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Opioids oxycodone cold turkey or er oxycontin?

T

tnvol44

Bluelighter
Joined
Jul 16, 2015
Messages
69
Dr just pulled me off 5 20mg oxycodone per day to 2 20mg oxycontin er,is it worth getting them filled to taper or is it such a big jump that I should just quit cold turkey?28 of the oc 20 cost me 170 while 150 roxie 20 were costing me less than 70 dollars.Went for a count and was short,so she did this,seems like one big drop to me,but am not familiar with contin.Also said if I went to a psychiatrist for addiction consultation she would give me back my 150 20mg ir,I have several collapsed discs and a herniated disc in my lower lumbar.I know it's going to hurt,been taking 100 mg of the roxies for almost a year,I have a choice to make,do I want to get off this crap right now and hurt all the time,or just follow what she says and get back what I had?I am debating it hard,I know my pain was taken care of before but I think maybe it's time for a break from the roxies.Does anyone think that going from 100mg of roxie to 40mg of contin is a huge taper?I am not familiar with the difference in codone and contin only that it is a time release vs instant.Is there any difference in the power of each or do they have the same parts per milligram?
 
Sorry for your pain issues! This is yet another reason I don't want to become dependent on Oxycodone for pain management. I don't trust my PM doctor to increase as tolerance WILL occur. I don't know what to tell you about the Oxycontin. Fellow CP patients have told me it was once a miracle for extended release, but abuse deterrants ruined the pain relief properties for legit CP folks. It's far too expensive for me to even TRY if I weren't already chicken shit.
 
I thank you for your response,do not ever let your pm put you on oxycodone,it just works too well.Within six months I went from 40mg day to 100 mg a day and have been there over a year now.During that time,I have changed,not for the better.My pain has been virtually gone,but the pain caused by the changes in me will last the rest of my life.I have lost a lot of things that meant very much to me,including myself.It's time for me to just stop and take another route to easing my back pain to a tolerable level.To me you are not chicken shit,but smart,I wish I had the same mentality last year.I have overcome quite a bit of bullshit in my life,surely I can overcome this but damn it isn't easy by any throw of the imagination.Just not feeling very well and am a crossroads trying to go the right way,thanks for your response once again.
 
What?

They both have the same exact active ingredient, OXYCODONE.

Why on earth would you trade 100mg for 40mg? Doesn't make sense.


for me, even if it was 100mg for 100mg, I'm still sticking to the Roxy 20s.

ROXICODONE > OXYCONTIN

OXYCODONE IR > OXYCODONE ER

all day long for me.
 
Lol,I didn't want to trade one for the other.I am tired of being on oxycodone ir period.I am wanting to rid myself of this crutch.So having recognized I had been going up in tolerence and missing pill counts my dr has made a switch from 5 20mg ir oxycodone to 2 20mg oxycontin 20mg er,not my choice but hers.Now,would i be better off to not fill the oxycontin er and just quit cold turkey or use the oxycontin to wean myself from 100mg a day to 40 then to 20 then jump off.This really isn't a question of do I like oxycodone,hell yes I do,that's why I need to get off them for a while.I found myself taking more than what was prescribed daily and running out early.I have been days without and do not like the withdrawl one damn bit.I just want to completely get off them even if it's for six months or so.Like I said I have three collapsed discs and a herniated disc in my lower lumbar,the 100mg of oxy sure does provide relief but it is causing me too many other problems to be worth it at this moment.I don't get high from these pills,I have insuffaleted two at a time and all it does is remedy the pain,no nod or euphoria.Just looking to quit this shit for a little while and see where my pain issues really are at the moment,sorry for any confusion I might have created
 
Hey again...No confusion IMO. It seems that you are prescribed these by a PM doctor for spine pain.

I was opiate "naive" when I enrolled in PM in January of 2014. It has left me battered and bruised with GI issues intensified. The first time I took the 15 mg Oxycodone, I thought "Oh my God...this is a fucking miracle. I'm BACK!". For the first time in years I felt pain relief and what I perceived as HAPPY.

