Another attempt

[Kevin_W]

I was on oxycodone 40mg 3xday for a while due to severe pain. I wanted to taper off very slowly but what happened I actually made it for 2 days then upped my dose.

Now I wanna reduce at least to half and then go cold turkey. I dont have very many pills left but I will go with whatever I got.

Hospital, suboxone or anything else is out of the question. I will go 1 week with tramadol after I stop oxy completely. I am on klonopin anyway.

I got 60 pills by 60 mg each of oxyneo. I plan to use that first then finish off with whatever oxycodone is left, in lowest doses possible.

So if I take 1 pill of oxyneo, which lasts 12 hours, how much of oxycodone it equals? Maybe I should take it after I finish oxycodone?

Can anyone help me here please?

 

[MrRoot]

I don't get what you mean by how much one pill of 60mg Oxyneo it equals in oxycodone?

It has 60mg oxycodone in the pill which releases that in 12 hours and therefore it equals 60mg of oxycodone.

Same as 60mg Oxycontin.

If you have any other logic behind that question like how does 60mg extended release compare to 40mg instant release then I try to be a psychic and answer that too.

In most cases especially with high therapeutic IR doses such as yours the daily intake amount matters most. 3x40mg IR is 120mg total and therefore one 60mg Oxyneo twice a day should give same pain relief with less highs and lows than 3x40mg IR.

Also there will be no WDs when switching to one 60mg Oxyneo twice a day.

I would keep it for a few days on that since the amount of oxycodone would be stable with Oxyneo and therefore it is easier to withdraw.

Problem is the tapering then since if you don't have smaller strengths available you just have to start adding more time between your doses and eventually drop to one 60mg per day.

This is where the problems start since if you cut it half some of the pill becames instant release and the while structure gives up the oxycodone faster.

Luckily you are then doing only 60mg per day so it wont matter as you start taking halfs.

I posted some text about my quitting of oxycodone to another thread few weeks ago which I am going to paste under those lines.

BTW. I have now been off from oxycodone for two weeks and only WD symptoms where diarrhea and some drug cravings.

---

I use oxycodone daily for pain with total of 60mg per day and I enjoy them recreationally too for twice a week and on those days I leave out the morning dose and do around 80-120mg orally and 20mg intranasally.

So I have some tolerance and quitting cold turkey after half a year of use would be quite awful.

However when I hit th threshold when I dont get any high from the 120mg PO + 20mg IN I start to lower my tolerence.

This is what works for me:
Day one
normal recreational dosage plus 75mg pregabalin (Lyrica, which is derivate from Neurontin) PO at morning and evening

Day two
10mg crushed Oxycontin PO with 30mg DXM and 75mg pregabalin at the morning.
30mg crushed Oxycontin PO with 90mg DXM and 150mg pregabalin at the evening

Day three
20mg oxycontin PO with two doses of 20mg DXM and 150mg pregabalin. 20mg oxycontin PO with 40mg DXM and 150mg pregabalin at evening.

Day four
10mg oxycontin PO with 20mg DXM and 150mg pregabalin
10mg oxycontin PO with 20mg DXM and 150mg pregabalin

Day five to day seven
No oxycodone. 200 to 300 mg pregabalin at morning and evening

Day eight to day fourteen
Lower the dose of pregabalin and start using using oxycodone again (or not, which would be the better solution)

Add some loperamide for diarrhea and inflammatory agents like paracetamol for pain.

This works for me and I don't get any withdrawal symptoms other than diarrhea. When I start again I can get to a land of nodding with 30 to 40mg crushed oxycodone.

 

[Kevin_W]

Thanks for the oxeneo explanation. So in other words its like taking 20 mg of oxycodone every 4 hours. That could help with withdrawal.

I cannot cut it as it has gel in it so I will be using it for a week, then cut to 1 a day but add 20-30 my of oxycodone after that.

After 3 days I would stop using oxycodone and stay on 1xday oxyneo for a week. Week 3 I would use lowest doses of oxycodone possible, like 30 mg 2xday then reduce by 10 mg every 3 days.

Makes sense?

 

[Bliss26]

I'm on oxyneo. Couple things:

1. They can be cut in half w a sharp knife for reliable half dosing.(pills seem homogenous)

2. They say it's good for 12 hours but I only notice about 9.5 h pain relief

3. First half seems to peak at 2 hours, then the 2nd half kicks in at about 5.5 hours.

4. If you have any gastro issues (bypass, crohn's etc) you will not realize the full face value of the strength. It will feel somewhere between half and 2/3 strength bc the polymer it's encased in is so hard to absorb.

 

[Kevin_W]

So they will help deal with pain (its ok if i get around moderate pain, i will use supplements ). I only have to deal with psychological withdrawal. Am i right?

 

[Erikmen]

Very difficult to imagine getting off without some sort physical withdraw later when it´s all gone.
Psychological withdraw may seem to be better to same but I experienced both and you should try to decrease it to the point you have minimal withdraws, whether it´s physical or psychologically speaking.

