Anyone else take Oxycontin extended periods?

Krazefinn

Senior member
Feb 1, 2006
610
0
0
Needless to say, I've been prescribed a truckload of oxy for severely herniated L4-L5-S1 lumbar discs. I had been on 360mg daily (3-40mg TID) for 4 or 5 yrs. plus IR oxycodone prn breakthrough. Thats the equivalent of 72 percocets daily....Recently (3mos ago) had spinal fusion after exhausting all conservative modalities of treatment.

I've been very cautious with it, have never felt any euphoria or other psychosomatic effects, and as matter of fact have taken myself off it (gradually) 3 times for up to 3 weeks duration ( opiate analogue analgaesics works better with drug holidays).

The spinal surgery/fusion (2nd round) with hardware went well, and the intense radiculopathy/neurogenic pain is gone and only dull throb at surgical site remains. I've titrated myself down to 40 mg a day, but it is becoming a real ordeal. It seems I've been on so much for so long, my body craves it and seems to "manufacyure more pain" when I stop using, although please note that I've not noted any CNS effects whatsoever. During the first 2 weanings from it spent a couple of days in intense misery, pain, stomach cramps, diarrhea, sweatin/chills and general detox-type symtoms. Pity the junkies strung out on the street...certainly gives perspective to the many subsequent drug-seeking crimes committed by addicts.

Wondering if anypne else here has persoanal experience with long term administration and subsequent cessation?

I know I can whip it, having had several substance abuse issues personally (quit ETOH 20 yrs ago, all the "college drugs" of youth, chronic cannabis smoker for many yrs, been clean > 15 yrs) as well as working in a psych/detox facility in health professional capacity. So I know what to expect, am under my primary physicians care, guess I'm just seeking some personal anecdotes if anyone else has successfully stopped appropriate use of large amount Schedule II narcotics.

This is not intended to be a parody, hope you are respectful enough not to make it so, and don't ask, I dont share the script, I dont want to be on any of it anymore, and I really hope we can keep this thread appropriate. However, I have also spent agonizing nights writhing in pain, unable to sleep at all for weeks despite temazepam AND ambien. Will I have to take a small dose forever? Surgeon seems to feel thats the case...general/primary does not.

thanx for your consideration...BTW it was an attack by a psychotic pt that caused injury,....I was lucky as unfortunately another nurse was killed. Thanx for your respectful input to thread.
 

BigJ

Lifer
Nov 18, 2001
21,335
1
81
Good luck man. Those pain meds can be really addicting, which your case has shown.
 

FoBoT

No Lifer
Apr 30, 2001
63,089
12
76
fobot.com
w0w, i can just give you support to do your best. i have no experience with anything like that

news stories talk about how addicting it is, you confirming it makes it real

good luck! :sun:
 

Krazefinn

Senior member
Feb 1, 2006
610
0
0
But what are you gonna do? Not sleeping doesnt work for too many weeks, and neither does the constant radicular pain (imagine a toothache radiating from your back to your feet and toes, among other immediate problems)

In the end , I know I'll whip it, curious if everyone WHO USES IT APPROPRIATELY has fared. I know how it ends for the abusers (they end up on my unit as the best outcome, or much worse).

Hey, and thanx for the kind words...I've been lurking here for years, joined in 2000 and for some reason gravitated to 3 other sites only popping in anonymously every few months.
 

Heisenberg

Lifer
Dec 21, 2001
10,621
1
0
Yikes. Good luck with getting back to normal. The only experience I've had with it was taking it for a day or two when I had a tooth out.
 

yobarman

Lifer
Jan 11, 2001
11,642
1
0
Cut back on the oxy's and start smoking weed again.

THat's my non professional advice lol, good luck though!
 

Krazefinn

Senior member
Feb 1, 2006
610
0
0
Tell ya what, PROTECT YOUR BACK. taint nuttin' worse...even a simple bending over and twisting to grab pencil off the floor can herniate disc...GET ON THE FLOOR, bend at knees. people dont realize hiow fragile the spine is, esp at lumbar and lower region. And years of no feelings in areas of legs, no reflexes, and atropied muscles in calf...couldnt cross the street fast enough for the walklight sometimes. And worked all through it. Obviously I was in denial for a time...

certainly have thought about the above suggestion, but given we work with even heavier IV opiates, have to do quarterly urine...so not a valid option, although during critical early detox pahse, it just might work.
 

tweakmm

Lifer
May 28, 2001
18,436
4
0
Holy crap. 360mg of oxycodone is enough dope to take down a horse.:Q

It sounds like you have a serious pain issue, possible enough to warrant being on pain meds for the rest of your life, as an uneasy of a thought as that may sound. How old are you?

I've heard good things about buprenorphine in helping someone with an opiate dependancy. It's a partial anagesic so it'll help with your pain too.
Buprenorphine information.
 

Krazefinn

Senior member
Feb 1, 2006
610
0
0
Epidemiologically the average american male has serious back issue by age 37. I was 39 when injured, went untreated first six months in utter abject agony (tough he men dont cry etc). first surgery at 40 decompredssed the nerve, and was a great improvement. However once a disc compromised, it all downhill. By 42 I was on the oxy, am now 48. I should have had the fusion years ago, BUT the technology was much more risky even 10 yrs ago. And I was too much an idiot...couldnt happen to me etc. After yrs of motox racing, jetskis, hangliding, parachuting, (in navy then) and many other crazy stuff where I never ever even remotely got hurt, it takes a blooddy incident at work.

The other downside is havuing to deal with w/comp. That itself makes you criminal.

Tweakumm, thanx for link, have investigated this, and don't yet know if its indicated for my situation. But I'll tell ya what, having the jones 3 weeks off, that some crazy shat there.
 

