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Old 08-10-2013, 01:41 PM   #1
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Smile What alternative to oxycodone is there?

I have been suffering from chronic pain since 2008 after I had my daughter, which triggered a downward spiral of health and pain. I currently have a laundry list of problems from rheumatoid arthritis, nerve damage in both hands, spinal stenosis, bulging disic, spondylosis from L1-L5 and both of my knee cartilage is "going out". My GP had tried me on any and all NSAIDS and that left me most of the time in the hospital for uncontrollable vomiting and severe abdominal pains. Steroids left me feeling like my head was spinning out of control. Finally my GP put me on hydrocodone 10/500, which at the time took the edge off the pain to where I could function and take care of my disabled daughter and family. After a while the pain started to get to out of control and the lortab was not cutting it so my orthopedic surgeon put me on oxycodone 20mg and somas 325mg, 4x daily. WOW....I was able, to get myself out of bed and take care of my daughter, clean my house (a little at a time), cook, actually go grocery shopping and enjoy getting out all without my husband or family member helping or doing it for me. I have not been able to feel like a normal person in a long time and it felt better than the person I had became because of the chronic pain. So after 3 months of oxycodone, I go into my regular appointment and see signs everywhere stating (among with a couple other prescriptions) my doctor could no longer prescribe oxycodone. A few patients did not test positive for their meds and where caught selling them. So I was put on percocet 10/325, even though it's still oxycodone with acetaminophen I feel like I am back to taking hydrocodone 10 mg again, back to barely being able to handle the daily things I need to do. So after my long spell I have an appointment coming up in a week and was wanting to know if anyone has any knowledge or experience with something that is equal to oxycodone or something better? There has to be something else that can get a handle on my pain and if my OS can't prescribe oxycodone for me then I need to know what else is out there. Thanks for reading and responding!

Last edited by Redsouthgirl84; 08-10-2013 at 01:45 PM.

 
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Old 08-10-2013, 03:04 PM   #2
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Re: What alternative to oxycodone is there?

There are a lot of different medications that can take the place of oxycodone and oxycontin. Talk with your provider when you see him/her. There are a lot of both short and long acting medications.

 
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Old 08-11-2013, 11:42 AM   #3
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Re: What alternative to oxycodone is there?

Welcome! I would discuss your increase in pain from this dose decrease with your doctor. If they are not willing to address it somehow (whether trying you on different non-narcotic meds/treatments or giving you a new stronger opiate), then you need a new doctor. Curious that they would "punish" all patients, not just those abusing the system/meds. I would look for a pain management specialist.

Best would be to ask your GP for a referral to one they recommend. If they are unwilling or don't know of any, then you may need to find one on your own. Pain docs will have more education and experience in controlling pain. A good one uses a combination of methods. There are probably some treatments that weren't offered to you in the past. Sorry you are dealing with this.

You are lucky you didn't have withdrawal from the 50% dose increase. I wouldn't ask for meds by name, but yes there are others that would likely better control your pain. A long acting med is the best for constant chronic pain, such as morphine (MS Contin, Kadian, Embeda, and Avinza), oxymorphone (Opana), hydromorphone (Exalgo), Tapentadol (Nucunta), Buprenorphine (Butrans patch), methadone, or fentanyl patches. However, have they ever tried you on adjunct meds, such as Lyrica for nerve pain? Or injections? Best wishes.
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Old 08-12-2013, 03:05 PM   #4
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Re: What alternative to oxycodone is there?

I had heard recently that the pharmaceutical companies are not shipping the "normal" amounts they were in the past, due to the fact that oxycodone & oxycontin are the most sought after street drugs. I know my pharmacy has said that they have been shorted on their shipments quite a bit recently & are questioning whether or not they're going to have this problem on a regular basis. They're not the only pharmacy experiencing that problem either, as they have called other pharmacies to see if they had enough to fill my prescription, when they didn't have enough. I have a contract with my pain management clinic to only fill my prescriptions thru CVS, & if they don't have enough, CVS has to call to find a pharmacy that has enough (which they found out others had the same shortage on shipments). I know there's been a lot in the news about physicians that were targeted as being the ones who were randomly prescribing oxy to people they knew weren't using them for themselves, but selling them on the streets. So it's probably not you, it's a lot of other factors playing a part in this. I agree that you need to get aligned with a pain management clinic (much better treatment that a regular physician & able to prescribe more legally). Try to understand where your regular physician is coming from. They don't have the knowledge of pain management & background to be able to prescribe medications that are for long term pain management....Pain Management Clinics do. My Mother has never been on oxycontin (long acting) & had asked her physician to prescribe it for her, as she has severe chronic pain (she's 75yr old & can't hardly get out of bed due to pain). Her Dr told her that he cannot prescribe oxy to patients who weren't previously on it, due to the pharmaceutical rule changes, since it's a highly sought after street drug. So be prepared if you are told that you might have to go with something else...just stand up for yourself, don't let them tell you that you aren't having as much pain as you think....you know how much you hurt, & the nice thing about the pain management clinics is that they believe you (& understand you) better than your regular physician. It's their 'specialty' to help with pain management.

