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Old 09-29-2003, 12:41 AM   #1
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Question Percocet v. Oxycontin... Tolerance question

I've been taking Percocets for not too terribly long, but since the end of May basically...I've got a horrible tolerance to them now. The only other times I've gotten Percocets before was after my Tonsillectomy, I had two bottles of 36 7.5/500's, and in December I was sent to the E.R. with a bad case of Gastroenteritis, severe dehydration due to the Gastroenteritis, and a Urinary Tract Infection due to the Dehydration... I had a shot of Morphine and fluids to rehydrate me at the ER while I was there, and the pain was pretty severe, so they gave me a script of 24 pills until I got better, and sent me on my way after I was done receiving fluids and had come to a little from the morphine.

Anyway, my main question is, If I was (hypothetically) changed to Oxycontin from the Percocet (was on 7.5/500 then changed to 7.5/325, up until just last week when I was raised to 10/325's..) would I still not receive any relief? I mean, if they're both Oxycodone, then I've already got a pretty high tolerance to this drug.. So if this is true, I wouldn't really get any relief from the Oxycontin's either, would I?

I'm just baffled how some of you guys are on meds for so long, and I'm on meds for 4 months and have a tolerance so high that I can't even get relief from 2 pills!

If any of you guys have input, I'd appreciate it...

Also if you guys know approximate prices on some meds, I'd like to know that too. Right now, with the Percocet 10/325's, for a weeks worth of pills (50), I'm paying almost $100...because they don't have a generic of it with lower acetaminophen. I'm tempted to ask to be switched back to the higher acetaminophen, because then at least I can save quite a bit of money... I would really like to be changed to something that works though.

Please help!!

Much http://www.healthboards.com/ubb/heart.gif to all of you, my dear, very dear friends,
Crystal

------------------
-21 year old chronic pain patient..
-Have a transitional vertebrae @ s1.
-Slight bulges in disks L4-L5 and L5-S1.
-adhesions from years of not knowing gallbladder was bad then had it removed, lots of abdominal pain now... also referred pain in mid and upper back from gallbladder as well...
-Chronic severe migraines, and tension headaches... Taking Axert for migraines.. Working well...Nothing px'ed for tension headaches... Sometimes even get both kinds of headaches at the same time..... Really weird.
-Lots of low back and mid back pain growing up..
-Then was in 2 very bad car accidents not even a year apart, 1@17y.o. and 1@18y.o. Had fractures in both... Arm in one, and wrist and hand in the other wreck. Arm was broke by airbag.. Wrist and hand by impact of hand slamming into steering wheel... Also had back, neck and chest (from seatbelt) pain from these wrecks. And in one slammed knees into dash. Also fell on ice a couple yrs ago and landed right on tail bone. This is what my PM doc feels caused the bulges.
-Also have had a few cysts on left ovary, that burst.
-Also had pre-cancerous cells on cervix, and had surgery in Dec. 2002 to have them removed. Have been having normal paps ever since! (Didn't have one of those for like 3 years!)
-Now having lots of knifelike shoulder pain between spine and shoulder blades..Also having a lot of hip/pelvic pain and soreness under my butt, if that even makes sense...And pain in low-back/sacral area and tailbone area...like it's going to crack and break or something... It hurts to sit for very long at all.
-Pain overall between 7-9 everyday with OR without meds.. Because Percocets aren't working well anymore at all.
-Still somewhat undiagnosed, but have had these tests for my pain issues... :
*CT Scan on entire spine
*CT Scan on abdomen
*X-rays on shoulder and entire spine
*MRI on head and spine
*Also been to these specialists: Chiropractor-Did adjustments, and a few other treatments; Orthopedic surgeon-gave stretches and PT exercises to do, also px'd Ibuprofen800 which I can no longer take any NSAIDs; D.O. (my PCP)-Did adjustments, and px'd my meds until I got into pain management.
Pain mgmt doc and his P.A. Have changed my previous meds, and plans on doing Trigger point injections and a couple steroid injections on November 19, 2003. Hope that helps! Then maybe I can go off these pain pills! If not, who knows what's going to go on, but I'm trying to stay positive!

