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Suggest Dosage For OxyContin

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Posted on Fri, 3 Mar 2017
Question: I have been taking 20mg OxyContin for maybe 8 years twice a day with 1 7.5 hydrocodone at noon this does seem to work. Also I have had 2 knee surgery in the past year were is was taking some oxycodone and more hydrocodone. Now it seems that i'm trying to get back to my old schedule things aren't working out. i'm just not feeling good upset stomach, some withdraws and some headaches.
if I increase the OxyContin to 30mg twice daily do you think that I can get to feeling good again?
doctor
Answered by Dr. Dr. Matt Wachsman (23 minutes later)
Brief Answer:
and yet.....

Detailed Answer:
you will wind up where you are now, but in less time.

Narcotics produce tolerance. You need more to get the same effect.
Narcotics produce dependence and withdrawal. when you do not get them, you feel bad/worse.
Narcotics are associated with addiction. A complex change in thought in which people are focused on obtaining drug, they have cravings and withdrawal, the attentions are focused increasingly on obtaining drug and they progressively do more ridiculous things to get more drug.

These do not seem good to me.
So, ultimately, the answer to "if I increase the OxyContin to 30mg twice daily do you think that I can get to feeling good again?"
would be

"no".





Then the question comes up, what to do instead of increasing dependence on narcotics.
Changing the underlying disorder that causes pain.
Modifying drugs (using non-narcotic pain medication to change pain, the perception of pain or the symptoms from the narcotic withdrawal).
Or modifying relationship to pain.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Matt Wachsman (1 hour later)
The reason that i'm the drugs is that my back is so bad that the doctors will not do anything for me; I was get shots in my back but they stopped working also. Without the drugs I would be sitting in my recliner all day and i'm can't do that. if I didn't have so much pain I wouldn't be taken them because I don't like them.
So your answer doesn't mean much to me in my situation.
doctor
Answered by Dr. Dr. Matt Wachsman (26 hours later)
Brief Answer:
I think I gave all the options

Detailed Answer:
if you have other things that could be done please mention them.

Medications,
physical modalities
surgery.

With narcotics not working as well as previously, this is the definition of TOLERANCE to narcotics. At doses at or above 100 mg a day, withdrawal will happen.


if I increase the OxyContin to 30mg twice daily do you think that I can get to feeling good again? and with additionally. It is very unusual to have "7.5 hydrocodone at noon" it would generally be used about 3 to 6 times a day
that gets to 100 mg a day and that is a problem.
If there is tolerance already, it is MORE likely for withdrawal to occur. This is an unpleasant condition to have and would be more likely at higher doses also tolerance will occur at higher doses and the person would NOT get more pain relief at more narcotics.
So, the answer
as given
remains "no".

Not hearing "no" not wanting to hear reasons to limit narcotics, taking more than the doctor ordered, soliciting opinions only in the direction to justify overuse of narcotics are pretty much the definition of addiction.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Matt Wachsman

Addiction Medicine Specialist

Practicing since :1985

Answered : 4214 Questions

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Suggest Dosage For OxyContin

Brief Answer: and yet..... Detailed Answer: you will wind up where you are now, but in less time. Narcotics produce tolerance. You need more to get the same effect. Narcotics produce dependence and withdrawal. when you do not get them, you feel bad/worse. Narcotics are associated with addiction. A complex change in thought in which people are focused on obtaining drug, they have cravings and withdrawal, the attentions are focused increasingly on obtaining drug and they progressively do more ridiculous things to get more drug. These do not seem good to me. So, ultimately, the answer to "if I increase the OxyContin to 30mg twice daily do you think that I can get to feeling good again?" would be "no". Then the question comes up, what to do instead of increasing dependence on narcotics. Changing the underlying disorder that causes pain. Modifying drugs (using non-narcotic pain medication to change pain, the perception of pain or the symptoms from the narcotic withdrawal). Or modifying relationship to pain.