Krazefinn

Senior member
Feb 1, 2006
610
0
0
Originally posted by: GuitarDaddy
Rush Limbaugh feels your pain

HAha...I've NOT dr shopped or used multiple pharmacies. i know too well where that leads...and I aint goin' down that road,but thanx!

Thanx all for supportive posts, any more users?
 

GuitarDaddy

Lifer
Nov 9, 2004
11,465
1
0
Seriously, I hope you find some relief. My wife suffers from MS and also deals with constant pain and the associated meds, no fun at all
 

skyking

Lifer
Nov 21, 2001
22,220
5,079
146
my wife was on that for some injuries too. I will show her the thread and ask her for input.
 

Krazefinn

Senior member
Feb 1, 2006
610
0
0
Gd, hope your wife's ms is under control. There's quite alot of stuff going on with those progressive neurologic conditions.

Thanx skyking, input is appreciated.

edit: Joe, your friend is treading a weary path my friend...
 

Smackem

Senior member
May 23, 2005
357
0
0
getting on bupe would be a good idea. it sounds like the WDs are a bit much for ya. Think about it man, you had a HUGE smack habit for a long time. Your body produces more opiate receptors to deal with all the extra opiates. So in the end, you are off the junk, and you have all these extra opiate receptors that even your natural opiate production at 100% production can't fill up. Get on a partial agonist like bupe, esp if you are still in pain!
 

Krazefinn

Senior member
Feb 1, 2006
610
0
0
Given the prevalence of back and other chronic pain conditions, as well as the predilection of many MD"s to write for oxy, I sure expected to hear from a myriad of ex-oxy users. And smackem, that synopsizes my personal beliefs as well, given its pharmacology. I am near-functional at 80 mg (40 bid presently, last 2 weeks) but hasnt been easy or in any way controlled existing pain. Even 80 bid (total 160qd) although a sight better than 360, is still more than I would ideally wish to be on.

Getting on to a agonist can itself toss a person into immediate DT's...so whatever I do will certainly be done under supervision of my surgeon.

Thanx all, lets hear from some users now...
 

skyking

Lifer
Nov 21, 2001
22,220
5,079
146
My wife suggested accupuncture and hypnotism to help wean yourself off of the Oxy. Have you tried these or other alternative treatments?
 

Krazefinn

Senior member
Feb 1, 2006
610
0
0
Int the short term was able to simply titrate down, then using 5mg IR, going to zero. For 3 weeks last time, month ago. Seeing primary nextweek..will discuss other alternatives. Had another neurosurgeon want me inhouse for methadone program. Wasnt too keen on that. Another option is that Tampa bAY doctor who sedates you for a week...but would prefer home...(wife medical professional as well).

Whatever it takes, I'm going to try evrything within reason necessary for several month trila off Oxy...
 

SampSon

Diamond Member
Jan 3, 2006
7,160
1
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I'm surprised you havn't felt any euphoric effects with so much oxycodone. The extended relief does control that, but the IR should definitely make a slight change of mind for you.

My step father is currently rehabilitating from a severly herniated disc in his back. It was pushing into his spinal column and causing great amounts of pain. He has underwent surgery to shave off part of the bone that was digging into his spinal column and has had great results so far. He claims that about 80-90% of the pain is gone, though some is still there. He is still currently on doses of 40mg ER oxycodone(contin) for when the pain does return to a point he cannot handle.

I am personally on a script of 10/500 hydrocodone for lower back pain that has been nagging me for some time. I am currently working with a doctor to see what the true problem is an if it can be corrected. I have also abused medical opiates in my time. I have only felt some withdrawl symptoms a few times. I will continue to take these drugs as long as I need to get rid of my pain.

I think you really need to get over the fact that you need drugs in order to live a comfortable life. One of the biggest fallacies with pain management is that you should get off of the drugs as soon as possible. In my experience with my family and friends there is pain that will NEVER go away, no matter what you do. There should be no shame in taking these wonderful drugs available to us to make your life liveable as normal. There is a huge stigma around using these drugs for extensive periods of time, that stigma is directly linked to american societies obsession with "ridding the planet of drugs".

Reality is that you are probably in a situation where your pain will never go away, and you will have to take some sort of painkiller in order to go about your normal life. I'm not sure why you would want to stop taking the drugs that help your pain. Going through the rest of your life with times that you simply cannot stand the pain without wanting to gouge your eyes out seems to be a very miserable life to me. I'm sure by now that you have been working very closely with a experienced pain management doctor. These doctors will suggest that you maintain using the drugs properly in order to control your pain. You don't have to take the full 8 x 40 doses daily as you have, you can easily back off and only take it when necessary. Though if you discontinue your pain management treatment it will be harder to get the drugs you need to deal with your pain.

I feel bad for people like you who are in such pain. My parents best friend is in a similar situation. She had a spinal fusion after all other attempts failed to cure her herniation. She is currently on a regiment of methadone due to her not so pleasant reaction to oxycodone (oxycontin). I am getting treatment early in my life in order to avoid such a situation. Though if it did come down to it, I would use all the drugs available to me in proper fashion in order to make my life liveable.
 

clamum

Lifer
Feb 13, 2003
26,255
403
126
Wow that is a large dose. Sounds like a pretty rough ordeal you've been through.

What tweakmm and Smackem suggested, I would suggest to. Here's another reference for you. Ask your doctor about it and see what he thinks. I'm by no means a doctor but have had experience with Oxy and Buprenorphine and that's my two cents.

Good luck.
 

pg22

Platinum Member
Feb 9, 2000
2,644
0
76
Dude, give me any OC's you don't use or don't want.

Best drug ever!
 
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