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Anthing stronger than Percocet?
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Anthing stronger than Percocet?

Im on 800mg Fenyanyl lollipops ( 2 a day) and my pain doctor has added Percocet 10/650 ( the 650 is to strong and hurts my stomach) I've been a pain management patient for 10 years and I need to stay out of the ER so does Percocet come any higher in the oxycodone ( i think thats what it is) I think they go up to 25's but Im not sure but I cant handle the 650 of tylenol so I have to have 325 so i just wanted to know a couple things.

1. is there a stronger Percocet then the 10's
2. is there anything stronger than Percocet ( and i know about Dilaudid, anything higher that isn't dilaudid)

I just need to know what to talk to pain doctor about, he knows  more then me obviously but I need somewhere to start so I can just stay out of the Emergency Room.

Thanks.
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16 Comments Post a Comment
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198154_tn?1337790865
they go up to 160mg
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547368_tn?1332173665
Hi Meredithr,

Welcome to the Pain Mangement Forum. I am sorry to hear that you require high doses of narcotics to control your pain.

Oxycodone (Percocet) does not come in 160mg tablets.The narcotic ingredient of Percocet is oxycodone and apap means the amount of acetaminophen that is contained in the Percocet. They come with oxycodone 5, 7.5 and 10mg strengths. The acetaminophen added is 325, 500 or 650mg. So you could be prescribed 10/325.

There is again just plain Oxycodone without any additives. The immediate release form (Oxycodone IR) does come in a 30mg tablet. There was recently an issue with a manufacture and these were not available to the general public for some time. I understand they may still be difficult for pharmacist to keep consistently stocked.

Don't be confused with Oxycodone ER (extended release) tablets. They are available in higher dosage tablets. The brand name for Oxycodone ER is OxyContin. You are taking the immediate release for what I imagine is break through pain.

There are several opiates stronger than oxycodone. I am assume because of the high dose of Fentanyl you are on that your physician may choose to stay away from stronger opiates for break through.

I hope this information has been helpful. Your best source for medication information is always your pharmacist. They really are the experts. Now that you have additional information you may want to discus this further with your pharmacist. Than with all the information gathered, discuss your options with your prescribing physician.

Best of luck to you. Please keep in touch and let us know how you aer doing. I will look forward to our updates. We are chronic pain sufferers also and will offer you support and as much information as we can. I hope you will visit us frequently.  

Peace,
Tuck
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198154_tn?1337790865
Sorry, I wasnt clear...
the highest mg of Percocet is 10mg.  However, Oxycodone (the active ingredient in Percocet) does go as high as160mg
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Avatar_m_tn
How many percocet do you take a day? Tylenol ingredient doesn't hurt my stomach (yet), although I've only been on pain management for 4 years. I don't understand why doctors are so hesitant to prescribe oxycontin (or oxycodone), if it would save someone from possible liver damage as a result to taking a narcotic/APAP combination pill for years. Why is this? Does the oxycontin have tylenol in it? I'm a little confused about these pain meds. I constantly worry that I'm damaging my liver, despite normal bloodtests, I've always heard that you can sustain significant damage to your liver before it ever shows on tests. What types of pain meds do not contain tylenol, does the tylenol really help that much with the pain? I can take regular tylenol, but I don't get very much relief.
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198154_tn?1337790865
Percocet contains 5, 7.5 & 10milligrams of oxycodone, which is all released when the pill is taken. Percocet also contains acetaminophen (the drug in Tylenol)

OxyContin doesn’t contain acetaminophen. It is pure oxycodone in amounts much larger than in Percocet. OxyContin pills come with 10, 20, 40 ,80 or 160 mg of oxycodone. Just one OxyContin pill can have the same amount of oxycodone as 16 Percocets
With OxyContin, only part of the oxycodone is released when the pill is taken. The rest of the oxycodone has been coated so that it is released into the body slowly. This is how OxyContin relieves pain for so many hours.

There's also Roxicodone which is just oxycodone (no apap) in 15 & 30 mg

(I copied & pasted some of this info- Hope its helpful)

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1161075_tn?1262992028
Hey everyone.

I saw my pain doctor. he said Percocet only goes in 10s and he put me on the highest dose of Tylenol with it and added Xanax and the Fentanyl with it and I see him in a month but I explained to him how bad the pain is and he said if it stops working or if Im just got getting relief hes either putting me in the hospital or giving me a pain pump with Fentanyl for awhile so I should be okay.

I've been a pain patient for 10 years now and been on so much stuff and this is actually the first time I've been on Percocet.

He told he to take the Percocet and Xanax together and its actually brought my pain down A LOT but not enough so Ill probably end up with a pain pump.

But I just wanted to thank you all for responding, you've all really helped me with this and since I happen to know so much about narcotics after being a patient for 10 years if any of you need advice or just someone to talk to just email me or something.

My email is ***@**** so feel free to email me if you need anything.

Im always happy to help and share the knowledge I've learned in the 10 years of being a pain patient.

We all have to stick together because we most of us know unless you are a chronic pain patient then no one else really understands so its nice that I found somewhere I can share and people actually understand.

Thanks!!
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1161075_tn?1262992028
Opps it wouldn't let me leave my email so if anyone wants to talk or advice or anything just message me and I'd be happy to help.

And again thanks!