 
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Old 08-15-2013, 01:55 PM   #5
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Wink Re: What alternative to oxycodone is there?

From my experience it's easiest to get tramadol [URL="http://www.advancedpainmanagementaz.com/"]pain managment[/URL] meds prescribed and it has similar effect to oxycodon meds (because tramadol is an opoid). Meds with tramadol include Conzip, Rybix, Ryzolt, Ultracet and Ultram.

Last edited by sakiman; 08-16-2013 at 08:36 AM.

 
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Old 08-15-2013, 02:07 PM   #6
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Re: What alternative to oxycodone is there?

Tramadol may be easier to obtain, but I know from experience that if you have to come off of it for any reason, the withdrawal is horrendous. Worse than some of the supposed hard core narcotics. Just my opinion, but just because it's easier to get, doesn't make it a better medication OR any easier to withdraw from.

 
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Old 08-15-2013, 03:27 PM   #7
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Re: What alternative to oxycodone is there?

Quote:
Originally Posted by sakiman View Post
From my experience it's easiest to get tramadol meds prescribed and it has similar effect to oxycodon meds (because tramadol is an opoid). Meds with tramadol include Conzip, Rybix, Ryzolt, Ultracet and Ultram.
This is FALSE.

First of all it is NOT a narcotic....its a synthetic opioid but has some similar properties to opiates.

It also has many dangerous side affects,with seizures among the most dangerous.I took Tramadol many years ago for about 2 weeks,and had two seizures....one of them resulted in me passing out,falling and breaking my right ankle

I have heard horror stories with this Med and I am sure that's why most PM's dont prescribe it

I do know many Vets use Tramadol for animals/dogs for pain

GL,
Ferd

Last edited by ferd144; 08-16-2013 at 04:39 AM.

 
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Old 08-27-2013, 03:31 PM   #8
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Re: What alternative to oxycodone is there?

RedSouth, In response to your question about alternatives to Oxycodone for pain, I can provide my experience. I have been on several different pain medicines over the past 9 years, including Hydrocodone, Percocet, Morphine, Fentanyl Patches, Dilaudid, etc. In addition, have had a spinal stimulator implanted and then removed later for not taking care of the pain. I am currently on Methadone 50mg (10mg, 5 x per day). For me, the Methadone has provided the best pain relief. Before going on Methadone (earlier this year), I was taking Oxycontin 320mg (80mg, 4 X per day). The Oxy did a fairly good job, but was building up a tolerance and it was very expensive ($1,400 per month when I switched to Methadone). I was surprised that the Methadone did as good a job as the Oxycontin (actually better). Also, it is alot cheaper ($25 per month versus $1,400). Of course, everyone's reaction to pain medicine is different and type of pain needs to be factored as well. But for me (nerve pain, associated with Arachnoiditis), the Methadone works the best. You can discuss this with doctor. Good Luck, DB.

 
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Old 08-28-2013, 09:07 AM   #9
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Re: What alternative to oxycodone is there?

Try Valium(diazepam).

 
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Old 08-31-2013, 05:48 PM   #10
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Re: What alternative to oxycodone is there?

Quote:
Originally Posted by Redsouthgirl84 View Post
I have been suffering from chronic pain since 2008 after I had my daughter, which triggered a downward spiral of health and pain. I currently have a laundry list of problems from rheumatoid arthritis, nerve damage in both hands, spinal stenosis, bulging disic, spondylosis from L1-L5 and both of my knee cartilage is "going out". My GP had tried me on any and all NSAIDS and that left me most of the time in the hospital for uncontrollable vomiting and severe abdominal pains. Steroids left me feeling like my head was spinning out of control. Finally my GP put me on hydrocodone 10/500, which at the time took the edge off the pain to where I could function and take care of my disabled daughter and family. After a while the pain started to get to out of control and the lortab was not cutting it so my orthopedic surgeon put me on oxycodone 20mg and somas 325mg, 4x daily. WOW....I was able, to get myself out of bed and take care of my daughter, clean my house (a little at a time), cook, actually go grocery shopping and enjoy getting out all without my husband or family member helping or doing it for me. I have not been able to feel like a normal person in a long time and it felt better than the person I had became because of the chronic pain. So after 3 months of oxycodone, I go into my regular appointment and see signs everywhere stating (among with a couple other prescriptions) my doctor could no longer prescribe oxycodone. A few patients did not test positive for their meds and where caught selling them. So I was put on percocet 10/325, even though it's still oxycodone with acetaminophen I feel like I am back to taking hydrocodone 10 mg again, back to barely being able to handle the daily things I need to do. So after my long spell I have an appointment coming up in a week and was wanting to know if anyone has any knowledge or experience with something that is equal to oxycodone or something better? There has to be something else that can get a handle on my pain and if my OS can't prescribe oxycodone for me then I need to know what else is out there. Thanks for reading and responding!
I also suffer from severe chronic pain and hav tried many different pain medications until I found methadone, I am in a methadone clinic, which is actually for recovering addicts but anyone who has been on pain medication for an extended period of time are most likely addicted> it is the best pain medication I have ever taken and you can have your dose adjusted to meet your needs.

 
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