-Started at PM Clinic on 9/9/03, and went wonderful. First saw the P.A. Then saw the PM doc on the 18th, and he's absolutely wonderful.
-Moderate case of TMJ
-Lots of throbbing pain in left knee and left arm from previous fractures.. (knee from sports; arm broke in a car accident)..
-Also arthritis in hands.. Broken 6 of my fingers several times, and also broke 3 of my toes...
-Meds I was taking, then the meds I was changed to and I'm taking now : Percocet 7.5/500 every 4 hrs as need for pain changed on 9/23 to Percocet 10 (hope it does better!), Flexeril 10mg 2x/day changed on 9/9 to Zanaflex 3x/day, Tofranil 50mg @ bedtime changed to Gabitril 40mg @ bedtime on 9/9, Imitrex for migraines changed to Relpax on 9/9 then to Axert on 9/18, also given Zoloft 50mg in the morning on 9/9 to counteract all the meds that make me drowsy to keep me more awake.
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22 year old chronic pain patient and college student in Wichita, Kansas.

 
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Old 09-29-2003, 01:56 AM   #2
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Hi Crystal. There is a chart somewhere in internet land that would give you an idea of how equate oxycontin to perc, but if you're not getting relief from the meds it wouldn't do you much good I don't think (if you want me to find the chart I'll do the equation for you). Don't worry about the tolerance too much. Personally I think that some folks don't bring this up. I also find that pain meds are funny little creatures in as far how the same med will affect people in different ways (once again everyone is different....),but the building tolerance level may not only be metaphysical (I don't know if that's the right word ,but for this late it's a pretty big word and has to be worth at least 25 cents) it may be your pain level is increasing ( hope I'm wrong). If you're still reading thanks, because I want say something quickly about Oxycontin. Firstly the most basic is that it comes in different mg dosages 10,20,40,and 80. They are supposed to last 6-8 hours. One good thing is that you and your Dr. have alot of dosages to choose from (ending a sentence in a prep, I'm so wild! Man do I need to get out more!!!)but there is a trail and error period, ie maybe not strong enough or vise versa so see if your Dr. will perscribe a week at a time until you find the right one. I'm sure you've heard of BT (break through meds) these are necessary because Oxycontin has some valleys in the pain relief another topic to bring to the Dr. "at some point" personally I would wait until you find the right dosage. Physical dependecy was difficult for me (once again our montra...everyone is different). I saved the best news for last I found a list of pharm companies that subsidise so meds could be free, I imagine a student would fit into a proper catagory. Damn this is a long post and I did it without coffee (sorry about that). I, along with what seems like everyone else on the board, think the best of you. I'm sure you'll be reading lots of posts. Take good care ,Lake P.S. For some reason I can't break this into paragraph form, but I'm going to try with an edit ,WE'll see Bye. Lake Guess what it din't work. Will you share your secret?..............Just received your reply THANKS and please get well soon I'm getting a little worried. I've tried alot of different pain meds to find the right ones (I've been going through this for about 8 years) so if I can be of any help just ask (I'm no expert but I'll try my best )......Lake[This message has been edited by whaleylaker (edited 09-29-2003).]

[This message has been edited by whaleylaker (edited 09-29-2003).]

[This message has been edited by whaleylaker (edited 09-29-2003).]

 
Old 09-29-2003, 02:33 AM   #3
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If you were to switch to oxycontin, you are right...they are the same drug, only the oxycontin is time released. So instead of taking a perc every 5-6 hours, you would take an oxycontin every 12 hours. Your doc would start you at the lowest dosage of oxycontin too, so it might not even be as effective as the percs, depending on how conservative his/her approach is.

