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Roxicodone not working anymore.I am on 20mg of oxy twice a day, and 30mg of roxicodone four times a day as needed for break through pain. Under the direction of my pain specialist I asked if we could start to ween off the oxy, as I feel that I no longer need the long acting drug since I had surgery in Nov of 07. My question is as we have lessened the amount of oxy I am taking, my pain attacks have increased. My doctor said I could use the roxicodone as long as needed, because I have never abused my meds, but I find that the roxicodone does not work very well, because I have been on it for over a year. Is there any other breakthrough pain med that I could talk to my Dr. about using for breakthrough that would be more effective than roxicodone. I do not want to go back to increasing my oxy, and I feel with an effective breakthrough med, that I can get off oxy within the next few months for good. I have never had a problem with abusing my pain meds, but because of the bad reputation oxy has gotten over the years, I feel my family and friends unfairly judge me, to the point of making me feel like I am a drug addict. Any advice would be helpful. Thank you.
( categories: Chronic Pain and Pain Management )
 pain
Its not worth it, to be in pain over worrying what people think. Take your oxys and live with less pain!!! Or see if pain doc would up your breakthru to 50 mg four times as needed, (and not use the oxy) after a year i am sure you body is quite tolerant to the roxy dose. good luck Johnny Thanks for the prompt
Thanks for the prompt responses. I think talking to my doctor about upping a tad bit on the roxi would probably be a good idea. She is very supportive, and has never made me feel bad about ever having to up a dosing strength. My only thought was if I were to go on something completely different than oxycodone could I take a lower dosage, and get the pain relief effects that 15 to 30mg of roxi once provided? I understand that oxycodone is probably about as strong of med that I am going to get. I have had to use IV dilauded in the past after a surgery, and it worked well, but I am not very familiar with the pill form. When is dilauded usually brought into the picture as an option for pain control? I am in the same boat as
I am in the same boat as you. Im rx'd roxi 15mg every 4 hours as needed. They give me 180 for a 15 day supply but I seem to run out around day 12 :(. Anyways, I Take the 15mg because the constant shocking in my arm but it provides little to no relief. I want to get of the roxi because its just not working. Problem is Roxi 5mg tabs is just about the only drug my doc is comfortable giving :(. Good luck with your situation I hope you nothing but the best :) Today I went down to 15mg of
Today I went down to 15mg of oxy 2x per day and that is fine so far. As the roxi for break through not so good. As i have been weening down from the oxy over the past few months, like I said the pain has increased so has my Roxi use. I am prescribed 120 per month, and I always use that, and then have to go without for a few days before my refill. I really want to get off of oxy, but I surely don't want to keep increasing the roxi usage if possible. That's why I thought if I was on another BT med that was maybe a little more potent, or different, maybe that would work. Oxy has worked wonders for my life over the last year, but I just wanted to try to get off it completely, and see how and if I could manage my life without it. My Pain Dr. has not pressured me at all, or asked me to cut back, but my job, and family have just really treated me like I was some kind of addict, or puss because I need to use these meds. I hate that. Thanks for the responses, and I am glad to see the others on this site, and the people that truly want to help you. thanks..  Roxicodone is a
Roxicodone is a preperation that does not contain Acetaminophen. However I too found it strange that the OP said 20mg Oxycontin works great but 30mg Roxicodone doesnt. 30mg Roxicodone has more Oxycodone in it. Maybe you should try a different brand of Oxycodone Immediate release tablets instead of Roxicodone Brand.  TRUE FRIENDS
my main reply got flagged for potential spam, but it basically said don't let your friends and family who have false ideas of the drugs you on ruin your life because they look down on you and in a certain light. take them with you to your doctor and have him/her explain why you need oxy and roxy and what a great and rare patient you are because you DONT abuse them. its so hard to find a combo that works, i'm still in process of finding a dose that works correct and i'm in pain all day every day because of it, but i do us the 15 mg roxicodone for BT pain. i get the AMIDE manufactured 15mg oxycodone tablets. they are green and have an A/214 on one side and blank on the other, those work like a charm for me. Also friends who don't believe in you and trust that you don't abuse the oxy's really don't have faith in you and don't believe in you. they aren't a good support system and i would hesitate to call them true friends. True friends and family should trust and believe in you to do the right thing and not abuse the medications that allow you to live a normal life. SInce you take meds that have the same base (oxy) then the effectiveness will decrease because your body is use to a certain level at all times, thats why you have to increase your roxicodone doses to feel the same relief. Thank you very much for the
