I need to ask my doctor for stronger break-through meds next time I go in (3 weeks). Right now all I have is Vicodin 5/500 (hydro). When I have bad pain, I am getting very little pain relief from this dose (x2). By the 3rd hour, I am in as much pain as before I took it. Before I had surgery in January, I took Percocet 5/500 (x2), and it seemed to last much longer than the Vicodin, without added side effects. I guess I am going to ask either for an increase to the 7.5/500 Vicodin, or Percocet or straight oxycodone instead of the Vicodin.
I think oxycodone is stronger than hydrocodone, but I don't know what the exact comparison is. Does anyone know this? Based on your experience, would you go to the higher dose hydro, or just try to switch to the oxy?
I also know that oxycodone is more restricted than hydrocodone. Does anyone know what the specific regulations are that I need to be prepared for?
...I also know that oxycodone is more restricted than hydrocodone. Does anyone know what the specific regulations are that I need to be prepared for?
Go with Ex's estimate.
As far as regulations go, oxycodone is a Schedule II drug in the US, while hydrocodone is Schedule III. Schedule II drugs are controlled more rigidly than those in Schedule III. Oxy cannot be called in by your doc, except in dire emergencies. It requires a written script each month, as there are no refills.
If you lose, or have an oxy prescription stolen most docs will not replace them. Nor will they usually write another script if you run out early.
I would try to stick with the hydro as much as possible. I became immune to the hydro, so doc gave me oxy, but now am immune to that too. I think if you up it to oxy, you will have minimal relief if any in the future as far as pain meds.
It's also important to note that although one may become more tolerant....In this case Oxycodone, the dose can be increased accordingly. With Oxycodone for example, some PM Docs would argue that there isn't a ceiling.....Thus, you could keep increasing the dosage to get the desired pain fighting effects.
My pharmacist said once that he has a couple of patients who are on extremely high levels of Oxycodone.....For example 80mg 4 to 5 times per day. Obviously, these patients didn't get to this level overnight....Took many, many years, even decades, to build up.
I have taken vicodan,lortab same meds just different names for hydro with tylenol and they come in different strenths ie 5/500,7.5/500 etc.Oxycodone is hydocodone but without the tylenol.It too comes in different strengths.The problem is the amount of tylenol ingested in a daily 24 hour period;4,000mg. is the maximum . So if you take ,for example ,2 of the 5/500 every 6 hours you've taken your maximum limit of tylenol.Taken in a greater amount and you run a risk of liver damage from the tylenol.I went to oxycodone almost 5 years ago and still have'nt had to have the dose increased.I do admit though that I am never totally pain free but I am not at a point where an increase is justified.As I consider myself to hpefully have a number of years yet, I don't want to increase until I absolutley must.My diabeties already makes me dose off at times(can't wait till I get my pump)so I need be as alert as I can each day.Sorry to run on so but being mostly homebound with only friends being my feline ones.....God bless you all,Sincerely,Susan
...oxycodone is hydrocodone without the Tylenol...
Susan, I'm sure you didn't intend to write this - probably a typo.
But for everyone else, oxycodone and hydrocodone are two different drugs. Hydrocodone is always combined with either Tylenol or ibuprofen, with many various levels of both the hydro and the Tylenol or Ibuprofen. The most hydro available in one tablet is 10mg. The amounts of tylenol or ibuprofen varies from 325mg to around 750mg per tab. If you go to a compounding pharmacy you can get more than 10mg of hydro per tab, but that makes it a Schedule II drug with different prescribing rules.
Oxycodone is a Schedule II drug about 50% stronger than hydro. It comes combined with tylenol or ibuprofen, or all by itself as a short-acting opioid. It also comes in a long-acting formulation called OxyContin.