Ive wondered that myself Hatter, and Ive also wondered why they dont come out with a "Tylenol-Free" Hydrocodone tablet. All they would have to do is make is Class II b/c of the abuse potential w/o Apap in it, just like the Oxycodone tablets are. I found the relief from Hydrocodone to be somewhat better than the Oxycodone, but I cannot take Tylenol products on a regular basis because of Liver problems.
We (my doctors office & I) did try some of the Compounding Pharmacies various scripts with low Apap mixed with the Hydrocodone, but truth be told the main reason I think that my doctor didnt want to continue with it, was it really was a pain dealing with the Insurance & Pharmacies when it came time for a new script (my insurance co. is INSANE). It really did get to the point where Hydrocodone just became too much of a hassle, so unfortunately, onto the Oxycodone Options I went
Of course we tried the LA Oxy first, but it was just leaving too many gaps in pain, and I didnt even feel pain relief for 8 full hours, let alone 12. It seemed that my doctor didnt want to do BT meds at all, and I understood b/c it was just piling up more scripts compared to the Hydro which worked so well. And so the best comprimise in effectiveness we found was the 5mg OxyIR tablets. Yet, it still does not have the same effectiveness for my pain that Hydrocodone did, despite the fact that its supposed to be "stronger." Youre right, that people react differently, so it makes it all the more curious why there arent more options out there....especially
when you add in the side-effects that people experience into the question!
Now after having decent relief from the Oxycondone tablets---but not quite as effective as the Hydrocodone was---and having been on the OxyIR for some time now, I am starting to get strange side effects, like weird Spasms around my body, as well as a sort of "bloated" feeling in my body like Im holding water or something...its hard to explain, and is starting to really bother me. However, I had none of those problems when I was using Hydrocodone for Pain Management, it was just the Tylenol (even in lower forms) was something I shouldnt be on.
I think youre right, that having a sort of alternative Hydrocodone tablet, like an LA Hydro or an SA HydroIR---the options Oxy has---might be good solutions! I dont understand it either Hatter, why they never released such a product. Im even inclined to think that for me, something like a 5mg HydroIR w/NO Apap might even get rid of the Spasms & Bloated/Water Retention-type symptoms I think I have been experiencing from the old-standard 5mg OxyIR tabs. Good Questions!