Ill let you guys know how it goes and what happens.
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Avatar_f_tn
U seem very knowledgeable. I am 37 and have a horrible back, degenerative disk disease. I have already had two surgeries resulting in 3 fusions and one artifical disk. They cover both my low back and my neck. Basically I have pain from top to bottom. I have been seeking help for pain for about 10 years.

Currently I take 10/325 Percoets for pain, I have muscle relaxers and anti-inflamitories as well but Percoet is my main drug of choice for pain relief as the others make me way to sleepy.

I work full time and cannot alter that so I need a pain reliever I can function on in public.

I have been up to 4-6 percocets a day & I am starting to feel like I get less relief than originally. In the past I would take one and instantly either feel pain relief, of if it was two strong my pain level I would feel a sorta high feeling. Now it seems to do neither. It feels like I just took two advil and nothing nore.

Can u become imune to these?

What's next on the list? Like what could I ask my doctor to chabge it too for more pain relief?

Any opinions are greatly welcome.

Thanks,
Jodie
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1588890_tn?1297077516
I am in the same boat you are in, as soooo many of us are.   I have been on pain management for 10years as well.  I am concerned about the amount of tylenol in the Percocet (I take the 10's 4 to 6 times a day) and have tried and tried to discuss this with my PM doc, who is soon to be replaced.  From different things I have read, the oxycontin will be slowly disappearing off of the shelves because of it's high potential of abuse by un-prescribed folks (taking it from the family medicine chest or those that don't really need it, selling it on the street.  I know my Medicare will no longer pay for it.  However, I had been on the plain old oxcodone 15 mg before and it seemed to help much better than the Percocet.  I take a muscle relaxant as well, combined with an anti-inflammatory at night with and Elavil.  Sort of keeps me untangled enough to get up in the morning.  I recently started the cortisone shots in my spine.  They have worked wonders in the past and the first one lasted at least two weeks and did not even have to take many of my breakthrough meds.  Just kept the fentanyl and the muscle relaxants.  I felt so much better, however, I over-did it and the relief did not last as long as I had hoped it would.  The next one (you can get three in a certain time period) I will stay down for the 24 hours and not try to act like I was before I was hurt!  Oh, I mopped, cleaned, cooked, all those things that I am normally in too much pain to do for myself.  Have you tried the injections?  Let me add that I have horrid side effects to oral steroid treatment and have none to these.  Not a pharmacological expert so I cannot explain why.  I am just offering a bit of suggestions for change or addition in hope that it may help a bit. OHHHH, almost forgot, I was also prescribed Lyrica for my Fibro and it helps me too.  So far nothing negative from them (100 mg 3 X daily).
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Avatar_f_tn
I'm sorry to tell you but this Thread is more than a year old.  

I HOPE that you will both REPOST you questions and comments on a SEPARATE Thread of your own so that you will get more responses.

Thank you........Sherry :)
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Avatar_f_tn
I am 37 and have one back surgery in the books. Have advanced degenerative disk disease with bone spurs pushing through some nerves.  I have taken dilaudid, fentanyl, vicodin and Percocet. The combination that works for me and gives me the ability to function as a father and husband is the 10/325 percocet x 4 daily, gabapentin 400mg x 3 daily, meloxicam 30mg x 1 daily and one 350 mg soma at night.
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Avatar_f_tn
I take Percocet 10mg every six hours , I have a neck injury and some nerves pinched on my back also herniede disk, don't know if I spelled it right,lol, but anyways they give me some muscle relaxers but they don't do much, my fingers and harms get so num at times and my shoulders feel so heavy at times when I take the Percocet ill be fine for awhile but I have to take more, the pain management I go to doesn't want to prescribed me no more then 120 pills a month, they want to give me shots or try other things but I don't want to, I seen some people do this other stuff and they still have pain and having surgery is scary for me I seen people get worst, what other kind of narcodic can I take with the Percocet so I can ask my Dr that is not dangerous when token with percocet
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Avatar_m_tn
I am in the same boat as you . Just like thousands and thousands of others. For us people out there that truly have pain it seems like the docs just don't believe us. They think we are selling the stuff. I have told my doc time and time again. This stuff hurts please fix the issue. If meds are the answer well then give me something that I can live as normal of a life as possible. Seems to me that its all about the insurance and no just plain good quality health care.
I have had a stroke in my pituitary gland, degenerative disc disease and a host of other ailments. Been going thru many different treatments over the years they keep telling me that surgery is not needed at this time so why does the pain keep getting worse and not to mention that your system becomes immune to the pain meds.
All we can do is keep pushing.
Thanks for letting me vent,
Brian  
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Avatar_f_tn
I just wanted to share some info. I two have pain issues and have had neck and back surgery. Last year I went to a pain management specialist who has done wonders for me. I have had the steroid injections but he also put me on a newer medicine called Nucynta ER. I started on 50mg then went to 100 and then 150 mg. now don't get me wrong I do still have some pain at night which is when I take Percocet 10/325. I highly urge you to ask your doctor about this med.
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Avatar_n_tn
Ask perscription Surmontil  anti- depressant.  It kills lots of muscle pain for some reason and may let u cut pain meds down by half.
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Avatar_m_tn
That is the problem - these arrogant doctors who are so full of themselves they can't associate what their patients are telling them. I have been unemployed due to my injuries for 7 years now and I can't even get diagnosed because doctors will not even talk to me because I have no insurance or $450 up front. I am still waiting on my disability hearing results. I guess in these days if you have no insurance, you are supposed to be 100% o.k.
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