Norco to Roxicodone...

It sounds like you already know what you want, so just ask the doctor if he thinks oxycodone would be appropriate for your level of pain.  Personally, I think Norco 10/325 work great for pain also (hydrocodone, which you have been taking - only the above norco has less APAP) and you can take up to 10 or 12 a day without exceeding old APAP limits.  But oxycodone is a step upward in potency and then there are simply no APAP concerns.

Personally, I think 15 and 30 mg oxycodone instant release tablets are the best pills out there for treating moderate/severe pain.  They aren't sedating and they are simply the most effective oral narcotics available as far as bioavailability.  (in other words, most of the drug goes to work on the pain rather than being side-tracked by the liver)  But they don't work for some people and they now have a stigma attached to them as they are one of the most popular drugs of abuse.  But then I'm sure you already know that.

Good luck in getting what you actually need.

Long time no see. I hope you are doing well. I can tell you that hydrocodone without APAP is a CII drug. I haven't heard of it being scripted to anyone, but that doesn't mean anything. My dog took straight hydrocodone for her spinal issues, because dogs can't take ibuprofen or tylenol. My vet would get them from the local pharmacy.

Oxycodone, from experience with my husband taking them, comes with and without APAP. He gets oxycodone IR, and he will take half of a 500 mg Tylenol, as they work better for him with the tylenol. This way he can control the intake of APAP, and keep it under 1500MG per day.

I use hydrocodone 7.5 w 200 mg ibuprofen. I just found out I have a herniated disc in T-8, and had my fentanyl doubled. The vico isn't working for BT right now and my blood pressure is through the roof from my pain level. I think if you talk to the doc about using oxy IR with no APAP, it would be ok.

Besides, we know you aren't a depressed drug seeker. Some docs just don't get it. Take care, dude.

Since he is refering you to an interventional pain management, its possible that he will still be your controlled substance script writter but wants you to go to someone that has the knowledge and ability to do trigger point injections and teach you other ways to deal with your pain. My dads doc offered this kind of arrangement to him, but since his doctor does trigger points he has no motivation to try dual treatment with two doctors.  Anyways, when your doc refered you to pain management you should have just said "Can you do something like trigger point injections here?" or "What kinda things can they do, that we cant do here?" or " I was thinking more physical therapy might help me keep my pain atleast where its at". It would show that you are willing to try and reduce your pain non medically and would keep your meds were hes comfortable for the time being. It is very possible if you start doing some of the non medicinal treatments your pain will reduce enough to where what you are taking will feel like its working better.  All this aside, most doctors ecspecially doctors that are treating you with CII opiates are very scared of scripting benzo's and I totally agree with them. If you want to keep this doc lay low on the Xanax and try to not take as many, so at your next appt. you can tell him "actually, I think I only need 1/4, 1/2, 3/4 etc. of the normal amount, Ive been doing relaxtion stuff like breathing excercises and not drinking caffeine at night so I could cut down".

JJ! Sorry I didn't see your question to me. I haven't been on the board much lately and last week was away from my computer all week. You had the same reaction as me to the Endo morphine...it x*#&s! I was doing great on morphine for well over 2 years. For about 90% of the time I was on Mallinkrodt ER morphine, which worked well for me. Then more recently when I was still on it I was given Watson ER morphine. That worked fine too. However, there were 2 occassions early on where I was given Endo morphine and it didn't work at all, so from that point on I always asked before getting my scripts filled because Endo morphine is worthless. Unfortunately, the ONLY morphine around before I had to change meds was the Endo so finally I had to ask my doctor to switch my meds. Now I'm on Oxycontin and it's working fine for me too. I prefer the morphine, but at least I'm still getting pain relief. It never ends though...now my new medicare advantage plan doesn't have Oxycontin on its formulary so I have to try to get a PA. Of course they want me to do "step therapy" which I've done, just not while on their insurance. In the past I've had insurance companies literally make me go through their step therapy to the point where my doctor literally was writing a new drug once ever 2-3 days just to get me through the "steps" as quickly as possible. What a waste of money on the insurance company's end. Hopefully this company will take my doctor's word.

I assuming you mean 1mg every 8 hours no thats not too much, but some medication shy Dr. don t want a person to take 1mg at bedtime, I agree with you JJ that a person that weighs more needs more to metabalize than someone that weighs 99 pounds soaking wet.

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