Michaels
Newbie
Reged: 07/31/03
Posts: 28
Loc: East Coast
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Hello Everyone,
I recently found a Doctor that is not afraid to provide me the medical treatment that I need. It took several months to get the appointment due to me being a member of the worlds worst HMO. Anyway, I have been on Percocet for a while and he just changed me to 20mg Oxycontin. The Oxy makes me very nauseous, however it does work well. Does anyone have any suggestions on alternative pain meds or something to take with them that might make me less nauseous, it can't have any APAP or Asprin. I tried taking half of one and it had a similar effect. Its funny that not long ago I couldn't get the pain meds I need and now I have them in abundance. Go figure!
Thanks for any thoughts,
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Michaels
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night_shade
Threadhead
Reged: 08/26/03
Posts: 907
Loc: The State of Hockey
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If it's just the nausea causing you problems, Compazine 25 mgs or Phenergan 25mgs (rectal suppositories work exceptionally well--especially if the OC makes you REALLY sick to your stomach) are great for nausea.
They also come in tablet form and are relatively inexpensive. A phone call to the doc and he should be able just to call some in to your local pharmacy.
Another alternative is Vistaril (hydroxyzine) which is available OTC in Dimetapp.
The only other suggestion I would have is to perhaps try the instant release larger doses of oxycodone (available without APAP)...especially if Percocet worked well for your pain.
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Never underestimate the predictability of stupidity.
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NJ_Hoss
Enthusiast
Reged: 10/29/03
Posts: 263
Loc: USA
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A simple and often very effective means of reducing nausea is to avoid taking medication with an empty stomach. I've always favored alternatives that avoid using one drug solely to treat the side-effects of another as the secondary drug can have interactions and side-effect risks of its own, which may include, but is not limited to, increased drowsiness in addition to Oxycodone's sedative effect.
Also, if I read your post correctly, you broke a 20mg OxyContin tablet in half. This is a definite no-no. It can compromise the time release mechanism, by which the tablet provides a sustained measured dose, of which both the tablet coating and contents are integral components.
Doing so may have released more Oxycodone into your system faster; and despite having consumed half the tablet, it may not have reduced the nausea you feel. Individuals with low opioid tolerance have received dangerous, sometimes lethal, doses upon compromising higher dose tablets. A safer alternative may be to ask your doctor to prescribe more frequent doses of the 10mg tablets. OxyContin is typically prescribed for relatively longer-term use, and most find that the nausea eases over time.
Although countless individuals have discussed the ramifications of circumventing OxyContins time-release mechanisms in just as many places, I encourage those who feel so compelled to share that information privately.
I hope this helps!
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PrivateRealm
Threadhead
Reged: 03/18/03
Posts: 879
Loc: usa
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If the Oxy is working well for the pain, then I suggest, as others have, Phenegran, though this may make you sleepy. Even Benedryl helps with Nausea, as it is the antihystamine that helps. I would give this a try first. Congrats on finding such a god doc.
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KeriAnne~~~
"Life is not measured by the number of breaths we take - but by the moments that take our breath away."
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Irishlas
Newbie
Reged: 09/09/03
Posts: 42
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Wow. you know your stuff. Are you a Dr or Pharmacist? Anyway, you said never break an Oxy in half and I have never had Oxycontin, but I take hydro/apap prn and wondered if it was safe to break those in half or not? I get the 10/500 strength but sometimes just want less, so I break it in half and I haven't had any adverse effects from doing that so far......thanks
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night_shade
Threadhead
Reged: 08/26/03
Posts: 907
Loc: The State of Hockey
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Oxycontin is a time-released formulary of oxycodone--hence the advisory to avoid using broken or compromised tablets.
Hydrocodone tablets are immediate release and have no adverse effect if broken in half, or otherwise altered. Rest assured it is safe to take broken hydrocodone tablets.
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Never underestimate the predictability of stupidity.
