April 10, 2007 - 6:35pm
I currently receive #90 of 5mg/325mg per month. I usually can get any of the generics from the various pharmacies. Well I've tried the Mallinkrodt, Watson and Endocet but not the roxi's. I have no insurance so I pay out of pocket. I like to rotate these brands each month but usually prefer the endo's. I was wondering if the 5mg oxycodone without the acetaminophen is better or preferred over the oxy w/ acetaminophen. All comments are appreciated and realize everybody's chemical makeup is different.
April 11, 2007 - 12:25am
#2
Prices
I utilize a discount card I received in the mail, actually it was for my mother but she already has health insurance. I got #60 of the Watsons for about $9 at an eck... And now get #90 of the endos at Walg.... for no more than $13.
April 11, 2007 - 10:51am
#3
For some reason I thought
For some reason I thought walgreens carried the mallinckrodt products of generic percocet, not endocet, unless specially ordered (at least in my experience) However, one pharmacy I've used dispenses roxicet for percocet 5/325 rx's and I feel it works better than any other generic of this strength I have tried. Well, I guess its actually not a generic, its Roxicet but it was only $15.69 for 30 tabs w/o insurance or any kind of discount. BTW, I find percocet 5/325 and generics to work better than the 5mg IR oxy unless I add a small dose of tylenol to the oxy IR, just my thoughts, hope they are some assistance.
JeckPDX
April 11, 2007 - 12:35pm
#4
in my opinion
I stopped using the big name pharmacy about 6 months ago b/C they put a mom-n-pop pharmacy next door to my Pain clinic, heres what i have found out.
#240 of the percocet with the 512's on them (5/325) cost me 150$ at big name W pharmacy; when i switched over that same rx cost me only $28.36;
then my dr switched me over to the oxy ir's 5mg (no apap); the price only went up about 10 bucks;
I prefer watson brand over any that i have tried, i also prefer the oxy/apap combo rather then the oxy ir and tylenol seperate;
my opinion, i hope it helps
April 11, 2007 - 8:04pm
#5
Thanks for the replies
Thanks for the replies eveybody. I had a question for JeckPDX, what pharmacy do you use for your refills for the Roxicets. I'd really appreciate it.
Thank again,
Rick
April 11, 2007 - 10:42pm
#6
It is a small mom and pop
It is a small mom and pop pharmacy that specializes in compounding called Lloyd center pharmacy that is local to my area. Any pharmacy should carry roxicet though as they are technically a brand name.
JeckPDX
April 12, 2007 - 1:31am
#7
Percocettes/oxycodone vs oxycodone HCL
It is my understanding & experience that oxycodone, more commonly known as percocettes are usually accompanied by either acetaminophen (tylenol) or aspirin, which makes them a percodan. Perc's usually always have 375 to 500mg. of tylenol accompany them. It would be nice if they had a percocette without the tylenol for people with bad livers, as tylenol can be extremely toxic to your liver. They do have oxycodone HCL which is a time released percocette/oxycodone without any additives (no tylenol or aspirin) and is released over an 8 to 12 hour period of time. It is much more expensive, however, and like oxycodone, the "parent" drug" is made my the same companies that make regular percocettes. The best percocette, however, in my opinion, is the one you have not tried. It would by called a Roxicette, and is made by Roxane Labs. However, it has the 375 mgs of tylenol. Next to the roxis, I would say endo ranks next, Watson behind that, and I have never tried malinckrodt oxycodone, but I know they make a lousy methadone pain medication.
To my knowledge, there is no oxycodone on the market that I know of in a generic make, but you can reduce your tylenol intake by asking your doctor for a higher mg. of oxycodone, such as a 7.5 or a 10 mg. tablet with an apap of 375mg. of tylenol, so that atleast you are consuming fewer mgs of tylenol. Otherwise, you would probably have to move up to the oxycodone HCL. However, because of its extreme abuse by the public, it has become increasingly difficult to get a prescription for it. It is also highly addictive, but if used properly, it is very effective in relieving pain of mega intensity. However, the big drawback is the cost. To my knowledge, it is still extremely expensive if you do not have insurance. If mallinckrodt carries it, they would probably be the cheapest, but in my experience with all mallinckrodt products, they are inferior to just about every other company, assuming their products work at all. Do you see a difference between taking endo or watson oxycodone to the mallinckrodt product? I would be curious to hear what you think about mallinckrodt?
