Medical Questions? Ask a Doctor Online!
Hello and welcome to JustAnswer,
What is causing your pain?
My father has ruptured disc in his lower back and has severe pain. He was on oxycontin and then opana er. The DR just prescribed him 720 oxycodone 30mg and I was wanting to know is that safe or even legal?
so how old is the patient... i take it YOU are 39 but am i correct?
this is a massive dose of narcotic
so let me answer your question first
and if YOU took this much you might die
but people who build up slowly can tolerate large doses well
the problem is that if he ever tries to quit he is going to have horrible withdrawal
and my next question is, why is he not having surgery to remove the ruptured disc?
He has 4 on top of each other I think l2-3 to s1. I am very concerned about this large amount but don't want to call the dr until i have all the facts
what kind of doctor is prescribing this to him?
his personal doc?
a pain medicine doc?
and why is he not also on Tylenol or gabapentin (if he is not)...
personal family doctor
has he been consulted to
1. an orthopedist or neurosurgeon
2. a pain medicine specialist?
3. a physical therapist?
I'm not sure. I just think this is ridiculous amount of meds
for how long has he been on these medicines?
so it sounds like you don't have all the info
but that's okay
do you know if he is on any other medicines for pain besides the oxycodone? particularly percocet, lortab, vicodin, endocet, or gabapentin?
I guess if a pharmacy filled it then it's legal.
I just think that is way too much
it's certainly legal, the question is if it is SMART or BENEFICIAL or HARMFUL
like i said, for you taking this, you would probably die
for him, he can tolerate it
I am trying to get him to another dr now, but I think he is addicted
there's no magic in these numbers, though he is taking a maximum dose of narcotics
any higher and there is no additional pain effect
he is certainly addicted
this is, unfortunately, quite common
and i would not be at all surprised if his doctor too, thinks he is on too much...
I would never take any meds. this is not about me
i would not be surprised at all
if your father has refused other treatment
should i address the dr myself?
i think the doctor migh in fact welcome help from a concerned family member
because he is in a difficult spot now
he has a patient addicted to narcotics
He has had numerous nerve blocks that I have taking him to
who has REAL pain
but now is on too much
but i have no legal recourse for overdosing?
and when he tries to decrease the meds your father probably calls him and tells him his pain is terrible when, in fact, what he means is that he FEELS bad because he is withdrawing
this is not an overdose
there are many people out there on even higher doses
an overdose causes immediate harm
your dad is tolerating this
I was hoping that it was illegal and I had a legal action to go at the dr with
and you have, at least in part, a large national organization to blame, who punishes physicians for undertreating pain, even though there is no way to measure how much pain a person is in, and then we get punished for prescribing too much
stand by for a second
sort of.... for people dying of cancer this drug is a Godsend.... for others it drags them down....
are you there?
so take a look at THIS LINK
pay particular attention to the paragraph that starts..... "Usual Generic Dose for Pain..."
you will see a sentence that says that for the immediate release form, which it sounds like your dad is on, 'doses of greater than 30mg are rarely needed and should be used with great caution....'' in short, there is no good evidence that doses over 30mg at a time are any more pain relieving than 30mg alone. the fact that your dad seems ONLY to be on opiates for pain is another red flag. this treatment may be malpractice, but it is not 'illegal' in the criminal sense.
if you wish to pursue legal action then you might have a case and getting a pain specialist involved would both help your dad and give you an idea if legal action were likely to succeed.
from what you have told me your dad has been mismanaged. having been in the doctor side of the equation you do not have nearly enough information to go to court and, if you did, you might very well find that your dad would testify on his doctor's behalf if you could somehow sue him for malpractice.
i am sorry, this is terrible.
let me know if you have further questions. 'excellent' feedback is always appreciated.