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  • BDD Moderators: Keif’ Richards

Possibly Switching from Percocet to Oxycontin... Little bit scared, any help?

D

d50416

Bluelighter
Joined
Apr 11, 2011
Messages
62
Location
(732) NJ
hi all

ive been taking a steady dose of percocet for a couple months now for knee pain. both my knees have avascular necrosis and my doc prescribed me with a large amount of 5mg (325 APAP) Percocet.. for the first 6 weeks i was taking 6 a day (2 at a time, 3 times a day) and my pain seemed to subside.. i was very happy with the med, but of course tolerance kicked in and i have begun to take one more a day, then two..

i talked to my doc and she thought about switching me to the higher dose Perc (10mg).. however, with the 5mg Percs i can go into work having taken 1 and be absolutely fine (i deal with customers and operate slicing equipment, so dosing off would not be ideal) so i dont want that..

but the second option she brought up scared me a bit.. she told me i could switch to Oxycontin. i dont know the dosages, but she told me id simply take one in the morning, and one at night - but i can also take my 5mg Percocets if i need them.. With all the bad publicity in the media over the past few years, it just kind of scared me a little. the more ive thought about it, the more i realize how little i know about the drug..

Personally id really just like to stay with the 5mg Percocets and take a few more a day..

so im turning to Bluelight, and id just like some opinions about what you would do in this situation, and maybe some personal experiences with Oxycontin...
 
Maybe the Oxy would be OK w/ the Perc, but the Perc would probably be for breakthrough pain. If i took Oxy in the past I know i've never taken a different opiate along w/ it like Vicodin or Percocet. Percocet is oxycodone, so it'll definately help you, talk to Doc about trying that don't be scared! You can take a lower amount if they are like 30mg or something, cut em in half if it's too much. All the bad stuff about Oxy probably deals w/ addiction and withdrawal so be careful with your dosing! Like you said your tolerance is going up and you know that, GOOD remember that!! You're already taking a form of Oxy, but Contin is continuous vs codone which i'm not going to describe because i can't properly, but the Contin would probably last longer....i'm sure you'll get plenty more responses soon! Hope you are pain free
 
Before going to oxycontin, why not see if your dr would be willing to prescribe you oxycodone hcl (percocet) with out the tylenol. I believe they come in 5,10,15,20,30 mg strengths and are of the instant release variety like percocet.

The problem with Oxycontin now is the ingredients in the pills...I've heard from others here on BL that the new pills have some kind of plastic inside of them and that does not sound like a good thing especially if you already have any GI issues.

Other ER meds to consider would be MSContin (morphine) or Methadone (not for opiate withdrawal; now big use in PM clinics)
 
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well to answer both responders - i have gone from low-grade pain relievers like Tylenol 3, into Oxycodone - im pretty sure it was the HCL; 5mg as well - and stayed there for a while until the pain began to subside. I was actually free from using them for about 3 months and then the pain came roaring back, and thats when my doc prescribed me Percocet..

i may want to ask her about the 10mg Oxycodone - for whatever reasoning i think the APAP that comes with the Percocet is hitting me harder, hence why i cant take 2 without feeling a bit faded..
 
Percocet = oxycodone immediate release + APAP

Oxycontin = oxycodone extended release

Also - APAP is VERY hepatoxic at doses above 4g/day, 1g/dose. 10g is the LD50.. Prolonged usage will result in liver damage, pretty much without fail.
 
Pjkt2501 said:
Percocet = oxycodone immediate release + APAP

Oxycontin = oxycodone extended release

Also - APAP is VERY hepatoxic at doses above 4g/day, 1g/dose. 10g is the LD50.. Prolonged usage will result in liver damage, pretty much without fail.
Click to expand...

but i get nowhere close to the maximum daily dosage, and i never go more than 2 (650mg) in a dosing.. i understand even though im not pushing the limits it will damage my liver, but do you think it has done much damage overall?

and with the Oxycodone extended release, what kind of feeling does it give you? like does it zonk you out or does it just dull the pain?
 
The new OP's arent as strong as the old formulation & if you take them as prescribed (orally) you shouldnt have any problem. Like others have stated, ask your doctor if he/she will prescribe you oxycodone hcl (w/o tylenol) or you could get the OP's & also take your percs for breakthrough pain.
 
The Oxycontin OP will leave no more dulled or zonked (60's batman words?) than the IR oxycodone you take. The slow release of the oxycodone and depending on what dose your doctor gives you will not be anything substantially greater than what you take now, just extended over 8+ hours.
 
