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Harm Reduction The Pain Management Megathread (Chronic and Acute Pain Discussion) Version 5.0 ~ V

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SK, I just saw that post & thought I'd add my 2c.

The new formulation (OP) oxycontin doesn't have the 40% "quick dump" that the previous formula, (OC), featured.

Because onset is not as noticeable with the OPs, some patients feel less analgesia is received even when tablets are the same dose. As they associate the buzz with pain relief.

In double blind, randomised crossover trials efficacy was proven to be exact, meaning one formula is no different to the other for analgesic benefit mg for mg.

Also, with the reformulated oxy, the outer casing is often detected in faecal matter, giving patients the belief that no opiate has been released into their system when it actually has.

This has been proven by extensive testing in countless cases of ppl picking through their s*** & taking samples to their chemist to send off to labs. Yes, really :/

I began experimenting with oxy back when it was the original "abuse proof" version, & basically have done ever since.

Just as SKR warned, tolerance will rise rapidly when interrupting time release meds, & it's almost impossible to limit yourself to any prescribed dose once you find a way to get almost instant pain relief. At pretty much whatever dose you decide to give yourself.

Such is the allure of analgesia to the cpp :(

Rtp
 
Thank you Rtp for the clarification. I have no interest in defeating the mechanism inside the OxyContin, if I should actually be prescribed it. I will simply get it in a high enough dosage to be plenty strong enough to alleviate my pain. I only have the best intentions. Thanks again.
 
I know it's a real thing, as do doctors.

How long were you on opiates with the prior oncology issues? That may play a role.

Tolerance appears to not be a word a chronic pain patient should include when conversing with doctors. I think it can be seen as an indication you have drug knowledge. Which, of course you should have, but perhaps play a but dumb when it comes to talking with the medical community.

As has been discussed early in this thread, opiates are being prescribed less & less for chronic pain & increasingly doctors are being steered away from "dangerous narcotics" :/

The last thing anyone wants is to be stripped of probably the only thing that reduces their pain, by doctors just deducing that these don't work for your pain. Rather they're not at an effective dose.

Just for now, see how you go with getting a ER med prescribed. Generally you'll be started on the bottom rung, & the amount of IR medication used for BT is indicative to the doctor of your needs when titrating your ER med up. Keep a journal to show her too.

Rtp
 
I've had the RP 10's, the IP204's and the ones with the weird triangle symbol on them. IMHO, they're all the same and the all suck compared to the straight oxycodone. Going from 2 years of being on percocet 10/325 5xs a day to 2 months on the kvk 10s, the plain oxycodone feels at minimum 30% stronger. It's weird...I asked my pain doc what was up and the only thing she could think of was either the slight variations between generics or something where the bioavailibility was higher from the kvks. I'd never go back even if I was offered double
 
Jlosnow said:
I am pretty sure they test for mj, I haven't had to do a urine test since my first appointment back in January but their policy is they randomly test so I don't want to get in trouble :(
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I checked and asked and they definitely do not even test for mj. For the record, wouldn't it be worse to test for it (as an office policy), have 95% come back positive and as a policy do nothing. I actually think it's smarter to just not have the lab include it in their tests.
 
Kkaz13 said:
I've had the RP 10's, the IP204's and the ones with the weird triangle symbol on them. IMHO, they're all the same and the all suck compared to the straight oxycodone. Going from 2 years of being on percocet 10/325 5xs a day to 2 months on the kvk 10s, the plain oxycodone feels at minimum 30% stronger. It's weird...I asked my pain doc what was up and the only thing she could think of was either the slight variations between generics or something where the bioavailibility was higher from the kvks. I'd never go back even if I was offered double
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Aoeone had written
 
