Round1
06-28-2008, 07:32 PM
Would love for someone to readover and maybe comment and suggest a better way in making these work at taking the meds 3 times aday rather than twice aday.
Taking 35mg Amytriptlyne
Taking 30mg Oxycontin
Taking the above in the morning and night.
I tend to run out of steam and get quite sore around the 4 O'clock mark and then after lying down for an hour, I can stay up for about 2 hours. Then i take my tablets at 8pm and then 30min later get a new lease of life. My plan is the following.
25mg of Amytriptlyne when i wake say 8am
20mg of Oxycontin at 8 am.
10mg of Amytriptlyne at 2 O'clock
10mg of Oxycontin at 2 O'clock.
35mg of Amytriptlyne at 8 pm
30mg of Oxycontin
Or do you think I should take more at the 2 O'clock mark. Use some of the 8 pm meds. I know it will be a trial and error but maybe you could come up with a better solution.
Thanks Round1
Taking 35mg Amytriptlyne
Taking 30mg Oxycontin
Taking the above in the morning and night.
I tend to run out of steam and get quite sore around the 4 O'clock mark and then after lying down for an hour, I can stay up for about 2 hours. Then i take my tablets at 8pm and then 30min later get a new lease of life. My plan is the following.
25mg of Amytriptlyne when i wake say 8am
20mg of Oxycontin at 8 am.
10mg of Amytriptlyne at 2 O'clock
10mg of Oxycontin at 2 O'clock.
35mg of Amytriptlyne at 8 pm
30mg of Oxycontin
Or do you think I should take more at the 2 O'clock mark. Use some of the 8 pm meds. I know it will be a trial and error but maybe you could come up with a better solution.
Thanks Round1
Sponsor
123dietdrpepper
06-28-2008, 08:26 PM
Personally, I would take 20 mg. 3x a day of oxycontin so that your blood plasma levels are remaining steady and see if that helps you out. I would leave the Amytriptlyne as is. I would think you would want more of the Amytriptlyne at bedtime to help you rest.
brianpain33
06-28-2008, 09:31 PM
I think that it is going to be trial and error as well. I second the opinion of dietdrpepper with keeping the Oxycontin steady in your blood stream. It also depends on what dosage your pills are for both the Oxycontin and the amitryptilene. Does the amitryptilene make you tired? I know that it has a tendency to do that. If so I would take the majority of that at night. here is what I would suggest.
20 mg Oxycontin at 8am
20 mg Oxycontin at 4pm
25 mg amitryptilene at 4pm
20 mg Oxycontin at bedtime
50 mg amitryptilene at bedtime
Keep us posted on what works out the best.
brian
20 mg Oxycontin at 8am
20 mg Oxycontin at 4pm
25 mg amitryptilene at 4pm
20 mg Oxycontin at bedtime
50 mg amitryptilene at bedtime
Keep us posted on what works out the best.
brian
trowftd3
06-29-2008, 12:39 AM
I tend to agree with Diet and Brian. I take 60mg in the am, then 40mg and 40mg(of Oxy). My pain is worse in the morning and my doc wouldn't raise my dose across the board.
I'm surprised you can do anything after taking amytriptiline(sp?). My hubby took it to help him sleep at night and could barely get out of bed in the morning for the first three weeks! Glad it helps your pain. Good luck.~Mush
I'm surprised you can do anything after taking amytriptiline(sp?). My hubby took it to help him sleep at night and could barely get out of bed in the morning for the first three weeks! Glad it helps your pain. Good luck.~Mush
Executor
06-29-2008, 01:36 AM
Personally, I would take 20 mg. 3x a day of oxycontin so that your blood plasma levels are remaining steady and see if that helps you out. I would leave the Amytriptlyne as is. I would think you would want more of the Amytriptlyne at bedtime to help you rest.
Yes, you need more of a steady state....If not 20mg, 30mg. Your body "knows" it gets more the second half of the day, so it doesn't cooperate the first half.
Ex
Yes, you need more of a steady state....If not 20mg, 30mg. Your body "knows" it gets more the second half of the day, so it doesn't cooperate the first half.
Ex
Round1
06-29-2008, 06:29 AM
Okay plan didnt really go aswell as I thought. We all just woke at 10.00 am
so I am now down here with the pill after reading your replies.
I just took 20mg and then I realised that I will be then taking my pills at 6 and then midnight so I just stuck to the normally way today as tomorrow I will be awake at 7am and I think that is the day to start rather than today.
