Medical

Have Medical Questions? Ask a Doctor Online!

Ask a Doctor,
Get an Answer ASAP!

Medical

I have been taking (2) Oxycodone 15MG every 6 hours for pain

Customer Question
for about 6 months now...
I have been taking (2) Oxycodone 15MG every 6 hours for pain for about 6 months now. I would like to back away from them to be sure I'm not developing a tolerance or addiction. Unlike a lot of people I read about, I do not take them to get high, just for pain. I know this kind of drug has screwed up many lives, so I want to be careful. How long would I have to stop taking this drug to eliminate any tolerance that has developed?
Submitted: 8 years ago.Category: Medical
Show More
Show Less
Ask Your Own Medical Question
Answered in 36 minutes by:
9/8/2009
Doctor: Louise Sivak, M.D., Doctor replied 8 years ago
Louise Sivak, M.D.
Category: Medical
Satisfied Customers: 3,499
Experience: Pediatrician, Board-certified in Hematology/Oncology
Verified
HelloCustomer
I am sorry you have had this degree of pain and I applaud you for wanting to wean off this highly addictive and potentially harmful medication.
I would ask: why were you prescribed this medication in the first place? Do you have a positive professional relationship with that physician - what has s/he recommended for a taper schedule?
Thank you.
Louise Sivak, MD
Ask Your Own Medical Question
Customer reply replied 8 years ago
I was prescribed this medication after two separate surgery's. The first was to remove built up scar tissue from a previous injury that was strangling my ulnar nerve and creating sever pain and numbness in my hand and last two fingers. The second surgery actually relocated the nerve because after the first surgery we learned I build severe scar tissue and that was now pressing on the nerve causing more inflammation and pain. I have a very good relationship with my doctor. She's not concerned at all with weening me off this medication slowly when we get to that point. I still need and can't live without the pain medication today. I have developed severe hand muscle atrophy with noticeable wasting of my hand. After trying many other class II pain killers, Oxycodone 15mg, (2) every 6 hours is the only thing that has worked and the dosage has been increased. Originally I was on Percocet 10/325 (2) every 6 hours but she wanted to get me away from the Tylenol. My last surgery was 7/17/09 and I'm still in very bad pain 24 hours a day because as my doctor suspects, the nerve is still severely inflamed. I'm told my pain could last 1 year or even 1 1/2 years as the nerve and or pain pathways rejuvenate. I'm concerned my current dosage will increase due to tolerance building up, the length of time I will need to take them, and ultimately end up with a real strong dosage that have caused trouble for others after long term usage. So, summing it all up, the Oxycodone 15mg I need to continue to take because I can't function to even do daily home tasks, without this pain relief. My concern is the need to increase dosage as time goes on. My doctor will do that without an issue I'm sure, but I'm concerned about going stronger and want to try to eliminate tolerance build up if possible now. I have gone, and suffered badly just lying on the couch and also getting virtually less than two hours sleep nightly, a full 5 days cold turkey without this medicine. I was in severe pain in my hand, forearm, and elbow but didn't seem to notice any withdrawal symptoms. 20mg Percocet dosage use to barely take the edge off but I could live with that. Now it takes 30mg worth of Oxycodone. I would like to eliminate tolerance and get maybe to 15mg total dosage or go back to the 20mg. How long will it take to eliminate my tolerance and what's the best way to go about it, cold turkey for a specific time?
Doctor: Louise Sivak, M.D., Doctor replied 8 years ago
Thank you for the helpful additional info.
There is no way I know to eliminate tolerance - it's a biological phenomenon.
I would recommend your and your doctor's taking a broader view and trying to get your pain better controlled first, then wean off the medication slowly. Has your doctor ever discussed your trying other types of pain medication, such as amitryptilene or gabapentin? These are sometimes very helpful for people with chronic nerve pain and have fewer (but not none) side effects than narcotics.
When you pain is better controlled, then I would recommend you decrease your narcotic dose by 5% every 5-7 days, going back to the previous dose if you get withdrawal symptoms. Your doctor should agree with and know of your plan.
I hope this helps and please tell me if you have more questions.
Regards,
Louise Sivak, M.D.
Ask Your Own Medical Question
Customer reply replied 8 years ago

