Years ago when I first was treated for chronic severe pain, I was given Oxycontin and Vioxx to reduce pain and inflammation and it was great, I was prescribed Oxy three times a day (it usually worked well for about seven hours, so three would help me around the clock, and Vioxx was always the best anti-inflammatory pain med that worked great in conjunction with the Oxycontin. However, over the years, my insurance would generally stop paying for Oxycontin after a period of time, and so I was changed to Oxycodone (instant release rather then over time, extended) At first it was a real "pain" no pun intended, however, recently, the pain management clinic I go to told me that in Florida, the DEA/ or FDA is advising them not to prescribe six (6) IR (instant release oxycodones) per day and that I must change over to the time release. I was all too thrilled at first since I usually could not get an 'exception' from insurance to pay for the extended release- but I have been taking the ER for a few weeks now, and find that it only seems to work 4 to 5 hours max, AND I am having so many other side effects from the ER, I think from reformulation, frankly I feel like if I continue taking it my system will be so screwed up, I will be dead in another month or two, and this scares me to death. I want to return to the IR, which I am used to and prefer when comparing it to the newer Oxycontin. Does anyone have any experience, information, or advice to share?
I'm so sorry for your pain, but due to Florida being pill mill central. It messes you up. They changed the formula in the ER because people were snorting it or shooting up so now it has this gel like covering. I would discuss this with your PM doctor, but his hands maybe tied. Maybe a total different med will give you relief.
You are correct that the reformulated Oxy extended release only last about 5 hours. Can your doc prescribe them to you plus a breakthrough pain med like Percocet? They also make the Oxy ER in different strengths like 20mg etc. be honest with your doc they know this stuff doesn't work like it used to.
I have been reading about your pain management clinic and am a little concerned . You might want to consider going to a board certified pain management doctor for a second opinion. We are having the same problem in Georgia with the pill mills interfering with the care of true pain management patients. There should be a way to document the test results blood work and treatment notes once and then the government has to back off forever
My post are also not being published with no notice they are being held and it is pissing me off because often it has been just to offer my friends here a bit of support from afar
I'm going to contact the powers that be and ask the what is going on? Show me one rule I have broken... Ok rant over
I hope that you are able to a pain doctor that can control your pain and is willing to take on the system through documentation and whatever else it takes
I agree, the new reformulated Oxycontin do not work NEARLY as well as the original version did. I noticed it right away. I had just finally gone up from 40mg three times a day to 60mg three times a day and with the reformulated ones, it was like going back to 20 mgs again! With the old formula, I could wake up in pain, take my dose and within 30-45 minutes I could feel almost a warm sensation at the painful site and the pain would just melt away. The new ones? at least 11/2-2 hrs for any relief and it is just not the same and I have never crushed, split, chewed or altered my medicines in any way! When I would tell the Drs about noticing a difference they would think it was because I was abusing by altering my tabs! I'm all for making a medicine tamper resistant as long as it works the same when you take it the right way.
Oxycontin does NOT do that! What happened with Roxicodone is that when the Oxycontin formula changed, people abusing Oxycontin started abusing Roxicodone because they could still crush and snort those! That is why the docs balk at high doses of IR. Prescribing those more often gets them noticed as an "over prescriber" and they can lose everything if they get investigated so one can understand why they are reluctant. All I can tell people is to complain to your State reps and Congress people! Tell them what all these new regulations that are designed to protect abusers are doing to all the legit people who are taking their meds properly because all they are hearing from now are the parents of kids who died abusing Oxycontin. That is why it was reformulated. The parents of these kids pressured the government to "do something" and the government pressured Perdue. People seem to forget that every time you ask the government to step in, they just cause worse, unintended consequences! We, pain patients should have rights too and we have voting power and the only way for the "powers that be" to know this is to shout it from the rooftops. If you dont let your politicians know, they will never realize there is a problem because they are all busily patting their backs for helping the "prescription drug abuse epidemic" to notice what they are doing to the lives of "real" patients and most of us hurt and therefore it is difficult to get out of the house and lobby for our side of the story. If you are the loved one of a pain patient, lobby for your loved ones sake, and pain patients need to write enough letters to make it snow letters in Washington and the State Capitols!
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