Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
189 Doctors are Online

Should I discontinue oxycontin and percocet for chronic pain and how to manage my work without medication?

User rating for this question
Very Good
Answered by

Addiction Medicine Specialist
Practicing since : 2002
Answered : 1486 Questions
Hi, I have a confidential question and need help to understand what I am taking; Can you help Are you there?? I have a family and need to take the steps to correct myself. I have several concerns Chronic Pain, Been on Oxycontin 80mg and percocet for brekthrough pain. Now Oxycontin has been removed in Canada and changed to OxyNeo. I need to take care of my family. My doctor after 23 years has decided to quickly cut me off these meds. I can't function at work without them and my family is dependent on my salary. I am a certified accountant. I found a doctor who has given me Ralivia 300mg but they do not seem to be working. is there a big difference as to why they are not working. I am scared for my family. They need my support. Can you help me understand.
Posted Mon, 20 Jan 2014 in Mental Health
Answered by Dr. Preeti Parakh 1 hour later
Brief Answer: Explained below. Detailed Answer: Hi, Welcome to Healthcare Magic! You have been on opioid analgesics for a long time. Oxycontin and OxyNeo contain the same opioid oxycontin. Percocet also contains oxycodone in addition to paracetamol. You are also using fentanyl patches which is another opioid. You have not mentioned why your doctor decided to stop these medicines, but I guess that he either suspected you of abusing these medicines or maybe for some reasons, he had issues in prescribing these medicines which are strictly controlled by the government. Since you have by now become dependent on opioids, it is difficult for you to function without them. Withdrawal from opioids can last for a few weeks and is characterized by pain, insomnia, loose motions, yawning, sneezing, pupillary dilatation, rhinorrhoea, lacrimation etc. In order to counter these, the second doctor prescribed you Ralivia, which is another opioid called tramadol, though weaker than the ones you were taking. It is supposed to ease your withdrawal from the stronger opioids and later you can taper off Ralivia as well, which will be easier to quit than the other opioids. I hope you now understand what is happening. Please feel free to ask if you need any clarifications or have any other queries. Best wishes. Dr Preeti Parakh MD Psychiatry
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics

The user accepted the expert's answer

Ask a Psychiatrist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor