DTZNuff
Board Addict
Reged: 11/16/02
Posts: 312
Loc: B.F.E.
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Well, with my new diagnosis on my back, my doc has been quite liberal with the pain meds. He put me on Hydro 7.5/500 and come to find out, it wouldn't even touch my back pain. So I called him today and said that they weren't helping and wrote me a script for Oxycodone 7.5/500 and it seems to work alot better. Can anyone shed some light on this for me? Does Oxy just work better for me than Hydrocodone?
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 Serenity Now, Insanity Later!
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LumbarSpasm
Silent Chaos
Reged: 05/07/02
Posts: 1538
Loc: USA
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Sounds that way.
7.5mg of oxycodone is approx equivalent to 10mg of hydrocodone. Sometimes one med works better, or much better than another med for a person.
Glad you are getting relief. 
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LumbarSpasm
Or just a pain in the butt?!
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night_shade
Threadhead
Reged: 08/26/03
Posts: 907
Loc: The State of Hockey
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Apples and oranges. Oxy works better for me than Hydro, but I know others who say the opposite. Just go with what works, I say! 
Regards!
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Never underestimate the predictability of stupidity.
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TLT
Board Addict
Reged: 10/21/02
Posts: 358
Loc: loc. usa
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I take percocet for BT pain, and it really helps ease the pain. In the past I have used hydrocodone, It also is a really good pain med, but they tend to make my stomach cramp. All in all I would have to say oxycodone is a better med.
Terri
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"RUDENESS IS THE WEAK MANS IMITATION OF STRENGTH"
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ML63
Member
Reged: 02/08/03
Posts: 188
Loc: Upstate New York
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I was given percocet a while back and it not only made me kind of nauseated, but it didn't work as well for the pain. After that, I stuck with hydro 7.5/500. Works best for me, but as folks have pointed out, everyone's different.
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joffrey
Member
Reged: 02/03/02
Posts: 115
Loc: Left Coast
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Good luck with your back and the pins in your head. Based on my experience, and the experience of numerous others I've communicated with, once you step up to oxycodone, be it in Percocets or time release pure, you really can't go back to hydro, and your codeine and darvocet days are definitely over. That is, these meds won't be efficacious ($10 dollar word of the day), they won't work very well or at all anymore. IME. Needless to say, easy on the 7.5 oxy/acet. pills. Tolerance is a. . .female canine.
Best.
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I'm not a doctor; I just think I know everything.
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brutus
Enthusiast
Reged: 09/05/02
Posts: 235
Loc: MIDWEST
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Smoe feel that OXY is a legal heroin. I guess if you take enough it feels that way. HIGHLY addictive !!!
But for me it is the best Hands Down in the pain killer world. Ther are a few who who don't like it for various reasons but it is extreamly potent.
Thats one Main reason why it is impossible to get on the internet.
That is why I use Hydro. My old Dr. for my back pain used to give it to me till he retired...Then I was cut off. Since then I've had no luck getting it on the internet at a price that you can actually pay.
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Brutus
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novashok88
Banned
Reged: 12/17/01
Posts: 301
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I personally prefer hydrocodone over oxycodone or even fentanyl patches. I get better relief from 2 or 3 10/500 hydros than from 2 oxy 40s. Same goes for the duragesic patch & the actiq suckers. Hydro gives better relief to me than any of those. If they would come out with an oxy-like version of hydro, say hydrocontin, I think it would be very popular, of course. As a pain patient, I look forward to the hopefully upcoming diluadid-contin that has been in the trade papers recently. Oxy works fairly well, but IMO it builds a tolerance in the patient far too quickly so that before they realize it, their only viable option is to move on to the patch, keep raising the oxy dosage, move onto meth pain treatment, or whatever other option becomes available. I'm quite sure that Oxycontin has been a boon for the UROD industry.
Just my 2 cents of course...