Goodluck with your oxycodone. If they still make roxicettes, oxycodone by Roxane, you really should try them. They are great! Otherwise, my advice would be to stick with the endos or try to get your doc to give you the oxyHCL if you can afford to pay for them. Best wishes.
April 12, 2007 - 2:11am
#8
Wow, Disregard the last comment.
Ok lets hash all this stuff out
There are Percocets
5mg Oxycodone Immediate Release ( henseforth referd to as IR) /325 APAP
10mg / 325 APAP
These go by diff names like Endocette, Percocet blah blah blah
There is OXYCODONE IR in 5mg, 15mg, and 30 mg. They are producedby Amide, Mallinkrodt and others. Immediate release you get all 5, 15 or 30 mg in the span of about 3 hours.
Then There is Oxycodone CR. Otherwise known as OXYCONTIN the contin refers to the continuious release. they come in 10, 20, 40, 60 and for a short time longer? 80 mg stregnths. these are "designed to release over 12 hours" most people say 8.
Percodan is Oxycodone IR with Asprin, --- he is right about that.
His post. some of what I have probs with
It would be nice if they had a percocette without the tylenol for people with bad livers, as tylenol can be extremely toxic to your liver. They do have oxycodone HCL which is a time released percocette/oxycodone without any additives (no tylenol or aspirin) and is released over an 8 to 12 hour period of time. It is much more expensive, however, and like oxycodone, the "parent" drug" is made my the same companies that make regular percocettes. The best percocette, however, in my opinion, is the one you have not tried. It would by called a Roxicette, and is made by Roxane Labs. However, it has the 375 mgs of tylenol.
They DO have a "perc" with out APAP (tylenol) its CALLED OXYCODONE!!!! HCI refers to the HydroCloride, Basicly a FILLER SALT, it has nothing to do with the span of time.
And its ALWAYS 325 MG for Perc's, Roxic's and Endos.
Check out the common imprint list for Opiates. It will break it down a little more fluently than I could ( notice the heading about Hydrocodone products) (Oxy with APAP) (OXY ONLY) and stuff.
Its my b-day, and I saw this post 7 min after I popped my halcion. (good nights sleep for my b-day, wow I spoil myself.) so I'm not exactly artiqulate right now. But I know what I read in the previous post was COMPLETELY EROUNIOUS. Not entirely his fault, but he is missinformed and I want to make sure people know its not accurate.
Dude, I hope you don't think I'm beating up on ya. But Pal, Pain Management is something I'm WELL VERSED in . Member of Chior infact.
Take a gander at this site if you have Q's ask. but I'm telling you, you could get yourself in alot of trouble -- financially or medically, by not understanding & using these meds. And for someone who seems to have been on MMT (Methadone MT) your pretty confused about your stregnths, mgs, combos, and time releases.
April 14, 2007 - 2:50am
#9
high prices!!
I didn't know there was so much difference in prices at the pharmacy
-gtrplayer-you want to know something that's hard to believe- I lost my insurance and had to start paying cash at CVS for my script- #180 10/325 norco Qual brand- $153.00 every month
I also take #90 Lyrica 50mg Parke-Davis brand- $180.00 every month
I heard from a friend that vicodin #90 is about $30.00 at a membership store with a pharmacy. I am going to try to switch my pain contract over there while I still have to pay cash- maybe I'll get lucky and get a different brand b/c I don't like the yellow Norcos.
April 14, 2007 - 1:51pm
#10
80mg short time longer?
GUTPDX You quoted-
"Then There is Oxycodone CR. Otherwise known as OXYCONTIN the contin refers to the continuious release. they come in 10, 20, 40, 60 and for a short time longer? 80 mg stregnths."
