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oxy / hydro withdrawal after two months

by dad's story, Jul 27, 2001 12:00AM
Hello Everyone:

My father is nearing 78 and had knee replacement suregery three months ago. Prior to the surgery, he was taking hydrocodone for about a year...four or five a week at start and as many as four or five a day right before his surgery to relieve knee pain. Post operative, they placed him on 20mg oxycontin twice daily (w/ Darvon for breakthrough pain).



Sixteen days post operative he began to feel sick...

nausea, trembling, depression, palpitations of heart, sleeplessness. He was miserable but still took his meds as directed. On learning of his sickness, his General told him to discontinue oxy (cold) and use the Darvon for pain. He remained sick and, because his knee was still in pain, his general kept switching pain meds to try and find one that would ease knee pain but wouldn't make him sick. Finally, seven weeks after surgery, my dad decided to stop taking everything and see if his sickness would get better.



Six weeks after that, my dad is constantly ill...nausea, trembling, heart racing, and sleeplessness. He hasn't had a pain med in six weeks! Everyone he sees tells him (obviously) that it couldn't be withdrawal cause everything's been out of his system so long. But why is he sick with symptoms that so closely resemble withdrawal?



At this point, we're thinking all the drugs combined with his age, etc, have blown some sort of fuse in his neurological system. Is this possible?



Has anyone heard of a situation like this before? We're looking for some clues to get him out of his misery...he's at his wit's end.



Sorry for the long post! Thanks!



13th June off everything because he was



get off all the drugs.

Six weeks of the same symptons
Member Comments (68)

by J.B. to Brian and Vicky, Jul 27, 2001 12:00AM
To: Dads
I've had similar problems days after going off of pain meds(usually oxycodone). Suddenly, I'll go into severe trembling, nausea, headache and racing pulse.  It's scary, especially after being clean for ten or more days. I'd like to know why this happens, too.  Dr. Steve seems to think it's anxiety related.  All I know is that the only way I can get it to stop is by taking a dose of oxycodone or hydrocodone. Doing this is better than having a heart attack or stroke.  Hopefully, someone here can educate us on this phenomenon. J.B.

by CannabisDave, Jul 27, 2001 12:00AM
Besides "acute withdrawal syndrome" there is "post acute withdrawal" or "abstinance syndrome", which can last for a LONG time. Usually it goes away within a month or two, but it can last up to a year or more, especially if you've had the metabolic disorder of opioid addiction (or "dependence" if you prefer). Generally it lasts longer the longer you've been "dependant" on opioid pain meds, and depending on which med you're using - methadone is longer acting, so it has a longer abstinance syndrome. I have a lot of sympathy for anyone suffering in that way, because it's the most hideous kind of misery imaginable. I've been an addict most of my life and have suffered from withdrawal syndrome many times. I was doing well on methadone for many years, but my doctor recently switched me to oxycontin after he was threatened for prescribing methadone since he isn't a pain specialist. After only a few days on oxycontin I'm already feeling horrible, so I'm getting back on methadone ASAP even if I have to go to a methadone clinic again (I'm hoping the pain treatment clinic will prescribe it for me). Everybody is different, and it could be that your father is very sensitive to opioids, and that even a relatively short-term use of opioids has triggered the metabolic disorder of addiction in him. Methadone would make him well again if there is a way for him to get it. I know this is a forum for pain patients, but addiction is so closely related that I think it's very illogical to seperate it from pain treatment. Addiction is a metabolic disorder, and society should stop looking at it as a character flaw which requires addicts be treated like they are "junkies" who can't EVER be trusted. Methadone is a wonderful drug, but they make it so darn hard to get. Methadone is very inexpensive and oxycontin is VERY expensive, and I believe that has a lot to do with why oxycontin is so easily available while methadone is the hardest drug of all to get. I'm furious that my doctor had to switch me from methdone to oxycontin, because now I'm becoming very ill. In my opinion, oxycontin is NOT a good chronic pain medication for most people - methadone is the opioid that should be used for treating long-term chronic pain patients. I'm not a doctor, but I have a lifetime of experience (I'm 45) and have become very knowledgable. I know that oxycontin is working well for some people, and those people should be able to continue using it if it works for them, but most people are better off on methadone. I hope that this whole oxycontin disaster will cause the "authorities" to realise methadone needs to be made available from regular doctors for treating pain and addiction. I wish your father luck, and my advice is to get him on methadone.

