Re: How long for meds to start working?
Hessie: I agree with Gregar that 12 hours is not an appropriate dosing schedule. I take 20mg every 8. I've taken the Oxycontin for about 6 years now, and my doc started me out on 10mg. 2x/day with vicodin for BT, but within a year he had upped me to 20mg. Oxy. Then, 2 years ago we went to the 3x/day or 8 hours apart. I know most docs tend to start you out low, but if you have been taking opiates (even the short acting or BT meds) for a long time, you probably already have some opiate tolerance. The 10mg may be too low for you.
The problem with the 3x/day dosing is that Perdue, the manufacturer of Oxy, insists it is a 12 hour med. Even though many docs and patients have known for years that this is not true. So, the insurance companies go by the manufacturer's recommended dosing and will require your doc to send in a request for authorization to increase to 3x/day. My doc has to renew this auth request every 6 months. (That is what my ins. requires, others may be different.)
It can't hurt to let him know that you are getting little or no relief from it and that you feel like it's no better than what you were taking before, in bringing your pain down to a manageable level. See if he'll make the suggestion first. If he doesn't maybe you could say you read somewhere, that the Oxycontin doesn't last as long as the manufacturer says it does and that many docs are prescribing 3x/day. I don't know if I'd mention the internet; some docs don't like their patients looking medical info up on the net. Maybe a magazine article or something. Even a TV news show.
I'm sorry you're still in a lot of pain. Hopefully your doc will get that taken care of for you. God Bless and let us know how it goes. cmpgirl