The feeling wore off by afternoon, and I felt intense rebound pain. I am analytical (heavy on anal) to the max. I avoided big gun opiates, though medically justified, for 4 decades. As I got older, the "hope" of getting "better" dissipated. I surrendered to PM, with great hesitation. I am cautious...really cautious. My story is long, but available in search.

Someone suggested Kratom, which I am researching. I would try MM if it were legal in my state. I've never smoked weed nor do I want to. I'd be willing to try possibly the tinctures or candies. I don't know enough about either of these "herbs" yet.

I have NO DOUBT where my pain levels are. They are exacerbated by opiate-induced constipation. It seems to be a lose/lose proposition for me. Linzess is good, but costs $258 per month. I have to rotate OTC remedies from Miralax to Perdiem and beyond.

BTW, I feel really pissed off when the Oxycodone wears off. I find that I am very aggressive at that point, which is NOT good. The list of CONS grows longer, no matter how I abbreviate. :! <this little guy SO expresses my pain and frustration!
 
I took my last 20mg ir oxycodone this morning about 10 am,the last dose before that was yesterday around 4pm.I have been on 100mg ir oxycodone a day for about 9 months.My dr took me off the 20mg ir five times a day and put me on the 20mg er twice a day,I filled the script for the er which is thirty pills,is this going to be enough for a good taper and jump off or should I take two a day for two weeks then fill the other 14 day script and start one 20mg er a day?I would love to have some input on this as I am looking to get off this medication for a while.The onset of wd this morning was awful and if it was a preclude to things to come,I need all the help I can get.I was getting very anxious this morning,I do have heart health problems as I had a massive heart attack ten years ago and have a stent implanted in my heart,my blood pressure is always high.I worry about it getting ridiculously high while going off these fucking meds.If anyone has used oxycontin er to taper and jump off of oxycodone ir I would appreciate any information I can get
 
Sorry to say so but we are kind of in the same boat.I thought oxycodone was a cure all when I first took it.I also thought hey,I'm back,I can get on with a somewhat normal life.It didn't take four months to go from 40mg a day to 100mg a day.My PM is about nothing but the money and keeping people on high doses of pain medication.They have an inner circle of different doctors that cover each others ass.I have been stright up lied to,made fun of,and basically treated like shit.This last time when she put me on the er oxys she knew i would go from 70.00 for 150 20mg ir to 340.00 for 60 20mg er oxycontin,didn't bother her one bit.Then had enough nerve to tell me if I would go to "her" psychiatrist,she would put me back on the ir formula.300.00 for one visit,lol,that's when I made up my mind to kick this shit and then go after their practice in any possible way I can.I absolutely want to destroy these people.I am just feeling stupid for letting it get so far,I know better but did what I knew was f'd up anyway,very angry at myself for being sucked in to this whole ordeal.
 
Hey...I think I asked on another thread...TN Volunteers? Go Hounds!!! =D

Yep, I wish I'd never even started "pain management". I wouldn't have, IF Darvocet hadn't been banned. Also my lifelong GP (since birth) retired around that same time. It was the "perfect storm"...no doctor, no med that I trusted, no doctor I trusted to prescribe new med for my pain.

I finally found a new GP that was willing to write maintenance scripts for my GI issues, arthritis, depression. He suggested Tramadol, which I took for 2 years. He was not interested in improving my quality of life, just "maintaining" my existence. He told me I was "old" and needed to accept the pain (deal with it).

:X Okay, let me anal rape you, Doc with a bread knife...oh let's violate your penis/urethra too. Then let's shove a cork up your ass so you can't move your bowels for days on end, while your belly distends. That's just for starters, as we haven't discussed the injector-sized needles shoved into my knee joints so that I can fucking WALK. Oh, and herniated discs, annular tears in my spine for which multiple injections have not eased.

SHINGLES in my fucking eye and cranial nerves are just the cherry on top of a big ole SHIT SUNDAE.

