November 7, 2006 - 3:26am
I have been taking 90mg of methadone for a few years and my dr. switched me to a total of 100mg oxycontinER and 15mgoxyir 3x a day and one or 2 in the night if can not sleep so oxyir daily =55mg . How do you get the equivalnt of 90mg of meth and convert it to include not just the oxyer but also the oxyir. I am asking because I still don't feel well, still withdrawing and I have no idea what is going on!!! It has been almost a week and at certain points in the day I feel really bad especially around night time even after I take the 15oxyir at night it takes until my next dose of oxyer and even then I am not sleeping etc.... PLEASE SOME IMPUT ON CONVERSiON AND WHAT THIS IS!!!! Thanks to anyone who can help. I specifially take 40mg oxyer am and 60mg oxyir pm but around 4:00-8:00 p.m. feel lousy and this is with taking the breakthrough oxyir 15mg. Still dont feel well so hope this made sense!!! Jamie PLEASE SOMEONE RESPOND
November 7, 2006 - 11:30am
#2
Thank u
When this is over need to switch dr's his entire staff, ans svc, and me are scared because he is very moody!!!! I don't know what he is looking for because I follow his instrctions to the T but I REALLY appreciate the reply. I am going to talk to dr when he is in better mood i would like him to explain it but whoa he is moody definitley when this is over switching dr;s. THANK U AGAIN ps still taking what he tells me just wanted more info cause dr is not sharing it with me i guess it is top secret or something!!!! Jamie
November 7, 2006 - 11:43am
#3
your welcome.there is
your welcome.
there is nothing wrong with asking further clarification, i only wanted to state that it is important to express concerns w/ ones dr.
i completely understand though. i remember when i first started having medical problems many of the drs/nurses talked to me like i was suppose to know everything which i didnt.
i think that oftentimes medical professionals assume the general public know more than they actually do.
moral of the story... i know (at least to some extent) how you feel.
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.
November 11, 2006 - 2:04am
#4
That sums it up!
That is exactly what happened to me. I found out more after talking to Dr. the other day in person instead of on phone when I went for my appt. and I am still "getting their" with the change in meds so just wanted to say thanks again,this site is great unfortantely lately I have had NO time at all to really look around & not feeling so good so appreciate the quick info. Jamie
November 18, 2006 - 10:07pm
#5
Methadone vs Oxy
Forgive me if you already understand this. You said a total of 100 mgs a day. What ever the single dosage is that you take at one time is what's continuously in your body. I mean if you're taking for example 40 mgs twice a day, it's not a 80 mgs dosage, it's 40 continuously. Plus the IR.
I've been on Oxycontin since it came out & I tried methadone somewhere a few yrs ago. It would have taken a high dose to get the same pain relief I get from the Oxy & I would have felt wasted.
There is no upper limit to the oxy dosage. The doctor should continue to titrate you up to a dosage that takes away your pain. It originally took me several trips to the doc to go from 10 mgs to 30 before I got relief. Now I'm at 60 3 x day & 30 mgs oxycodone 3 x day. Is the doc only giving it to you every 12 hrs? Most people I've ever known or talked with online have similar experience that the oxycontin basically lasts between 7 - 9 hrs, not 12.
I had a moody doc like yours for awhile. When I needed an increase sometimes she would say no problem & other times she would act like I was "drug seeking." I ended up with another doc in her office & he joined AA a few mos ago & is thinking about letting go of his pain patients. I made sure I let him know how much I appreciated him & how close I was to suicide before I found him. I think he's now changed his mind. It was some other docs in AA who were pushing him.
Good luck!
Breeze
November 19, 2006 - 12:06am
#6
I have also been on
I have also been on oxycontin for a long time and i also tried methadone and methdone didn't nearly take away my pain as well as the oxy's do! i am on 3 40 mg oxy's and 4 lortab 10's a day and it would take twice as much methadone to relieve my pain
Good Luck,
Stephanie
November 19, 2006 - 2:07am
#7
For some people Methadone is
For some people Methadone is a better pain reliever it really depends on the patient. Now because the poster (the person who started this post) was on Methadone for so long this is the reason I believe she is missing her old doses and having some withdrawals, but this is just my opinion and that much Oxycontin a day should be enough to eliminate all of her pain.
My comments posted on this site are the expression of my thoughts pertaining to the questions posted. Tablet Identifying should at best be the only help I can offer.
November 19, 2006 - 11:11am
#8
Meth vs Oxy vs withdrawls
I hope this clarifies... I was taking 90mg of methadone for over 5 years for chronic pain and after 5 yrs or so the methadone was not working the way it originally did and my pain increased considerably therefore the Dr. changed me to oxycontin and oxyir 5mg (for breakthrough pain). Withdrawals unfortantely were a part of the process of switching over to the new medication (Oxys). Before I was switched from the meth to the oxy's the Dr. did tell me I would feel withdrawls. The Dr. told me he would have to start me out on 50% less on the new meds and then quickly raise me, he said he could not just switch me over to the equivalant of the new medication because I could overdose (and I am opiod tolerant and of course dr. knows this). I did some research on this and it is not uncommon. The only difficulty I had was the withdrawls lasted longer than the Dr. thought they "should" and after it was all over I told my Dr. that clinically the withdrawls may have been over but something whether it be my own head or serotonin levels etc... was causing me to withdrawl for approx 1week and a couple of days. When I was told in the beggining I would go through some withdrawl symptoms I had no idea what I was in for!!! However now that I am taking the "right" amount of the new meds I feel so much better and they are working. P.S. Sorry it took so long to respond, I was kinda out their with withdrawls still when I first posted this. Hope this information was helpful. I still have a little pain but Dr. said I will always have that and if this is it then I am very happy because the pain is minimal now. Jamie
November 19, 2006 - 3:36pm
#9
Jamie
Listen,
I care about what you are going through.