My plan tomorrow I think is 20 Oxycontin 3 times aday.
I find the amytriptylyne good for pain relief 35mg am and pm.
but I could not take 50mg at night time.
No way I would be totally out of it.
35mg is bad not to mind 50mg
I am going to look into the Amytriptylne maybe
taking a 10mg at the 4 O'clock mark
I am sorry I really will have to play around with this, and Tomorrow I will start with this as today has just started so late. I know we all needed the rest, But I am just sore from the bed now. Vicious circle.
Round1
so I am now down here with the pill after reading your replies.
I just took 20mg and then I realised that I will be then taking my pills at 6 and then midnight so I just stuck to the normally way today as tomorrow I will be awake at 7am and I think that is the day to start rather than today.
My plan tomorrow I think is 20 Oxycontin 3 times aday.
I find the amytriptylyne good for pain relief 35mg am and pm.
but I could not take 50mg at night time.
No way I would be totally out of it.
35mg is bad not to mind 50mg
I am going to look into the Amytriptylne maybe
taking a 10mg at the 4 O'clock mark
I am sorry I really will have to play around with this, and Tomorrow I will start with this as today has just started so late. I know we all needed the rest, But I am just sore from the bed now. Vicious circle.
Round1
skych
06-29-2008, 11:25 AM
Hey Round1,
I am with Pepper on this one. When I was undergoing all the surgeries for the arm while on workers comp, they had me on Methadone for a while. Great pain killer but could not stand the side effects.
I took it 3 times a day same dosage at each scheduled time. I made sure to relly stick to a time schedule with this med because the doc(PM) said it was very important with particular medication.
I am pretty sure that Pepper is right about sustaining the levels in you system.
I am curently taking Morphine sulfate 30 mg
So I usually take it first thing in the morning I take my first dose of the MS with a percocet if needed.
I take the LA MS every 8 hours give or take an hour and use the 10/325 percocets as directed: Take 1 or 2 tablets every 4-6 hours as needed.
I almost always end up taking the alloted 6 per day. But I do my best to not need to take them. About 2 times a week I can cut out 2 a day.
I also take Robaxin and Valium. I think the Robaxin does not really help much anymore and I am hoping to discuss what we want to do about it with the PM. Maybe just switch to the valium if he will allow it.
I did not know you could cut a LA tablet into two pieces! I thought that it would mess up the way it gets released.
I really hope you will find a regimen and schedule that will allow you to recieve the pain releif your looking for.
It did take me awhile to find a program that worked and even so I still have issues. I am learing to cope still every day.
Chrissy
I am with Pepper on this one. When I was undergoing all the surgeries for the arm while on workers comp, they had me on Methadone for a while. Great pain killer but could not stand the side effects.
I took it 3 times a day same dosage at each scheduled time. I made sure to relly stick to a time schedule with this med because the doc(PM) said it was very important with particular medication.
I am pretty sure that Pepper is right about sustaining the levels in you system.
I am curently taking Morphine sulfate 30 mg
So I usually take it first thing in the morning I take my first dose of the MS with a percocet if needed.
I take the LA MS every 8 hours give or take an hour and use the 10/325 percocets as directed: Take 1 or 2 tablets every 4-6 hours as needed.
I almost always end up taking the alloted 6 per day. But I do my best to not need to take them. About 2 times a week I can cut out 2 a day.
I also take Robaxin and Valium. I think the Robaxin does not really help much anymore and I am hoping to discuss what we want to do about it with the PM. Maybe just switch to the valium if he will allow it.
I did not know you could cut a LA tablet into two pieces! I thought that it would mess up the way it gets released.
I really hope you will find a regimen and schedule that will allow you to recieve the pain releif your looking for.
It did take me awhile to find a program that worked and even so I still have issues. I am learing to cope still every day.
Chrissy
Round1
06-29-2008, 02:49 PM
Hi there chrissey,
As you saw from the earlier post didnt try to change today as I started late. Planning for tomorrow though.
You mentioned about cutting a drug in half. I dont I get Amytriptlyne in
10mgs (which have to be ordered) and 25mg. Then that is 35mg of Amytriptlyne,
For the Oxycontin I have it in 5mgs 10mgs and 20mgs so really I have alot to play around with even if I do increase a dose slightly. I normally get more than I am on just incase I cant get a refill on time. Our drugs here can be filled in advance and my doctors tends to be missing alot so I dont want to get caught out.