NS
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Greycie
Old Hand
Reged: 07/08/03
Posts: 466
Loc: Pacific NorthWest
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As posted by many others, each drug interacts differently with each individual taking them. Personally, I got better relief from generic percocet (oxy/apap?) and had to take less pills. When I saw my doc. and discussed my displeasure with taking 3 5/500's (hydro/apap) and wanted to take less pills to get the same effect, we talked about switching me to roxicet or percocet (generic version- went with the perc's- oxy/apap). He explained that it's a stronger narcotic and that it purportedly was twice as effective as the generic Vicodin at 5/500. Still, I went from taking 3 generic V's to having to take 2 generic P's to get the same effect. Not QUITE twice the strength, still, it worked better for me, but based on the amount of P's I was prescribed as opposed to the amount of V's I was prescribed, I was getting more days of pain relief with the V's. So! Needless to say, I switched back in order to get more pain free days.
Again, that's suppose to be the info. on the meds in comparison, but each individual experiences different effects from the meds. I've also had dilaudid (sp?) which, when I posted because 1 and 2 and 3 did nothing for me, most people suggested that in pill form, it doesn't generally work at all for them. My experience with that med. was that it DID work, but that it worked only when I was taking it on a regular basis- sorta like I had to take it for a few days before the effects kicked in and couldn't take it on a PRN (as needed) basis like I could the hydro or oxy. For me, I don't want to HAVE to take pills every day to have pain relief- I want to take it when I'm having pain and only then.
Hope this helps some
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"I may not agree with what you say, but I will defend to the death your right to say it." - Voltaire
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Sky_Queen
Fly Girl
Reged: 12/03/02
Posts: 1967
Loc: Texas
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I've never taken Oxy, so I can't comment on that. The way I see it....if the hydrocodone gets the job done stick with that. Oxy is more expensive, harder to come by and I've heard once you start that the hydro will never work again so I hope to never have to go down that road.
Oh, and quit picking on the pins in his head! LOL
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AFI
Member
Reged: 04/05/02
Posts: 122
Loc: West Coast
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My Doc told me that Oxy is twice the strength of Hydro. She said in pain relief, if you needed 30mg of Hydro, you would need 15mg of Oxy for the same pain relief. This is by book, person to person may be different. Hope this helps. -AFI
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prettyday
Threadhead
Reged: 02/09/03
Posts: 965
Loc: Coastal Sage Scrub
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I agree with Legitimate, that's the way it went for me; as for the pins, I think he is seeing the WRONG acupuncturist.
Or is it like beauty school, where you go and they practice on you?
Nuff, stop the insanity! Let us help you find a good acupuncture dr...well, and maybe a hair stylist...hmmm, where are those Queer Eye for The Straight Guys?  
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First they ignore you, then they laugh at you, then they fight you, then you win.
- Mahatma Gandhi
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brutus
Enthusiast
Reged: 09/05/02
Posts: 235
Loc: MIDWEST
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Actually I have stared with OXY and went down to Hydro..
I had a bad "dry socket' for a few weeks and after being wasted on OXY for a couple of weeks I talked to the DR and got Hydro and it worked fine but it was not as potent unless I took alittle more than the recommended dose.
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Brutus
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DTZNuff
Board Addict
Reged: 11/16/02
Posts: 312
Loc: B.F.E.
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Neither is really giving me much relief at this point. My back hurts so bad this morning that I am shaking from the pain. I have taked all the pain meds that I feel is safe, and still nothing. I really am at my wits end.
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Serenity Now, Insanity Later!
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LumbarSpasm
Silent Chaos
Reged: 05/07/02
Posts: 1538
Loc: USA
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I have been there. When it gets that bad, about the only thing that will help is a pain injection.
I'm sorry you are in that state. It is a horrible feeling.
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LumbarSpasm
Or just a pain in the butt?!
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novashok88
Banned
Reged: 12/17/01
Posts: 301
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If all things were equal, i'd choose hydrocodone over oxycodone any day. A Hydrocontin, so to speak. I get much better relief from hydro but due to rediculious regulations that require apap to be in the hydro preps, oxy is the safer choice for higher-tolerance patients. Maybe the upcoming diluadid-contin will do the trick......
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alphaman
Member
Reged: 06/07/03
Posts: 157
Loc: pittsburgh
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Quote:
Maybe the upcoming diluadid-contin will do the trick......
Is this something that is really being made???