They put me on 20mg oxy every 12 hours with no breakthru initially, and it was awful. I had been on methadone and hydrocodone (45mg per day and 60mg respectively) and this was clearly not the correct conversion. I really think the doctors are scared of the oxycontin.

Bottom line, if you are not receiving any relief from the percs, than the same oxycontin px will not give you better relief unless they up the dosage. Or, you can ask them to introduce a good breakthru med for the tough times. Oxy IR is great and kicks in immediately.

Good luck

Sara

 
Old 09-29-2003, 07:02 AM   #4
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Hey Crystal,

About the percs. Those rotten short acting meds in my opinion should only be used for BT pain in us in CP. For the very reason you are talking about. Tolerance builds very quikly to the short acting med. I would diffenatly talk to you Doc about going to a longacting med even oxycontin and stay on the same amount of percs for BTpain. I really believe then you will get the right pain reliaf and then the percs would do the job more effectively for you on BT pain. Take good care and keep us posted as to what your doc has done.

Matt

 
Old 09-29-2003, 09:12 AM   #5
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Hi All
I wanted to let you all know that there might be a possible relief wit the Oxycontin. I was taking 240 percocetts every month for 4 years then I was switched to Oxycontin in 1996 when it came on the market. I found that I needed to take it every 8 hours instead of every 12. It just does not last 12 hours. I have heard many others say the same that the oxys DO NOT last 12 hours. My doctor agrees as well. So if you go to 40 mgs every 8 hours you may get some relief and bypass the Tylenol poisoning you can get from percocetts. I think there is hope with what your doctor is trying for you. It worked for me. It does not take care of all of my pain needs but it does do a lot better than the Percs did. I am mentioning this because I think it is better to go to Oxys than to stay on Percs. They are to short of a med and they have the Tylenol which is dangerous with the amount you need to take. I have had tolerance built up as well. Maybe not as much as yours. I hope this is in some way positive in letting you know that what you are going to be moved to will possibly work for you.
Don

 
Old 09-29-2003, 11:25 AM   #6
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Lake,
You're so sweet! I will try to look for the chart containing conversions of meds... But if you find it first, you can let me know, if you want

Nice way of using a large word!! I don't even know what it means! And I don't really have a secret to using my paragraph structure, I've just always been good at composition. In both my English 101 and 102 classes, I had the highest grades in my classes... My teachers loved me for some reason! They even asked me if I'd be willing to tutor if necessary.. I agreed, but never tutored anyone. Haha, you are so crazy ending a sentence with a preposition I do it sometimes though!

Anyway, I guess my pain levels could be increasing, but I'm not sure. But you could definitely be on to something there.

What was this about the pharmacy companies subsidizing so meds could be free?? I wonder if I could fit into a category, to at least maybe at least get them a tad cheaper... I left a message today on the med line at my doc's office, asking if they could give me something that I could get a generic to, so that I didn't have to pay full price. I also mentioned the Percocets weren't really working much still, and I said that I wasn't sure if they wanted to keep me on it still or try something new... I didn't specifically say "CHANGE MY MEDS DAMMIT!" haha... So who knows, I haven't heard back from them yet. But hopefully they'll give me SOMETHING that doesn't cost so much!

Anyway, thanks a lot for your caring post, and your offer for future help if I need. That's sweet And also your complement of people thinking the best of me. That's nice :P

Again thanks! Oh and don't worry about your long post, look how long mine is in reply! Plus replies to everyone else too... Talk about a long post!

Sara,
Thanks for replying... I thought that too, that they may not even be as effective, until my dosage was increased... I also think they are scared of oxycontin. I'm not really sure why, except for the horrible abuse reputation it has... Again, thanks for replying, I really appreciate it I hope you're feeling okay.. Are you still on the Methadone?

Matt,
I think so too! Everyone talks about their BT meds, and I don't have one, because my base med IS a BT med! I hopefully will be changed to something longer acting today, but I'm not getting my hopes up. I don't know if you read above, but I left a message today saying that I still wasn't receiving much relief from the Percocet 10s. I will definitely keep you guys informed on what happens though! Thanks for your caring reply!!!

