a question_opana_percocet - Pain Management Message Board

eyesworld · 05-18-2008, 06:46 PM

My brother had back surgery last year and is still in a lot of pain. He had been taking percocet 10mg about 8 a day. His surgeon just turned him over to PM and the doc put him on opana er 20 mg -2x a day and told him not to take the percocets any more.
He just started today and I just talked to him and he says he feels awful, sweaty and joint achy. I told him to call the doctor right away.
What do you think? Reaction to the new med? or W/D from the percocets??? I think the latter.

PS-he is also going for a second opinion on what he considers a failed back surgery.

Executor · 05-18-2008, 06:54 PM

Absolutely, he is having WDs. 80mg of Percocet was a lot of Oxycodone per day. Opana is stronger, but I'm not sure how much more so. Steve would probably know. It's not 4X stronger, I know that. Additionally, Opana targets different receptors than the Oxycodone.

If he was taking 8 Percs per day, some form of LA med is appropriate. He may need BT meds, however. He will have to discuss this with his Doc.

I would wait until Monday, then if things haven't changed, call the Doc. Some BT meds would help alleviate the pain and the physical symptoms.

Ex

aussiejono · 05-18-2008, 08:05 PM

If he has any percocet left, he could take them in a step down over 4 or 5 days, say 4 today, 3 tomorrow, 2 the next day etc.

If he doesnt, he could take an extra opana today and tomorrow to get him over the worst.

eyesworld · 05-18-2008, 08:54 PM

Quote:

Originally Posted by aussiejono

If he has any percocet left, he could take them in a step down over 4 or 5 days, say 4 today, 3 tomorrow, 2 the next day etc.

If he doesnt, he could take an extra opana today and tomorrow to get him over the worst.

I told him basically the same thing but also to BE SURE to call this new PM doc ASAP. He said he has @50 of them left.

Executor · 05-18-2008, 09:03 PM

Worst case scenario.....If his Doc doesn't budge, I'd use the 50 or so left over Percs to taper down.

However, conventional wisdom says he'll probably need something for BT. Very seldom does a LA med control all the pain....Unless it's post op and the Doc expects the body to heal.

Ex