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Oxycontin vs Percocet


Tyno
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Hey guys!

I have a very possibly stupid question. But in my defense it's mostly out of ignorance. I have been on Percocet 10-20 mg for the past 12 or so years. Works great and always enjoy the feeling. However, this time I've been given the opportunity to get oxycontin instead. Of course this is oxycodone extended release... So how different is the experience? Am I going to be just "feeling it" for just a much longer time? Or is 10 mg extended release just not going to punch as hard? I'm trying to make an educated decision here on if I should give the extended release a try or stick with the traditional 10/325 percocet. Any help is appreciated! 😁

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rootshealer

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If you weren't snorting, slamming or selling (to folks snorting or slamming), it's mostly whatever.

If you look up pharmacodynamic graphs, IR tends to peak faster, then wane faster as well. In strict therapeutic terms (recreational is something else), it should be better, more consistent. But everyone's different.

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rootshealer

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45 minutes ago, rootshealer said:

If you weren't snorting, slamming or selling (to folks snorting or slamming), it's mostly whatever.

If you look up pharmacodynamic graphs, IR tends to peak faster, then wane faster as well. In strict therapeutic terms (recreational is something else), it should be better, more consistent. But everyone's different.

By it should be better, I mean ER...

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Thank you for your guidance

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@Tyno that was a great question! 

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I guess I still need further clarification. I've tried looking into it and weirdly there's not that much information on this. I understand that 10mg OC will release over a 12 hour period. However, I guess in my head that would mean it would feel very watered down. So is 10mg of instant release oxycodone going to be equivalent to 10mg of extended release? Or is it going to just release small amounts over 12 hours? Because in my head that seems like it would "feel" weaker. I mean when you take 10mg of percocet you get it all at once. This is extended so will it feel like I only took 5mg or something...just prolonged? And would it make sense to take a higher dosage of the extended release if that is the case? I don't know why I find this so confusing. But thanks for any insight! 🙂

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Just to bump this thread up a bit. I used to take ambien ER. In that case half the pill was instant so it'd give you your initial hit to get sleepy...then the ER bit kicked in and would slowly last throughout the night. Is this how the oxycontin is meant to act? An initial bump to give your 10 mg dose for breakthrough pain then just continue to slowly release the rest to keep it under control? Or are we looking at just a slow release of 10 mg of medicine over the course of 8-12 hours? Because if so I just don't see benefit. 🤷‍♂️

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Guest mountaincat9

@Tyno I use oxycontin about every 6 wks or so from lingering cancer problems & they just don't do it for me.  It's weird......then I'll go into surgery for a quick procedure & get Perks & I'm high & happy all day.  I've always been that way even before the Big C.  My vote is stay with the float you love & know!!

:)

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agreed. I don't use opiates at all, except for physical pain or injury, although 25 years ago I abused them. I somehow grew out of that. I was recently out of the country and was in a minor car wreck. my knees were all bruised up and I found 2 hydro every 4 to 6 hours alleviated pain perfectly. gave me energy and a non nodding type buzz. I was happy. for some reason Percocet does nothing at all for me for pain relief. I took the medication for 4 days and was easily able to transition back to ibuprofen. thank god. opiate addiction to me, is the absolute height of physical and mental anguish. go with what you know.

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If the dose is the same as of the instant release VS extended release the main thing Dr's look at (in my personal experience) is what's the dose you take over a full 24 hours is. 

For example if right now you take 10mg instant release and 6 hours later another 10 mg instant relief, then your 12 hr dose would be 20mg. 

The extended release which is supposed be taking q/12 hrs would need to be 20mg to achieve a similar analgesics pain relief etc. 

If the Dr is wanting to switch it to just 10mg over 12 hrs that would be like cutting your normal dose in half and won't be a lot of pain relief. 

This exact thing happened to me long long time ago, except the Dr knew how important it was to keep the same daily total. So he gave me 20mg er instead of my previous 10mg ir I took twice daily. & it worked out. I don't mind the er at all. Just make sure your getting your same total daily dose required to keep your quality of life as how it was. 

My opinion :) 

Friendliest greetings, 

Jiub

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Thank you @Jiub1. That helps! 

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I know I’m late but a major difference I noticed when Oxy switched from OC to op is obviously they last longer but you need a higher dose bc 20mg instant release and then going to 20mg op the release is so slow for me it’s like 10mg consistent for longer like taking two 10 Ir but the second after that first wore off. That was how op hit for me. I know that probably 50-75% of people who were on OC asked to be switched to a different opioid when op hit and the pharmacies were totally out of the old ones being pushed as generics. Opana scripts went up and Fent patches. I’m sure many did it bc they prefer their meds in a non oral manner but they definitely did feel a little different and some people didn’t digest them the same they pass too fast before enough matrix was able to release full dose. IMO let people injest however they prefer as long as it’s not getting destructive or causing health or worse addiction issues. We already are getting more open to nasal spray Meds and that’s just a polite and acceptable way to sniff your meds. Long term though get off the percs anything with acetaminophen long term is unhealthy and they are getting better about it. Remember original Vic 10-1000 lol yeah eat toxic amount of acetaminophen daily I can’t believe that was approved. But IMO all this tamper resistant stuff is a joke and they know some one will bypass it but the product they end up using is tainted with other stuff and unhealthy. But I do believe that the usa is starting to see the actions that they took caused more damage than good and did nothing to stop the “epidemic “ we over reacted to the problem and caused a bigger one.

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I’m sorry mod I see that some one posted almost the exact advice I gave here but maybe it will be reassuring and if this is posted I agree you ask for breakthrough meds with you extended release the new op might have people able to do 2 tabs a day as they originally swore a full 12 hours but they had studies and knew that 2 would never work even when taken orally and the coating in tact 3 a day minimum with the oldies.  But again the longer it last the less dose your having at a time. Like already mentioned make sure that your 24hr mg intake is equivalent to your current or higher 

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Good point in the acetaminophen. Otherwise it’s all been said. In the best of both world you would have a mix up for break through but those days are gone. Your are one of the lucky ones to have a Dr. Offering a choice or even help :) good question and thread.

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Great points that were suggested. 

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