... take it for breakthrough pain but i need something thats a little stronger and that last longer like a extended release than i would be able to function a little better.My hip last night felt like the bone was cutting through the skin.It was aweful.I take morphine 2 times a day 15 mg time release i was on 30 mg time release but it was to strong and i could function so i asked my doctor to reduce it to 15mg I am suppose to take the Oxycodone for breakthrough pain but i have found if i take it with the morphine together it works much better.Any suggestions?Is oxycotin time release and if so what would be a dosage equal to maybe 10/500 of the oxycodone?anyone know?I would like to be knowledgeable when i see the doctor
There is an extended release oxycodone but not so sure that the doctor is going to prescribe two time released meds at the same time. As you know there is a 10mg oxycodone (stronger than the 7.5) which you could try. Otherwise there is Dilaudid (hydromorphone) and Opana (oxymorphone). each a bit stronger than the previous. They both come in immediate release and extended release formulas.
Hope you get the relief soon,
I noticed in another question you asked that you have fibromyalgia. You might consider trying one of the medications that help with that, as they are not addictive and do supply a lot of pain relief. They are Lyrica, Cymbalta and recently Savella was approved. I am on Cymbalta and Lyrica and both helped me a great deal, but my pharmacist cautioned me that I should only be on one. Several doctors however tell me that both are prescribed at the same time quite frequently. Both have side effects and are sedating, so adding them slowly is probably best. Best wishes -
Hi - ElizaJane again. How often are you taking the breakthrough pain meds? If you are taking them daily, or on a regular basis, your body is telling you that it is time for an increase on the constant pain meds - your around-the-clock pain med. If you are taking the breakthrough meds on a regular basis, you have, in effect increased your dose on this. Breakthrough pain meds are typically prescribed for those times when we over-do, do something outside the norm in our daily routine and get into a pain flare. If you find yourself taking them regularly you might want to research other around-the-clock pain meds such as Kadian, Opana, Nuvigil, fentanyl patches, Oxycontin, MS Contin, and, although I wouldn't recommend it, methadone.
You can go to the user forums on this website and see people's comments about each of these meds, and look up each one on the A to Z medication information. Also, I saw a question here in the past day regarding Savella, the new medication for fibromyalgia, and there were some good comments about it. If it is the breakthrough pain meds that need an increase the oxycodone comes in a form withou the acetaminophen (Tylenol) which is better for your liver anyway. It comes in strengths of 5, 10, 15 and 30 mg tablets, so you would be able to increase it just a bit if that is what you are looking for. Hopefully this will help you be better prepared for your doctor visit.
I have tried morphine er and you could go up to a 20 mg and see how that does or ask if you could take a different dosing of the oxy for breakthrough. I have found that Fentanyl 75mcg patch every 48 hours with Opana IR 10 mg for breakthrough works well for me but everyone is different. I did find that with the fentanyl patch I am getting more consistent pain relief and using that in combo with the breakthrough pain meds I am able to keep my pain levels down to a 2-3 most days which is much better then the 6-7 I was having even on the Opana ER. If the 15 mg ER morphine works well for the most part maybe 30 in the beginning was too strong for your body to handle and now that you have been on the 15 for a while you have built up your tolerance. If it were me I would talk to the doctor about what medication will work best to keep your pain levels at a more consistent level for maintenence and maybe give you the option of taking 2 of the oxy's if needed for breakthrough.
The longer that you can stay on the lower strength meds the better because there are only so many medications out there and once you are tolerant to most of them it is hard to get any to work as well as they once did. I agree with what was said earlier that many docs will switch meds every 6 months or so, so that you won't become to tolerant to that drug and you can go back and forth between medications. Itching is a MAJOR side effect of morphine and the higher the dose the worse it can get. Benadryl can help with this but can also make you drowsy on top of the other pain meds that can make you drowsy. I would honestly ask your doc about starting on a 25 mcg patch every 48-72hours with the option of taking 1-2 of the oxys for breakthrough. Honestly, your doc will have better info for you based on your medical conditions and pain levels and maybe some alternative meds that aren't narcotics... I also take cymbalta for sciatic nueropathy and occipital nueralgia. If your doc really wants to help you have a better quality of life he will listen to you and tailor your meds to what is best for you. I have tried the Nucynta and in my opinion it isn't much different then taking tylenol, plus I had a serious allergic reaction to it after taking the first pill, but every one is different and you may respond differently. I wish you good luck and hopefully as pain free as possible. Please let your doc know that you are now having a quality of life issue because of pain levels spiking and not getting very good control. Will be thinking about you. God Bless.
- Oxycodone Information for Consumers
- Oxycodone Information for Healthcare Professionals (includes dosage details)
- Side Effects of Oxycodone (detailed)
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