Hi bwrod06, have you built up a tolerance to OxyContin? We, most folk that take an opiate pain med, tend to develop a tolerance to the medication at some point in time. IF it worked for you previously, there is a chance that you have just built up your tolerance to it. You may only need a dose adjustment. OR, if you no longer want to take OxyContin, there are many pain meds on the market that may work very well for you.
Best wishes to you,
p.s. there is a pain med called Oxymorphone that may work better for you, but hang in there, we have a few nurses that REALLY know their stuff, I know at least one of them may answer your question.
I'm starting to have the same trouble. I have been on OxyContin since 2004/2005, somewhere in there, and it has always worked well then they switched the formula a few years back and it has not worked the same since (and I dont crush, break or alter the pills in any way) There are a lot of other options-you could try MSContin-there is a generic for this medicine and it is probably the most cost effective one, if cost is an issue. Kadian is also a long acting morphine product-the delivery system is a bit different with Kadian. There is Opana ER which is a long acting oxymorphone product. They recently reformulated that one too and some have said it doesnt work as good as the old formula but if you have never had it before, that may not be a problem for you.
Fentanyl is a good option because it can control pain for days instead of hours but if you have oily skin, it may not be your best bet-some people have trouble getting it to stick and if you are sensitive to adhesives this is definitely NOT the one for you. Exalgo is a long acting hydromorphone product then Dilaudid is the short acting form. Nucynta is another long acting form. Probably the MSContin, Kadian or Opana ER are probably the closest to working in the same manner that Oxycontin does. I'm planning to talk to my PM doc about switching something up this next month too. Oh, I forgot methadone. Methadone is a long acting drug but it is one to be very careful with. You never want to escalate your dose on your own with methadone because its ability to affect your respirations hangs around a lot longer than its ability to relieve pain and people can OD if they escalate their doses. Many people feel that methadone works better than any other long acting drug though.
- OxyContin Information for Consumers
- OxyContin Information for Healthcare Professionals (includes dosage details)
- Side Effects of OxyContin (detailed)
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