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What to switch to due to oxycodone shortage.
The patient has been taking oxycodone and hydromorphone due to chronic pain from statis ulcers and diabetic neurophothy. Extremely poor circulation surgery didnt work. Now with this shortage his doctor has to switch his oxycodone. what would help as well as the oxy with out major side effects. he has been through several pain meds over the last 15 years with this problem
MEDICAL PROFESSIONAL
There currently is a national shortage of oxycodone. I don't know the reasons for it; some people may remember the lawsuit a year ago that resulted in the banning of generic oxycodone ER, and perhaps the brand manufacturer underestimated demand.
At any rate, it has been a problem in many parts of the country. With a nod toward the concerns listed in the earlier posts, the closest thing to oxycodone available is oxymorphone, which is sold as Opana and Opana ER. It is exactly twice the potency of oxycodone; I actually prefer it for treatment of pain in the cases that an opiate is required because the ER formulation, at least in my experience, seems to be a 'true 12 hour med' whereas patients sometimes come up short on oxycontin when it is dosed twice per day.
At any rate, it has been a problem in many parts of the country. With a nod toward the concerns listed in the earlier posts, the closest thing to oxycodone available is oxymorphone, which is sold as Opana and Opana ER. It is exactly twice the potency of oxycodone; I actually prefer it for treatment of pain in the cases that an opiate is required because the ER formulation, at least in my experience, seems to be a 'true 12 hour med' whereas patients sometimes come up short on oxycontin when it is dosed twice per day.
All good stuff to know. I had no idea there was an actual shortage or that Opana was stronger than oxycodone. I'm glad I know that now because I'm getting pretty sick of taking oxycontin for three years and finally reaching a piont where it's not sufficiant enough and where 4 hours after I take it I'm relying on percocet and by 8 or 9 hours I'm in the fetal position crying.
And raising the dose of oxycintin for some reason makes me feel ohysically sick...maybe if the new pain doctor decided I'm an appropriate patient, they'll let me give it a try. But something has to change because I can't live like this anymore. Physically and psychologically, the pain is having a really devestating effect on me and I'm getting close to wanting to throw in the towel. Hard to stay positive after days and days of pain with little to no relief.
But boy am I glad my pharmacy had oxycodone the other day or I'd be in some trouble!
And raising the dose of oxycintin for some reason makes me feel ohysically sick...maybe if the new pain doctor decided I'm an appropriate patient, they'll let me give it a try. But something has to change because I can't live like this anymore. Physically and psychologically, the pain is having a really devestating effect on me and I'm getting close to wanting to throw in the towel. Hard to stay positive after days and days of pain with little to no relief.
But boy am I glad my pharmacy had oxycodone the other day or I'd be in some trouble!
Oh thanks for the updated info!! I had no idea.
Hi Amph,
Heather here from the MS Forum. I heard on Fox News and read on Yahoo News, that Cymbalta was no longer considered helpful in the use of neuropathic pain. The news story said the FDA has made them exclude that claim in their advertising on TV.
Just thought I would throw that in, since I just heard about it myself.
See ya on the Forum,
Big Hugs,
Heather
Heather here from the MS Forum. I heard on Fox News and read on Yahoo News, that Cymbalta was no longer considered helpful in the use of neuropathic pain. The news story said the FDA has made them exclude that claim in their advertising on TV.
Just thought I would throw that in, since I just heard about it myself.
See ya on the Forum,
Big Hugs,
Heather
I'm not the expert, but I'd have to say that the meds the person was taking and including the fact that they have been through several over the last 15, there aren't many that are so different or stronger than oxycodone and hydromorphone.
I'm wondering why the percocet and dilaudid together unless I'm misunderstanding. They're both short acting medications.
When you say oxycodone do you maybe mean oxycontin as oxycontin is chemically oxycodone in a longer acting form(12 hours). I only ask because I find it strange for someone to prescribe both percocoet and dilaudid(oxycodone and hydromorphone) together unless they were being rotated out every few weeks so they wouldn't lose effectiveness. But even then.
I think the doctor of the patient would know best or getting the patient into a pain management doctor if not already. Pain management doctors specialiaze in pain and alternatives that help pain that many M.D's aren't nessesarily aware of.
Does the doctor give the patient the actual oxycodone him/herself as pharmacies can order any medications a patient's doc prescribes and if one pharmacy doesn't have it in stock another surely does.
I don't think your question is realy an answerable one as those two mesa are both very strong narcotic pain pills and as all narcotic nedications work differently in each body and some people react one way to a pain med and another person may react negativly, they're is really no way to tell what kind of medication would be best without someones medical history.
The actual expert here may say differently. But there are so many different types of pain meds, marcotic and non-narcotic that have shown to be beneficial it's near impossible to tell someone over the internet that will be successful.
Has the patient ever tried Cymbalta? It's an AD that has shown to help improve neuropathic pain.
Just a thought.
Wish I could give you a better answer. Maybe the expert can. But the patients doctor should know bettter what to do with a full history. And also as I mentioned if teh patient isn't in a pain management setting that may be helpful where the doctor specializes in pain and has other alternatives like bio-feedback, accupuncture, meds and other procedures to work with.
Hope you find the help you need,
Amph
I'm wondering why the percocet and dilaudid together unless I'm misunderstanding. They're both short acting medications.
When you say oxycodone do you maybe mean oxycontin as oxycontin is chemically oxycodone in a longer acting form(12 hours). I only ask because I find it strange for someone to prescribe both percocoet and dilaudid(oxycodone and hydromorphone) together unless they were being rotated out every few weeks so they wouldn't lose effectiveness. But even then.
I think the doctor of the patient would know best or getting the patient into a pain management doctor if not already. Pain management doctors specialiaze in pain and alternatives that help pain that many M.D's aren't nessesarily aware of.
Does the doctor give the patient the actual oxycodone him/herself as pharmacies can order any medications a patient's doc prescribes and if one pharmacy doesn't have it in stock another surely does.
I don't think your question is realy an answerable one as those two mesa are both very strong narcotic pain pills and as all narcotic nedications work differently in each body and some people react one way to a pain med and another person may react negativly, they're is really no way to tell what kind of medication would be best without someones medical history.
The actual expert here may say differently. But there are so many different types of pain meds, marcotic and non-narcotic that have shown to be beneficial it's near impossible to tell someone over the internet that will be successful.
Has the patient ever tried Cymbalta? It's an AD that has shown to help improve neuropathic pain.
Just a thought.
Wish I could give you a better answer. Maybe the expert can. But the patients doctor should know bettter what to do with a full history. And also as I mentioned if teh patient isn't in a pain management setting that may be helpful where the doctor specializes in pain and has other alternatives like bio-feedback, accupuncture, meds and other procedures to work with.
Hope you find the help you need,
Amph
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