by Thomas, Jul 27, 2001 12:00AM
To: Dads
Cannibis Dave seems to know more about withdrawal syndromes than I do, but in my thirty years of hydrocodone experience, withdrawal ALWAYS set in at the latest the day after running out. Most opioids, except for the time-release stuff and exceptionally long-half life drugs like methadone, are metabolized and out of your system in four or five hours. It's not that I'm surprized at your dad having some kind of delayed abstinence syndrome, I'm just surprised and skeptical about him not suffering narcotic withdrawal directly after he stopped. I have never heard of that one! I hope your dad feels better soon. Wish I had the answer for him.

by tylerdurden, Jul 28, 2001 12:00AM
I know this is probably an unpopular comment but I don't see the point in suing Purdue Pharma for making oxycontin. We can't blame a pharmaceutical company for our addiction.  Pain medication has had a profound impact on the medical community.  People with chronic pain can now live a more productive life with oxycontin.  Purdue Pharma gives seminars on drug addiction and proper prescribing procedures.  There is a definate need for oxycontin in this world.  Why blame Purdu Pharma?  The doctors are the one's who monitor and prescribe the medication.  Why don't we go after the doctors who prescribe Oxy like crazy.  They are the dangerous ones.  I'm not going to blame anyone but myself for my addiction.  No one forced the pills into my mouth.  If we start suing pharmaceutical companys for making addictive medication then we should start suing Mcdonald's for making fattening foods.  Eating fatty foods can lead to a heartattach, diabetes, obesity, etc.  If someone has a heart attach should they sue restraunts they they were visiting that lead them to their poor health.  NO!  Take responsibility.  Oxy is a controlled II substance.  There is strict monitoring that goes along with getting these pills.  From what a doctor told me, if you go doctor shopping to get scripts you will eventually get caught.  Either by the doctors, the pharmasist, or the insurance company.  I'm sure handfulls of people have horror stories about getting caught at the pharmacy for getting several different scripts filled.  My dad is a doctor and one day he got a call from the pharmacist telling him that this was the third time this patient has been in filling a narcotic prescription from three different doctors.  My dad told the pharmacist to void the prescription and he told the pharmacist to tell the patient he could come back and see him to talk about it.  My dad interested in helping this man...but of course he never saw him again.  Drug-seekers are smart, no doubt about it, I knew to go to different pharmacies.  I know some supermarkets systems are hooked up so you can go to different locations.  I know epic and neighborcare computers are not hooked up so there is no way for them to tell if you went to the pharmacy down the street.  I know not to go to CVS or RiteAid because they can what other CVS or RiteAids you have been to.  



I am an addict.  I hold no one responsible for it but myself.  I don't blame my parents for giving me the genes for addiction (even though they are not addicts but there is a history of addiction further down my family).  I don't blame my work for stressing me out and then me wanting to take the percocets.  If we stop pointing fingers we can accept the disease and treat it.  I talked to doctors that are afraid to prescribe narcotics because they are aftaid of getting in trouble by the DEA. Patients have been kown to sue doctors because they got addicted to pain medicine.  This is where it gets tricky, if a doctor does not prescribe adequate enough pain medicine to someone who legitametly needs the pills they risk being sued for not caring for the patient.  There has been numerous studies that report that patients who are in extreme pain and require narcotics don't end up getting hooked when they are feeling better.



Well I hope I put a different view on the topic.  



Tyler

by Witchywoman, Jul 28, 2001 12:00AM
To: Tyler
Thank you Tyler, I really agree with your perspective on this. I tried to say what you said, but you said it so eloquently!



I am both a chronic pain patient, and an addict.  I am working my butt off trying to find how to be in recovery, ie, how to take the meds that I need to treat my pain without abusing the meds to get high. It is very, very hard!  But, regardless, I am grateful that the meds for pain exist, and I don't blame anyone but myself for how I handled the meds.



The last thing that I'd want to see is a med as helpful as oxycontin get taken off the market because people like me with addcitions abused it. Instead, I'd rather see the money that would be spent on the lawsuit spent on increasing funding for the treatment and prevention of addiction.



WW