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  • BDD Moderators: Keif’ Richards

Trying to work out Oxycodone dose

clear_sky

clear_sky

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Joined
Mar 19, 2012
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97
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elsewhere
I was prescribed Oxycontin 10mg yesterday for sciatic pain. I've had this pain for over 4 months now, Dr's been giving me Panadeine Fortes (30mg codeine/500mg APAP) mostly. About 3 weeks ago he switched me to Tramadol 100mg, but I wasn't a fan of those (for number of reasons), so he put me back on the Fortes.
The Fortes weren't working all that well when "taken as directed" (4-6 a day, or something), so I've been doing CWEs of 280-330mg about every other day for the last couple of weeks. That seemed to work ok, sometimes even lasting through the following day, so I could have a break.
Last week I had a CT scan, which showed a slipped disc in my spine. So my Dr went ahead and prescribed the Oxy. I had it yesterday, as directed, which is - 1 tablet when required (around midday) and 1 table at night (9pm-ish?). It kind of eased the discomfort, but not really.
So, I imagine I've built up a bit of a tolerance, even though I'm not exactly sure how the opioid tolerance works (ie - how long does one have to be opioid-free before stuff starts working like it did the first time? Obviously longer than 1-2 days..).
In light of the tolerance, how much Oxycontin should I take to: a) relieve the pain; b) be safe, as I understand that it's a quite potent medication. Although it didn't really feel all that potent yesterday.
I had a look at the BL opioid conversion chart, and it's something like 200mg codeine = 20mg oxy (if I'm reading it correctly). Should I be taking 30-40mg oxy over the course of the day?
Also does 2 x 10mg oxycontins equal to 1 x 20mg oxycontin? Controlled Release is confusing :?
 
Tolerance takes a while to be reduced. Depending on how long it's usually more in the range of months, not days.

Have you not taken any oxy yet? If you haven't try taking it as prescribed (or taking one right now if you don't want to wait until midday, it's whatever) and see how you feel. Then you can give a better idea, and people will be able to help more depending on how it makes you feel.

2x10mg isn't going to equal 1x20 exactly, but for all intensive purposes they are the same.
 
Thanks, Le Louche :)
I did have some yesterday, see:

clear_sky said:
I had it yesterday, as directed, which is - 1 tablet when required (around midday) and 1 table at night (9pm-ish?). It kind of eased the discomfort, but not really.
Click to expand...

Midday was when I had my first 10mg, had another 9 hours later. The codeine CWEs worked better, I just wanted help with adjusting the dose of oxy to my codeine doses, because I don't want to overdo it, etc.
 
I think you'll be safe upping it to 30-40 like you suggested. I would try maybe 25 at the next does
 
Are you sure?
The instruction leaflet says not to break/crush the pills.
I assumed this was because doing so would break the time release thingie.
 
Of course the prescription paper says not the crush or chew. Do you actually think that the prescription will say crush, make into lines, then sniff, or crush, then parachute? All pills say not to crush/chew on the prescription paper, even drugs that are not recreational.

Also, as tricomb mentioned 20mg of oxycodone = 20mg of oxycodone. It doesn't matter if you have 4 5mg pills, 2 10mg pills, or 1 20mg pill. If they are all instant release then they will hit you the same. If they are extended release then they will all hit you the same as the other extended release pills of equal dosage, although they will release smaller amounts of the drug over time, but in the end you will have consumed the same 20mg amount.

tricomb said:
Trust me, if it says OP on the oxycontin (which it should), it is tamper resistant, and chopping them up does not defeat anything.
Click to expand...

Yes, it depends on the formulation. If they are instant release (percocets, or Oxy IR) then crushing them make them hit you a little faster, but not that much. If they are OxyContin (or OxyNeo for you Canadians out there) then breaking them doesn't do anything in terms of defeating the time release.
 
IMO the difference between crushed oxy IR/percocet and just popping them is negligible.

But yeah, hypothetically more surface area = more absorption.
 
^ Exactly. They may hit you a bit faster and last a little less time, but that's not much different than eating them whole since other factors (stomach contents, last time you dosed, other drug interactions) can cause them to hit you a little faster or slower. So basically sometimes eating the whole may result in them hitting you faster or the same amount of time that it would take for them to hit you after crushing them since there are other factors that come into play, and also since the difference is quite negligible to begin with.
 
yeah 30-40 sounds like the right dose if u can feel the 20mgs ... and as for ur tolerance. once u fuck it up...it stays pretty fucked. in my experience even with a month of no opiates after a years habit didnt even half my tolerance. it also shoots straight back to where it was within a couple days of using again. yeah u get all fcked up that first relapse dose,,, but thats pretty well it. u will have to increase dose from there more than likely immediately to get the same effects. u will likely never have a tolerance that gets fucked up on like 5-10 mg oxy .. like i did my first time.... unless you take a huge ass break of a few months and even then i dunno. it sucks. any opiate user would prolly agree with me ; this type of drug likes to come back in bite you in the ass in every sense

:\ wd n tolerance.
 
tricomb said:
Trust me, if it says OP on the oxycontin (which it should), it is tamper resistant, and chopping them up does not defeat anything.
Click to expand...

It says "OC" on one side and "10" on the other side.

I had 20mg and can barely feel it. Pain is still there, a little dulled but still there.
Will try 30mg tomorrow.. Don't want to take any more tonight because of the temaz that I use to get to sleep.
 
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