I am on 80mg 3 in am 3 80mg at night and still have pain
Perhaps you need to seek a Physiatrist versed in trigger point injections as these can help in decreasing your pain and allow the Oxycontin to help decrease your pain.
Almost all Narcotics are equal in their efficacy, the only difference is the amount that each pill contains.
Please talk to your doctor who knows your condition and might be able to offer you other options, or add on other meds which might help your pain.
Madhup Joshi, MD
While I agree that most opioids are fairly equal in efficiency, it can help sometimes to rotate to different opioid medications. Just because you have developed a tolerance to Oxycontin doesnt mean you have tolerance to other opioids. Talk to your pain management Dr. Let him know your current regimen is not managing your pain. Believe it or not, sometimes it helps to gradually cut back your dose for a while then raise it back up again as you are on a very, very high dose. This will help to "reset" your tolerance levels but it takes a long time and it is a bit painful to do it but in the end, it does help. Also, when one has chronic pain, you will get to a point where "pain free" is not an option and when you get to this point you have to adjust your expectations a bit. Sometimes, the best you can aim for is for pain to be tolerable because the only way to be "pain free" is to totally knock you out.
I agree with the others. That's a boat load of Oxycontin to be taking. Either your pain is extreme, or you have built up a tolerance. I suffer from degenerative disc disease and have had multiple spine fusion surgeries. I suffer from chronic pain and was on 40mg of Oxycontin 3 times a day with 5mg to 20mg of oxycodone for breakthrough pain. In December I decided to "re-boot" by tapering off. It was 3 months of hell, but I did it. Amazingly, though, I discovred that my pain level off the meds is nowhere near where I expected it to be and now only need the occasional tramadol for my pain. In answer to your question, though, Dilaudid (hydromorphone) is much more potent than Oxycontin and even more potent than morphine. However, be warned, it will mess you up bad, and the margin between effective pain relief and overdose is very small. I would recommend it only in the most severe case. Good luck, and be careful. . .
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