I know what MD w/d's are like- and also how long they last, whch can be a very long time.
Please try the board I suggested.
November 21, 2006 - 11:31pm
#10
Real pain
JUST NEED TO KNOW... I have been avoiding this because I do not want any of the forums to become a debate on addiction. From what I understand you had a problem/addiction. I realize you are just trying to help and I am very happy for you that you received the help you are looking for and are trying to help others. My husband has been in recovery for over 18 years now (NA). While this is NOT an NA board I have no doubt their are people who come here who are addicts... in saying this I also have to add that there are people who come here who are NOT addicts. With all of this being said as you know any person who is an addict has to come to the realization themselves and seek help themselves. I went to a detox center because my husband and I wanted to have a child and I was taking Klonopin for anxiety/panic attacks. Long story short during the first month I was off of the klonopin not only did I have panic attacks but I ended up in the ER (whom my physican called from his office) because my pulse and B.P. sky rockted. I would also like to add that their are many people myself included that if I did not have my pain medication (which I have in the past quit taking) and my quality of life was near suicide because the pain was so great. NOT ALL THINGS ARE IN PEOPLES HEADS, some people have genuine physical pain that is really bad and without pain meds they would suffer horribly. What do you tell someone who has cancer or advanced AIDS?? I do not mean to sound harsh but I know EXACTLY where you are coming from their are people in NA who do not beleive in taking an aspirin. Their is a balance to all of this and on one of your posts you expressed that the only reason Doctors give pain meds is to get people hooked so the Dr. can make money... in response to that I have found that most Dr.'s are scared to death to perscribe pain medication due to a law suit and many people who are not addicts and genuinely need pain medication are left to suffer. Every individual is different and I am sure that we could go back and forth on this subject all day but no one really knows what someone else is going through. Feel free to PM me if you would like to continue this so that I am not taking up the entire forum. Meeting makers make it; 90 mtgs in 90 days. Good luck to you and please try to understand that not everyone is an addict or in denial. Remember no old places, people, or things and I wish you luck in finding a good sponser. PLEASE PM ME if you want to continue this discussion so that we do not take up the forum. Jamie
November 22, 2006 - 7:14am
#11
Jamie L,well done!i couldnt
Jamie L,
well done!
i couldnt agree more.
Kudos to you my friend:)
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.
November 22, 2006 - 12:29pm
#12
Great job
Jamie L.
Great job, that was wonderful.
November 22, 2006 - 8:11pm
#13
NO! NOT Correct!
I am very sorry but I posted my comment and admin had my post deleted.
I dont have any idea why.
It WAS within the guidleines and rules, as he posted to me, of the PHARMER.COM so I do not know WHY it was deleted........anyway
The things replied to this post:
I am not an advocate of NA. I do not believe or utilize the 12 steps, nor do I need a sponsor....
I have never been.
I have never stated any of statements Jamie is accusing me of. I dont understand how my post was made up of 'non-facts'? Read my original post offering to help-......
She asked for help in her post~ I was willing to help her.
I was a chronic pain patient. I know what the deal is....
I am not the person you think I am, c'mon.
November 22, 2006 - 8:26pm
#14
Just need to
Just need to know,
Hello.
While your help is appreciated, some of your viewpoints (in both this and previous post) are not widely accepted ideas. Stating things like, "pain is in ones head" and many of the other statements you have made, while they may be somewhat relevant to the conversation are not representative of this site as a whole.
as TP suggested, you are more than welcome to put up reputable sites that support your statements.
i do believe you when you say that you have been through this. really, i do. However, one persons experience (namely yours) is not applicable to all others.
once again, your insight and opinion (w/in reason) is wanted here. But just like FOX NEWS we got give it to the people "fair and balanced" (OK the FOX NEWS thing was a joke).
have a great Turkey Day.
Gobble, gobble!
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.
November 22, 2006 - 8:35pm
#15
Yea, I was posting
Somehow it was deleted again.
This is a one sided site.
I am flabergasted what you guys think.
No one can read ENGLISH?????????????
MY views have beenh exagerated by this board. WHY? I have no idea.
November 24, 2006 - 2:56pm
#16
here is one thing people
here is one thing people commonly neglect when it comes to comparing oxy with methadose. Methadose builds up in your system chronically and after taking it for a long time it becomes much stronger mg to mg than oxycodone is. If you type in narcotic conveter on a search you can see this if you compare methadone(acute) compared to methadone(chronic). you have been on methadone chronically for years. And because of methadones half-life it builds up chronically while you are taking it. So actually the withdrawl is from going down in narcotics medications. A lot of people don't understand methadose. look it up on wikipedia and you will learn some interesting things. Good luck with the oxycodone.
it is pretty easy.
take the total amount (daily/24hr) of sustained release and IR and add them together.
for example; 40mg bid, 10mg prn (we will say 1 for simplicity) = 40mg+40mg+10mg= 90mg of OC -then, just find the equiv of methadone.
though i should state that many times when meds like this are switched it will take a while to acclimate to the difference.
best bet is to talk this over with 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.