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Originally Posted by AKCHOPPER
Originally Posted by DeadHead
Originally Posted by AKCHOPPER
My understanding is that Percocet is generic for Oxycodone.


Percocet is oxycodone plus acetaminophen

Thanks.

Have some food in your stomach, don’t take any more acetaminophen (Tylenol), and no alcohol.

Bad juju for your liver.


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Front tooth started throbbing and after a day of it and no sleep I was going to knock myself out with a hammer it was hurting so bad. It was late on a Saturday and my wife called our dentist at home and he said he could prescribe a few Vicodin to get me to Monday and then get in and get an X-ray. She went and picked the script up at Walgreens and the tooth quit hurting. Monday I went in and had an X-ray done and it ended up being a sinus infection putting pressure on the roots of my tooth. That pain medicine is a miracle drug if there ever was one. I took Tylenol and aleive before I took the Vicodin and they wouldn’t touch the pain. I will take it again if I ever get in that much pain.

Last edited by MadDog4298; 03/28/21.
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Getting a new knee Wednesday, so I think Ill be taking oxy on Thursday. I heard you only get a limited amount, like 10 pills.
I had cancer and it toasted my kidneys, so I can't take ibuprofen, etc, so I'll just suffer a bit when I run out. Never had a new knee so I don't know what to expect as far as pain.

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Sometimes I take 800mg of Ibuprofen with a 500mg Tylenol. My other medication is Norco 10/325 Most of the time when I use this med. I break them in half.
Be smart when taking these medications.


PS: My Doctor said it was fine to mix the Tylenol and Ibuprofen. But, not to do it often.

Last edited by Hammerdown; 03/28/21.

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They gave those right after the hip surgery. Took them the day I went home and never since. Felt like a zombie on that $hit. Managing the pain with Tylenol now.



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Originally Posted by battue
Originally Posted by Dillonbuck
Battue,

You are a pharmacist?
I think. Or retired as one?


Yes...Still working 3 days a week on average, Currently in a hospital setting...

The path to addiction is one that takes many different routes...One size doesn't fit all. Have seen patients on enough opiates to kill the proverbial horse and once they were no longer needed had little issues. Others needed intervention.




I agree with this. But my point is that the pharmacist’s job is to counsel about potential side-effects. As I said, too many people simply take them because the doctor told them to.

When I started on Flomax the pharmacist told me about possible complications if I took Viagra. It’s all part of the same spectrum of counselling.

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Post anesthesia confusion is not uncommon, especially as we age. Especially since the anesthesia short circuited some brain functions. Combined with the fact surgical interventions can cause delayed cognitive issues...Often the zombie response after surgery is cumulative based on a combination of factors. Post surgical pain medications being only one....


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Dangerous stuff. I nearly took out my older fishing buddy with one of those. We were on a remote fly-in Canada fishing trip and my buddy fell and broke some ribs. Aspirin and the over the counter stuff wasn't doing anything for the pain. I lost my first wife to cancer and I had some of her left over oxy in my first aid kit. I gave my buddy one tiny little white pill. Holy smokes it put him out for two days and worried me a whole bunch. I told my MD sister about that and said that it was really little, only 40 mg. She about tore my head off because come to find out, that is a mega dose. Everything left over went in the drug take back box after that.


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Originally Posted by Wannabebwana
Originally Posted by battue
Originally Posted by Dillonbuck
Battue,

You are a pharmacist?
I think. Or retired as one?


Yes...Still working 3 days a week on average, Currently in a hospital setting...

The path to addiction is one that takes many different routes...One size doesn't fit all. Have seen patients on enough opiates to kill the proverbial horse and once they were no longer needed had little issues. Others needed intervention.




I agree with this. But my point is that the pharmacist’s job is to counsel about potential side-effects. As I said, too many people simply take them because the doctor told them to.

When I started on Flomax the pharmacist told me about possible complications if I took Viagra. It’s all part of the same spectrum of counselling.



My issue was with your quotation of the pharmacist: “if you take these as directed (3x/day) you will be addicted within 2 weeks”. Not maybe, but "Will" and your specific posting of what was said. If in fact the pharmacist did say the same, it is not counseling, or piss poor at best in that it has no bearing in facts or sound medical practice. (Corrected sentence)

Last edited by battue; 03/28/21.

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@OP ... Be careful .... My wife did chemical dependency (addiction) counseling full time for 8 years. She regularly had clients who started down the slippery slope to addiction by taking opioids for legitimate pain management needs. Then, ended up with long term addictions. And for certain people, Oxy can be HIGHLY addictive with the first few doses... Wish you the best in your recovery / course of treatment. But be careful...



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Originally Posted by shootem
Originally Posted by persiandog
been in pain for 2 weeks , begged my doctor and emergency room PA for any pain killers. does anyone have any good mexican heroin?