Speed King said:
SKR, I have a question for you. There is a slight chance that I may be put on OxyContin of some dose, 10mg + . Now I have had a OxyContin 40mg that worked but was real weak compared to a real OxyContin 40mg if that makes sense( the one I had, had the safety gum in it). Now, would I be considered an abuser by people on this forum, if I had to do that simply to get 10mg of relief. I doubt I will have to take it, but I'm asking hypothetically.
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Hey SK, Do you know if the weak Oxycontin generic was bought from a pharmacy? My concern is whether the generic you tried was legit. The Sandoz generic in Australia does not "gel up" and crushes to a powder unlike the Oxycontin brand pills, they also have no markings on the pill as opposed to the name brand pill which has OP imprinted on one side and the strength imprinted on the other but just the number, no "mg". The Australian Sandoz generic pills are colour coded to match their name brand pill counterparts but instead of what could be described as a water based paint coating on the brand name pill the generic is coated with a sort of paper/plastic composite material which can be peeled off.

That aside, I cannot speak for those on BL but the fair minded person would consider any deviation from the "must be taken as whole" directive on the pill packet to be an abuse of the drug. The question now is, whether you consider the abuse of the drug to be right or wrong, I do not consider it wrong. If one has to tamper with a pill to get better relief then so be it, however, once you start doing it you are likely to keep doing it because of your tolerance, see you may get a 10mg increase on top of your usual script as time goes by but you may find a crushed up 10mg is more effective than a taken as whole 15mg pill. When you slice up or crush a pill, one should treat the medication as if you have doubled the dose at least with regards to how quickly the user experiences the onset, then naturally recognise that the duration of the drugs action will be shortened somewhat.

In amongst all of my waffle above I have actually answered your question SK lol, apologies.
 
SKR said:
Hey SK, Do you know if the weak Oxycontin generic was bought from a pharmacy? My concern is whether the generic you tried was legit. The Sandoz generic in Australia does not "gel up" and crushes to a powder unlike the Oxycontin brand pills, they also have no markings on the pill as opposed to the name brand pill which has OP imprinted on one side and the strength imprinted on the other but just the number, no "mg". The Australian Sandoz generic pills are colour coded to match their name brand pill counterparts but instead of what could be described as a water based paint coating on the brand name pill the generic is coated with a sort of paper/plastic composite material which can be peeled off.

That aside, I cannot speak for those on BL but the fair minded person would consider any deviation from the "must be taken as whole" directive on the pill packet to be an abuse of the drug. The question now is, whether you consider the abuse of the drug to be right or wrong, I do not consider it wrong. If one has to tamper with a pill to get better relief then so be it, however, once you start doing it you are likely to keep doing it because of your tolerance, see you may get a 10mg increase on top of your usual script as time goes by but you may find a crushed up 10mg is more effective than a taken as whole 15mg pill. When you slice up or crush a pill, one should treat the medication as if you have doubled the dose at least with regards to how quickly the user experiences the onset, then naturally recognise that the duration of the drugs action will be shortened somewhat.


I totally agree. This is the first time I've messed with the ROA, but whatever works, right?

Also, when I took OxyContin, I took it as directed and did not feel any relief at all (this was when it was re formulated; I took it before that with no problems.) The doctors office said that many people also felt the lack of relief and were switching clients to something else. The same thing happened with Opana. But they did say that some people were fine with the switch, which I thought was interesting.

Hope everyone has less pain today, or at least can be distracted by it for a while. We just started watching Walking Dead. It keeps my mind off the pain a bit, since I'm yelling at the screen (yes, I'm THAT annoying person.)
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Hiyas and how is everyone? Today is a bad pain day for me. So, I woke up with my back screaming in pain. Swallowed a handful of pills and am just starting to feel better. Lord give me self control not to take a billion pills today :(
 
Jlosnow said:
Hiyas and how is everyone? Today is a bad pain day for me. So, I woke up with my back screaming in pain. Swallowed a handful of pills and am just starting to feel better. Lord give me self control not to take a billion pills today :(
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I went to my pain doctor yesterday, and I am first on the list for a trial for the new spinal cord stimulator. He says this one is getting great results, with no buzzing that the previous one had. He's hopeful that I can get it implanted within the next 8 weeks. One of the benefits of living in a city of top hospitals. I am keeping my fingers crossed. Has anyone had a spinal cord stim before?

So so sorry you're hurting, J.
 
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