Posted by Fivefires on January 16, 2009, at 16:20:27
In reply to Re: Oxycodone off formulary! FEAR! Oxycontin equiv.? » Fivefires, posted by Larry Hoover on January 15, 2009, at 21:15:12
> > > Based on the acetominophen dosing, I'm going to guess you were taking 8 Percocets a day, 2 every 6 hours?
> > >
> >
> > It was one 10/650 4x a day.
>
> Oh. Never heard of that dose before. Percocet and generics thereof are 5/325. I've always been prescribed multiples of that. Must be a big *ss pill?
>
> > > That amount of acetominophen is not doing your liver any favour, so it's probably a good thing you're stopping that.
> > >
> >
> > I think that's the same thing my PCP was thinking, and I too, but worried a bit how my body might react.
>
> Positively. Acetominophen is hard on glutathione, and depleted glutathione can contribute to fatigue.
>
> > >If you do notice a difference in your pain, you can always take some generic acetominophen.>
> >
> > I have been. I woke up 'in pain'; feeling awful actually, and have been taking Excedrin alongside it for a while. Haven't had this pain for a long time; waking pain. I remember the years and years of this sour look on my face and pouting lips and squinching eyeballs. Usually I'd call this break-through, but this I'd call aggravated pain!
>
> So, the 10/650 got you through the night, but a 20 mg Oxycontin doesn't? <Spock eyebrow>
>Positively. I awoke a couple times last night too.
> > >
> > I doubt there are any cheaper drugs out there.
> > >
> >
> > If so, maybe he can get a prior auth. I don't understand either. What will they give patients after some surgeries?
>
> I was referring to how cheap generic acetominophen (Tylenol) is.
>Oh. I thought you were saying oxycodone is cheaper than oxycontin.
> > > Anyway, it sounds like you were give 2 x 20 mg Oxycontin to replace the Percocet.>
> >Yes
> > Two a day. There is nothing on the bottle about 20mg acetaminophen.
>
> Oxycontin doesn't have any acetominophen in it. Just oxycodone. The 10/650 tablets were 10 mg of oxycodone, and 650 mg of acetominophen. In place of two of the old tablets (2 x 10), they've given you one Oxycontin (20) tablet, which is supposed to last twice as long.
>Yes.
> > >I can't imagine why your insurance wouldn't cover Percocet.>
> >
> > I couldn't either!
>
> !
>
> > >It's not at all expensive as a generic.
> >
> > And too, I didn't feel this funky low depressive feeling with it. W/ oxycodone I'd always felt a bit of an 'it's okay' feelin', which was something I think 'understood' betw PCP and I, but not discussed.
>
> You don't get that with the Oxycontin?
>No. At least not yet???? Melancholy w/ collective thoughts leading me back to that big bad thot.
> > My LFTs had always been okay.
>
> That's good.
>
> > > Anyway....I had a problem with Oxycontin not lasting as long as they said it would. It's supposed to last 12 hours, but I never got more than 7 or 8.>
> > >
> >
> > I already told my doc this will be just like every other XR or SR out there. I metabolize too fast. I have to take Effexor-XR morning and midday.
>
> How many hours after your Oxycontin dose do you feel the need for augmentation?
>Yesterday, maybe 5, and even 6 would be stretching it.
> > >I hope you have better results than I had.
> > >
> >
> > Think I'm having pretty much the same results. Were you feelin' kinda' low in mood as well? This is a WAY NOT GOOD LOW THAT CAUSES BAD THINKIN' for me.
>
> It sounds like you're in a mild withdrawal, which is a sign this isn't a good match for you.
>I didn't think of it this way, but from the acetaminophen? I chose Excedrin because Tylenol has always made me sleepy, and I sleep often or just lie in bed fatigued during the day.
> > Let me check bottle re: 20 (acetaminophen right?)
>
> No, it is 20 mg oxycodone. No acetominophen in it.
>
> > ... okay it just says oxycontin 20 mg and on the side (I tripped and hurt my knee .. dangitall!) it says, now I lost it, my room is a mess, so very unfamiliar and uncomfortable for me .. okay .. I went to get the bottle and grabbed cell as had 2min to call doc. Left message awoke with pain and still have it w/ a front office person. Round, pink, Side 1: 0C Side 2: 20. Is that 20mg acetaminophen? It doesn't say anything. If is, that's a huge drop in it.
>
> Oxycontin stands for OXYcodone CONTINual release.
>So, Side 2: 20 means the amount of the oxycontin. There's not a drop of acetaminophen in oxycontin. I'm crazy lookin' for answers.
> > I called insurance and asked what they covered and they said the following per my scribbling:
> >
> > oxycontin 80mg
> > (Now, the following one, I'm not sure if was per my insurance or if I wrote it after called my doc', but it's 20XR x4, ...... not x2! o_o
> > Then...
> > oxycodone HCI 10mg 12hr (I don't understand.)
>
> That's sometimes called oxycodone IR, for immediate release. Similar to what you had, only no acetominophen.
>Well might that have been considered v. oxycontin?
I'm beginning to think this all about extended release medication being considered a priority over immediate release meds. But, in a case like mine, where I metabolize most meds too fast, this could have me in a constant state of withdrawal huh? For those who metabolize properly, fine. I remember being on Effexor v. Effexor-XR and as I recall my life at that time, I was doing better, though don't recall life circumstances which may have come into play. (My pdoc doesn't want me on two diff' ben*os, reason for being on Xanax-R 1mg 3x a day and Xanax 2mg 3x a day.
> > no Roxicet
> same as Percocet, i.e. usually 5/325Oh .. that's what I thought. Not on formulary.
> > Vicodin HP 600mg/10
> > Vicodin ES 750-75
> > Lortab 500/5
> > Darvocet A500-100
> > " N100-650
> > N50 ? 325-50
>
> > Then called and read them off to the pharmacist whom has seemed most knowledgeable at my pharmacy and asked him which is most compatible with oxycodone 10/650 4x a day, and I'm thinking it's the 20XR x4 I've written here below 80mg.
>> Yes, sort of. Same total daily dose.
Well then my pain med has been cut in half???
That occurred to me last night and I called and spoke with a diff' pharm; not one w/ a very good counter-side manner. :( He said two 20mg OXYcodone CONTINual releases WAS EQUIVALENT!(?) to 10/650 oxycodone. In my exhausted state, just said 'oh'; hung up.
>You might be better off with the oxycodone HCl. That would be 4 times a day, as before. You'd have the option of taking some acetominophen with it, if you wanted to exactly match what you had been on before.>
>That thought also occurred to me as I was typing this to you yesterday. It's oxycodone 5mg ?, hydrochloride ?, and 1 what ?
> > > Lar
> >
> > Could you tell me what you think further pls? It's been a long time since I've seen you here.
>
> I haven't been well enough to post for a long time.
>
> > I've not been well all of 2008, oh, and, got turned down for 2-3 days a week come into home, re: meds, see that I eat, etc. It's not a conscious effort to make myself ill. It's just doing as I feel and I've been awaiting this year. Really. Something good is supposed to come this year. Idk.
> >
> > Tks all. Hope this makes sense.
> >
> > 5f
>
> I think we're getting somewhere.
>
> LarHope you catch this today and I hear from you. I'm sorta' a flake sometimes and apologize if I'm 'all over the place' with this.
scratchin head, 5f
poster:Fivefires
thread:874056
URL: http://www.dr-bob.org/babble/20090104/msgs/874367.html