If you have legitimate chronic pain, documentable source(s), there is no moral need to suffer. Ask your primary care physician for a pain clinic referral. Family practice just isn’t set up for the documentation requirements for long term pain management involving opioids. One of the biggest problems now is the dog & pony show state politicians deploy as part of their shell game. Here in NC the state guberment now has limited the amount of opioids a legitimate pain clinic patient can be prescribed by the physician in charge. Right. Politicos have now declared themselves doctors. So degenerative disc disease? Oop. Can’t have you in danger of addiction. You’ll just have to get by on what we say is enough. Cancer? Surgeries, radiation etc required for treatment. Well sure you hurt, but you can manage. We sure don’t want you addicted. And we know better than some doctor. All in the name of keeping us safe. Sound familiar? Bastids in the federal and state govts are the biggest bribe takers going. Cartel money filling the pockets of the Kaliforikator politicians. Heroin, Fentanyl & meth pouring across the border THEY won’t shut down. Wonder why? Chinese freighters bringing in tons of raw material to Mexico’s west coast. Who gets the biggest cut? But politicians talk a good lie on watching out for our health when it comes to prescribed medications from a licensed and over regulated physician. Nothing I hate more than the thought of politicians playing doctor and watching out for me. But they do. Then they demonize the legitimate patient and legitimate doctor.............and leave the back door open for their friends.

Some other comments; 10/325 vs straight oxy? Tylenol can eat your liver if you try to use it for pain it can’t reach. Plenty of over medications on Tylenol. But appropriate amounts can act as a booster to enhance the oxy and reduce the overall requirement. Again, a doctor’s call. Going apneic? Deadly apneic? It’ll take a lot of prescribed medication. Read the directions. Do what the doc says. Tramadol? If tramadol makes it stop, you sure as hell don’t need oxy. Over prescribing? Some do, no doubt. But I’ll bet good money there’s more over prescribing of Xanax and Valium to politicians than oxy to people in legitimate chronic pain. Of course politicians know best. Rant over. If you need it get a good pain management doc that can help you. Don’t make it tough on the family doc who can get a lot of pressure because he was trying to help you by doing somebody else’s specialty.


Speaking from memory here so will make only a few generalizations. When ever the gov’t gets involved, it’s surgery with an axe. I remember a study coming out some time ago about prescribed opioid deaths in the US and their stats. It was later reported that somehow that study and it’s stats included street overdose deaths due to illegal fentanyl. Well...

Anyway for physicians over-prescribing opioids, the remedy could have been much more precise with pharmacy and state medical societies collaboratively sounding the alarm and disciplining individual phys’s.

But no, So now every physician is reticent to prescribe opioids even in circumstances where they are appropriate including surgeons. Even so-called pain clinics will reach for counseling or psych referrals first. It has been established that about 10% of chronic pain patients, almost all older, and who are often on anticoagulants and for which NSAIDs are therefore contraindicated, opioids of some kind, to some degree are the only answer.

This populations is now neglected often left to go there own way. There are also acute injuries, like burns — very painful — that are left grossly untreated as to pain. I’ve seen it.

And as mentioned above, illegal opioids meanwhile stream across the border.

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Probably taken a total of 3 tablets as leaving a facility after a minor surgery (foot, cataract, dental). Still have the prescribed bottles in the bathroom medicine cabinet. Could not sense they did a thing for me or my perception of pain, and never had an inclination to take another. I think there might be some genetic aspects affecting our individual responses to a variety of potentially habit forming substances. Seems some jump fall for every item and others have no such desires at all.

Last edited by 1minute; 03/28/21.

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I think there is definitely a genetic aspect.

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Originally Posted by George_De_Vries_3rd
Originally Posted by shootem
Originally Posted by persiandog
been in pain for 2 weeks , begged my doctor and emergency room PA for any pain killers. does anyone have any good mexican heroin?

If you have legitimate chronic pain, documentable source(s), there is no moral need to suffer. Ask your primary care physician for a pain clinic referral. Family practice just isn’t set up for the documentation requirements for long term pain management involving opioids. One of the biggest problems now is the dog & pony show state politicians deploy as part of their shell game. Here in NC the state guberment now has limited the amount of opioids a legitimate pain clinic patient can be prescribed by the physician in charge. Right. Politicos have now declared themselves doctors. So degenerative disc disease? Oop. Can’t have you in danger of addiction. You’ll just have to get by on what we say is enough. Cancer? Surgeries, radiation etc required for treatment. Well sure you hurt, but you can manage. We sure don’t want you addicted. And we know better than some doctor. All in the name of keeping us safe. Sound familiar? Bastids in the federal and state govts are the biggest bribe takers going. Cartel money filling the pockets of the Kaliforikator politicians. Heroin, Fentanyl & meth pouring across the border THEY won’t shut down. Wonder why? Chinese freighters bringing in tons of raw material to Mexico’s west coast. Who gets the biggest cut? But politicians talk a good lie on watching out for our health when it comes to prescribed medications from a licensed and over regulated physician. Nothing I hate more than the thought of politicians playing doctor and watching out for me. But they do. Then they demonize the legitimate patient and legitimate doctor.............and leave the back door open for their friends.