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Never Be so Open-Minded that your Brains Fall Out
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tansun
Pooh-Bah
Reged: 05/28/02
Posts: 1152
Loc: southern USA
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I cannot believe this question is being asked !!! ( lol ) Oxy is so impossable to get because its a far superior drug. Hydro is good , you just have to take much more, but Oxy is just better ( and thats why nobody can get it -even when you go to a pain dr )
Tansun
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"Madam Meanness"
---------where theres a will, theres a way ----------
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prettyday
Threadhead
Reged: 02/09/03
Posts: 965
Loc: Coastal Sage Scrub
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Call your dr Monday AM and tell exactly that; all my hopes that maybe he knows another combo of meds and injections.
I am not a dr (D'ohhh, obviously!) but I do believe you are having what is known as a FLARE. If you try to handle it yourself you will just run out of your meds early! Call him now, while it is going on! Matter of fact, it never hurts to leave a message with the drs answering service... 
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First they ignore you, then they laugh at you, then they fight you, then you win.
- Mahatma Gandhi
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timex
Stranger
Reged: 09/11/03
Posts: 14
Loc: alabama
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I'm sure you will find the oxycodone more effective, it is around 33% more effective per mg. Also the oxycodone is Schedule II where as the Hydrocodone is schedule III. Schedule II medicines are the strongest available as Schedule I has been deemed to have no Medical value. I do see people that say the hydro helps more than the Oxy but chemically speaking that shouldnt happen. Be careful as Oxy drugs are very tough to get off of. Withdrawals will almost certainly occur when you cease to take. Taper off of when the time comes. Sadly Oxy drugs are the most sought after by addicts looking for a quick high.  This is making it harder for legitamate patients to get the meds they need, Most Doctors have been tricked at one time or another into writing scripts for addicts posing as pain patients. Be thankful you have a good doctor wiling to take care of you, and good luck.
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nihil
Journeyman
Reged: 09/15/03
Posts: 70
Loc: New England
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Whereas hydrocodone is about 6 times stronger than codeine, oxycodone is 8 times stronger. I've noticed that the effects of oxycodone tend to last slightly longer than hydrocodone by about an hour or two. Since both hydrocodone and oxycodone are both semi-synthetic opiates there shouldn't be a great difference between them, except that the latter is stronger, of course.
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nihil
Journeyman
Reged: 09/15/03
Posts: 70
Loc: New England
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Here's a site you might want to check out for a comparison of the strengths between various opiates: http://codeine.50g.com/info/facts.html
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padmakara
Member
Reged: 09/16/03
Posts: 136
Loc: Chiang Mai
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My personal limited experience (I went through a couple bottles of both around the same time) is a noticably better analgesia with oxy 10/325 than hydro 10/500. Also, less side effects (itchies) much easier to get high off the oxy. I'd take it any day over hydro!
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Magus101
Journeyman
Reged: 06/26/02
Posts: 71
Loc: Bay Area
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I'm surprised this question is even being asked:
Oxycodone is the strongest pain 'pill' (not injection) on the market. It is aprox. 50% stronger than Morphine (if morphine is taken orally). The reason for its strength is because it pass through the Blood Brain Barrier (BBB) much more effectively than Hydro, which means more of the opiate gets metabolized (oxycodone is metabolized to Oxymorphone upon passing the BBB) and as such more metabolized opiate means more pain relief. It is because of Oxys ability to move more opiate into your brain than Hydro that it is a C-II (while Oxycodone's more 'sloppy' counterpart Hydro is a C-III). If hydrocodone was as effective at moving through the blood brain barrier than it too would be a C-II med (and impossible to get online)...
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padmakara
Member
Reged: 09/16/03
Posts: 136
Loc: Chiang Mai
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Where do you get your information? I've read a few journal articles where oxycodone was found to be approximately equianalgesic (sp?) with morphine in terminal cancer cases.
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Magus101
Journeyman
Reged: 06/26/02
Posts: 71
Loc: Bay Area
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In most cases when they compare Oxy and Morphine, the oxy is given orally while the morphine is given as an injection. This is because morphine has a tough time metabolizing when taken orally (it actually gets seriously broken down in the liver). So in those studies Morphine is stronger (when INJECTED) verses oral oxy. Furthermore, Oxycodone has an extremely high bioactivity rating (I believe somewhere around ~60%) and as such is generally given orally.
Most of this information can be found at www.opioids.com
Edited by Magus101 (09/27/03 11:32 PM)
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