I digress with my rage issues. Can't blame the Oxycodone, though, I'm just pissed at the world. I've done everything I can to "fix" the causes of pain through surgeries and chemotherapy. I'm left with the smoke and ashes, a batshit crazy "pain specialist" who doesn't remember me from one visit to the next. He speaks with a heavy middle eastern accent. I speak with a slow southern drawl. We don't jive, on any level.

Believe me, I understand. I'm going NO further with the Oxycodone, because it isn't the answer for me. I can see where it would become just a whole BIGGER problem. I think the doctors are in bed with big pharma. I think addiction is big business/profit for many. I don't want to be a part of it.

I obviously don't have the answers, except stop while you can. I'm thankful that I've questioned everything along the way, including my PM doctor's common sense (or lack thereof).
 
Well this is day five since my last oxycodone 20mg ir .I have gone from 100mg ir to 40 mg er a day.It was pretty fucking bad to say the least.On this thursday I will be going from 40mg er to 20mg er,I hope it isn't as bad as the last taper.I have also been using gabapentin and a little bit of xanax and this combination has helped very much with the WD symptoms.I am feeling very lethargic and hurt like hell,my back feels like there is a butcher knife in it constantly.It does seem however that my brain is responding well,as my outlook on things is somewhat better and I know I am not finished but do feel like I can make it and jump off.I know that I will have to be on some kind of opioid maintanance in the future from my lumbar discs that are collapsed but do not want to be on oxycodone period.I do feel a little bit of pride in going through the hell I have already gone through.Thanks Dixiechic for having a conversation with me,at the time I felt alone on an island and just talking with someone helped very much and I certainly appreciate your kindness!
 
Hey tnvol...KUDOS for lowering your dosage this much! YES, you can DO THIS! I know that it helps to purge those feelings of being between a rock and a boulder...Can't seem to win! :(

I thought that once I "surrendered" to enrolling in PM, I would have professional guidance with meds to give me some QOL. I found out quickly that wasn't necessarily true.

There is no EASY answer. I'm not looking for perfect. But for the life of me, I need help with POSSIBLE.

I empathize with your back pain and your need to function while in pain. I do hope you find resolution. I'm here if I can help.
 
Thanks for the vote of confidence,it came when I really needed it most.I was asked by my Primary Doctor twice to go to PM before I took him up on it.He was giving me 90 lortab 7.5 for years before it just didn't help anymore.I put my trust in this PM doctor to look out for my well being and she dropped the ball,to say the least.One visit they put me in an exam room and totally forgot about me for over an hour,she gave me 30 additional pills to my script to "make up" for what happened in her forgetting I was in there.I did not ask for more medication,I really didn't need it.I know all PM places are not like the one I have been to,but it surely seems she wanted me dependent on those pills to gain financially,after all,my visits cost me 171.00 out of pocket.I also noticed on my chart,there was a place for her to fill out how much time she spent with me and she lied on those forms on every single occasion.The longest time I was ever in there with her was fifteen minutes and the least amount of ime she ever recorded was 45 minutes.It's enough to about piss me off to the point of trying to run her practice into the ground if I can,but who is going to be believed someone taling 150 oxycodone pills a month or a highly educated doctor lol.I guess I will just take this as a life experience and just move on but it sure does stick in my craw.Once again thanks for your confidence,you actually helped more than you know and I appreciate it very much.
 
Omg the GI issues are hell! I haven't heard of the med ur talking about. I smoked pot in high school but it just made me laugh and burp alot lol. It's not something I want to try Espically having 3 kids...2 of which are teenagers! I was like you and naive to my PM doc...I trusted him....and he put me on those damn patches and I felt like a heroine addict but I was pain free! Let one of those bitches wear off and the with drawl is unbearable! So here I am on round 2 of hysingla. ..3rd day....not a happy camper and my pain level is through the fkn roof!
 
Well,DixieChik, I suppose being sure you did would be even better.Thanks for taking time out of your life to help me better mine.
 
Hey tnvol...How are you feeling today? WOW...We have a lot in common with our pursuit of pain "managed". I do not like my PM doctor either. He has whined and complained from the beginning of his own pain, whether tooth ache, headache, or just "tired". WTF? Where is professionalism? IF he can't "fix" his pain issues, why am I paying him to "fix" mine?