BiggDirty01 said:
The Oxycontin OP will leave no more dulled or zonked (60's batman words?) than the IR oxycodone you take. The slow release of the oxycodone and depending on what dose your doctor gives you will not be anything substantially greater than what you take now, just extended over 8+ hours.
Click to expand...

hahaha unintentional, just couldnt think of a better single word for that feeling.. but thanks very much.. i may ask for a trial run of the Oxycontin, like a 2 week supply, along with a 2 week supply of Percocet, and see how it works.

thanks for your input
 
thanks very much for all your responses.. im going to ask for the long acting stuff.. tired of taking 8 Percocet a day just to manage pain..

if 1 Oxycontin can last 8 hours or so, ill be fine, there are times however (like after work... ESPECIALLY after work) where my legs are throbbing, i can take 1 or 2 Percocet (2 is probably too much) with no problems correct?
 
^ Yes, this is the purpose of "breakthrough" pain meds -- you can take your extended release at designated times throughout the day and take small amounts of breakthrough meds when you get pain spikes. This is exactly how your doctor will intend you to dose and as long as you stick to your prescribed amounts is nothing to worry about.

Though, would you mind telling us what you're on these for? They're reasonably heavy duty pain meds, and prolonged use can and eventually will lead to tolerance and dependency/addiction, so be wary of using these medications over an extended period of time.
 
OxycoDrone said:
^ Yes, this is the purpose of "breakthrough" pain meds -- you can take your extended release at designated times throughout the day and take small amounts of breakthrough meds when you get pain spikes. This is exactly how your doctor will intend you to dose and as long as you stick to your prescribed amounts is nothing to worry about.

Though, would you mind telling us what you're on these for? They're reasonably heavy duty pain meds, and prolonged use can and eventually will lead to tolerance and dependency/addiction, so be wary of using these medications over an extended period of time.
Click to expand...

oh i know this and that was my chief concern with the long-acting.. but i have avascular necrosis in both my knees after prolonged periods of chemotherapy, radiation, and steroids (prescribed by my doc in my chemo treatment) - all that just combined to destroy my knees. my doc said its not uncommon to have some sort of degradation in the knees or hips while going through this treatment
 
While this is an old thread I have to DISAGREE with the person stating to split tablets in half if the strength is too much.
That is 100% TABOO to do with Oxycontin. You do not want to change the tablet like this as it effects the rate at which
the medicine is released. This is how druggies get high, by crushing the tablets up.
 
Dmitche3 said:
While this is an old thread I have to DISAGREE with the person stating to split tablets in half if the strength is too much.
That is 100% TABOO to do with Oxycontin. You do not want to change the tablet like this as it effects the rate at which
the medicine is released. This is how druggies get high, by crushing the tablets up.
Click to expand...

Absolutely incorrect with the newer OP version of Oxycontin. Although they never changed the language in the literature, probably due to legal concerns, the fact is that the time-release mechanism is in every molecule. This is not the way the old OC's were made. Those relied on the outside material to do the time releasing. That is not the case with the OP's. Also, they can't be crushed. It's a physical impossibility. I took them for years and never had any trouble with spliting doses and I did not abuse them. In fact, I was trying to take less than one pill at a time. However, the problem still exists (like the OC's) in that they just don't last 12 hours. Never did, never will! My old PM doc knew this very well and actually prescribed 3 a day to account for this misinformation. Just my real life experience worth.

PS - The plastic material the OP's are now made with did eventually get me to switch meds because it just screwed with my stomach too much. Good Luck and do your own research OP. There's plenty out there.
 
^the outer coating of the original OCs had nothing to do with the time release mechanism. You didnt wash it off for them to magically become instant release.

They are just an extremely easily abused wax matrix extended release tablet.
 
Oxycontin vs oxycodone vs percocet

I know this post is ancient but just in case someone from now has the same question, I thought I might add my 2 cents since there is some misinformation. 1) NEVER break Oxycontin in half (when this is done, the time release function is messed up and you could instantly receive ALL of the medication meant for 12 hours! 2) Oxycodone is the narcotic in Percocet and Oxycontin. 3) The only difference between the 3 meds (see post title) is that Oxycodone is not time released nor does it contain tylenol (which as someone said, your liver will thank you), Percocet is often given at lower doses (5-10mg) for more moderate to severe pain. Once you start developing tolerance and needing 15mg or higher, the doctor will probably switch you to oxycodone to stop you from taking too much Tylenol (which probably isnt helping you anymore, anyway). OxyContin is the SAME thing as Oxycodone except it is time released. So a choice of 15mg oxycodone and a 45mg OxyContin has no difference if you are to take them every 4 hrs. 4) You may crush percocet and oxycodone since they are not time released. However, I found doing this makes it kick in faster but has a shorter duration of effect (I found myself needing more percocet in 2 hours when chewing them)Hope this helps. Please people, misinformation could kill this individual. I'm sure that even if YOU are crushing OxyContin, you started out taking it whole until you developed a tolerance to it. Don't guess because you are trying to help someone.
 
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