What makes you say that? Are they pulling the 80's soon? --MUDEBONE--
April 14, 2007 - 4:33pm
#11
My bad`
i read some other posts wrong.
April 15, 2007 - 1:11am
#12
DEFINATLY shop around for
DEFINATLY shop around for prices on medicines from different pharmacies. Our local paper did a story on this, and found a BIG difference.
April 15, 2007 - 8:06am
#13
Was it just me or did I miss
Was it just me or did I miss where most of the answers you got mentioned only financial cost and never mentioned the "tylenol" part which would be the physical cost. Running acetiminophen (Tylenol) thru your'e liver is not good. ANY ETOH (alcohol) added to this mix could be deadly. Yes, even just once.
You want to avoid multiple uses of Tylenol and get something that contains only the ingedient that relieve's the pain,of which there are many.
Doc
I AM NOT A DOCTOR OR PHARMACIST. I HAVE GAINED MY KNOWLEDGE THRU EXPERIENCE AND/OR RESEARCH.
April 15, 2007 - 1:08pm
#14
doc mason wrote:Was it just
doc mason wrote:
Was it just me or did I miss where most of the answers you got mentioned only financial cost and never mentioned the "tylenol" part which would be the physical cost
The OP stated that he/she pays out of pocket for their meds, and earlier in the day, a poster asked for ballpark estimates as to how much money prescriptions would cost without insurance. I had trouble believing my own math, so I asked if what I posted was comparable. The OP stated that he/she utilizes a discount card, which I didn't take into consideration.
So, No, you did not miss any posts about acetaminophen. There were none in this thread.
doc mason also wrote:
You want to avoid multiple uses of Tylenol and get something that contains only the ingedient that relieve's the pain
Tylenol does relieve pain. It also works as a catalyst to potentiate the effects of hydrocodone and oxycodone. You are correct though, acetaminophen needs to be limited to no more than 4,000mg per day. If used everyday, you want to try to stay between 2400-2600mg per day of acetaminophen.
Gtrplayer
April 16, 2007 - 1:47pm
#15
did not know 2400
I've heard of the 4000mg limit, but I have never heard about the 2400-2600mg limit. I've been taking vicodin/norco for a couple years and none of my doctors have ever said anything to that effect. It has always been no more than 4000. That's how I judge how many I can really take, because after that I know I'm in trouble and having been on vics for so long I don't want to damage my liver anymore than I have to.
April 16, 2007 - 3:24pm
#16
generally speaking, the
generally speaking, the maxium is 4 grams for acute use. the 2.6 - 2.8 is the approximate highest dose for sustained use. of course, more and more doctors are moving to the long acting medicines for chronic pain or daily use.
i am sure if you ask your doctor if it is perfectly safe to take 4 grams everyday for 5,10, or 15 years then they will tell you the same as us.
but, as with any important medical condition, please consult your doctor.
all thoughts and opinions expressed are those of my own and should not be mistaken for medical advice. i am not a doctor nor a pharmacist. all medical questions should be answered by a licensed pharmacist, doctor, or primary care manager.
April 16, 2007 - 6:22pm
#17
There is so much
There is so much misinformation in this thread it is appaling.
Here are the FACTS
oxycodone/apap known as percocet, endocet, roxicet, or tylox comes in the following strengths: 2.5/325, 5/325, 7.5/325, 10/325, 5/500, 7.5/500, and 10/650mg. (mfg. by endo/dupont, roxane, mallinckrodt, watson)
oxycodone/aspirin known as Percodan, Roxidone, and Endodan comes in the following strengths: 4.88/325 tablet and 2.44/325mg. (mfg. by endo/dupont, watson, and roxane)
oxycodone hcl also known as OxyIR, roxicodone, etc. comes in the following strengths: 5,15, and 30mg (mfg. by purdue, mallinckrodt, roxane, amide, ethex, etc.)
oxycodone hcl ER known as OXYCONTIN comes in the following strengths: 10, 20, 40, and 80mg. They used to produce 160mg but stopped due to reasons I cannot mention here. They were originally mfg. by Purdue Pharma but should be available as generics for a little while longer (may be increasingly hard to find as Purdue just got back their patent) that are mfg. by endo/dupont, watson, teva, and impax.
