Shoreline - Pain Management Message Board

twisten · 01-11-2004, 04:08 PM

Shoreline, I'm going to ask my doc to put me back on oxycontin and dilaudid for breakthrough but I can't remember what dose I was on before and I think my base med has been increased since I was last on it. I am currently on 30mg of MSC in am and 60 in pm and oxycodone 10mg of which I can take 3 a day. What would the conversions to these be? I know my base med should be higher because of needing so much breakthrough med but I don't think I will be able to get her to raise it.

Shoreline · 01-11-2004, 04:17 PM

Hey Twist, the standard conversion is that Oxy is 1.5 times stronger than morphine. If your doc prescribes 20 am and 40 pm that woukld pretty much be the standard conversion. HE wouldn't go to TID "3 times a day with the MSC, I ewwould think he wouldbe less likely to go TID on OXYC becausze of all the negative press and Purdue's stand that it lasts 12 hours.

If you got all 20 mg pills wich would likely be chaeper or one less copay, you could go TID and save the BT for the evening and see if it works. Again, this is just my opinion.

He may go 1:1 ON the conversion, that would be great, just like an increase since your present dose isn't working anyway.

I would remind him that when he's doing his conversion, that he's not doing a conversion from an effective dose. Anything he can do to relieve a little more pain would be great. If it's too much you can always back down.

Good luck, Shore

Shoreline · 01-11-2004, 04:20 PM

PS, Your pharmacy should have records and I wouldn't go into this and end up taking a step back when you do find your old dose. Some docs will do this claiming your tolerance may have dropped while you were on another med but lets not worry about any negatives, Hope for a 1:1 and be clear on how long you should wait if it's not working before you call him back. You can move oxy up much quicker than once a month very safely.
Good luck, Shore