Don,
Thanks! You really think there could be possible relief? That at least gives me a little hope just in case they do switch me... I'm hoping to get away from all the tylenol I'm taking, but who knows what the doctors are gonna do... I'm always so scared of having to explain myself.. It's not my fault they're not helping me!!!! And if these injections I'm having on Oct 20, work, then I'll hopefully be able to get off of all these meds!! I think you may have misunderstood a bit though... I haven't been changed to Oxycontin, I was just scared they would and I still wouldn't get any relief. Hopefully they'll try something new besides the perc's though. Anyway, thanks for replying... It was nice of you to shine some positive light on this matter.

Much http://www.healthboards.com/ubb/heart.gif to ALL of you sweethearts who took the time to post your caring replies. They all mean SOOO much to me, you just don't know...

Crystal
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22 year old chronic pain patient and college student in Wichita, Kansas.

 
Old 09-29-2003, 11:37 AM   #7
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Hey HockeyCrystal how are you? I want to start off by saying that everyone is different, so what works for one, might very well not work for someone else. Here is my experience though. Like you, I was on Percocet 7.5/325. I was rx'd them 1 every 6 hours as needed. I tried that for @ a week, and had just as well had taken nothing at all, as far as releif goes. I received adaquate pain control (from an 8 to a 4) by taking 1 pill every 2 hours. It seems to me that Percocet would only work for 2 hours and every once in a while 3 hours. This means that I was taking 12 percocet a day, 90mg of Oxycodone and 3900mg of tylenol. Even at this, I never got what I considered "good" pain releif. I was switched to 75mcg Duragesic patches. They worked wonderfully at pain control, took me from an 8 to a 0. Problem was, I started vomiting, feeling very sick to my stoumach, halucnating, and felt as if I couldnt catch my breath. I told my doc this, and he put me back on the same dose of Percocet, every 6 hrs again. I fired him. My new PM doc started me out on 10mg Oxycontin, every 8 hrs.I must have built a heck of a tolerance up from taking all those percocet's, and this did nothing for pain control. I went from an 8 to a 7.5, maybe. Two weeks later he switched me to 20mg. Oxycontin 2x per day. I take one at 6 am, and pain goes from an 8 when I wake up to a 3, or even 0. About 2pm (8hrs) later, my pain starts back up, and by 4 o'clock, I am back to an 8. I have to wait till 10 pm to take my next pill, otherwise I wont be able to sleep thru the night. When 11pm rolls around, I am back to a 3 or lower. I need 8 hr. doseing and I would have virtually complete pain control. Even at 3x per day, I would still only be taking 60mg of Oxycodone whereas I was taking 90mg with the percocet and got no where near as good of releif as with the Oxycontin. I just cant explain it, all I know is thats how it works for me. Good luck getting switched to something that actually helps.

------------------
1998-Major rear-end colision
1998-mid2000-Chiropractic care
2000-mid2002-Pain level increased drasticly. No insurance, took a combo of every OTC painreleiver imaginable.
2002-MRI/ L3/L4 and L4/L5 annular bulging; DDD L4-5 and L5-S1
2003 February- Orthopeadic Spinal Surgeon said not a candidate for surgery,Percocet 5/325 every 6 hrs.
2003 June-1 month at PM clinic, Percocet 7.5/325 every 4 hrs.
08JULY2003-Had Discogram, comfirmed ********ming from L4-L5 disc.Followup confirms tear at L4/L5, pushing on a nerve.
JULY2003-Duragesic patch, had allergic reaction, switched to Norco. Norco provides no releif. Dr. wants me to have IDET. NOPE!!
14AUG2003- New PM Dr. switched me to Oxycontin, 20mg/2x a day.
I need 8hr doseing as I get 100% releif for 7-8hrs then pain back to 7+.
EMG says severe nerve irritation in lower back. Shows legs ok.
06SEPT03-Severe butt/leg/foot pain, suddenly while driveing, feels like constant electrial shock, I am worried about symptom change.
3ESI's scheduled begining 12SEPT03
Surgery is NOT an option at this time, do to meds working great, long recovery time, possible failure and need to have surgery again.

