Opioids Question: Taking Roxicodone 30mg IR like Oxycodone 80mg ER

[Angelosanto]

Example:
Lets just say a person takes 80mg of continuous release OC's three times per day every 8 hours and the doctor changed the prescription last minute to instant release 30mg roxicodone how would one get the same continuous relief? Does anyone know an average dissolving and ingesting rate comparing OC80 ER;s to the same amount of roxy IR's?

For instance I am a chronic pain patient and need the 8 to 12 hours of constant OC80 relief that it provides.

If you had roxis what would you do to achieve the same continuous relief effect?

Would you take a 30mg IR right away, than take 10mg every hour for the next 8 hours until 80mg is reached? Take 15mg every 1 hour? How would this work out to feel exactly like an ER OC80? I would like to schedule taking roxi mgs of oxycodone on the identical pain relief schedule as it would be with an OC80 Extended Release and need to know how to do this correctly without taking too much or too little at one timeframe using the regularly scheduled 8 hour OC80 pain relief.

Thanks in advance,
Angelo

 

[BlueberryfishY]

Dude.. don't take it every hour or 30 min's or whatever, take it as NEEDED for pain, it's that simple.

 

[Angelosanto]

Dude.. don't take it every hour or 30 min's or whatever, take it as NEEDED for pain, it's that simple.

Thats just the thing. Instant Release medication does not do any justice for me. I have found 80mgs of OC when released continuously over the 12 hour period using the built in matrix works WONDERS for me. I do not abuse the medication, I use it correctly for chronic pain. Unfortunately my doctor is going to start under-prescribing all OC from now on and he wants to try roxicodone IR. I have tried roxicodone 30mg in the past and they do absolutely nothing for me other than make me hot, sweaty, and mild sedative opioid pain relief which goes away in 1 hour. Call me strange, but this is not in my head either. OC80 for me offers 100X more punch when used legitally "IE: without breaking the ER mechanism" swallowed whole and it is the only thing that works for me because of the 12 hour continuous release mechanism. Why cant I mimmick that with roxi?

 

[Cane2theLeft]

You can't mimic the release mechanism of OC (and saying 'continuous release' oc is redundant as OC means 'oxycodone continuous') with IR's because it doesn't release 10 or 15mg every hour; it releases it continuously!

I supposed you could come pretty close to replicating the OC release mechinism if you took about 30mg, wait 1 hour and then take 76ug (.07575mg) every minute after that for 11 hours. Should be pretty easy to do that I'd think.

 

[TokinDerrick]

I would say find out how many mg's gets you to where you need to be, and then take that every 3.5-4 hours.

 

[Cane2theLeft]

^yeah, that would work I suppose.

But I think he'd have better success breaking up the 30mg IR pills into 396 equal parts of 75 micrograms and taking that every minute... If you take 75ug/minute 1 hour after 30mg, then after 12 hours it equals 80mg.

 

[OC4ME]

Even the moderator is being very helpful on this one, but to be safe, i would just crush it up on a really long mirror into a line that is 12 meters long. I would then exhale a really long time as you are going to need your breath for this one, then begin snorting in the roxy at a rate of .01 meters per 36 seconds. After 12 hours you should finish your line.

 

[Cane2theLeft]

Ok, now to be a little serious.

OP, you said the drug only lasts an hour when you take it orally... It doesn't work like this. No one metabolizes oxy so its not working after 1 hour. It sounds to me like your paranoid about not having continuous oxy releasing so your anxiety is either physically or psychologically exacerbating your pain.

If you take the drug in appropriate doses every 3.5 to 4 hours that you need it, it will not have substantially diminished effect from ER preparations like OC. That was what I was trying to get at above with my minute dosing schedule.

Or if you are insistent on "needing" ER meds you could try morphine, opana, fentanyl patches and possibly others depending on location.

Regardless, this is something that needs to be discussed between you and your doctor. Ultimately it is in his hands and if you're pain management is insufficient, working with him or finding someone who will work with you is how to figure this out, not asking how to take your scripts in ways they weren't prescribed.

 

[Tommyboy]

I don't think that you can find a practical answer for this. Your best bet is trial and error.

I would suggest switching to a different doctor if he does not put you back on the regimen that worked for you.

I also suspect that your doctor may be catering to those who abuse OC's, and is switching everyone to the IR since OC's are being switched to the abuse proof formula, and the doc wants to keep the customers happy... Just a thought.

 

[Angelosanto]

Honestly, as a moderator of this forum yu have done nothing but insult me and answer with douchebag sarcastic responses. I was polite and asked legitimate questions and didn't deserve to be reamed a new asshole by a moderator none the less. Maybe you mid-understood my question, I have said nothing wrong. I was simply wondering if there was any way to replicate the extended release affects of OC80 by breaking dividing, etc with IR meds. I feel your responses were immature and completely un-warranted.

Ok, now to be a little serious.

OP, you said the drug only lasts an hour when you take it orally... It doesn't work like this. No one metabolizes oxy so its not working after 1 hour. It sounds to me like your paranoid about not having continuous oxy releasing so your anxiety is either physically or psychologically exacerbating your pain.

If you take the drug in appropriate doses every 3.5 to 4 hours that you need it, it will not have substantially diminished effect from ER preparations like OC. That was what I was trying to get at above with my minute dosing schedule.

Or if you are insistent on "needing" ER meds you could try morphine, opana, fentanyl patches and possibly others depending on location.

Regardless, this is something that needs to be discussed between you and your doctor. Ultimately it is in his hands and if you're pain management is insufficient, working with him or finding someone who will work with you is how to figure this out, not asking how to take your scripts in ways they weren't prescribed.

 

[Cane2theLeft]

My first post may have been facetious, but the point is you need to handle this with your doctor and if you want them to trust you, you need to follow their prescriptions.

If you feel your doctor isn't sufficiently addressing your concerns, then you need to find someone who will.

I may have been sarcastic and possibly inappropriate, but I was not trying to be malicious and my recommendations in my last post were the only information we can give you in these circumstances.

Our policy is to close these threads because treating medical problems should be between you and your physician to address these. I should have closed this earlier because our policy doesn't permit these types of threads to stay open and for some reason, I was a smartass to you instead and for that I apologize.

For what its worth, I have chronic pain also (my username alludes to the cane I need to walk) and I wasn't trying to be vindictive with my comments but I now realize in retrospect that it was inappropriate.

If you'd like to discuss this further, please feel free to PM me or any of the other forum moderators and you may be interested in checking out the chronic pain mega thread linked to below in my signature.