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» LymeNet Flash » Questions and Discussion » Medical Questions » Ok...pain med confusion......is my doc playing me?

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Author Topic: Ok...pain med confusion......is my doc playing me?
healthywealthywise
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Or am I just confused? The new rx doesn't seem to be working for me so well as my recent posts have indicated.

I was originally rx'd hydrocodone/acetaminophen 7.5/750 twice daily for the last few months.

I looked into it and spoke to the docs office and said I really didn't want to be taking acetaminophen as I'm concerned about the effect on my liver from the "tylenol". Especially since I usually take advil every day for pain.

I asked if I could just get the pain killer "without tylenol".

As a result, the office rx'd oxycodone 5mg to take every 6 hours.

My question is.....Is oxycodone the same as hydrocodone..without the acetaminophen? If so, then why would the rx be less than I was taking with the tylenol in it ( 5mg vs. 7.5 mg)?

[confused]

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Lymetoo
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You CAN get hydrocodone with ibuprofen instead of tylenol.

www.drugdigest.com

[ 29. January 2007, 11:44 AM: Message edited by: Lymetoo ]

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--Lymetutu--
Opinions, not medical advice!

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healthywealthywise
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Lymetoo, I don't know if there is a difference....I'm supposed to be taking 5 mg. of oxycodone every 6 hours.

The rx label says it is a generic for Oxyir?? I never even heard of that one.

Is that the same thing as oxycontin that you referred to?

I just like to know what I'm taking.... and at what strength. Thanks!

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kelmo
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Isn't oxycodone generic for percocet? Call the pharmacist

Kelly

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sandygf
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Hydrocodone is 'Vicoden' Oxycodone is 'Percocet'..

The two are almost exactly alike. I asked my pharmacist which is stronger the 7.5 vicoden or the 5mg percocet and he said they are about equal.

While you can get percocet without tylenol or aspirin I don't think you can get vicodin without it so that is probably why you were given the percocet (oxycodone).

They both worked about equally for my pain.

Sandy

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trueblue
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Oxycodone is generic for the percocet with out the tylenol. (Oxycontin would be the time released equivalent.) Hydrocodone is the pain relieving part of vicodan, they are similar. I think 7.5 feel stronger than the 5 mg as vocodan comes in 5mg as well.

Also there is Vicoprofen which is Hydrocodone 7.5 and Ibuprophen 200mg, works a little too good for me. I speed off it but feel better taking the advil with it if need be, since I only take a half at a time if at all. (Call me crazy but I'm less afraid of advil than tylenol.)

Makes me want to vacuum, and then feel wiped out, [lol] But it might work for you.

Good luck, I hope one of them helps!

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8man12
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ask to go to a plain clinic,you can get the hydro-codone,in even 30 mg.without the acetaminophen.
Let them control your pain,you will feel alot better.

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Lisianthus
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This is what I found as an ingredients list:

One is for Percocet the other is for oxycodone. One has tylenol the other doesn't.


http://www.pdrhealth.com/drug_info/rxdrugprofiles/drugs/per1326.shtml


http://www.pharmacy-and-drugs.com/reviews/Oxycodone.html

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lymedad
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It's my understanding that it's the combination of narcotic and acetaminophen that is used to optimize the pain relieving properties of the pills.

I've been told that pure narcotic (morphine or codeine) will not be as effective unless it's mixed with some amount of acetaminophen.

Our daughter's pain mgmt specialist became concerned about the continued us of high levels of acetaminophen in the 7.5/750Mg Vicodin and switched her to Norco. (He said the acetaminophen is extremely hard on the liver).

Norco is another brand of hydrocodone but it has lower levels of Acetaminophen and higher levels of Hydrocodone.

Vicodin 750 = 7.5Mg Hydrocodone 750Mg Acetaminophen

Norco 325 = 10Mg Hydrocodone 325Mg Acetaminophen

She also takes Hydromophone (Dilaudid) 8Mg

Edited @ 12:40pm PST - OBTW our daughter has weekly blood tests in order to monitor the effects of the narcotics & other medicines on her liver.

[ 29. January 2007, 03:41 PM: Message edited by: lymedad ]

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Lymetoo
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I went back and edited out the incorrect info. I had hoped you would find the correct info at the drugdigest website.

Hope you are feeling better today!! [Smile]

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--Lymetutu--
Opinions, not medical advice!

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Lymetoo
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quote:
Originally posted by tothepoorhouse:
Lymetoo, I don't know if there is a difference....I'm supposed to be taking 5 mg. of oxycodone every 6 hours.

The rx label says it is a generic for Oxyir?? I never even heard of that one.


Drugs & Vitamins OxyIR
Active Ingredients: Oxycodone
Representative Names: OxyIR, Percolone, Roxicodone
Available Product Images:

What are oxycodone tablets or capsules?
What should my health care professional know before I take oxycodone?
How should I take this medicine?
What if I miss a dose?
What drug(s) may interact with oxycodone?
What side effects may I notice from taking oxycodone?
What should I watch for while taking oxycodone?
Where can I keep my medicine?