Thank you very much for the replies. Although I do not know any of you, your supportive words are more than what I have received from family and friends over the last few years. The sad fact also is allot of my family are medical professionals. I have nurses, and surgical techs, LPN's, PA's. All they see is whats in the news, and automatically put me into the category of drug user. I explained to them the difference between dependent, and addicted. I admit to being dependent, but I know that is no fault of my own. I work in pharmacy, and I actually had a pharmacist tell me they blame me personally for taking the pills, so it's my fault that I am addictive and can't stop taking them whenever I want to. Thank you for the different ideas about taking a different brand of the roxi. I did try that last time, and the pharmacist looked at me like I was crazy for even asking them to fill a certain brand other than the one they wanted to fill. Thank you Enigmuh for your kind words and advice. I am new to this site, and am glad to receive feedback that is sound, and legitimate. Thanks to all for sharing their thoughts and feelings, and life stories. It really does help. your self esteem and self
your self esteem and self image are pretty poor if you actually believe that you are a puss for taking meds that manage pain. I would like your friends and co-workers to have half the pain you have and see what they would do with it, they would cry like littl girls. YOU ARE STRONG, and you shouldn't have told them you take this stuff anyways, keep some secrets for yourself. Another thing you can do is to continue taking it, but just tell them you stopped taking it. you need the relief and are actually leading down a path where you may get overly dependant on your roxi's. please dont let what others say affect you like this, 90% of the people you know if they were in your position would be abusing these drugs, doesnt it make you feel amazing that you are one of the few that can take these meds and not have an addiction or over use them? seriously, talk to your doctor about this, did you tell her that you want to stop taking meds that help you because your friends called you a puss? i wonder what she would say. tell your doc the next time
tell your doc the next time she writes the script to have a specific brand put on there and 'dispense as written" as well. as for your family, they should be the MOST understanding but people who listen to the news often cant think for themselves. You are an amazing person that cares for others more than himself i believe and thats why, at your own expense, you would try to stop using what helps you lead a normal life. i'm actually a psychologist and a geneticist with background in psychopharmacology and biological basis for behaviors, so if you ever need someone to talk to hit me up in a private message, i have no problems helping strangers, it makes me feel good. The people on this site are supportive because we know what you go through, we live with the pain and the stigmas tha society places on us, and thats why we are all here to help someone who is like us any time. and tell your pharmacist friend to mind his own effin business and worry about his own life which probably sucks, thats why he says those mean things to you. Right now you need to think of yourself and how you can lead the best quality of life that you can, and if that means going back to the oxy's than do it, if you can't take care of yourself than how can you expect to take care of another? and btw my parents think i'm weak for taking this and that i will become addicted, but i dont care, i'm not living with this pain anymore, ive done it for 10 yrs on BT pain pills only and it is hell, dont try it. You're my guy, keep your head up  I found out over the years
I found out over the years to just stay quiet about narcotics I am prescribed, not because of what is said (I could care less) but because of some people dropping hints about how bad their "back and neck hurt' by way of car accident or for whatever reason. Few people know what my med's are and I like to keep it that way.  Hush Hush
I too have learned over the years that sometimes it's just better to take what you're offered instead of asking for pain meds. I recently started seeing a new GP, and i've been totally honest and we've had frank discussions about her prescribing pain meds for me. There is a fine line between knowing when to ask for something and when to just keep your mouth shut and take what u get. Some doctors don't like to be "told" what their patient needs...esp from the patient, and this also looks like drug seeking if you go into the office saying, oh, doctor Lortab (or whatever), is the only thing that works for me.....It just depends on you and your history with your doc...Honestly, I've found that HONESTY is always the best policy with your doc.....I told me doc that I can't tell you what i need, i can only tell you how much and what works for me from past experience...I think most doctors appreciate the frankness and honesty from patients more than anything....Best of luck
I'm not a doctor, but would LOVE to play one on tv.... Ray If you're taking 180 in 12
If you're taking 180 in 12 days, thats way more than 4x a day, it works out to about 1 every hour and a half or so....if your doc wont prescribe much more than a 5mg roxi, and you're already getting 15 and taking twice as much as you should, you're gonna have a helluva time with him. Try asking about a Fentanyl patch.... Like the 2nd Poster
