Yeah. Oxycodone interacts not only with other medications (of many different classes) but also interacts with certain foods.
I was prescribed low dose amitriptyline to help with neuropathic pain (and it worked) but when, after just two decades of constant pain, a consultant finally prescribes Oxylan (generic Oxycontin) BUT told me to stop taking the amitriptyline as both modulate eatracellular monoamine levels i.e. have the potential to cause serotonin syndrome.
AS
@Dextro .45 points out. 40% of Oxycontin is actually immediate release so I've even been told by a clinician that my 10mg 'rescue' Oxylans can be sucked on for 5 minutes and then swallowed. The only difference is that instead of peak-plasma levels taking 90-120 minutes, it's more like 20-30 minutes. I don't do that on a regular basis. But I freeze up i.e. the pain is so bad I can't take a single step.
I tell you, it's utterly humiliating to end up 200 yard from home and having to call for an ambulance. They were very nice about it but what if someone had a heart attack and my call ends up getting them killed due to the delay? That was twenty years ago and I still feel guilty about it.
Well….just like any XR formulation…..you can pulverize the beads into fine powder, it’s now IR
BIPHENTIN 80mg XR beads (Methylphenidate) …..40% is IR remeaining 60% released 4-6 h later…..for bi phasic release, hence the name Biphentin
I pulverize my XR caspules so it’s IR Ritalin (Methylphenidate)…..essential in my oral cocktail
Methadone 100-125mg (160 tablets monthly)
Ritalin (Methylphenidate) 50-70mg IR
Avizafone (Pro-Diazepam) IM injection 80mg = Valium 40mg
Pregabalin 300mg
Ethanol & cigarettes
I’ve been on this daily for 20+ years so I’m extremely tolerant ……the dopaminergic stimulant is ABSOLUTELY essential. A staple. Period. Enhancing the analgesic properties of the opioid, reducing any sedation and improving cognitive functioning, increased vigilance, potent mood-boosting properties
Very euphoric & pleasurable…..but when ACTUALLY needed for chronic pain…..Fck, is like drinking water and eating……without it, I’d be barely alive . I’m 6’ male 240lbs tolerant to all substances so my doses are very manageable and low ish for ME ……a lethal dose for many others
Brompton Cocktail

…..can’t be beaten even a proper Speedball
Pharmaceutical grade Diacetylmorphine (Heroin) and pure Cocaine HCL pharma grade……Amytal a proper barbiturate……..fuuuuuuuuuck, your melting into heavens warm blanket of security & comfort
1850 in Royal Brompton Hospital in England ….reserved for end of life suffering usually
An oral Brompton Cocktail

is my daily drink…..seriously