It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Pain Management Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 06-19-2006, 11:55 AM   #1
Newbie
(female)
 
Join Date: Jun 2006
Location: Not in Kansas
Posts: 5
dolphin7 HB User
Too soon for refill-can I cut the oxy tab?

I am trying to make it until my refill date on Friday.
Yes, yes, I took too many on several days for pain control and now
I am left with one 20 mg Oxycontin. I am trying to decide if I should
cut it in half so I can take some tomorrow and then the day after.
I only take 2 - 20mg per day. However, I have not taken more than
30 mg in the last week. I started to taper before I got to this point.
Now I'm left with one "magic" pill.
I do not have much w/d feeling at all. Been there, know what it feels
like. I am just extremely anxious, tense and grouchy at my children.
I just took a two mile run to get some natural endorphines flowing.

Any help you all have would be greatly appreciated.

Thanks!!!!
__________________
ACDF surgery with hardware C5-6 2000
Fractured, displaced ribs 2003

 
Old 06-19-2006, 12:10 PM   #2
Inactive
 
Join Date: Sep 2005
Posts: 201
wolfmarket HB User
Re: Too soon for refill-can I cut the oxy tab?

Do NOT cut the Oxy tab. You will be destroying the time release feature and you could end up with too much oxycodone in your system than you are tolerant of.

If you think your Doc would be ****** if you raied your dosage yourself, imagine how he'd feel if you ended up in the hospital because of an od!

 
Sponsors Lightbulb
   
Old 06-19-2006, 01:03 PM   #3
Senior Member
(female)
 
theweaver2's Avatar
 
Join Date: Mar 2006
Location: Ohio
Posts: 157
theweaver2 HB User
Re: Too soon for refill-can I cut the oxy tab?

Do NOT cut your oxycontin in half for two good reasons. One, you will get the time release all at once and it might work ok for a while but defeats the purpose of allowing the dose to work a long time and then you would need your other half too soon.

Number two is that if your doctor found out you did this he will be pretty upset with you. In fact, I'm surprised he didnt warn you about cutting the tablet. Also, if you read the info on oxycontin, you will see it tells you NOT to do this.

It's a shame this happens with this drug as it is the reason its being abused on the street. I have heard the manufacturer of oxycontin is trying to develop a new patent to stop this from happening.

You really shouldnt be taking more of this drug than your doctor prescribed. They don't like that AT ALL. What you should do, instead, is ask your doctor for a break-through prescription. This is usually a lower dose pain med to help with the lower level of pain that may break through the oxycontin.

Or, you may just need to have your dose increased. This happens as your body gets used to it.

I hope your doctor goes easy on you for taking more than you were prescribed. Since you are obviously new to taking this med, they will give you some leeway.

Barb

 
Old 06-19-2006, 02:39 PM   #4
Senior Veteran
(female)
 
BrittleBones's Avatar
 
Join Date: Jan 2005
Location: Central Maryland
Posts: 898
BrittleBones HB UserBrittleBones HB UserBrittleBones HB UserBrittleBones HB UserBrittleBones HB User
Re: Too soon for refill-can I cut the oxy tab?

Hi Dolphin7! I hope you won't take this the wrong way but.....What kind of pain are you experiencing that you can take a 2 mile run??????????? KathyMac

 
Old 06-19-2006, 03:18 PM   #5
Veteran
(male)
 
Join Date: Apr 2004
Posts: 415
ARANGER HB User
Re: Too soon for refill-can I cut the oxy tab?

Hey Dolphin,

I would have to agree with everyone else. Cutting an OxyContin tablet is bad news. It is not a med that can be cut due to the way it is designed. There are meds that can be cut so that you can take half the dose, or smaller increments, etc as directed by your Dr. However, OxyContin or ANY of the time-released meds should not b messed with.

As Alan pointed out, when you cut an OxyContin tablet, the time-released matrix system is destroyed. This causes the whole tablet to release immediately instead of at intervals.

OxyContin is an effective drug, however, it has gotten a bad rap over the years and many docs are reluctant or will not prescribe it due to abuse and media attention that surrounds the med. When abused, it is usually cut or crushed by the person. If you cut this med, you risk a lot, and your doc may view it as an abuse. I know mine would. You may get released for the clinc.

You mentioned that you take 20 mg, two daily (40mg). But you said that you have only taken 30 mg in two days. Do you take another Oxy product? It would not be possible to take 30mg of OxyContin when prescribed 20mg tablets.

I would speak with your doc about pain control and let him know where you are at so you don't run into this problem again.

Good Luck

 
Old 06-19-2006, 04:05 PM   #6
Newbie
(female)
 
Join Date: Jun 2006
Location: Not in Kansas
Posts: 5
dolphin7 HB User
Re: Too soon for refill-can I cut the oxy tab?

Thanks for the advice.....

To answer your questions, I have had ACDF with hardware in 2001 and
have really had no problems with it after an adjustment period of a
couple of months and getting used to the limitations they gave me.