Some other comments; 10/325 vs straight oxy? Tylenol can eat your liver if you try to use it for pain it can’t reach. Plenty of over medications on Tylenol. But appropriate amounts can act as a booster to enhance the oxy and reduce the overall requirement. Again, a doctor’s call. Going apneic? Deadly apneic? It’ll take a lot of prescribed medication. Read the directions. Do what the doc says. Tramadol? If tramadol makes it stop, you sure as hell don’t need oxy. Over prescribing? Some do, no doubt. But I’ll bet good money there’s more over prescribing of Xanax and Valium to politicians than oxy to people in legitimate chronic pain. Of course politicians know best. Rant over. If you need it get a good pain management doc that can help you. Don’t make it tough on the family doc who can get a lot of pressure because he was trying to help you by doing somebody else’s specialty.


Speaking from memory here so will make only a few generalizations. When ever the gov’t gets involved, it’s surgery with an axe. I remember a study coming out some time ago about prescribed opioid deaths in the US and their stats. It was later reported that somehow that study and it’s stats included street overdose deaths due to illegal fentanyl. Well...

Anyway for physicians over-prescribing opioids, the remedy could have been much more precise with pharmacy and state medical societies collaboratively sounding the alarm and disciplining individual phys’s.

But no, So now every physician is reticent to prescribe opioids even in circumstances where they are appropriate including surgeons. Even so-called pain clinics will reach for counseling or psych referrals first. It has been established that about 10% of chronic pain patients, almost all older, and who are often on anticoagulants and for which NSAIDs are therefore contraindicated, opioids of some kind, to some degree are the only answer.

This populations is now neglected often left to go there own way. There are also acute injuries, like burns — very painful — that are left grossly untreated as to pain. I’ve seen it.

And as mentioned above, illegal opioids meanwhile stream across the border.





Two posts that are worth reading a couple times...

Last edited by battue; 03/28/21.

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Originally Posted by Nebraska
Never did much for me that 800mg of Ibuprofen couldn't do as well or better.


another thing to try is ibuprofen (recommended amount) and acetaminophen (recommended amount) at the same time.

I have been told it is around 70% of the pain relief of an opiate.

You don't overtax your system, because Advil is hard on kidneys, and Tylenol is hard on your liver (in larger than recommended doses)

As usual, think long and hard about taking medical advice ( or reloading advice) from strangers on the internet.

YMMV


Originally Posted by jorgeI
...Actually Sycamore, you are sort of right....
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Here’s more reading entertainment on the political fücking Americans received from politicians over opioids.

🦫


https://www.24hourcampfire.com/ubbt...ngrats-you-re-a-drug-addict#Post15493793


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Originally Posted by Terryk
Getting a new knee Wednesday, so I think Ill be taking oxy on Thursday. I heard you only get a limited amount, like 10 pills.
I had cancer and it toasted my kidneys, so I can't take ibuprofen, etc, so I'll just suffer a bit when I run out. Never had a new knee so I don't know what to expect as far as pain.



Expect something really bad. It feels better after 90 days.

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Originally Posted by ackleydave
Been dealing with some stuff for a couple of months and so far I’ve been prescribed Tramidol then Hydracodone and now Gabapentin. None seem to really work for me. I take extended release Tylenol that seems to work the best but am going to stop soon because of the long term side effects. I hate to take pills in general so stopping is easy except for what to use for the pain now. Took Naprosyn for 2 years while I had 4 knee surgeries and it worked well. Dave

I'm taking gabapentin as well as oxycodone for a herniated L5. I'm 46 and I see the best back surgion in my parts. He said don't let the prednisone and epidurals put to much weight on and manage my pain for the next 10-15 years then consider surgery. My work is physical and my personal life is physical so surgery at my age is not in the cards. I get 45 5/325 oxycodone a month and take them as needed. Sometimes I take one a day for weeks once in a blue moon I take two(rarely) and quite often I go days with nothing. While I believe physical addiction is real I truly believe it's the person. Only thing I've been guilty of being addicted to is mexican food and women. Addiction is between your ears but again we're all different and I consider myself lucky. With everything said gabapentin helps me more than the oxy by far. Nagging nerve pain is brutal, think slow torture.

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And the ever vaunted Tylenol used by itself against any pain, acute or chronic, moderate to severe is much akin to trying to mortar a 170-gr from your 30/30 into that 600 yard bull.

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Originally Posted by George_De_Vries_3rd

And the ever vaunted Tylenol used by itself against any pain, acute or chronic, moderate to severe is much akin to trying to mortar a 170-gr from your 30/30 into that 600 yard bull.


The IV formulation has merits....

Addition: For the short term post surgery...but is it better than opioids for short term post...Evidence says no, and the expense is significantly greater.

Last edited by battue; 03/28/21.

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