The one oyxcodone medicine I can think of that is available only by brand name is combunox (oxycodone/ibuprofen) and it is a 5/400mg combo meant for acute pain.
So, I hope this helps to clear any misconceptions caused by any error in any post above. This is accurate to the best of my knowledge.
JeckPDX
April 16, 2007 - 6:38pm
#18
Our newest List of Oxycodone
Our newest List of Oxycodone + apap shows many more combinations of oxycodone/apap. Look at the Magnacet.
2.5/400, 5/400, 7.5/400, & 10/400
All are oxycodone + apap combinations.
Gtrplayer
April 16, 2007 - 11:57pm
#19
true, there are newer
true, there are newer oxycodone products out there I failed to mention. I was going for a list of the most common preparations. I also failed to mention it was pointed out above that oxycodone lasts about 3 hrs. Maybe in opioid tolerant patients but normal dosing is every 4-6 hours usually.
PDX
April 17, 2007 - 8:31am
#20
I know, but I wasn't sure if
I know, but I wasn't sure if the "A lot of misinformation" was directed at me or not.
Gtrplayer
April 17, 2007 - 10:18am
#21
Specifically, what is the
Specifically, what is the misinformation that you are speaking of.
all thoughts and opinions expressed are those of my own and should not be mistaken for medical advice. i am not a doctor nor a pharmacist. all medical questions should be answered by a licensed pharmacist, doctor, or primary care manager.
April 17, 2007 - 11:46am
#22
Mostly that of ginjef. Sorry
Mostly that of ginjef. Sorry if I offended anyone as that was not my intention. I just wanted to put a few things straight. I also did not mean to sound conceted or like a know it all as I obviously do not and to gtrplyr, none of the "appaling misinformation" was directed at you. You are one of the users of this site I respect and agree with most of the time. Sorry to cause any problems. It was one post I rad that was so full of misinformation I was actually appalled! I couldnt beleive someone could make so many mistakes while writing one post. Sorry and not to offend ayone else.
PDX
April 17, 2007 - 12:09pm
#23
No offense taken.i figured
No offense taken.
i figured that you were probably reffering to the "percocettes". but i was just curious if there was anything else which i might have missed.
you, as well as everyone else have every right to express your opinion.
all thoughts and opinions expressed are those of my own and should not be mistaken for medical advice. i am not a doctor nor a pharmacist. all medical questions should be answered by a licensed pharmacist, doctor, or primary care manager.
April 17, 2007 - 12:58pm
#24
No offense taken here
No offense taken here either. I've talked to you before, JeckPDX, so I kind of had a feeling it might not be directed at me but wanted to make sure. Besides, those new oxycodone/apap combinations need a little bit of run since not many people know of them. I know I didn't until I checked the list again.
Gtrplayer
April 17, 2007 - 10:01pm
#25
Yeah, I had totally
Yeah, I had totally forgotten about magnacet. Interesting combonation. I dont see it being particularly successful as its a brand made by a manufacturer of generics and I see the percocet generics getting the lions share of the market due to their wider knowledge and availability and cheaper (generic) pricing. Plus I'd rather have a 10/325 generic percocet than a 10/400 magnacet. Its kind of like zydone and hydrocodone/apap products. i know it exists but have never seen it or know anyone to be prescribed it and I doubt my dr. would know what it was if I asked for zydone or magnacet! How do some of these mfgs. survive that I see in the common imprints for opiates section. I've never even seen/heard of half of them and I've seen a lot of pain pills. Anyone, have a good evening everyone.
PDX
April 18, 2007 - 6:37pm
#26
I've been on Roxicodone for 3 yrs
I've been on Roxicodone for 3 years...Roxicodone is the brand name and Oxycodone HCL is the generic..Amide is the manuf. of this generic....any other generics do not provide pain relief, JMO. The Roxy's nor the generic do not contain tylenol, aspirin, nor acem. Just pure oxy, immediate release. These work wonderful for me....not much of a tolerance issue either. Was on the 15mg for 3 years before having to move up to the 30mg. Be very careful with these...do not take more than you are prescribed. If you do, you will continue to need more and more. If taken as prescribed, they work wonderful.