Will let you know how tomorow goes.
Round1
As you saw from the earlier post didnt try to change today as I started late. Planning for tomorrow though.
You mentioned about cutting a drug in half. I dont I get Amytriptlyne in
10mgs (which have to be ordered) and 25mg. Then that is 35mg of Amytriptlyne,
For the Oxycontin I have it in 5mgs 10mgs and 20mgs so really I have alot to play around with even if I do increase a dose slightly. I normally get more than I am on just incase I cant get a refill on time. Our drugs here can be filled in advance and my doctors tends to be missing alot so I dont want to get caught out.
Will let you know how tomorow goes.
Round1
forginon
06-29-2008, 07:48 PM
Round1,
All I can really say is to be diligent to take your OxyC at 8 hour intervals. Try not to get into a pattern of taking them 6 hours apart during "daytime hours" and then leaving a big gap between the last dose of the day and the first dose the next day. Lots of folks do this thinking that since they'll be sleeping their body won't know the difference. What I found is that my body did know and I was playing catch-up all day. I was also trying a dosing schedule of 3 tabs upon waking, 3 tabs mid-day and 2 tabs at bedtime. My nights were awful and I wasn't getting any kind of sleep. My doc agreed to add one tablet so my dosing was 3/3/3 and it all worked much better. I was trying real hard not to raise my dose, just really upon principle, but it wasn't working.
I like how you have the various tablet sizes, that's great for flexibility.
I can't speak to the amytriptyline because I tried it years ago for migraine prevention and couldn't handle the sedation. Too much for me at any dose.
steve
All I can really say is to be diligent to take your OxyC at 8 hour intervals. Try not to get into a pattern of taking them 6 hours apart during "daytime hours" and then leaving a big gap between the last dose of the day and the first dose the next day. Lots of folks do this thinking that since they'll be sleeping their body won't know the difference. What I found is that my body did know and I was playing catch-up all day. I was also trying a dosing schedule of 3 tabs upon waking, 3 tabs mid-day and 2 tabs at bedtime. My nights were awful and I wasn't getting any kind of sleep. My doc agreed to add one tablet so my dosing was 3/3/3 and it all worked much better. I was trying real hard not to raise my dose, just really upon principle, but it wasn't working.
I like how you have the various tablet sizes, that's great for flexibility.
I can't speak to the amytriptyline because I tried it years ago for migraine prevention and couldn't handle the sedation. Too much for me at any dose.
steve
skych
06-30-2008, 09:17 AM
Hey Round1,
Thanks for helping me to understand! I thought you were slicing the pills...lol
Anyway, it sounds like you have your new schedule in place.
I now it is tough especially when trying to figure a dosage plan that works to give you the pain covergae you need.
Hang in there my friend. Please feel free to vent on me anytime it is needed. Lord knows how much venting and processing I have done on the boards lately. Could not get through all this wothout all of you.
((((((((((((((((((((hugs)))))))))))))))) ~~~~~:angel:~~~~~~
Chrissy
Thanks for helping me to understand! I thought you were slicing the pills...lol
Anyway, it sounds like you have your new schedule in place.
I now it is tough especially when trying to figure a dosage plan that works to give you the pain covergae you need.
Hang in there my friend. Please feel free to vent on me anytime it is needed. Lord knows how much venting and processing I have done on the boards lately. Could not get through all this wothout all of you.
((((((((((((((((((((hugs)))))))))))))))) ~~~~~:angel:~~~~~~
Chrissy
tiggertoo2174
06-30-2008, 01:12 PM
Round1,
It doesn't look like you have any tylenol (I think you call it something different there) in your mix. Maybe you could try a couple of the 8hr Tylenol before bed? It's not much but maybe that or one of the OTC anti-inflamatories (Advil, Naproxen) would help get you through the switch over. I generally feel pretty good when lying down/sleeping so I use Tylenol then and my Oxy during the day so I can get around better.
Tigg.
It doesn't look like you have any tylenol (I think you call it something different there) in your mix. Maybe you could try a couple of the 8hr Tylenol before bed? It's not much but maybe that or one of the OTC anti-inflamatories (Advil, Naproxen) would help get you through the switch over. I generally feel pretty good when lying down/sleeping so I use Tylenol then and my Oxy during the day so I can get around better.
