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  • BDD Moderators: Keif’ Richards

Changing meds possibly vicodin to ER something..

B

blazelate

Bluelighter
Joined
Dec 1, 2009
Messages
220
My doc prscrobes me 60count 5x500 vics a month for a back injury. He just did this, tramadol gave me lame side effects and this worked, so he said well just stick with it. I do take a shitload of ibuprofen all day to, all this shit makes me feel so sick sometimes!

Anyhow.. he mentioned (since i use it mostly for sleep) that is wont last my full 8-9 hours. He said well see how it is in the next month.I sleep solid for like 5hrs, but its not enough I have a little tolerance from prior use but its been long ago. So i have to take two..

Well heres my main question.. What would he possibly prescribe thats extended relief. Can someone list some meds..Just throw em out there maybe your experiences too..

BTW ive been in pain for years and tried everything from a-z that isnt opiate,unfortunately i had to go this route.

Thanks for some meds suggestions guys and gals!
 
I think Oxycontin (extended release Oxycodone) is probably the next logical step up, 10mg hydrocodone would be equal to about 5mg oxy, though with extended release you'll probably get started on 10-20mg.
 
I doubt your doctor will bump you from 5/500s to oxycontin ER but maybe you'll get lucky. Maybe just request a higher dosage of hydrocodone and a sleep aid to go with it. Also do yourself a favor and request norco's which have a lower content of acetaminophen (325mg) and will be much healthier for your body. Try bumping up go 7.5mg or 10mg of hydrocodone before going to something like oxycontin. That's a dangerous drug to start playing with and if the lower doses of hydrocodone are doing the job at the moment, definitely stick with that.
 
hes already given me 2x 5.500 a night.. and then he was like "this may be tough because it may not last long the entire night". I told him yea this is what keeps me up at night like 3 am im up. He told me to just follow up in a month. Even said if this isnt working call and hell up my dose, finally found a sympathetic dr. only took 2 years, well see how it really goes.

he sounded like he wanted to change, but stick with opiates. Probably cause i take ibprof like candy all day.. I'd explained nothing has ever worked well enough for me in the past (mobek, tramdol, any OTC) and i control myself extremely well with my script, never run out or anything. I do play once or twice a month but thats me..

I wonder what he could prescribe that would last the full night.. maybe even the day. any suggestions i can make i like what i hear so far. Something extended relief, but a crappy drug.
 
Zohydro may become available soon, which would help since it's an XR form of hydrocodone that does not have any tylenol.

OxyContin is considered ER (Contin is short for continuous). There is also a ER version of hydromorphone with various names depending on where you are from. I believe it's called Hydromorph Contin in the US.

I agree that a low dose of OxyContin may be the next logical step if that ER formulation of hydrocodone isn't available yet. Be sure to do other things to address the pain though. As tolerance builds, the effects of the drugs seem to shorten and become less effective.

You may want to look into taking an OTC antihistamine to help with the sedative effects you feel from the pain killers.
 
I agree with a lot of these posts in that OxyContin would be the next step up if you want an extended-release med. MS-Contin or Avinza (both extended-release morphine products) could be very beneficial as well if it is an extended-release med you want. You could just go with an instant-release form of oxycodone or morphine, or a higher dose of hydrocodone with less APAP, and take as needed. Even instant-release morphine lasts a good while and is rather sedating, too. A little Soma (not an opioid) might help tremendously as well in addition to an opiate analgesic. It adds to the sedation, analgesia, and relaxation of both mind and muscles.
 
Ya the dr. said its tough to try to choose viable meds for my situation (extended relief but most are potent he thinks im an opiate newbie). So he just threw the 5.500's at me take 2 a night.

They are good when im in bed but when i wake at 3 am have pain, not as much as before though.. i think thats enough for him to go ER he was already concerned about that.

What are other reasonable meds and doses he could switch me too.. I appreciate what's out so far esp. that ER hydro idk if its in the USA though.. Soma i hate makes me puke and have sore throats.
 
Im considering calling tomorrow and saying the meds are fine going to bed but dont last through the night. Dr. sounded pretty enthusiastic about doing it, may as well go for it. Hope he doesnt ask to count my meds cause i gave two away my roommate was sick. Do they do that stuff to new patients often>
 
I can't speak for your doctor but my pain mgmt doctor does not request pill counts. He does however drug test most of his patients quite regularly to make sure they are taking the medication prescribed to them and also not abusing other drugs.
 
Update

Ive been on the ms contain 30mgs for a month. THe first few days i was fine, after that i started having what id identify as breakthrough pain late at night and in the morning. Should i bring this up to the doc, or just settle with the 30's... ge idk. I don't want to sound like an addict, but i do have some opiod tolerance so of course 30mgs mscontin wouldn't do much... In someone else's opinion, Would I come off as a fiend if i explained what i just did to you above?
 
Wish I could tell you; I don't even know how to talk to my doctor about my meds lol...
 
We have a specific rule here regarding not telling you what to tell your doctor in order to acquire drugs.

Your best bet is to be honest with your doctor. That's how they can best treat you....and that's all we can really tell you.
 
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