***this is a copy of my post in prescription discussion***
I was not sure which to post in, so i went with both. If a Moderator would delete the incorrect post if there is a problem...or just leave it if there is not problem...thanks/sorry whatever the case may be.



Just a question. How does a 20mg oxycontin compare to oxycodone immidiate release pills. I used to take 15-20mg of the instant and wanted to know how these compare strenth wise.

My previous doctor prescribed the instant release oxycodone, this worked well and made things decent in the pain area...I've had 43 surgeries and problems all over my body. She got me to try oxycontin twice but it wasn't good because it lasted too long and was just bad. She left the area for another position and my new doctor had no problem writing a new script for me, the problem is he asked what I had taken before and i told him, and told him the only problem I'd had was with oxycontin....and he perscribed oxycontin.

I had it filled before i noticed the problem, and his office says they will not prescribe something weaker since they just prescribed this, and I can't return them to the pharmacy or to the office. So i have them, and just them for now. I used to have higher mg oxycodone tabs that i used to break for a lower dose, but i know that shouldn't be done with oxycontin....

Basically, can anyone give me info on this stuff, how I can keep it from lasting for 12 hours, that type of thing. My pain comes and goes through the day, so the instant is better for me so I'm not on heavy medicene when not in pain.

sorry, I know I get long winded...and thanks in advance for any help/suggestions

Da bum

Hey - I ned some advice here -the surgeons just denied my shoulder replacement again and my PCP switched my pain meds from 50 mcg duragesic with 4 7.5 norco's for breakthrough pain to 20 mg oxycontin twice a day -Am I crazy or is this pain real ?I looked on the opioid conversion charts and i'm supposed to be taking like 120 mgs of oxy a day with 20 -30 mgs of oxycodone for breakthrough . My PCP has been great so far but I think he wants me to off myself cuz I've slept like 4 hours in 3 days and am in constant seering pain-pain management won't treat me cuz I can't do PT cause my shoulder is shredded -any advice is welcome -these people say I am too young for joint replacement and [at 48] they say I have to wait until I am 53 before Medicaid/medicare will pay for it . I don't want to get high I just want the pain to end-evertry suboxone?desperately, herbp

I think the docs usually will most always strt you on the lowest dose of oxycontin when they first script it and then adjust your dose as time goes on until the pain is under control.

Great thread,

One thing on the conversion chart(first page), it says 1.0mg of oxy would equal .9 of hydro....isn't this a bit too close in your opinion?

I've read elsewhere (don't remember where) that 1.0mg of oxy is the equivalent of .6 mg of hydro. Judging from personal experience THIS is correct.

Any opinions?

Hi everyone, I'm new to this site. What are the Rules regarding posting questions asking for information on ordering oxycontin online? Is that against the Rules? Any information is helpful.


Admin comments: it is not against the Rules
That is a very commom question
Just note that this thread is not for that purpose, this thread is to offer info on Oxycontin. If you want to know who offer it online please post your question in the forum called "who offers..."

By the way, I am a 36 year old Disabled Veteran. I am rated 60% disabled by the V.A. and have 3 vertebra fused together with steel harrington rods in my back.

http://www.washingtonmonthly.com/features/2005/0506.roth.html

Quote:

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In 1993, Purdue Pharmaceuticals of Stamford, Conn. applied for the first in a series of patents on a drug it called Oxycontin—a painkiller to which Rush Limbaugh would later become addicted. The U.S. Patent and Trademark Office (PTO) granted those patents based on the manufacturer's contention that the drug contained a novel innovation: It had been engineered so that only a very small dose—between 10 and 40 milligrams—was required for the drug to be effective for 90 percent of patients. On the strength of those patents, which in essence granted the company a monopoly license, Purdue went on to reap over $1 billion in annual revenue from sales of Oxycontin.

