Opioids Oxycodone and Adderall?

[kayaker318]

Hi all,
I see a pain doctor on a regular basis for chronic migraines. I take 40mg Oxycodone IR daily. I've been on it for 6 months but prior to that was on Demerol for 2 years. And before that Percocet for 4 years. Over the past two years, I have gained 25 pounds. I do not eat a lot and try to exercise daily. I am very tired and also have a hard time focusing -- have not been able to read a book in ages.

I am now wondering if I can take Adderall to possibly help w/the migraines AND give me some energy/focus/motivation. I was never this heavy and can only attribute it to a decreased metabolism and lack of energy. I only want to try a very low dose to hopefully kickstart some weight loss through increased exercise and treat my migraines. Is it bad to combine Oxycodone with Adderall - specifically in my case where I am on a low dose and would only request 5mg of Adderall?

I have read articles that it helps some with migraine relief and also gives others more energy while taking opiates. Any suggestions would be greatly appreciated!

 

[MisterJohnson]

Perhaps something like modafinil could help you. A little energy/motivation/focus, without the physical side-effects associated with amphetamines.

edit: Just a hunch, but I think the modafinil would have less negative interaction with your oxycodone than adderall.

 

[hfa]

Daily opiate use significantly lowers testosterone levels. Which will make you gain a bit of weight no matter what. That's one reason why when people start going to methadone clinics most will automatically gain a few pounds.

That might contribute somewhat to your gradual weight gain over the past couple years. Testosterone is important to both males and females btw.

 

[Rybee]

I do take oxycodone/tramadol for migraines but never had adderall so can't help on that front.

May I ask what medications you have tried for actually prophylaxis of migraines?

 

[kayaker318]

@MisterJohnson - Thanks for suggestion. Will read more about it.
@hfa - Very possible lack of testosterone even though I am a female. I'm at that point in life where hormones are fluctuating.
@Rybee - You name it I've tried it - Just about all Eastern/Western medicine. Opiates were a last resort.

Very interesting article here on Simultaneous Use of Stimulants and Opioids

 

[Rybee]

@MisterJohnson - Thanks for suggestion. Will read more about it.
@hfa - Very possible lack of testosterone even though I am a female. I'm at that point in life where hormones are fluctuating.
@Rybee - You name it I've tried it - Just about all Eastern/Western medicine. Opiates were a last resort.

Very interesting article here on Simultaneous Use of Stimulants and Opioids

Sorry to hear that, me too. Just about given up with prophylaxis medications now and just resort to occasional use of anti-inflammatories and opiates. Really do sympathise with you, those who don't get migraines really wont understand how debilitating they can be. *hugs*

Article looks interesting, will give it a read. %)

 

[Rybee]

Interesting article, particularly the case reports, thanks for sharing it.

Whilst the evidence may point towards a benefit, I just can't see doctors willingly prescribing oxycodone and amphetamines any time soon, just because of the taboo stigma attached to both. Particularly the rise in amphetamine abuse lately... perhaps a pain clinic may be more willing in cases of palliative care or something akin to.

 

[kayaker318]

Interesting article, particularly the case reports, thanks for sharing it.

Whilst the evidence may point towards a benefit, I just can't see doctors willingly prescribing oxycodone and amphetamines any time soon, just because of the taboo stigma attached to both. Particularly the rise in amphetamine abuse lately... perhaps a pain clinic may be more willing in cases of palliative care or something akin to.

I know what you mean. The article stated that doctors should only give to patients who have a good record of not abusing opiates. I am going to try bio-identical testosterone first and then will inquire about Dexedrine as mentioned in the article. They do make a very valid point that historically greater pain relief can be realized with this combination.