My doctor is good but he insists I take a long acting narcotic pain med. Would not be a problem but since the oxycontin formula change I have had to go off that. All the other long acting meds such as Avinza and ms contin are hard on my bowels and make me feel tired, sick tired all the time. If I just take 30mgs of oxyir every three hours I do great? any sugguestions, now I have parital bowel obstruction and I have had 6 major surgeries on my pelvis and abd I can't risk another surgery.
Many pain docs prefer the long acting drugs since they dont flood the receptors with the opioid, they are a little less prone to be addictive. Short acting drugs flood the receptors with opioid and tend to cause more euphoric effects, especially when you get into the larger 15mg and 30mg doses. There is a big rush of medication to the brain and the brain LIKEs that big rush! This leads to faster tolerance, need to escalate the dose etc. Long acting drugs tend to keep a more even release of drug over a longer period so you get less of a rush of medication to the receptors and not as much euphoric effects. (This is why many people, when switching from short acting to long acting drugs, dont think the long acting works.
They get used to the feel of that rush to the receptors and when they dont feel that, they think the drug is not working) This helps keep tolerance from developing as quickly and really allows better control of pain with less medication over all since you are taking it around the clock instead of as needed when the pain is bad. I take OxyContin too and I've found that the new formula doesnt seem to work as well as the old formula did but I'm lucky that I really havent had too many bad side effects from it like some have. I do get a little more headache from it and I think it aggravates constipation more than the old formula but I can control that with fiber in my diet, drinking plenty of water and taking a stool softener or laxative as needed. Have you tried Fentanyl patches? This might be an option. Methadone is another option. I dont know what all you have tried and you dont mention what kind of trouble you have with the new Oxycontin. I really railed against the formula change but after trying some of the others, I still feel the Oxycontin works the best for me and I have gotten more used to the change. Good Luck to you-I hope you find a regimen that works for both you and your Dr!
I have been on 80 mg Oxycotin 4 times a day these long acting drugs do not give me enough pain relief. I have been on this SH!!! for 6 years I wish they would go back to the 160 mg since they fixed the problem of being able to crush or melt the med. I got alot more releif on the larger dose. For your bowel the way I take care of the problem is that every morning I have 1 cup of oatmeal made with soy milk that helps me take care of my bowels. Top it with a little fresh fruit every other day. I also take morphine which I think since it is in generic form has no pain releif. I do not trust generics drugs to be the same as the name brand.
- OxyContin Information for Consumers
- OxyContin Information for Healthcare Professionals (includes dosage details)
- Side Effects of OxyContin (detailed)
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