Seven years later, a generic drug maker, Endo Pharmaceuticals, applied to the FDA for permission to sell its own, lower-priced version of Oxycontin. Purdue sued Endo, claiming patent infringement. During the trial, Endo's attorneys argued that Purdue had conducted no clinical studies, and in fact had no evidence whatsoever to support the claim that the drug worked in small doses for 90 percent of patients, an assertion which had been crucial to its patent application. The judge agreed, and invalidated Purdue's patent, allowing Endo to introduce its own version of Oxycontin in January 2004. By law, however, Purdue was allowed to keep the billions of dollars in monopoly profits it had garnered with patents it should never have won.

How did the patent office wind up agreeing to give Purdue the patent in the first place? It simply took Purdue's word for it that the assertions it made about its drug were accurate. As Purdue noted archly in its press release about the court decision, “Purdue never made the claim in the patent application that it had done experiments to establish this property and the patent examiner never asked for such information.”

The Oxycontin patent was just one of thousands of instances of lax scrutiny at the patent office in recent years. Paxil and Prozac are two other multibillion dollar drugs that earned monopoly profits for their makers before their patents were struck down. And the office's errors range far beyond the pharmaceutical industry to include everything from software to biotechnology to e-commerce. Greg Aharonian, a Bay-Area patent consultant who sends out an almost-daily email newsletter on every patent-related development under the sun (an item from February was headed, “Kazakhstan Patent Office Runs Out of Paper”) highlighted one recently granted patent, which included a “graphical traceroute”—a technology used to map online traffic events to physical locations. As he points out, had examiners simply Googled “graphical traceroute,” they would have found, under the first entry, an excellent example of the technology, along with a link to an explanatory paper, published by a different team of technologists in November 1999—more than two years before the patent application was filed.

...

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I would also like to mention an obvious place to visit for info on Oxycontin:
Opiods.com - http://opioids.com/oxycodone/oxycontin.htm

absolutely disgusting the profiteering that is going on and something that needs to stop. jmo~faerie

ITA, my mom suffers chronic pain. it's very sad how chronic pain patients suffer.

Oxycontin is not something that doctors start@80mg's with.... At least not normally and if they did I/many would consider it careless/irresponsible as you have to know how each patient will react to it.

When I started Oxycontin, I was placed on 40mgs right away but that was after more than a year of Percs and then Oxy IR. You start low and go up... starting at 120mg's a day with even more for b/t is a very high calculation.

Just because an opiod conversion chart states the strength of one compared to another, does NOT mean that this is the strength you should start at said drug.

Different drugs will impact different people in different ways, and you have to know how YOUR body will react before you get uppped sky high on something..

Again (cuz I LUV repeating myself lol). Just because a person needs a lot of one med doesn't mean they will need exactly the same of another through chart conversion. Chances are that you would need more than a beginning dosage (due to having been on opiods before), but still this is something to approach carefully. Again, your body may react differently to one drug than another.

Reality is too that tolerance is something that can go up quickly and you will find very quickly with your doctor if you need to up the dosage.

This is not a "happy" drug to cut down on (FYI.. Unless done through a slow taper) any more than some others so be careful.
I understand totally that you want the pain gone (me too), but for myself I really dont want to take it higher than 2 x 40s *oc* a day plus 5 x 10s *oxy ir*. I'm at the tolerance limit to go up and instead I'm cycling to try and stay away from doing that. You will how ever find what works best for you.

Know though like I said that the other side of this medication is not nice once (as with so many)you've been on it for a while. If you're on straight release/time released in large amounts for a long time and you forget/have a slightly better day/decide for what ever reason not to take it, your body will let you know and after 12-24 hours it will be LOUD about letting you know.

If your decision is like mine that it's better than the pain, then go for it and I wish you luck and a lack of pain.

"The U.S. Patent and Trademark Office (PTO) granted those patents based on the manufacturer's contention that the drug contained a novel innovation: It had been engineered so that only a very small dose—between 10 and 40 milligrams—was required for the drug to be effective for 90 percent of patients. On the strength of those patents, which in essence granted the company a monopoly license, Purdue went on to reap over $1 billion in annual revenue from sales of Oxycontin."