I have tried Gabapentin, Lyrica, Morphine IR, Dilaudid, Vicodin HP, Tylenol #4, Motrin 800mg, Relafen, Prednisone, and several others without any relief. Only (2) Percocet 10/325 and then later (2) Oxycodone 15mg take the edge off. I have not been able to switch to another drug as a substitute. My doctor wanted to switch me and then go back, but we could not find another drug that works. I have not tried fentanyl, which would probably work, but I'm affraid with screwing with a drug that strong. So, my options are limited and I either suffer with pain or become more medicated and dependent to Oxycodone. I feel no withdrawal symptoms after 5 days cold turkey, so I probably have no issues today. I was thinking I need a few weeks away from it to reduce tolerance but theres no way I can go that long. I suffer very bad without the medication and get virtually no sleep. What is your understanding of nerve pain and the time to heal. Do you agree it is a slow process and could be over a year an my doctor and hand therapist both tell me? What is your personal experience?

Doctor: Louise Sivak, M.D., Doctor replied 8 years ago
You are clearly motivated and intelligent and have researched this issue, plus you know your own body.
Amitryptilene may still help you at least reduce your narcotic dose - potentially worth a try.
Fentanyl is not "stronger" than oxycodone and the timed-release skin patch may help you a lot - just worth consideration.
Yes, in my limited experience nerve injury / pain can take a long time to improve and sometimes never heals completely.
Wishing you the best,
Louise Sivak, M.D.
Ask Your Own Medical Question
Customer reply replied 8 years ago
Again, I have no desire to be high on drugs and/or sit drooling on my couch all day like many pill poppers seek out. I hate taking any medicine or having to process it in my body unless absolutely necessary. I have read that Fentanyl is 100 times stronger than Morphine. Also, there's been several documented cases of death from respiratory failure due to defective patches. This makes me fear this drug. I believe Fentanyl is also an opiate derivative am I correct? With that being said, it would not help me away from the Oxycodone since it is also an opiate, do you agree?
Doctor: Louise Sivak, M.D., Doctor replied 8 years ago
You are correct that both oxycodone and fentanyl are narcotics (opiates), and that fentanyl is more potent.
I understand your worry about defective patches, but when used correctly, low-dose patches can be helpful in weaning off a drug. It would (if it helps you) help you get away from having to take oral medication.
Just a suggestion to discuss with your doctor.
Ask Your Own Medical Question
Customer reply replied 8 years ago
Thank you for your time and advice with my medication problems. Please answer my question at the bottom as your best guess and/or opinion, knowing it's not an exact science. I'm still not sure, but I understand they make a fentanyl berry flavor sucker for break through pain, that may also be a temporary answer for me. Do you feel if I can make it to two weeks cold turkey without any Oxycodone, any tolerance that may be there could be gone?
Doctor: Louise Sivak, M.D., Doctor replied 8 years ago
I think two weeks may be enough time.
Best of luck and health,
Louise Sivak, M.D.
Louise Sivak, M.D.
Category: Medical
Satisfied Customers: 3,499
Experience: Pediatrician, Board-certified in Hematology/Oncology
Verified
Louise Sivak, M.D. and 87 other Medical Specialists are ready to help you
Ask your own question now
Customer reply replied 8 years ago
THANK YOU FOR YOUR TIME, KNOWLEDGE, AND PATIENCE!!!
Doctor: Louise Sivak, M.D., Doctor replied 8 years ago
You are most welcome and I wish you the very best!
Louise Sivak, M.D.
Ask Your Own Medical Question
Ask Louise Sivak, M.D. Your Own Question
Louise Sivak, M.D.
Louise Sivak, M.D.
Louise Sivak, M.D., Doctor
Category: Medical
Satisfied Customers: 3,499
3,499 Satisfied Customers
Experience: Pediatrician, Board-certified in Hematology/Oncology

Louise Sivak, M.D. is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,780 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr Basu

Dr Basu

Experienced Specialist

20,746 satisfied customers

MD

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

17,463 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

14,592 satisfied customers

20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.