Like the 2nd Poster said "Its not worth it, to be in pain over worrying what people think." Of course It is easier said than done. I know this all to well :( In my freshman and sophmore year of high school my friends found out that I was on Rx'd Medications. Of course once they heard "OXY" they started to ask if they can try some. I always said no and thankfuly most of my friends are true friends. But some were not. Those who I thought were my good friends thought of me as "narc". IT made me angry and sad, I thought it was my fault I lost the friendships because I would not share. Of course in the long run I figured out that no, its not my fault and that it is way better off that I am not around them. Whichever direction you go on your medication route please, Never feel ashamed that you need aid. I take the Roxicodone 30 mgs
I take the Roxicodone 30 mgs 3 times daily for my b/t pain and it works well for me. There are all types of b/t med's available but many doctors have their reason's for not writing some specific one's I myself can ask for other narcotics because like yourself I have never abused my med's for the 16 yrs I have been with my doctor. Trust is a huge issue with doctor's and it does make a big difference  GCD can you help me with
GCD can you help me with something? I'm presently on 10/325 Percocet's, of which I get 150 pills. I run out of them on average 3 or 4 days early and find they don't work like they used to for as long as they used to. I see my doc once a month and need to know what to ask for in regards to longer lasting pain relief and b/t pain. I see you have your issues on here, but your words seem to ring true regarding a question I posed earlier about this dilemma. Thanks. Mac I wish I could help but
Mac I wish I could help but the doctor is the one who has the control over any med's he/she will prescribe. Maybe as ER (Extended Release)type of narcotic will help if you decide that you are going to ask your doctor. I am lucky to have a doctor that will listen to any problems I have and never rush's the patients as so many doctors do. I wish you the best and if your doctor trust's you I am sure between both of you something will be worked out but it may take some time Thanks for the posts. It's
Thanks for the posts. It's like we all share this way of life together. Everything you guys posted were either true to my life now, or have been in the past. I did learn my lesson about sharing my medication usage because of ex-actually what you have posted. I had pills stolen by a family member that I trusted, so I now have all my meds locked up in a very secure lock box, hidden to. It is so funny that you mentioned the people who suddenly come up with the weekly car crashes, or atv accidents, severe migraines, skateboard accidents as adults. My wife warned me about sharing to much info to close ones, and yes I learned the hard way. I do appreciate also the post about not using to much breakthrough med, by cutting out the oxy. That I can see would become a problem very quickly, for the fact as you said both are the same base drug. I appreciate all the help the last few days, and I will surely hit you up in a message in the future. Great to have you guys out there, even though we may be a world apart. I don't mean to sound to mushy, being that I am a grown man. Take care all that posted to this, and I will hope and pray for your future health, and good fortune. And like you said trust,
And like you said trust, trust, trust, is one of the biggest things. My Dr. has given me so much respect because I have always been 100 percent honest. Even if I had to take a few extra pills to get by, and she said because of that she will always not hesitate to continue to treat, and work with me. i'm so glad what we all said
i'm so glad what we all said here helped you out, get back on your regular regiment, your life was fine with it and you had no need to change. I can't believe my own brother jacked my pills when he found em in the first place, and its funny you say you have a lock box, i literally just had that convo with my mom and i'm getting lock box of my own for my house.....i'm going to keep it in a most unusual place, hee hee hee, i love being sneaky! haha, be good everyone.  It sounds as if your
It sounds as if your physician treating your pain respects your honesty, and trust me, I know she does. The goal of any pain management protocol is obviously a reduction in the pain and discomfort that is disrupting your life. If I read correctly, you wanted to discontinue the extended release version of oxycodone. What is the reason for this? the idea behind taking long acting pain medication is to lessen the amount of pills you are taking, in other words to reduce the hassle of taking medication all the time. I personally do not see the therapeutic value of putting you on Roxicodone© as opposed to Oxycontin©. As an adjunctive treatment to palliative therapy perhaps, but not for long term pain management. I would be suspicious of someone that only wants to take instant release pain medications for the obvious reasons, but your physician is confident in your honesty. You mentioned something about these meds were post operative, however treatment usually ends within a couple of months. How long have you been on post-op meds? Obviously, the meds must be℞ed for another condition in addition to your post operative pain. Have you tried any of the other long-acting opioid medications? I have been taking the