How is the fact that a small dose is needed a 'novel innovation'? Isn't is just the characteristic of the drug itself? Or have Purdue done something else to oxycodone that other manufacturers of sustained-release opioids haven't?

Good point Nephro !!!!

Your second point would be interesting to know....

As far as OC... I really don't want to step up to 80's, although that will be the next step.... If I can delay that at all costs for as long as possible (I'm pretty much there now, which is why I'm trying other things).. I'm happy....

My doctor gives me a coupon for $50.00 off a script of Oxycontin so my insurance pays the rest. I only pay a $10.00 co-payment for a months supply of OxyContin. He said the coupon is for 5 uses, then he'll give me another coupon!!!

So I don't think it's just a money issue at stake. I also take Oxycodone as a booster which is also $10.00 per script but without the need for any coupons.

All I can say is, if you are really in a lot of pain, this is a great drug if you can control yourself on it and not abuse it.

I respect it, and it works, what more could I ask for?

There aren't any side effect for me whatsoever. I don't know if you build tolerance to Oxycontin, but I haven't had even the smallest of problems in that area after 6 months.

I have been on the same amount for two years. I think its a great med as well. oxycodone for b/t pain. Don't use all of them all either.

I have the coupons too, but still doesn't cover my second script for oxycontin. I take 20mg 3x and 10mg at bedtime.

But I agree you do have to respect this medication.

My Doc bumped my oxycodone from 5mg to 7.5 x3 a day. The pharmacy simply figures out how many 5 mg it equals and does it that way. So i end up with 135 5 mg a month. I like them because it has no APAP and is immediate release.

G 164 from Impax Laboratories are the like teves or like purdues in quality.
And are those the ones that have the gel in it so it cant be crushed?

Adding some images

No 160 ng for a number of years!

DARN!! Admin, why do you have to "Tease"? LOL....Now I see what I'd like for Christmas!! LOL...j/k!!! heheheh

Please anyone..., does anybody know a reliable place to buy Oxycontin?

Honestly, the only reliable place, would be from your doctor/pharmacy.

If you search through the many posts from people looking for this online like you are, you will find that "if" it is listed on some websites, you will most likely loose all your money because it is a sham.

But, that would not actually be the worst thing that happend...it is illegal to buy Schedule II meds online, and I would think ending up in jail would be worse.

Not trying to rain on your parade, just trying to save you some time, engery, money and maybe heartache.

Good advice

if you require a pain med that strong, you need to see a doctor face to face!

I went form 10 mg 4 times a day to 10mg SR 2x a day and it isn't helping much. I tried the 40mg SR and that put me to sleep! Still on the hunt for a new Dr, any advice? BTW, I'm got the 1st script from an urgent care Dr after I tore my rotator cuff and the 2nd from the Ortho that's seeing me for it. I think there was some miscommunication with the receptionist, because I was surprised at getting the oxycontin instead of the oxycodone. I prefer the 40 mgs throughout the day as opposed to 20, but who wouldn't? LOL!

I have been on oxycodone(percocet) for 4 months now. I have slowly had to increase my dose and now am at 30 mg 2-3 times a day. I have 2 herniated discs, 2 annular tears and stenosis. Because of my insurance, I cant even see a surgeon for about a year. I have had 4 epidural injections and none have worked. Can anyone recomend something I can take in place of the percocet that I can get online? My doctor has asked that I cut my dose in 1/2 all of a sudden and its just not working.

Where I live, all the chronic pain patients have either had their prescriptions cut in half, or cut off completely, with enough to do a taper schedule. Don't know what's going on, unless the dea is hitting every single PM clinic in the area and telling them how many pills they can give out. I've watched this happen over about a 4 month period now. Many clinics are getting rid of everyone without insurance, and the ones keeping people without insurance are cutting all the medicines in half. Mostly they are taking people from 10/325 percocets to 5/325 percocets.

It makes no sense to me and I don't know what's going on, but something is. No other medicine is being given in replacment so they now have half as much medicine as they've been used to for years.