[This message has been edited by lgriffincsa (edited 09-29-2003).]
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1998-Major rear-end colision
1998-mid2000-Chiropractic care
2000-mid2002-Pain level increased drasticly. No insurance, took a combo of every OTC painreleiver imaginable.
2002-MRI/ L3/L4 and L4/L5 annular bulging; DDD L4-5 and L5-S1
2003 February- Orthopeadic Spinal Surgeon said not a candidate for surgery,Percocet 5/325 every 6 hrs.
2003 June-1 month at PM clinic, Percocet 7.5/325 every 4 hrs.
08JULY2003-Had Discogram, comfirmed pain comming from L4-L5 disc.Followup confirms tear at L4/L5, leaking and pushing on a nerve.
JULY2003-Duragesic patch, had allergic reaction, switched to Norco. Norco provides no releif. Dr. wants me to have IDET. NOPE!!
14AUG2003- New PM Dr. switched me to Oxycontin, 20mg/2x a day.
Lorocet+ 2x per day, no releif. Need 3x/day Oxycontin, or ESI's to start to help.
EMG says severe nerve irritation in lower back. Shows legs ok.
06SEPT03-Severe butt/leg/foot pain, suddenly while driveing, feels like constant electrial shock, I am worried about symptom change.
Sept.12,2003-ESI, no releif.
Oct.6,2003-ESI, no releif.
Oct.20,2003-Caudal epidural steroid injection. Provided @ 20% reduction in back pain. Nuccloplasty suggested by Dr. if Caudal fails.
Surgery is NOT an option at this time, due to meds working good (better with 3x/day doseing), long recovery time, possible failure/ need to have surgery again in a few years due to DDD.

 
Old 09-29-2003, 11:54 AM   #8
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lgriffincsa,
Thanks for your reply... This also makes me feel better. I hope my doctor will make a good decision on what he believes will help with the pain.

Your information was great, and I'm usually around an 8 as well, so hopefully if my doctor does happen to switch me to oxycontin, then hopefully he won't keep me at the same dose for too long. I'm tired of not receiving relief! I take a pill every 3 hours, and don't go down much at all.. Maybe 7.5 if I'm lucky from an 8..I hardly ever go down more than 1/2 a point.

Thanks again for your reply!

Much http://www.healthboards.com/ubb/heart.gif
Crystal
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22 year old chronic pain patient and college student in Wichita, Kansas.

 
Old 09-29-2003, 12:44 PM   #9
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Crystal, I wanted to mention and am surprised that no one else has or I have missed it but OxyC is VERY expensive. Like my friend was paying out of pocket for hers and was paying over $300 for 90 pills.
Thank God I have Cobra or I wouldnt be able to afford mine.
I also have a feeling that Oxy might NOT be the best med for you since the percs dont work very well for you anymore. My personal feeling is that they should start you on MsContin with MSIR (instant relief w/ no tylenol) for BT. BUT I am NOT an MD and this is JUST my opinion. TOO bad you cant go in asking for meds. But if he gives you ANY leeway to ask what you think, you might say that in the past morphine gave you great relief in the hospital (that is what mscontin is).
Just my opinion sweetie.
hope you get some relief with the injections!!

 
Old 09-29-2003, 01:24 PM   #10
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NeedANewHead,
Thanks for your reply! I am glad you told me that OxyC's are expensive... That will definitely affect my decision if I get any leeway. Do you know how expensive the MS is? See, I haven't ever explained this before, but my insurance company does cover SOME, but we have to pay out of pocket first, then mail in the receipts of my px's, then they send us back a check of the difference of what they pay. I just never felt like typing all that out before. But it still really bites having to pay for it all at once... Anyway, I am going to go for now, but thanks again for replying, and letting me know how expensive those oxy's are. I appreciate your time, hun!