I have been taking the roxicodone as long as I have been taking the oxy as needed for break through. It has always been in conjunction with the oxy. My Dr. was kind enough to treat the pain that the ER drug did not control. The med's were prescribed 9 months pre-op for undiagnosed severe upper abdominal pain. After many test by my GI Dr. he referred me to pain clinic for consultation. Against my best judgment I was put on these meds, but I told myself I would only use them until the time came that I could function well enough without them. I have Crohn's Disease, and have had many surgeries throughout the years, but this was the first time in my life I had to use a long term pain control plan. After my last surgery in Nov. my pain level has gotten more manageable, and as per my request I asked to decrease meds, and see if the pain would remain tolerable enough to discontinue all pain med usage. I do not seek the high we all know about, as I have been on the same dosage for 8 months and have never increased, or severely misused my meds. The side effects of the drugs are enough to want me to live with a certain amount of pain if it means being drug free. If you do not have or know someone who has this disease then you would not understand the daily pain we live with. I went many, many years without pain meds, and I surely can continue that again. On top of these problems I stated I also had a two hernia repairs, gallbladder removal, and a c-6, c-7 dissection and fusion. Life has been grand, but I still wake up, put my pants on, and go about this life with a smile. There would be no need for you as a poster, or any Dr. to be suspicious my pain, as it has always been managed by one Dr., and has always been documented by tests. If I never had a pain med again the rest of my life, it would be fine for me. The previous posters on this subject gave me some good ideas, and I have figured out my course of action during these trying times. I appreciated the positive feedback. I had never had a problem using a pain med and DC it after pain controlled, but as you may know oxy is a way different ball game. I can't just stop taking it and be fine, so that's why I sought out this site. To see other peoples dealings with these matters, and to see how they may have dealt with them, and I achieved what I was looking for. It is not as though a poster here writes my scripts. All my health issues are done through a qualified, well recommended specialist, and I would never condone anyone to self medicate themselves. Thank you for your post, and I appreciate your opinion. I would never judge a persons pain med use by their post, because if we do not know them directly, we do not know where they are in their life, and what they are needing, or searching for. That's why I appreciate most all who posted here on my post, because they did not judge me per say, but gave me some sound ideas as to what I should discuss with my Dr., and it is my decision to use or not to use that advice. We all have to examine where we are at in life, and test the ideas we have been given, to see if that is sound advice. Understandable
I understand what your sayin Dyb and so does kenny and slitter, Brain maybe didn't read all the posts or might have missed the part where you weren't going to take the OC due to the way your friends and family treated you, like you were a druggie, and it messed with your head enough to want to stop taking it. Brain is a great poster and probably didnt understand that it wasn't for ir relief you were seeking, rather acceptance by friends and family. i hope you returned to your regiment, i just upped my OC dose to where i get relief like never before, and now we are switching my BT pain med to get better relief w/out having to jump to the 30 mg roxi. i didn't want my tolerance to rise so much with the OC to where my BT wasn't as effective, so we are jumping to a diff family of meds other than the OXY clan.:) You sound so much better and more confident in your posts that i can only hope it as been like this in all walks of your life.Remember you can always talk to me or anyone here who is willing to listen, i am not the most experienced but i sure sound like it! lol, wisdom can come from the young, i want you to know i'm only 24 yrs old, but that i feel your pain.i've gone through more than most 40 yr olds, hope you are well! -Enigmuh B/T pain
You should ask your PM doc about the ATCIQ fentanyl suckers, or another good breakthrough pain med that worked REALLY well for me was STADOL NS(butorphanol tartarate)..One 1mg spray and you'll not feel any pain for a while and you'll sleep too....That's why i liked the stadol....it kinda puts u in a "coma" you're awake and in no pain, just can't keep your eyes open....It's at least worth mentioning to your doc...Best of luck....Ray Remember: Just do it.. EVERY PILL EVERY DAY Butorphanol
Stadol NS (Butorphanol tartrate) is a narcotic partial agonist/antagonist agent used for moderate to severe pain, it is the only narcotic actually indicated for Migraine pain relief..I have used it for years along with Imitrex sometimes (heart palps from sumatriptan) and Endocet (oxycodone) 10/325, nothing preventative Ray Remember: Just do it.. EVERY PILL EVERY DAY Good Docs are hard to find
I agree completly with DyBNaps, trust is a MAJOR componenet of any good doc/patient relationship...I have always been honest with all of my doctors, ID, PCP and PSYCH, Gastro, about everything...incl smoking weed.....They all know what meds i'm on...I don't ask for multiple narc or benzo scripts, playing them off each other as so many do these days....WHen you find a good doc that trusts you and you trust him/her.....HOLD ON TO THEM.....They are becoming extinct. Ray Remember: Just do it.. EVERY PILL EVERY DAY You are so very right about
You are so very right about the Dr's. I recently had a minor dispute with the single office staff person that works for their practice, and it almost cost me that very good relationship, and treatment. It almost cost me my care, because of one persons bad day.  |
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