I guess you are lucky in that they at least let you have 30 mg 2-3 times a day. Here it's 1 pill every 8 hours, so 4 pills a day of the 10/325, which makes it impossible for something with strong pain to immediately go down to 5/325 4 times a day.

I've already seen one suicide because of this ( a few weeks ago) and I hope to goodness that it doesn't start happening all over the US.

I can't recommend any place online, but I've seen a lot of references to dyhydrocodone (sp:?) which is one step above codeine. The IOP's have it so it might be something you can use. Just please don't take to any street drugs like cocaine or heroin to help with the pain. Just keep telling your doctor that you are in a constant battle to control the pain and maybe he'll change your medicine to a long acting one that will give you better relief.

I got a script from my doc but with no insurance it is over $400.00...any suggestions...anyone pay for insurance or prescription discount card?

Hi Wizzy,

I like you, have noticed a BIG difference! I have degenerative disc disease, and spondelysis (I think I spelled that wrong)!

I injured my back a long time ago, I have a fantastic doctor, had to have MRI'S, etc., so I saw him recently and changed my meds from hydro to percocet, Thank God! Now, I'll be going to Physical Therapy, and he did mention something about "injections" (?) Do you, or maybe one of the other poster's knows about those shots? I am so afraid of needles, I almost have a anxiety attack thinking about it!

fisher

Ah yes, the lovely shots. I've had tons of them when I was in pain management. Usually you are given a shot of Versed and a shot of Fentanyl (just a small dose that wears off within a couple of hours) so that you don't feel any pain from the shots. Usually it's an epidural type shot where they put medicine in the part of your body that is hurting (between discs, etc.).

Just don't let them do a lot of these shots. I had to quit them completely because after 4 years of these shots and several nerve burnings, I found that they didn't help my pain at all, and they made it so that if I have to go to the bathroom I have about 5 minutes to find one. I have no ability to "hold it" anymore, and I know it's because of the shots because it was never a problem before.

It never hurts to try the shots once or twice. My mother did it and got relief for up to a year; other people have tried them and gotten relief for several months and some people get no relief at all. It depends on what's wrong with you. My clinic made all their money doing the shots and nerve burnings and I guess that's why I had so many. Looking back, I would never allow it again. I went along because I'd always given my doctors the full benefit of the doubt that what they were doing would help, and didn't know that it was a money making scheme until my family doctor stepped in and had a talk with me.

Good luck and let us know how it goes.

40mg 2x day is not working and using hydro for break thru pain..so now what? My doc says avinza, opana, kadian are all the same...?

No Bernie, they aren't.

Avina and Kadian are versions of Mophine, either extended release or immediate (I think both of those versions are extended). Opana is oxymorphone. Think of oxycodone, but one step up. It works well as long as the dosage you are given is right. I was on it for a year and it worked fine along with my breakthrough medicine, but my doctor was stingy and my medicines never seemed to quite cut it. I spent several years on the couch gaining weight. When I got out of pain management (how many shots can you handle?) I found that I hurt less in the mornings than I did with all the medicines they were giving me, which was 5 different ones.

If you can, try to take less than the prescribed amount and see if you wake up in less pain than normal.

Now, I hurt bad, every single day, and by 3:00pm I don't feel like I can do anything else but sit on the couch. I don't use a heating pad anymore because the doctors said I had scarred my back for life by using a heating pad for so many years and I only used it on the "2" out of 5 setting! Luckily my Beemer has a heated seat and heated butt setting, so when my back gets really bad, I go riding and turn on the heat. It hits my back and butt and helps a lot without causing the scarring that the heating pad did.

Anyway, if given the choose, try the Opana, but get the 20 mg to start. They will only give it to you twice a day and it starts to wear off a little earlier than that, but as long as you have breakthough medicine it's fine. There is no "high" associated with it that I could see; it simply stopped the pain. I was put on the morphine ER for a short period and it sent me into a panic because it wasn't helping the pain at all. But morphine does help other people so don't rule it out. It just didnt work on me, but my dosage was 30mg 2x a day. Way too low for my back and sciatic problems.

Good Luck!