Tigg.
cmpgirl
06-30-2008, 01:30 PM
Hi Round1, I just wanted to chime in and let you know that my PM doc just changes my dose from 20mg oxycontin 3x/day to 30mg/am, 20mg/mid-day, and 30mg/night time. He truly feels the slightly higher dose at bedtime and in the am will help me with that "sleep gap". I am having the new scripts filled on Weds., so I will see how it goes. I am really hoping it will help and since I have complete faith in my doc, I have a good feeling about it.
I've always had the issue of waking up in a considerable amount of pain and I know part of it is not moving around much while I sleep and getting sore and stiff from that, but it is also the lack of meds in my system during that gap. I have even considered setting the alarm for the middle of the night and taking a BT med. I guess I'll just have to try it out each way and see what works best. I used to do that before I was on long acting meds and it did help some.
Isn't it ironic that we need sleep so badly to help heal and yet a good uninterupted sleep leaves us stiff and sore? Go figure! Kind of a catch 22!
Take care and keep fighting the good fight! Hugs, CMP/MM
I've always had the issue of waking up in a considerable amount of pain and I know part of it is not moving around much while I sleep and getting sore and stiff from that, but it is also the lack of meds in my system during that gap. I have even considered setting the alarm for the middle of the night and taking a BT med. I guess I'll just have to try it out each way and see what works best. I used to do that before I was on long acting meds and it did help some.
Isn't it ironic that we need sleep so badly to help heal and yet a good uninterupted sleep leaves us stiff and sore? Go figure! Kind of a catch 22!
Take care and keep fighting the good fight! Hugs, CMP/MM
123dietdrpepper
06-30-2008, 01:44 PM
The thing is you want to keep you blood plasma levels evened out around the clock. By taking them every six hours during the day then more at night you are not getting the maximum benefit of long acting meds. You actually are getting the ping pong effect of the shortacting meds. Just my 2 cents.
I am going to do a thread to Executor because I feel she can explain this better.
I am going to do a thread to Executor because I feel she can explain this better.
Round1
06-30-2008, 03:36 PM
Thanks diet for sending out that post re: explaining the plasma levels, I will watch for an answer thanks.
I suppose since today is my first day changing it , I was just frantic for something to work..... I hate when a routine changes and it is like will I manage can I manage,????? I used never worry before, but now I just worry about my back and not able to manage. Well the good news is that I did manage and I stayed up without pain till 5.30 when my husband came home. Then got 45min lying down. I really am pleased and hope that tomorrow will be the same. But taking into account you all saying about having a long night, with pain relief not spread out evenly, I will just wait and see and not panic.
I normally dont feel sore getting out of bed, my best time is the morning.
I dont take hours to get sorted, if I take to long its then I become sore. Normally I am nearly dragged out of bed at 8 O'clock, into the shower and gone out the door at 8.40am to the school. My husband leaves at 8am and my son is ready at that time, so the last job is to make sure I am vertical before he goes !
So diet will read the thread and even if I have to up the dosage of the Oyxcontin I can, even if it is like 20mg 20mg 30mg........ would that be better? I have extra of the oxycontin and amytriptlyne so I can adjust.
Thanks for all your help and will let you know tomorrow how it all went.
Round1
I suppose since today is my first day changing it , I was just frantic for something to work..... I hate when a routine changes and it is like will I manage can I manage,????? I used never worry before, but now I just worry about my back and not able to manage. Well the good news is that I did manage and I stayed up without pain till 5.30 when my husband came home. Then got 45min lying down. I really am pleased and hope that tomorrow will be the same. But taking into account you all saying about having a long night, with pain relief not spread out evenly, I will just wait and see and not panic.
I normally dont feel sore getting out of bed, my best time is the morning.
I dont take hours to get sorted, if I take to long its then I become sore. Normally I am nearly dragged out of bed at 8 O'clock, into the shower and gone out the door at 8.40am to the school. My husband leaves at 8am and my son is ready at that time, so the last job is to make sure I am vertical before he goes !
So diet will read the thread and even if I have to up the dosage of the Oyxcontin I can, even if it is like 20mg 20mg 30mg........ would that be better? I have extra of the oxycontin and amytriptlyne so I can adjust.
Thanks for all your help and will let you know tomorrow how it all went.
Round1
123dietdrpepper
07-01-2008, 12:37 PM
:bouncing: That is wonderful news, Round 1 !! :bouncing: I pray that this is the answer to your pain. It is amazing what switching around the time of taking pain meds can do.
Steve, I hope you feel better buddy. Sounds painful.
Steve, I hope you feel better buddy. Sounds painful.