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How much OxyContin is too much?

How much OxyContin is too much?

OxyContin is a pain medication that contains oxycodone, a narcotic painkilling medication. OxyContin is a controlled-release version of oxycodone which does not contain the non-narcotic pain medications that can be found in some other brands of oxycodone.

In general, 30 mg OxyContin in one day is the safe limit for people who have not been exposed to opiates. But people who have developed opiate/opioid tolerance can sometimes take up to 120 mg within 12 hours.  Still, you can die from OxyContin overdose.  In this article, we’ll look at the safe and dangerous amounts of OxyContin and invite your questions about OxyContin at the end.

OxyContin strengths

OxyContin comes in multiple strengths. This is because the body gradually adapts to OxyContin in your system as you become opiate tolerant. So doctors start you on a small dose of OxyContin to begin because it’s much easier to overdose on higher doses of OxyContin if you do not have a tolerance to the medication. If you have taken OxyContin for long periods of time, your dose will gradually be increased so that it continues to control symptoms of pain.

For opioid naive patients, OxyContin comes in doses of 10mg oxycodone, released over an extended period of time. OxyContin also comes in doses of 15mg, 20mg, 30 mg, 40 mg, 60mg, and 80 mg. At one point, 120 mg controlled release OxyContin tablets were available, but they have been pulled off the market due to the high risk of overdose when used recreationally.

How much OxyContin is safe?

How much OxyContin you can take really depends on your tolerance to the medication. Opioid naive individuals should not take more than 30 mg in one day. Those with a tolerance to the medication can sometimes take up to 120 mg within 12 hours. Consult your doctor to determine the maximum safe dosage of OxyContin for you.

How much OxyContin can you take at once?

Only one OxyContin tablet of the strength prescribed by your doctor should be taken every 12 hours. OxyContin provides continuous relief over this period, so it shouldn’t be necessary to take more. If your OxyContin tablet is crushed or cut in half, it will actually be more dangerous because the controlled-release function of the tablet has been damaged. For example, if you break an 80 mg tablet in half, you would get 40 mg oxycodone all at once, instead of 80 mg over 12 hours, which would greatly increase your risk of overdose even if you had a moderate tolerance to the medication.

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How much OxyContin to overdose?

The amount of OxyContin is takes to overdose varies based on your previous exposure to OxyContin and other narcotics. If you’ve never taken OxyContin before, as little as 30 mg could spell trouble. On the other hand, there are people who are able to take far more than that without any problems. Ask your doctor what he or she recommends as a safe dose, and if you suspect overdose, call your local poison control center or go to the emergency room.

Toxic levels of OxyContin in the system

You can overdose on OxyContin by taking it orally.But it’s much easier to overdose, even if you’re tolerant to the drug, by taking OxyContin in ways other than prescribed.. Because all OxyContin strengths are controlled-release medications, crushing the OxyContin and snorting it or dissolving OxyContin powder in water and injecting it increases your risk of overdose. In recent years, a new version of OxyContin has been developed which makes OxyContin harder to abuse and harder to accidentally cause overdose – this formula makes it more difficult to crush the medication.

How much OxyContin is fatal?

Since it’s so hard to know how much OxyContin is fatal, it’s better to simply avoid taking high doses of the medication, particularly if you have never taken it before. If you take OxyContin as prescribed, you can avoid this risk altogether.  And keep in mind that OxyContin snorting effects include overdose and death, so you risk fatality if you are taking OxyContin to get high.

How much OxyContin should I take?

You should take the amount of OxyContin prescribed to you by your doctor. Never take more OxyContin than recommended by a medical professional, and only take this oral medication as directed.

Too much Oxycontin questions

Do you still have questions about OxyContin? Please leave your questions here. We try our best to answer you quickly. And if we don’t know the answer to your question(s), we will refer you to someone who does.

Reference sources:Toxnet: Oxycodone
PubMed Health: Oxycodone
DailyMed: OxyContin
FDA: FDA Approves New Formulation for OxyContin

Photo credit: Esther Gibbons

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91 Responses to “How much OxyContin is too much?
susan
11:59 pm July 31st, 2012

I’ve read all the articles sent here and I still haven’t found any information on the signs of overdose? What should I look for, if I am starting to OD, some egsamples would be apprciated. I’m in long-term pain management on OC, my tolerance is high for I have been on them for about 9 year’s , I don”t abbuse them, take them as perscribed and have never ever even considered snorting or injecting them, I allways worry though that one day I will start overdosing and not know what the signs are before it’s too late. Info would be greatly appreciated.

12:46 am August 1st, 2012

Hi Susan. Thanks for your question. I think we’ll do a series of articles on the signs of overdose. Thanks for the idea!

For oxycodone, pinpoint pupils are a telltale sign of opioid overdose. But this is different than simply excessive constriction of the pupil of the eye. This means abnormally dilated pupils. From the manufacturer’s label “Marked mydriasis rather than miosis may be seen with hypoxia in cases of OxyContin overdose.”

Hypoxia is deficiency in the amount of oxygen reaching the tissues. In addition to these signs, slower breathing, sleepiness progressing to stupor or coma, skeletal muscle flaccidity, cold and clammy skin, hypotension (low blood pressure) and an abnormally slow beating heart are all signs of overdose.

Does this help?