Then, I fractured and displaced several ribs on my right side (posterior).
I have had increased pain over the last 6 months due to the fractures
just "healing" in the displaced position they are now. It is a "major
deformity" in my back (my Pain mgt. doctor's words) and he has
performed several nerve root blocks with not much success.

I was a long distance runner, mom of two, wife, and a professional singer.
I have been unable to sing since the rib fracture, but have found
that occassionally I can take a small run instead of popping a xanax.
I don't know why it is okay for me to breathe deeply when I run and
not when I sing, but that is just the way it is. It is much harder to
sing an entire 4 hour show than it is to take a little run.
I was running 6 miles at a time, 5 days a week, so a 2 mile jog is
nothing to me. I am very fortunate that I am able to even do
that much. My pain comes mostly from riding in a car, sitting in a
chair and anything else that puts pressure on the ribs that are
displaced in the back. I am not new to oxycontin, however my
question was based on so many differing opinions that I have read
on this board and others. I AM new to being so careless as to
run out of my prescription before it is time.

I am also taking 5 mg percocets for BT pain, so that is where the
odd amount of 30 mg came from.

I appreciate your responses but, selfishly needed a warm fuzzy place
to talk to other chronic pain sufferers.
I have still had nothing but terrible anxiety since taking my last dose,
so I guess I am extremely lucky and will "save" the last pill, intact,
in case I need it.

Thanks again...
__________________
ACDF surgery with hardware C5-6 2000
Fractured, displaced ribs 2003

 
Old 06-19-2006, 04:13 PM   #7
Newbie
(female)
 
Join Date: Jun 2006
Location: Not in Kansas
Posts: 5
dolphin7 HB User
Re: Too soon for refill-can I cut the oxy tab?

One more small note.........
When I called my Dr. to tell him the two 20 mg doses were not
working long enough, the nurse told me to cut the pill in half.
If I had not read about this drug, I would have cut the pill in half.
Instead, I told her that I could not do that because it was oxycontin.
I love my Dr. and he was highly recommended by another pain mgt.
Dr. who lives out of town. I have a good relationship with him and
he is the first Dr. to do anything productive about this injury.
__________________
ACDF surgery with hardware C5-6 2000
Fractured, displaced ribs 2003

 
Old 06-19-2006, 04:27 PM   #8
Veteran
(female)
 
Join Date: Jan 2006
Posts: 367
kelsey1 HB Userkelsey1 HB User
Re: Too soon for refill-can I cut the oxy tab?

hi,
was wondering if you could call your dr and told him the pain meds are not working right now would he help you with this problem.Maybe up the dose or give you more b/t meds. I also love to exercise but i can't like i use to,but my pm dr tells me that it is great for me . I ride a stat bike when i can and most of the time i feel better. It is my understanding that you get the pain meds so you can get back to as normal of a life as you can. We should still get to do the things we love even though we do have to change some things in our lives.. Good luck and please keep us posted. sorry i ramble on, kelsey

 
Old 06-19-2006, 05:40 PM   #9
Senior Member
(female)
 
Join Date: Jul 2005
Location: New Jersey
Posts: 115
Sammiejoe HB User
Re: Too soon for refill-can I cut the oxy tab?

Hi Dolphin 7
I don't want to repeat what's already been said, but, I wanted to give you an opinion on why singing is too painful, yet running is not. Singing comes from the diaphram and that probably causes pressure on the ribs when you attempt to sing. I know how upsetting it can be when you can't do something you love and in your case, is your livelyhood. I hope you'll continue to post because your not being selfish to want to find a, "warm, fuzzy place" where you can talk to other people with CP.
As for broken ribs, they are extremely painful and unfortunately, there's nothing that can be done, except to control your pain and it doesn't sound like your doc is doing enough to help you. Your on a relatively low dose of OC, so maybe you should discuss an increase with your doc or many people find taking OC every 8 hours works better than every 12 hours.
I hope you have some percocet left over to help get you through until your next refill and if you have xanax and your allowed to take it, that may help take the irritability away.
Please keep us posted and Good luck

 
Old 06-20-2006, 08:36 AM   #10
Veteran
(male)
 
Join Date: Apr 2004
Posts: 415
ARANGER HB User
Re: Too soon for refill-can I cut the oxy tab?

Hey Dolphin,

Sorry to hear about your injuries. It really sucks when there is something that you loved to do and can't do it anymore, like your singing.

As far as the pain meds, we are not trying to offend you, instead trying to protect you. I have watched a lot of people come and go in PM. And many times, it is a good person like yourself that maybe is being properly medicated by their docs, or have received the wrong information, etc. And unfortunantely, you end up suffering more because you may be placed into that category of "potential for abuse" or flagged by your doc, etc. If this happens, it can lead to you being dismissed from your PM and create many problems down the road.

I appreciate you clearing up your meds. When I read your post earlier, you had mentioned that you take 20mg OxyContin. I figured you had another form of Oxy IR to come up with 30mg, you just didn't mention it in that post.

I can't believe your docs nurse told you to cut an OxyContin
There goes some of that misinformation I was telling you about.

If it were me, I would talk with your doc about what his nurse told you. And also, be honest with him about how much pain you are in. Like someone else mentioned, OxyContin usually works best dosed every 8 hours. It starts to drop off and if not dosed it just means that much more pain and catching up you will have to do. You are on a relatively low dose of OxyContin. You may find that if he allows you to dose every8 instead of 12, that you have much better coverage in your pain. But either way, let him know, because PM is all about figuring out what will work for you. This can take time and become frustrating.

And one last thing; I think its great that you can still excersise. There are many pain patients that give up in a sense and don't get off the couch. And this can lead to even more problems, depression, etc. So I'm glad that you are trying to be proactive and get moving

Good luck with the doc. I hope you will continue to post and keep us updated. I hope you start feeling better soon.

Take Care

 
Old 06-20-2006, 10:10 AM   #11
Senior Veteran
(female)
 
BrittleBones's Avatar
 
Join Date: Jan 2005
Location: Central Maryland
Posts: 898
BrittleBones HB UserBrittleBones HB UserBrittleBones HB UserBrittleBones HB UserBrittleBones HB User
Re: Too soon for refill-can I cut the oxy tab?

Hi again Dolphin7 - Now I'm feeling really crappy about asking you to explain how you can run 2 miles while in so much pain!!! I'm very sorry - I didn't mean for it to come across like I was doubting you were in pain. As far as this being a place to come to that is a warm and cozy place to vent and get support....it certainly is that. And...it can also be a great place for some honesty and some tough love - which I know I've needed from time to time.

I'd have to agree with everyone else who have suggested calling your doc back and telling him/her that your pain is just not being controlled with the meds you are taking. You would like to think that being honest with your PM doc is the best course of action, but depending on your doc's attitude - you can't be sure how he'll react to the fact that you've taken more meds than he's prescribed.

I wish you the best - I'm very recently out of a wheelchair myself and starting to taper down from a somewhat high doses of methadone. Now I find myself trying to get back to all of the things that I loved doing before I broke several bones, like gardening and walking. I think it's great that you can still do something that you love to do! KathyMac

 
Old 06-21-2006, 07:18 AM   #12
Senior Veteran
(female)
 
Join Date: Dec 2003
Posts: 10,133
feelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB Userfeelbad HB User
Re: Too soon for refill-can I cut the oxy tab?

i just had one thing to re emphasize.make sure to tell your doc what this nurse actually told you to do with your oxycontin,really she could possibly cause some poor sole who is not up on the ins and outs of this med to end up in the ER in a full respiratory arrest.she needs to be told by this doc just what IS up with oxycontin,this advice was very very dangerous for her to give you,really dangerous.if you had not known geez.

i have found that some nurses at some specialists offices even and these are actually nurse practioners and PAs,have some really totally off the wall comments to give patients that are sooo incredibly contradictory to what the doc they are actually working for would never ever tell a patient.it is just mind boggling really.you would think,ya know? this is the biggest reason that anytime you get a new Rx for anything that you look it up and actually print off the Rxing info of every med and keep it all in some sort of file.this way when there is ever a question about a particular med that you are taking,you don't have to fire up the old PC to find the info,its all there in your own little Rx file.I did this for my son too as he has a liver Tx and a few other medical conditions that require many meds.its just sooo much easier to have all of your very OWN medical Rx info all in one spot vs trying to find something on the internet should you experience some sort of reaction or something like at 2;00 in the morning ya know?

but at any rate,tell your doc about what you were told so he can tell this nurse the highlights about oxycontin,what a stupid thing to tell a patient,honestly.Good luck,Marcia
__________________
3-22-01,herniated C-6-7
11-20-01,placement of hardware for failed fusion
9-22-03,removal of cavernous hemangioma that was inside spinal cord. Neuro damage to L hand L leg and R leg.

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Early refill question Bobs1157 Pain Management 19 03-11-2011 11:41 AM
Refill Question DerbyCityGirl Pain Management 73 04-04-2009 11:03 AM
Dr. won't refill pain meds so soon. hessie28 Pain Management 16 03-10-2008 08:01 PM
Insurance/vacation/refill/??? trowftd3 Pain Management 8 12-14-2007 01:22 AM
Too soon to venture out I guess Porter107 Back Problems 10 02-22-2007 09:03 AM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added








TOP THANKED CONTRIBUTORS



tortoisegirl (159), gmak (156), Shoreline (149), BB07 (91), backhurtz (84), katlin09 (69), Ilovemycutedog (53), galalena (50), jonnstar (35), Isotope (34)

Site Wide Totals

teteri66 (1180), MSJayhawk (1006), Apollo123 (906), Titchou (853), janewhite1 (823), Gabriel (759), ladybud (755), midwest1 (669), sammy64 (668), BlueSkies14 (607)



All times are GMT -7. The time now is 01:08 AM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!