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Re: Oxycodone off formulary! FEAR! Oxycontin equiv.?

Posted by Fivefires on January 15, 2009, at 18:09:21

In reply to Re: Oxycodone off formulary! FEAR! Oxycontin equiv.? » Fivefires, posted by Larry Hoover on January 14, 2009, at 22:38:29

> Based on the acetominophen dosing, I'm going to guess you were taking 8 Percocets a day, 2 every 6 hours?
>

It was one 10/650 4x a day.

> That amount of acetominophen is not doing your liver any favour, so it's probably a good thing you're stopping that.
>

I think that's the same thing my PCP was thinking, and I too, but worried a bit how my body might react.

>If you do notice a difference in your pain, you can always take some generic acetominophen.>

I have been. I woke up 'in pain'; feeling awful actually, and have been taking Excedrin alongside it for a while. Haven't had this pain for a long time; waking pain. I remember the years and years of this sour look on my face and pouting lips and squinching eyeballs. Usually I'd call this break-through, but this I'd call aggravated pain!

>
I doubt there are any cheaper drugs out there.
>

If so, maybe he can get a prior auth. I don't understand either. What will they give patients after some surgeries?

> Anyway, it sounds like you were give 2 x 20 mg Oxycontin to replace the Percocet.>

Two a day. There is nothing on the bottle about 20mg acetaminophen.

>I can't imagine why your insurance wouldn't cover Percocet.>

I couldn't either!

>It's not at all expensive as a generic.

And too, I didn't feel this funky low depressive feeling with it. W/ oxycodone I'd always felt a bit of an 'it's okay' feelin', which was something I think 'understood' betw PCP and I, but not discussed.

My LFTs had always been okay.

> Anyway....I had a problem with Oxycontin not lasting as long as they said it would. It's supposed to last 12 hours, but I never got more than 7 or 8.>
>

I already told my doc this will be just like every other XR or SR out there. I metabolize too fast. I have to take Effexor-XR morning and midday.

>I hope you have better results than I had.
>

Think I'm having pretty much the same results. Were you feelin' kinda' low in mood as well? This is a WAY NOT GOOD LOW THAT CAUSES BAD THINKIN' for me.

Let me check bottle re: 20 (acetaminophen right?) ... okay it just says oxycontin 20 mg and on the side (I tripped and hurt my knee .. dangitall!) it says, now I lost it, my room is a mess, so very unfamiliar and uncomfortable for me .. okay .. I went to get the bottle and grabbed cell as had 2min to call doc. Left message awoke with pain and still have it w/ a front office person. Round, pink, Side 1: 0C Side 2: 20. Is that 20mg acetaminophen? It doesn't say anything. If is, that's a huge drop in it.

I called insurance and asked what they covered and they said the following per my scribbling:

oxycontin 80mg
(Now, the following one, I'm not sure if was per my insurance or if I wrote it after called my doc', but it's 20XR x4, ...... not x2! o_o
Then...
oxycodone HCI 10mg 12hr (I don't understand.)
no Roxicet
Vicodin HP 600mg/10
Vicodin ES 750-75
Lortab 500/5
Darvocet A500-100
" N100-650
N50 ? 325-50

Then called and read them off to the pharmacist whom has seemed most knowledgeable at my pharmacy and asked him which is most compatible with oxycodone 10/650 4x a day, and I'm thinking it's the 20XR x4 I've written here below 80mg.

> Lar

Could you tell me what you think further pls? It's been a long time since I've seen you here. I've not been well all of 2008, oh, and, got turned down for 2-3 days a week come into home, re: meds, see that I eat, etc. It's not a conscious effort tomake myself ill. It's just doing as I feel and I've been awaiting this year. Really. Something good is supposed to come this year. Idk.

Tks all. Hope this makes sense.

5f


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poster:Fivefires thread:874056
URL: http://www.dr-bob.org/babble/20090104/msgs/874187.html