Kimi
6:08 am January 31st, 2013

I’ve been on OxyContin 80mgs 3xper day.. My tolerance has gotten so high that I get no relief from my chronic back pain.My Pain Dr wants to take me off it for one month and substitute it with something else..again only for a month. what painKiller do u recommend that will release my pain in place of OxyContin, I’ve been on pain meds for 14yrs

9:39 am February 1st, 2013

Hi Kimi. As far as I know, OxyContin is pretty much the highest end for prescription pain medicines…unless you consider morphine. But doctors are pretty averse to prescribing morphine these days.

Your doctor may put you on generic hydrocodone or oxycodone during the one month “off” OxyContin to try to lower your tolerance. It seems that you’re really on the upper threshold for OxyContin prescriptions and s/he wants to address the tolerance issue so that OxyContin starts working for you again, at lower doses.

Marie
12:26 pm February 13th, 2013

What if someone makes a simple mistake? For example I am prescribed 15mg every 4 hours. Started at 5mg for a few months, then on (2) of the 5mg for a while, then recently prescribed 15mg every four hours and its my perfect dose, i get amazing pain relief, finally after many months of different doses and other drugs,through trial and error, this is what works for me again I’m on 15mg every 4 hours. Earlier this morning I was half asleep when I took my first pill of the day. I then without thinking took another one a half hour later with the rest of my morning medicine, so I ended up taking (2) 15mg oxycodone within the same hour, 3 hours have passed since this happened and I just feel nauseated, sleepy, and I can’t help but be scared. I’m very responsible with my medicines and am mad at myself for making this mistake. But do you think I will be okay since 3 hours passed by?? I’m just really scared

8:41 am February 14th, 2013

Hello Marie. You can always call your local poison control center to be sure. You are fairly opioid tolerant at the moment, but the nausea is an indication that the dose has provoked a reaction. The national poison control hotline is 1-800-222-1222.

Marie
6:47 pm February 14th, 2013

Thank you for responding, I actually ended up getting so scared ( I have an anxiety disorder) that I found that number and called them. They had. Instructed me to go to the ER. However I asked the woman if I could just call my doctor first, she agreed, being that she felt my doctor would know better than her about my dosages. My doctor felt I would be okay from this, and I did not need emergency treatment being that like you said I have a tolerance. I am very careful to never have that happen again, that was scary. Thank you so very much for your response I really appreciate it.

11:52 am February 15th, 2013

I am so happy that it has worked out for you. One way to manage the pain medications is to buy a pill organizer for AM and PM. This way, you can make sure to avoid double dosing and monitor intake. Take care, and we wish you the best!

Marie
3:16 pm February 16th, 2013

Thank you! and that is a great idea! I will do that!! I really love how quickly you answered my questions, and how informative your article is! Keep. Up the great work! Thank you again!

Paul Burgess
2:38 am February 22nd, 2013

I’m afraid that under the title OxyContin Strengths you are wrong on one point. You say that the 120mg strength has been withdrawn from the market, Actually they haven’t!
I take a number of other pain killers including 8x 20mg OxyContin (OxyNorm) capsules, in addition to 2x 120mg OxyContin controlled release tablets per day and with the pain I have in my back, I need them!!!!
Cheers

Danny
8:04 am March 5th, 2013

I’m currious. About how many MGs/day of Oxycontin does the average addict take? I’ve saw a Tara Conner interview where she said she had taken 20 Oxy tablets the day she won Ms. USA, but she didn’t say the strength of those tablets. And of course I’ve also read about former NBA player Chris Herren. But I’m always currious what amount these people take.

eileen fisher
3:13 pm May 6th, 2013

why am i so very very tired after accidently overdosing on oxycontin for several months and being unable to sleep by night and only by day because they caused me to urinate so much during the nightime hours. and will i ever catch up with this lost sleep and feel “normal” i.e. after now managing to easily sleep for 10 hours i still fell a great need to have an hours sleep every afternoon.

7:42 am May 7th, 2013

Hi Danny. Opiates and opioids (man made versions of opiates) are known to bring about physical dependence within a few weeks of regular dosing. The time it takes to be dependent on OxyContin varies by person. Additionally, the phenomenon of tolerance is highly individual. In other words, some people can take relatively large doses of OxyContin after time (60+ mg OxyContin), while other bodies do not tolerate more than 10-30 mg OxyContin at a time. In this way, it’s really difficult to answer your question in terms of dosing AMOUNT and FREQUENCY for a typical addict, as there is not one real standard. Every body is different.

Grant
2:09 pm May 17th, 2013

Hi I had an discectomy on my lower back . It was good I didn’t get the pain down my legs any more but I work a lot and I am bending and on my knees a lot I take oxecontin tablets I take 3 20mill slow release tablets .3 times a day and have been for 4 years is that ok I don’t feel sick our drowsy at all is that ok

4:26 am May 20th, 2013

Hello Grant. Long term use of opioids like Oxycontin can cause long term effects. So if you’re taking it as prescribed check in with your prescribing doctor to learn more about the long term effects. And as long as you exhibit no symptoms of overdose, your dose is probably right for you. Check with a pharmacist to get advice on what the average dose is…so that you can understand more about where your dose falls on the continuum.

Ann
3:56 pm June 10th, 2013

My husband has been receiving a prescription for 150 – 80mg.Oxycontin this month the drug store said they could only give him 120 pills. Is this from the FDA – DEA – or his prescription plan ? