Are you using Oxycodone as a base med or is it for breakthrough pain? You may need to use a LA med and use Oxycodone for b/t. This is a very popular use for Oxycodone, because as the other posters indicated, you can build up a pretty fast tolerance to Oxycodone, but as they also said, everyone reacts differently to narcotics. When I first began using narcotics for pain, and started posting on the PM board, that is the first thing I noticed, that everyone reacts to all these types of narcotics so differently. I guess that's why there are so many different types of opiates out there and more yet to be developed.
I began on Hydrocodone and DID build up a tolerance quickly but also noticed that as my pain worsened, the Hydrocodone was less effective. I believe it's a good med for acute pain but not for chronic pain. Oxycodone has been the only b/t med that helps my b/t pain so far, and I've tried 4 different meds for b/t meds since January. I use the Duragesic patch as my LA med, just began that in January, and we've been tweaking my combination of b/t meds ever since.
I used Percocet for nearly 3 years as my base med until it came time to go to LA meds, and the Percs worked the best for my kind of b/t pain (Fibromyalgia), but Percs aren't dosed high enough, while Oxycodone is. Right now my PM doc started me on 30mgs Oxycodone 2 times daily and I think he'll bump that up to 3 times a day. It was his PA who gave me the script for Oxycodone, so I think she was starting on the low side for daily dosing. Anytime I've gotten a script for b/t meds from my PM doc himself, it's always been given TID. I don't need it everyday, but when I do need it, two a day isn't quite enough. I've been cutting one in half and using just half a tab in the morning and at noon and a full tab in the evening. I'd like to be able to take one full tab when I get up and if my pain is really bad, one at noon, then again in the evening. Though I don't do that unless my pain is spiking ALL stinkin' day, but I like to know that the dosage is there for me if I need to use three doses, I don't want to take more than I've been prescribed for fear of running out early.
I've been in Pain Management for only 3 years now and I really haven't switched meds too much. Maybe tried 6 or so different meds til I finally am now on a good "cocktail".
I'm sorry I rambled on so. I don't know if any of what I posted will help you. Just some personal experience to share. I was mainly curious as to what you are using the Oxycodone for: Base med or b/t? It is true what the other posters said, Oxycodone is a lot stronger than Hydrocodone. I know all the names of these meds are so confusing. Hydro, Oxy, MS this or MSIR that (or is it MSRI?
) , contin here and there thrown in too! LOL I usually will try to find a place on the Net that gives info about a specific med by breaking it's components down, so I know what it's "pain killing" component is and any generics that are available and what their names are. You can usually find out about a specific med pretty easily and how it works on pain, and even what types of pain it works best for.
Hope this helps. I would just speak with your doc who prescribes your pain meds about "tweaking" your medication cocktail. Personally I used Hydromorphone and it did nothing for me, neither did Methadone, both these were used for b/t meds. The Duragesic works well. I did bump up to 75ugh pretty quickly though, but it has a pretty wide dosage available, so I don't think 75 is by any means my limit!
It's so hard to find a good mix, and it does get frustrating trying so many different meds. Especially if you find out they don't help you and your stuck with them until you see your PM doc in 30 days. Makes for a long month.
I guess pain meds fall into the same old saying as finding true love: "You have to kiss a lot of toads to find your prince." ***wink***
Keep us posted,