< Previous | Next >

Related Medical Questions
I noticed about two days ago a small bump develop on the top
I noticed about two days ago a small bump develop on the top of the penile shaft right below the penile head. It seems to be just under the surface of the foreskin and seems to be about 1-3 centimeter… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,678 satisfied customers
Do you agree with this information? "There is a muscle at
Do you agree with this information? "There is a muscle at the bottom of the esophagus (the tube between the mouth and the stomach), called the 'lower esophageal sphincter' (LES), that tightens to clos… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,678 satisfied customers
I drink only when HOLIDAYS ....approximately 3 months a year
I drink only when I AM ON HOLIDAYS ....approximately 3 months a year .....this includes around 5 separate destinations for around 15 to 20 days length time .I AM ON XARELTO AND WOULD LIKE TO KNOW IF I… read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,463 satisfied customers
My tonsils are very swollen and have patches. I'm concerned
My tonsils are very swollen and have white patches. I'm concerned because there are also a few black patches on my tonsils. … read more
Dr Uzair
Dr Uzair
FCPS (R) General Surgery
M.B.,B.S. FCPS
3,696 satisfied customers
Would the liver have enough time to process both the alcohol
Would the liver have enough time to process both the alcohol and xarelto....20mg per day....without having too much of it in your body.....would this lead to a excessive amount of either one in your b… read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,463 satisfied customers
I was wondering how it would take for alcohol to fully get
I was wondering how long it would take for alcohol to fully get out of the system even with someone who's getting ETG testing?Like what's say I drink 2-3 days in a row ?… read more
Dr Uzair
Dr Uzair
FCPS (R) General Surgery
M.B.,B.S. FCPS
3,696 satisfied customers
My wife is having sudden onset of nausea, headache and
My wife is having sudden onset of nausea, headache and multiple vomitings an hour after eating lunch. Until then she was just fine. Her headache is combined with pain on the left side of the head unti… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,678 satisfied customers
I have a rash of small red bumps that seems to be spreading.
I have a rash of small red bumps that seems to be spreading. 3 Appeared first on my stomach several days ago, and a few at the very top back of my thighs. Then a few more appeared a couple days later … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,095 satisfied customers
I have bronchitis and use the inhaler every 4 hours. My
I have bronchitis and use the inhaler every 4 hours. My problem is continuous sweating. Should I be on antibiotics?? … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,305 satisfied customers
Due to a family emergency I have missed many doses of my
Due to a family emergency I have missed many doses of my synthroid. I took 1/2 this. Morning and the other 1/2 about an hour ago, I have only eaten a piece of toast all day. But am feeling very shaky.… read more
Richard Han
Richard Han
Pediatrician
Post-Doctoral Degree
540 satisfied customers
I was in for an EGD yesterday where they also took biopsies,
I was in for an EGD yesterday where they also took biopsies, and since the procedure my stomach has been cramping on and off. This has been making me not want to eat, and when my stomach cramps I feel… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,095 satisfied customers
I live in MD and need a prescription for Marinol to combat
I live in MD and need a prescription for Marinol to combat my severe appetite loss, I don't have a primary physician but I just got medical insurance. Can a doctor at the ER prescribe me Marinol? … read more
Dr. Scott
Dr. Scott
Doctor
1,030 satisfied customers
I have had jock itch for several months now. I have tried
I have had jock itch for several months now. I have tried all the creams but as I am on immunodeppressants and HRT it continues to thrive and spread. … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,095 satisfied customers
I am 46 and have my right breast nipples sore and itchy and
I am 46 and have my right breast nipples sore and itchy and my under arm pit in the right also very itchy all the time. … read more
Dr.M.D.Mazumdar
Dr.M.D.Mazumdar
Consultant Gynecologist
MBBS. MD (Obstetrics and Gynecology
3,688 satisfied customers
I've had a bad flair-up of gout in the knee. Can i I started
I've had a bad flair-up of gout in the knee. Can i I started on Colchicin, my Dr. is allowing me to take max 24 hr prescription , 0.18 mgs. Is it OK to take ibuprofin along with Colcichin. I have swel… read more
Dr Josh
Dr Josh
Doctor
B.A.M.S.
6,479 satisfied customers
My 7 year old son was complaining about painful left
My 7 year old son was complaining about painful left testicle which started aching while he was watching TV. He is now in bed and says that the pain is 4-5 on a scale of 10. I gave him Advil although … read more
Dr Anil Kumar
Dr Anil Kumar
M.B.B.S
2,722 satisfied customers
I had 3 large bruises on my upper shoulder, unexplained,
i had 3 large bruises on my upper shoulder, unexplained, with dry skin. Doctor said don;t worry. 4 weeks later i have 3 huge dents that are extermely tender. Should I be worried? … read more
Dr.M.D.Mazumdar
Dr.M.D.Mazumdar
Consultant Gynecologist
MBBS. MD (Obstetrics and Gynecology
3,688 satisfied customers
I am on Macrobid for a uti on day 2 now I have a pain in my
I am on Macrobid for a uti on day 2 now I have a pain in my tailbone and I am having anxiety could this Be from the antibiotics? … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,305 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x