Before having insurance, I paid cash. The generics were about $0.75/pill. The brands were about $ 1.25/pill. They are not cheap, but well worth it!!!
May 2, 2007 - 7:42pm
#27
Oxy preference
Well I have use Roxicodone , which is without tylenol and I have had the Endocet and many others...
If I me personally had to pick one it would be the Endocet 10/650
for pain....If the 325 is enough then the 10/325 is fine, but this always worked the best as a stand alone pill. Got to have the Tylenol
YMMV
Paul
May 3, 2007 - 1:46pm
#28
Generic Oxycontin
This is my 1st post so I hope I am using this correctly. I currently am on 3-40mg Onycontin generics and 30mg IR oxycodone generics for breakthrough pain daily. I was told that the generics of Oxycontin have stopped being sold here in the states by my pharmacist. As of last month I did manage to get my prescription filled but was told I might have to purchase the brand name from now on. I do have insurance but they only pick up 50% of any brand names. Is there anyone else who seems to have this problem? I will find out next week if I can purchase the generics through another pharmacy.Hopefully I can. Thankx
May 3, 2007 - 2:43pm
#29
hello there and welcome to
hello there and welcome to the site.
while your pharmacists is correct that they are going to stop making most generic oxycontin, the makers of oxycontin (purdue pharma) are still going to produce an approved generic. this approved generic is produced by them and should be a perfect fit (per your doctors descretion) for patients like you that only have partial Rx coverage.
all thoughts and opinions expressed are those of my own and should not be mistaken for medical advice. i am not a doctor nor a pharmacist. all medical questions should be answered by a licensed pharmacist, doctor, or primary care manager.
May 3, 2007 - 4:56pm
#30
generic oxycontin
Thanks for the info. This might very well help me save about $200-$250 monthly
May 3, 2007 - 6:22pm
#31
Rooting for Watson!
Hi Phisher, I did read the link you posted but I did not find where there was going to be an approved generic, Just a continuation of certain labs for a certain period of time. Was that what you meant? Or did I mis-read somthing? I have read elswhere that watson was going to be the approved generic as it is actually made by Purdue, or in the same labs anyway. Am I wrong on this? I am prescribed OC and have had some bad generics so I am hunting for all the info I can find as to who will be selling the generics. I really hope it is watson IMO because they were the closest competitor that I felt on the amount of time I got relief. Watsons prices were right in line with all the other generics. You can find that pricelist on the same website under -products-Oxycontin-then under prescribing info for vermont patients link. Thanks, --MUDEBONE--
May 3, 2007 - 8:30pm
#32
ok back to the original
ok back to the original question is the quick release better than the others. in my opinion id rather have a 512 over any of them. the 54543s would be a close second. in fact i dont even like the fast release at all unless they were the 15 mg ones. so pretty much id keep doing what u r doing and that is staying away from the quick release ones. unless of course u r talking oxycotin. now those id definatly take over a 512. again this is all my personal opinion
May 3, 2007 - 10:35pm
#33
Has anyone ever wondered why
Has anyone ever wondered why Percocet or Vicodin are considered "Immediate Release" medications, as opposed to "Regular Release" medications?
May 4, 2007 - 12:29am
#34
I've never thought about it,
I've never thought about it, or even heard of "regular release". I would say b/c immediate gives you somewhat of a time frame as opposed to regular which could mean it regularly releases w/in an hour, or regularly releases a little every two hours, or even some medications you take once a week or more, so it could mean it regularly releases a little every couple of days. If this sounds like a stupid logic, I'm sorry, it's just the only guess I have.
May 4, 2007 - 6:41am
#35
Hi Mudbone:)i will try to
Hi Mudbone:)
i will try to find the information that specifically talks about their approved generic. i believe that it is watson however i may be wrong on this.