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Magus101
Journeyman
Reged: 06/26/02
Posts: 71
Loc: Bay Area
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Quote:
I take hydro/apap prn and wondered if it was safe to break those in half or not?
Generally speaking, if the pill has a wedged line (where it is supposed to be cut), than it is OK to cut or break them in half. Notice that OC's obviously don't have one of these 'wedges' so..... don't cut it!
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Pocahontas
Enthusiast
Reged: 01/28/03
Posts: 214
Loc: North
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Quote:
Another alternative is Vistaril (hydroxyzine) which is available OTC in Dimetapp.
I have not been able to find hydroxyzine in any forms of Dimetapp....Am I looking in the wrong place??
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~Princess Pocahontas
Aim for the moon, for if you miss you will always land amongst the stars ...
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scripts4me
Stranger
Reged: 11/01/04
Posts: 24
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I just received my order today of oxy 80"s,all name brand and accounted for,this is my first order with this person and i will definetily order again,you can order at .
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toe
Pooh-Bah
Reged: 10/09/02
Posts: 1422
Loc: MidWest USA
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Quote:
Quote:
Another alternative is Vistaril (hydroxyzine) which is available OTC in Dimetapp.
I have not been able to find hydroxyzine in any forms of Dimetapp....Am I looking in the wrong place??
Yes- hydroxyzine is an rX med only.
Oxycontin comes in 10mg tabs, if the 20mgs are too strong and make you nauseated. Why not try those?
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"It's the end of the World as We Know it. . ."
-REM "and I'm seeking asylum in Canada"-toe
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MetsFan
Member
Reged: 09/21/03
Posts: 152
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Please be careful. Cutting an oxycontin up messes with the built in oxycodone release mechanism. You can OD on it. The way you felt may have been caused by the excess oxycodone. You are using an effective but possibly dangerous medication. I agree, try using it on an empty stomach.
MetsFan.
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MetsFan
Member
Reged: 09/21/03
Posts: 152
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Yes. Rest assured. If his tolerance is too low, the rest will be a long one..
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toe
Pooh-Bah
Reged: 10/09/02
Posts: 1422
Loc: MidWest USA
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Why not ask for your dose to be lowered to OC 10mg?
It seems simple enough to me. Maybe 10mg OC TID w/ a seperate script for generic vicoden or percocet (the originals- with the 5mg narcotic dose, up to 3 a day) for break through?
That's essentially the schedule my loud obnoxious roommate in the the hospital last spring was getting (x 2 of each) all the while complaining about "how dare they change my meds, I was on 3 80's a day and that was working just fine". And her husband would drive up from the the river almost everyday and spend the day bitching about how he was "GONNA SUE THIS PLACE, WHAT THE HeLL ARE THEY DOIN' TO YOU, CHANGING YOUR MEDS AND THEY KEEP CHANGING YOUR DISCHARGE DATE AND I HAVE TO SPEND 28 BUCKS EVRY TIME I COME UP HERE TO VISIT, WE'RE GONNA SUE"
It's was really encouraging to me, on the other side of the curtain, recovering from acute, but total, kidney failure, and facing the possibility that I might never be able to use my left foot again--that I might, in fact, have to agree to leave my foot at the hospital before I could leave.
Whoops, back from tangent. Be on the lowest dose dose you can be. During those times, I so wished that they would have put me back on at least a low dose of some XR opiates so I didn't have to deal with the pain and waiting, but surprising few doctors seem to understand that pain meds need to be layered. . .
Micheals I behoove you to ask your doc about the 10mg oxycontin. . .I'm almost certain it still exists. If you really honestly cannot take APAP or NSAIDS your quality of life is going to be greatly diminished and you definitely need to to look into alternative pain management practices, like Mind-Body techniques (everyone should check out Newsweek 9/27/04 at your local library). Because od kidney damage from extensive opiate use, I can't really use any of the NSAIDS. . .but at least I have tylenol.
