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  • BDD Moderators: Keif’ Richards

from methadone to oxycotin

R

ryanrhino

Greenlighter
Joined
Apr 7, 2012
Messages
35
Hi, I am currently switching from methadone to oxycotin what would the conversion from 25mg methadone to oxycotin? The reason I ask I think my Dr's Nurse did a terrible conversion that put me in the ER last night. Still waiting on a call back from my real pain doc.

Also I take hydromorphone 4 times daily 8mg, how would that break down to switching to oxycodone instant release ?

Thank You
Ryan
 
Thank You Madog11,
I saw that conversoin chart is oxycodone considered the same as oxycotin in the conversion? I saw methadone 5-10mg equal to 20mg oxycodone would this be the same for oxycotin?
25mg methadone = 50mg or so depeding on liver function ect?
Thank You :)
 
when you say 25mg of methadone, does that mean you're taking a pill?

Would 25mg of methadone be the equivalent to 25 'ML' of methadone? like the liquid form?
 
ryanrhino said:
Thank You Madog11,
I saw that conversoin chart is oxycodone considered the same as oxycotin in the conversion? I saw methadone 5-10mg equal to 20mg oxycodone would this be the same for oxycotin?
25mg methadone = 50mg or so depeding on liver function ect?
Thank You :)
Click to expand...

Oxycodone is the drug; Oxycontin is the extended release preparation. Other pills containing oxycodone include Percocet (combined with APAP) and Roxicodone (instant release).

The conversion to methadone is imprecise and people differ. I'd go for the lower end of the range for sure, to be safe, so 50mg oxycodone sounds about right. When can you speak to your pain doctor? I'm really sorry you ended up having to go to the ER..
 
Pay mind to note the difference in Oral BA (bioavailability) between the hydromorphone (poor) and oxycodone (very good). Given that the strength of these also vary widly (and dose), and it's a bit to think about!

Another thing to be wary of is the duration of the drug inside your system: methadone lasts a very long time, whereas oxycodone has a pretty short half-life (in IR formulation), and a poor release mechanism in ER format.

Good luck! Rubbish about the ER.. anyone who you can talk to to get your point across that the medication conversions must be done in a smooth and controlled fashion?
 
I've talked to my pain doctor and have a terrible feeling they are having some lawsuit going on and high alert. Get this even though I have been cutting down on my own and told them I want to try to deal with the pain with out medication eventually. They cut me down way fast. After a plea for help they switched my hydromorphone 3 to 4 8mg a day to 6 hydrocodone!!! I decided to lay low and struggle this out. Everytime I ask for help I end up regretting it :( Now I wish I would of kept my mouth shut and just cut back on my own. I've went from 40mg methadone and 4 8mg of hydromorphone to 30mg oxycotin and 6 hydrocodone. I feel like crap.... ughh... Thanks for letting me vent....
 
If you are in legit pain and are enrolled in a Pain Clinic, you have every right to demand an explanation as to why they are cutting your meds/dosages down. Going from 3-4 8mg Hydromorphone to Hydrocodone is an extreme jump with no explanation.

We chronic pain patients have to stand our ground for the pursuit of adequate treatment of our pain. No one, including you, should me made to struggle in agony without a damn good explanation.

Feel free to PM me if you need an extra support
 
Another casualty in the war on drugs.

On the methadone front, there is significant evidence that tolerance to the analgesic effects occur more slowly than with opiates such as oxycodone and morphine. It may actually be the most viable opiate for long term use in chronic pain management. Seems silly to me that a pain management specialist would take you off methadone in favor of oxycodone. I know this doesn't speak directly to your question, but it sounds to me like you should find a new pain management doctor.
 
spc123-I understand the methadone we beleive the methadone was having a toxic effect on pitutary gland. Basically I was having adrenal crisis due to the supression of acth to adrenal's. I cut back some on methadone and adrenal's began to function. But I still dont' understand the hydromorphone to hydrocodone. I have a appointment on the 25th and will be finding out why. I still have no idea why such a hell of a jump all I know is the last 2 days have been agony :(
 
Thanks for the explanation on the methadone switch. Certainly explains things.
 
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