Much http://www.healthboards.com/ubb/heart.gif my friend,
Crystal

P.S. It just really aggravates me how much they charge for those stupid meds...
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Old 09-29-2003, 01:44 PM   #11
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Hi crystal. Just to give you an idea of how time release meds work. A 20 mg OxyContin only contains 20mgs of oxycodone. It does not sustain 20 mgs for however long it works for each individual. Half is released at about the 1 hour point and the other at about the 6th. When folks complain of Oxy not even lasting 6 hours it's likely because the pain has spiked higher than the ability of the second release to bring it back down. So a 20mg Oxy every 8 hours would roughly give you the same serum level as 1 10mg perc every 4.

If 1 10mg perc doesn't help the next step would be 40mgs of OxyC which would sustain roughly 20mgs of oxy in your blood stream. You can safely double your dose every 3-4 days with most meds aside from methadone which has a very long half life. It's important to get your initial dose correct during the titration period otherwise if you except less relief now asking for an increase in 3 months looks like rapid tolerance rather than never having gotten the dose right in the first place. When you see you doc clarify what his protocol is as far as how long you should give each dose a chance before reporting back to the doc.

They should expect to hear from you more often but some docs will only see and increase your dose every 30 days. Which is a terrible way to titrate a medication. If the dose is too weak, by the time you see the doc you pain can spiral beyond what might have been an effective dose had he not waited to see you to make an adjustment. So it's a good idea to find out what his expectations during titration are.

Like others have said just because 10mgs doesn't work it doesn't mean 40 won't or it may take more. You can stabilize on oxy if the initial dose is titrated properly and you can maintain that dose for quite some time. BT meds are usually based on a percentage of the base med.

IF you take 100mgs of OxyC 3 times a day a 10mg perc is a drop in the bucket where a 30mg roxicodone, which has no Tylenol would be more proportionally correct to your base dose. And yes there are many CPers that use this level of medication. When I used 30mg Roxi for BT pain I was allowed to take 2-3 at a time. 90 mgs was proportionate to my base dose.

Now the downfall of OxyC. Purdue has made a very strong stand about BID dosing which does not work for many people without the use of large amounts of BT medication. The contacted docs, pharmacists and everyone on their patient assistance program and said we will not except anything other than BID dosing for their patient assistant program and told docs and pharmacists they should not fill or prescribe this med on any other dosing schedule.

There are clever ways around this but with the patient assistance program, it can get a little sticky. Say you need 40mgs 3 times a day. Your doc can write take 2 40's in the AM and 1 40mg in the PM and tell you to take it 3 times a day. Pharmacists will not object to this type of dosing schedule since it meets Purdue's guidelines.

Many docs believe that by sticking to manufacturer guidelines will help avoid law suits and problems with pharmacies.

Some docs flat out won't prescribe it any longer because of tracking systems for Oxycontin that Purdue has paid for and put in place. It takes a doc firm in his beliefs to subject themselves to that kind of scrutiny.

Every patient assistance program must be initiated by the doctor. He contacts the rep, they drop off the forms for him to complete and for you to complete and then send it to the manufacturer. The main qualifiers are lack of prescription insurance and a household income cap. But every med producer does have an assistance program for the medically indegent. Some programs will limit the number of patients a single doc can enroll into their program but they are alternatives. If you don't qualify for Purdue's program say for MSContin, you may meet Kadian's program or Oramorphs' program or the generic manufacturer program. Even generics have needymed programs. Do a search for needymed and you will find what I'm talking about.