Anyway. Yeah. . .10mg OC with 5mg OxyIR (no APAP, no ASA), low-dose dilaudid, or 50mg demerol tablets (not a long term solution, as it's toxic), or maybe a compounded low APAP hydrocodone pill. You've got options.
Don't write off every single OTC painkiller for the rest of your life, though. I know, for instance, that when I reach a certain age, I'm going to need to start taking 85mg of aspirin per day. Even more so now that I'm crippled and can't follow many of the guidelines set out for a healthy heart lifestyle.
Micheals, you are lucky to have this doctor. S/he sounds like someone who will take your concerns into consideration and maybe even appreciate the fact that you take an active role in researching different treatment plans, rather than stamping you as a "drugseeker." Take that and run with it! ;D
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"It's the end of the World as We Know it. . ."
-REM "and I'm seeking asylum in Canada"-toe
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tone
Veteran
Reged: 06/29/03
Posts: 521
Loc: Chicago
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if your lucky enough to be one of those people with a lot of CYP2D6 Enzyme , then tramadol will feel like a moderate strenth "time released"/longer acting opioid that kills pain very well. otherwise it feels like a dirty acid trip.
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IMSUSCOT1
Threadhead
Reged: 10/23/02
Posts: 869
Loc: usa
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Looks like you've gotten plenty of good advice here...I'm now on OC 80 mg twice a day but I remember when I first went on it how nauseaus it made me! Asking for 10 mg's w/dosing three times a day with compazine or phenergan rectally (minimall dose 25 mg's...10 mgs is worthless!!) should help....take the phenergan or compazaine about 1/2 hour BEFORE you first dose the oxy....eat at least a light breakfast THEN take the oxy...also you will get over the nausea once your tolerance starts to kickin....trust me on this... I now take 80 mg's twice a day & rarely suffer nausea...I also take break thru meds so you WILL develop a tolerance that will decrease the nausea and it usually kicks in within the first two weeks of regular dosing....this too shall pass I promise. Congrats on finding a doc that is willing to prescribe a med that actually works on pain!
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Nasty
Stranger
Reged: 03/15/04
Posts: 13
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Hey IMSUSCOT1...
That's what I was going to say... if it's working for you, try some of the other suggestions to get through the adjustment period and then it shouldn't bother you so much. After my ankle surgery, and I first started taking Percocets, they made me pretty nauseated, but after being on them a few days... no problem. 
Hang in there!
Laura
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lindasroom
Stranger
Reged: 04/06/04
Posts: 21
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Is the place you mentioned a pharmacy?
Is there an actual website I can visit? I am looking for OC. Thanks!
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xanadutn
Stranger
Reged: 11/15/04
Posts: 15
Loc: Music City USA
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i have a whole 2 months worth of vistaril right here...i don't take em.....pm me
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zolstone64
Newbie
Reged: 11/27/04
Posts: 29
Loc: wisconsin
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Share the wealth, I am so sick of Hyd, and enough tylenol to wreck a horse, but mt DOc won't go past 5/500, I can get 15/100 on internet, but I really could use the oxy's or something. ANty ideas or suggestions? I pay top dollar!
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zolstone64
Newbie
Reged: 11/27/04
Posts: 29
Loc: wisconsin
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Has any one ordered from "[email protected]". He wrote me back today with prices, very expensive and being overseas, I question quality and honesty, are the "wafers", and good? I wanted to order OXY, but I think just for the 20's for 10 of them it was $300?
I take about 300mg of hydrocodone daily, so I am not sure how long 10 of these would last? Comparison hydro 1mg= ? oxy? Any help?
Thanks
Paul
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hoogguns
Stranger
Reged: 04/19/03
Posts: 1
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deleted
Edited by hoogguns (12/07/04 11:20 PM)
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Jaketoo
Journeyman
Reged: 10/13/03
Posts: 80
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ADMIN - please get this new user suspended/
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zolstone64
Newbie
Reged: 11/27/04
Posts: 29
Loc: wisconsin
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You got to be kidding, your price is way too extreme,
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