What are oxycodone tablets or capsules? (Back to top)
OXYCODONE (Roxicodone�, OxyIR�, M-Oxy�, Percolone�) relieves moderate to severe pain. Federal law prohibits the transfer of oxycodone to any person other than the patient for whom it was prescribed. Do not share this medicine with anyone else. Generic oxycodone tablets are available.

What should my health care professional know before I take oxycodone? (Back to top)
They need to know if you have any of these conditions:
*if you frequently drink alcohol-containing beverages or have a history of drug abuse
*abnormal bladder function, difficulty urinating
*constipation
*heart disease
*intestinal disease
*kidney disease
*liver disease
*lung disease, severe asthma, or breathing difficulties
*mental problems
*seizures
*other chronic health condition
*an unusual or allergic reaction to oxycodone, codeine, hydrocodone, morphine, other medicines, foods, dyes, or preservatives
*pregnant or trying to get pregnant
*breast-feeding

How should I take this medicine? (Back to top)
Take oxycodone tablets by mouth. Follow the directions on the prescription label. Swallow the tablets with a drink of water. If oxycodone upsets your stomach, you can take it with food or milk.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.

Do not share this medicine with anyone.

What if I miss a dose? (Back to top)
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What drug(s) may interact with oxycodone? (Back to top)
*medicines for high blood pressure
*medicines for seizures
*ritonavir
Because oxycodone can cause drowsiness, other medicines that also cause drowsiness may increase this effect of oxycodone. Some medicines that cause drowsiness are:
*alcohol and alcohol-containing medicines
*barbiturates such as phenobarbital
*certain antidepressants or tranquilizers
*muscle relaxants
*certain antihistamines used in cold medicines
Ask your prescriber or health care professional about other medicines that may increase the effect of oxycodone.

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What side effects may I notice from taking oxycodone? (Back to top)
Side effects that you should report to your prescriber or health care professional as soon as possible:
Rare or uncommon:
*breathing difficulties, wheezing
*cold, clammy skin
*seizures
*slow or fast heartbeat
*severe rash
*unusual weakness
More common:
*confusion
*lightheadedness or fainting spells
*nervousness or restlessness

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
*itching
*clumsiness, unsteadiness
*constipation
*decrease or difficulty passing urine
*dizziness, drowsiness
*dry mouth
*flushing
*headache
*nausea, vomiting
*pinpoint pupils
*sweating

What should I watch for while taking oxycodone? (Back to top)
Tell your prescriber or health care professional if your pain does not go away, if it gets worse, or if you have new or different type of pain.

Use exactly as directed by your prescriber or health care professional. If you are taking oxycodone on a regular basis, do not suddenly stop taking it. Your body becomes used to the oxycodone and when you suddenly stop taking it, you may develop a severe reaction. This does NOT mean you are "addicted" to oxycodone. Addiction is a behavior related to getting and using a drug for a non-medical reason. If you have pain, you have a medical reason to take pain medicine such as oxycodone to control your pain. If you do stop oxycodone treatment after several days, your prescriber will gradually decrease your dose over a period of time to avoid any adverse reactions.

You may get drowsy or dizzy when you first start taking oxycodone or change doses. Do not drive, use machinery, or do anything that needs mental alertness until you know how oxycodone affects you. Stand or sit up slowly, this reduces the risk of dizzy or fainting spells. These effects may be worse if you are an older patient. The drowsiness should decrease after taking oxycodone for a couple of days. If you have not slept because of your pain, you may sleep more the first few days your pain is controlled to catch-up on missed sleep.

Be careful taking other medicines which may also make you tired. This effect may be worse when taking these medicines with oxycodone. Alcohol can increase possible drowsiness, dizziness, confusion and affect your breathing. Avoid alcohol while taking oxycodone.

Oxycodone will cause constipation. Make sure to take a laxative and/or a stool softener while taking oxycodone. Try to have a bowel movement at least every 2--3 days. If you do not have a bowel movement for 3 days or more call your prescriber or health care professional. They may recommend using an enema or suppository to help you move your bowels.

Your mouth may get dry. Drinking plenty of water, chewing sugarless gum or sucking on hard candy may help to relieve dry mouth symptoms. Have regular dental checks.

If you are going to have surgery tell your prescriber or health care professional that you are taking oxycodone.

Rarely, oxycodone may cause you to have hallucinations (to see things that are not really there) or cause your legs or arms to "jerk" or have spasms. If you experience these effects, call your prescriber or health care professional.

--------------------
--Lymetutu--
Opinions, not medical advice!

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lymedad
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^^^^
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Aniek
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BTW - Advil is bad for the stomach. Ibuprofen is bad for the liver. It is actually better to take Vicodin than something with ibuprofen in it, as somebody mentioned you could do.

If the oxy doesn't work, and you go back on Vicodin, just make sure you get your liver checked.

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"When there is pain, there are no words." - Toni Morrison

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