I think we all go through a little acceptance problem when we finally find a dose that works. Mgs don't really matter, it's the amount of relief and ability to function that counts. So whether it's 10mg Percs or 80mg OxyContin or 200mg MSContin tabs it's just a number. I've met a vet that wore 10 100ugh Duragesic patches at a time and changed them every 48 hours. Another friend uses a combination of meth, Kadian and 4 100ugh Duragesic patches. The poor guy crawls more than he walks and is no more impaired than anyone else on opiates due to accommodation.

My own dose is high but the difference is the ability to comply with the dosing instructions. I've met folks that no matter what they are given they run short every month. That's something I don't take a chance with. 30 days is 30 days regardless of what your dose is.

You either have the ability to comply and communicate with your doc or you don't and you eventually get weeded out due to non compliance. If a dose isn't working it's never an excuse to just take what you need and beg for forgiveness. Better to suffer until your next apt or move it up than run short and go through withdrawal or be dismissed from a practice.

This last paragraph isn't aimed at you Crystal or anyone in particular, just what I have learned and my opinion. I know I won't get a second chance so I won't take that chance no matter how much I may hurt at the moment. Moments pass and the next apt is your opportunity to correct your dosing problem.

That's why it's important to have other methods to manage those moments where you just can't take it. Bio feedback, relaxation techniques do work, you just can't go through life in that altered state of total relaxation, but it will get you through those moments when the brain says just take another pill and make up for it later.
Good luck, Shore

 
Old 09-29-2003, 02:55 PM   #12
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Shore, I understand you weren't directly that at me, but I've never run short of my meds, and don't intend to... I'm always on time, and actually sometimes I have an extra days worth left, not recently, but I almost never take an extra pill.. I have before, but it doesn't work anymore than 1 does, so I don't do it. Anyway, Thanks for your in-depth reply. I really appreciate your care and time you took in writing back to me. It means a lot!

Much http://www.healthboards.com/ubb/heart.gif
Crystal

P.S. Again, thank you very much for your insight!
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Old 09-29-2003, 03:19 PM   #13
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I believe MsC has a generic so im sure its much cheaper. I dont know why but I just think you would do better with morphine in general. Perhaps its because docs seem more willing to perscribe and increase it quicker due to it NOT being oxy, the drug of choice of the addicts nowadays.
Now you know sweetie I am in NO way saying you should stay away from oxy cuz you are an addict I am just saying the doc may be more willing to use the morphine cuz its not the DOC these days. I really hope you know what I mean
Shore really put it all out there...dosages really dont mean much...its what helps YOU. I hope you have a doc now that understands that.
Much love and I hope you are having a good day

 
Old 09-29-2003, 03:40 PM   #14
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whaleylaker HB User
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Hi Crystal will find pharm info for you. I'm useless tonight (back ,beginning to hate that word,to level 9-10) If you have a chance there is someone new who posted, I tried but I couldn't gave it my all. If you have time maybe you could reply ..."Getting off OXyconting".Lake......P.S. started taking B-12 in the morning it has helped alot with getting rid of the drowsies. never had to write much in college Math,Econ and Psych majors (alot of B.S.es lol)

[This message has been edited by whaleylaker (edited 09-29-2003).]

 
Old 09-29-2003, 04:36 PM   #15
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Shoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB UserShoreline HB User
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Hey Crystal, Walgreens and a couple other retailers will quote prices over the internet on their sites. A simple search will help you find it.Prices do vary and keep in mind that most retailers will price match. Because I pay cash I literally call everyone each month to see what the current price is and just have the pharmacy I use match that price.They hate it but it's on their wall.LOL

Generic morphine is considerably cheaper than oxyc when you compare dose equivelency. Also using the stronger strength tablets is less expensive. 60 40mg OxyC is less than 120 20mg oxyC and generally more effective.

Here is a wholesale cost comparison at the bottom. [url="http://www.ampainsoc.org/pub/bulletin/sep00/upda1.htm"]http://www.ampainsoc.org/pub/bulletin/sep00/upda1.htm[/url]

I'm glad you understood I was talking in very general terms about compliance.
Take care, Shore

 
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