He has been SO verbally abusive to me, but I've had to take it. I fear being red-flagged, as I've read happens to PM patients more often than not. I understand your rage. I've wanted to rip off his head and SHIT down his throat. His prescribed opiates had me too constipated to do so. Yet he screamed at ME for having a close call with bowel obstruction.

I enrolled in PM as an absolute last resort, which I regret at this point. I have a tremendous threshold for pain. As I get older, I wonder WHY am I agonizing through this daily drudge without the help of chemistry? Unfortunately, there is no answer without dire consequences for me. I've done everything from surgeries to chemotherapy to multiple modalities of PT, CBT and biofeedback (just to name a few). I swim laps daily because "a body in motion stays in motion" but weight bearing exercise is a no-no with my knees. I get Synvisc One injections in both knees due to BOB pain (throw up in garbage can painful mofos).

I know there is residual disease in my peritoneal cavity causing the pelvic/vaginal/rectal pain. It's either disease or adhesions. Additional surgery may be the answer, but I fear awakening to a colostomy bag. That would be the killer straw.

I am trying Kratom for the past week, avoiding the Oxycodone altogether. I don't have changes to report yet. I understand it takes trial and error to find correct strain and dosage. It's not OSFA. :X

I'm hopeful for its analgesic and mood lifting properties discussed here on BL. I've not experienced them yet, but will increase dosage. I cannot take the powder/wash method. I'm taking capsule form which may not be as effective. I'm as green as a goard with all things chemical. I've spent a life in pain with every effort to avoid hard drugs to relieve it. I've never used recreational drugs, nor would I. Hell...I just want to feel like living.

I would try MJ if it were legal in my state, though I won't smoke anything. It would have to be capsule, tincture form with heavy pain relieving properties. I don't want to be stoned and craving Cheetos. =D Talk to me anytime. I feel so alone in this shit storm.
 
Well DixieChik,today is the second day without any kind of oxycontin,lortab or xanax.Just have some gabapentin to help.This is as bad as I have ever felt in my life,the sickness is bearable,it's the back pain and restless legs and anxiety that are really killing me right now.God,I would give my world for some relief.I have some medical mj and have tried it,it helps a little,not much.Just hoping I can get in to my GP doctor to see if he will help me tomorrow.I have never felt so bad I would wish to die before but this is unbareable to say the least.Thanks for your help through this,I thought I was out of the woods but am probably right in the middle of it right now.God bless you
 
Hey there...I'm sorry to hear this, but HANG IN THERE til you can see your GP. I'm certainly no expert, but Benadryl helped my "jumpy legs" when I came off a 6 week trial of Fentanyl. It has a sedative effect on me, so that helped at night. I don't think I'd recommend it for daytime during work or driving, though.

Melatonin (sic) is also a supplement that relaxes you. Again as you know I'm a greenhorn with pharmaceuticals. So far, the ones prescribed for Pain Management have done more harm than good.

I SO empathize with your back pain. Curious, do you find your "rebound" pain level WORSE than your baseline pain? I swear...call me crazy...but I think the Oxycodone has some inherent addictive ingredient that makes the body crave it like potato chips. :\

I researched so much before enrolling in PM. I was made to believe that the "specialist" would work closely with "my" personal chemistry, pain profile, GI absorption, etc. to help me attain a QOL. I wish. What are us folks in true physical pain to do?

You're not alone in those woods. I'm swinging from the proverbial nut trees, too. Let's tighten our grips, tn! :! Tomorrow will be better.

I was already suicidal (I know, permanent solution to temporary problem). But...this pain is PERMANENT...no hope of better. We have 2 of nature's best anti-depressants, Dalmatians! One of my dollbabies died yesterday. SHOCK, HEARTBREAK, SOBBING. Her sissy is my shadow today, as she is deaf and depended on her bestie to be there for her. She's been howling/crying out in loneliness all morning. I feel the stress causing the cranial nerves to CRAWL inside my head and face. I've gotta get a grip.

I'm here for you, FWIW.
 
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