From my understanding (and once again i could be wrong) i believe that there will be three versions of oxycodone sus release once all the other generics have been exhausted. 1) brand oxycontin by purdue 2) the approved generic (watson) and 3) tevas.
this is something that i found from an earlier post:
It has multiple patents for their drug OxyContin, but has recently been involved in a series of on going legal battles deciding on whether or not these patents are valid. On June 7th, 2005, the United States Court of Appeals upheld a decision from the previous year that some of Purdue’s patents for OxyContin could not be enforced. This decision allowed and led to the immediate announcement from Endo Pharmaceutical Holdings, Inc. that they would begin launching a generic version of all four strengths of OxyContin[4]. Purdue, however, had already made negotiations with another pharmaceutical company (IVAX Pharmaceuticals) to distribute their brand OxyContin in a generic form. This contract was severed, and currently Watson Pharmaceuticals is the exclusive U.S. distributor of the generic versions of OxyContin Tablets. The agreement stipulates that "Purdue will manufacture and supply oxycodone HCI controlled-release tablets to Watson, which will market, sell, and distribute the authorized generic product in 10, 20, 40, and 80 milligram dosages in the United States"
From:
http://en.wikipedia.org/wiki/Oxycontin
http://www.pharma.com/pressroom/news/20051028.htm
so with all that being said, i am fairly confident that the brand name ones as well as the watson's will be around. the rest is up in the air as far as i know.
all thoughts and opinions expressed are those of my own and should not be mistaken for medical advice. i am not a doctor nor a pharmacist. all medical questions should be answered by a licensed pharmacist, doctor, or primary care manager.
May 4, 2007 - 7:43am
#36
It's not stupid logic, just
It's not stupid logic, just not the same line of thought I was thinking of.
The only medication I can think of that has anything relating to "immediate" in it is OxyIR & Oxyfast, which I think are liquid medications. I know there are some "rapid release" benzodiazepines.
The point I was trying to make is that aside from Long Acting medications, (Oxycontin, MS Contin, Xanax XR) etc, what kind of release mechanisms are there? I know Tylenol has a "Rapid Release" medication, but people often times talk about Vicodin & Percocet, (any non-contin opiate pain med) as immediate release. My viewpoint is that there's nothing "immediate" about the tablets, they just work quicker than a Long Acting medications.
This isn't taking into consideration medicines like Prozac weekly, or Boniva, or any other drug you take once a week, once a month, etc. I'm just curious why some people refer to the medications as Immediate Release. The only Immediate Release medications available are in the form of IV injections. Even MSIR's release time is slower than that of a same dose injection of morphine.
Just something I've been thinking about.
Gtrplayer
June 4, 2009 - 3:45pm
#37
re article discussing "percocettes"
This response was so very inaccurate, I thought I'd try to be of help. "Percocettes" is the brand name drug, Percocet which is comprised of the generic Oxycodone with added Acetaminophen. Acetaminophen is the generic name for brand name Tylenol. The Oxycodone is the opiate pain reliever and the Acetaminophen is added to provide additional pain relief.
Percodan is the generic Oxycodone combined with Aspirin, i.e. the opiate pain reliever combined with Aspirin which, here again, adds to the pain relief.
Percocet is generally given to patients for whom Tylenol or Acetaminophen will be less upsetting to one's stomach. However, Acetaminophen should not be taken with anyone with any type of problems with one's liver such as chirrosis or history of alcoholism.
Percodan is given to individuals for whom aspirin may be a better pain reliever and indivduals who cannot use Acetaminophen. Aspirin can generally be considered safe so long as the person is not taking other blood thinners or has not had problems with any GI bleeding such as in cases of an ulcer. Hope this all helps clarify things!
Just out of curiosity, how much does #90 count 5/325 Oxycodone/apap go for out of pocket. The only reason I ask is because I'm having a hard time believing the number I posted in an earlier thread.
$15.59 is what I show for a #30 ct prescription, so I would assume a #90 ct prescription would be close to $47.00.
I would think the price would be dramatically steeper though.
Gtrplayer