You are planning a mid term quitting plan. That would make me anxious. I would rather have it done quickly and the soonest possible, or else you will be on smaller dosages wondering about your near future. That´s mind torturing for me.

Besides you have to be quite disciplined every day and in case you experience euphoric feelings what are you going to do? Take more or keep it down?

And regarding Tramadol, that won´t work for withdraws, they are too mild. But I don´t know about your tolerance so it´s really up to you how you solve this puzzle.

 

[Kevin_W]

Hi Eric. Do you think taking 120 mg 2xday for a week of ON would be better, and then switch to 60 mg 2xday for a week then the remaining week do 1x60 per day?

You are right about what you said. If i catch the euforic feeling what to do. I have be very determined to quit. Anxiety is my huge problem since i already take meds for it generalized anxiety disorder. MY PROBABLY SECOND WORST SYMPTOM WHEN I WITHDRAW IS SOME UNEXPLAINABLE NERVE BURNING and besides some help from streching only opiods take it away. The main reason why i dont go cold this depression. I cant afford to be bed ridden when i have so many things to do. That is why ATM i think mind torturing is betterthan depression.

400 mg of tramadol, which i believe is the highest dose alowed for tolerant people takes minimum 70% withdrawal symptoms away from me.

My main Q here is, is it safe to take 120 mg od oxyneo at once 2 times per day? I was on 120 mg of ocycodone which doubled lately. I dont wanna overdoze

 

[Bliss26]

I'm confused. Your original dose (before starting your taper) was a TOTAL DAILY INTAKE of 120mg oxy, was it not?
If so, why would you start your taper at double your dose?
You likely wouldn't OD since each drop would be approx 60 mg whereas in your first post, you were dropping 40mg per dose. Probably just get sleepy.

However I still don't make out a good reason why you would raise your dose during a taper

 

[Kevin_W]

After i relapsed last time i increased my dose a lot. If it was still 120 mg then 1 oxyneo of 60 mg a day would be ok for me to start with. I never took ER pills except tramadol and am worried if 1 pill of 60 mg oxyneo realises 5 mg per hour, how will it affect my withdrawal

 

[Bliss26]

I understand now.
No, a 60 Neo wouldn't realize at 5 an hour. It releases in halves at the 2 hour and 5,5 hour mark. So if you took it at 8am, around 30 would releases at 10, then the other 30 at 1:30pm.

 

[Kevin_W]

So if my doze for the last few weeks was lets say 80mg 3xday, should i start with 60 mg twice a day or 60 mg 2xday? Or 120 morning and 60 night?

 

[Bliss26]

So if my doze for the last few weeks was lets say 80mg 3xday, should i start with 60 mg twice a day or 60 mg 2xday? Or 120 morning and 60 night?

You can halve your dose and keep withdrawals at bay (if you were taking oxy Neo before, if not you would need same dose as it is extended release). Are you in pain? And expecting to be in pain during WD? So pain levels not a concern, just no CTWD side effects like insomnia, nausea, fever and chills, yawning etc)
If that's true, for me it only took a small amount of my original dose to prevent WDs.
If you were taking 80mg IR oxy 3 times daily, and wanting a quickish taper, I would take 80mg oxyneo (which gives you 40 and 40) when you wake up. Say that's at 8:00am. I would TRY to wait until 8:00pm for my other Neo dose of 80mg (40/40), in this case you would be going from
240mg ----> 160mg in your first week.
IF you find that around 4 or 5 pm you start to have early WD symptoms like watery eyes and yawning, take half an oxyNeo or preferably a 40 or oxy IR,
Then take your other 80 oxyNeo at bedtime.
Continue with this schedule (whichever works best for you above, whether spilt into two or 3 doses), dropping once a week by 20mg each morning and night dose (or scale back up to -10mg if the 20's too much). You can jump off as you say at any tolerable level to you, and the WD severity will not be as awful as jumping from 240mg to nothing.

It isn't an exact science, everyone is different. Experiment , go back up 10mg if need be, as long as you keep it DOCUMENTED and CONTROLLED and are HONEST with yourself ( not using addict's logic ), you will do fine.

 

[Kevin_W]

Thanks bliss. The only problem is i got 60s. Oxyneo. Im gonna have to take 120 pm and 60 am. Then in a week remove the 60. It may be too much but thats the only way to minimize pain, depression and something i named irritable nerve syndrome. Other stuff like wet eyes or sleeplessness i will manage.

When i finish this 120-60x week, 60-60 week, 60 week then i will for a week or 2 take 20 mg 2x day until i come to zero in another week or 2.

Or go cold turkey after im done with oxyneo

So its a long and painful road but i believe its better than going cold turkey now. I know getting over with faster is better but knowing what i will go through i will try to avoid hell by walking in lesser fire.