explain how you feel, so don't feel its taboo to flat out ask your Dr. for a increase in medicine. If you take your medicine as prescribed, he should have no problem increasing your dose every 3-4 months.
Unfortunately for me I've hit the ceiling on how much Oxycontin my body can handle w/o the nausea, constipation issues, and zombie feeling that the higher doses sometimes give.
- OxyContin Information for Consumers
- OxyContin Information for Healthcare Professionals (includes dosage details)
- Side Effects of OxyContin (detailed)
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