crushing oxycodone 30mg

[Magnum]

Taken Oxycodone 30mg for about a month now. Does hardly anything to quell the enormous back pain I have. Can crushing it and drinking it with apple juice make a difference? Will it work faster?

Magnum

[Magnum]

I'm taking 30mg nightly. With Hep C I have to avoid Ibuprofen, Tylenol and other anti-inflamatories. Starting tonight, I'm going to try and detox by cutting the nightly dosage gradualy day by day. I did that once before and it was no picnic, but the end result will be a clear(er) mind.

I don't like taking pain pills, but the doctor said that if you remain in pain, it will stress the body and can very well cause other complications. Damned if you do, damned if you don't.

Thanks for your responses and advice...

Magnum

[femmy29]

Hi Magnum and welcome to the pain management community.

You should consider starting a long acting opioid to cover your baseline pain and then use the 30 mg oxycodone for breakthrough pain.  This will provide you with more consistent and meaningful relief.  Short acting opioids ramp up and hit peak plasma levels within 30 minutes to an hour.  Shortly after they peak, they immediately begin clearing the body.  Long acting opioids ramp up much slower but then stay at peak plasma levels for many hours (typically 12 hours to days depending on the type of long-acting opioid used).

Long acting opioids include MS Contin, Kadian, Avinza (these are morphine based), Butrans patch (patch is worn for 7 days), Fentanyl patch (patch is worn for 48-72 hours - this is the long acting medication that I use and I find it extremely effective), Opana ER (oxymorphone), Exalgo (hydromorphone).  I have also tried MS Contin and Opana ER.  Fentanyl Transdermal has been the most effective and consistent pain medication for me compared to the others I have tried.  I am on the 50 mcg/hr patch and I change it every 48 days.  I use Percocet for breakthrough pain.  

I suffer from degenerative disc disease in my lower back that includes spinal stenosis, bone spurs, ruptured disc, L5 nerve root impingement, and osteoarthritis at L4-L5.  I also have a completely dessicated disc at L5-S1 that is impinging the S1 nerve root.  Fentanyl provides at least an 80% reduction in my pain with between 90-95% relief when combined with the use of short-acting opioid medications for breakthrough pain.

Consider talking to your doctor about trying a long acting opioid medication.

femmy

[smilempty1]

Yes, it will work faster but it is not worth it in the long run. It is all being released at the same time instead of over a period of time like it says on the bottle to take in maybe 6 to 8 hours. Its pretty great while it last but when it is time to come off it will be really bad news. Good luck, I hope you find some good advise on here, it has helped me. Diana

[vicki595]

No, I don't think it would work any faster. How much are you taking per day? Do you think you need a dosage increase or perhaps a stronger pain med?

Sometimes taking it with ibuprofen and Benadryl helps the pain killing effect.
Hope you feel better...