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Old 10-10-2008, 04:00 PM   #1
Join Date: Oct 2008
Location: Pr. George, B.C. Canada
Posts: 3
rob2008 HB User
What is the diff between Oxycontin and Oxycodone?

Hi, I hope some can help explain or even corroborate... I broke my neck snowboarding which resulted in jambing #2 Vert into #1 vert. This caused my spinal cord to be kinked badly. I lived from the crash then it took 6 years to get it fixed and I have been working hard since fall 2004 to get a good mix of meds which allows me to function.

I have been on heavy pain medications for several years now. I take Oxycodone 5x day and along with the gabapentine. I am prescribed this and find that I can function physically fairly well...meaning I can walk around go to groups etc. I am finding though that I need more pain medication, more for breakthrough pain. Without the Oxycodone I am pretty much bed ridden. This medication when taken is like a switch that turns on the motor capabilities which allows me to function. I jump out of bed after it starts working. This makes me like this mix which took 4 years to get too!


Sincerely Rob

Last edited by HBMod07; 10-11-2008 at 06:15 AM. Reason: Please discuss medication changes with your Doctor

Old 10-10-2008, 07:23 PM   #2
Join Date: Mar 2008
Posts: 5,070
katlin09 HB User
Re: What is the diff between Oxycontin and Oxycodone?


There are more on this board that can definitely give you more technical information regarding the difference between the drugs, but here are the basics. Oxycodone is basically percocet without the tylenol added and is a short acting opiod pain medication, meaning that it only lasts for a few hours and does not build up in your body. This means of course that you have to take it frequently throughout the day and generally as patients get used to it they have to take more and more to control the pain. Most docs when they see this happening will consider a change to a long acting med, to avoid many future problems. Oxycontin on the other hand is in the highest class of opiod pain meds, similar to morphine and fentanyl. It is a long acting pain med that would be taken on a regular schedule, usually 2 or 3 times a day. It works by building up your blood plasma level and keeps the pain controlled at all times. For flare ups of extra bad pain, you would then use a breakthru short acting pain med, such as oxycodone, although I think most docs, generally prescribe something a little less potent for a breakthru med., like something in the hydro family, it just depends on the doctor.

I'm surprised with your level of pain, and the apparantness of the fact that you seem to be a Chronic Pain patient that you are not on a Long Acting pain med already. What type of doctor do you go to, to control your pain, if I may ask?

Well I hope this explanation was not to rudementary, if you have any further questions, feel free to ask.

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Old 10-10-2008, 08:19 PM   #3
Join Date: Oct 2008
Location: Pr. George, B.C. Canada
Posts: 3
rob2008 HB User
Re: What is the diff between Oxycontin and Oxycodone?

Hi and thanks for such a quick reply. I have had bad luck with doctors up here. My last Doctor never checked me out or sent me to specialists when I asked. His negligence almost cost me my live 2 times. He has been retired now and I have a new doctor who I think has been given information about me that isn't good for me. I will never get rid of this pain as I had a bone graft on #2 vertabrae that collapsed. I died then but they brought me back and redid it. The damage at that time had been done. I have extremely sensitive nerves system and that is why I need the amount of pain killers. Gabapentine and Oxycodone are working ok now but as I have known I need more and more. My new doctor wants me off the pain medication. This is distressing as he hasn't read through my file (It is an inch think now) so doesn't understand what I have experianced or believes me when I tell him I need more. he says less...I am upset over this as I don't know how to go forward. Is this a help?

Old 10-10-2008, 09:38 PM   #4
Join Date: Mar 2008
Posts: 5,070
katlin09 HB User
Re: What is the diff between Oxycontin and Oxycodone?

Are you seeing a PM specialist? I know from some other folks post, that live in Canada that they aren't necesarrily the easiest docs to find. But it sounds like you could definitely benefit from one.

I totally understand why your doc does not want to give you anymore Oxycodone and wants you to take less....[removed] I'm sure he's very concerned about addiction/dependance issues. Have you mentioned to him about perhaps moving to a Long Acting medication, such as oxycontin, fentanyl patch, or a form of morphine? That might be a better way to go, and also show the doc that you are willing to work with him and change your regimine to see if something else will work. A little bit of compliance with a doctor will go a long way. And you never may end up doing much better. I personally take oxycontin and oxycodone for BT, and am actually stopping the oxycodone, because I'm getting so used to it I'm having to take more and more and I don't want to do that. So I'm trying to stick to my Oxycontin and use advil if my pain gets worse. I also am on Fentanyl patches, but am in the process of weaning off of them, because they really don't do much for me, and I hate hasseling with the patches.

But, sorry I digressed onto me....Seriously talk to your doc, about what other choices you have, and let him know that you've looked into some other options.

Last edited by HBMod07; 10-11-2008 at 06:12 AM.

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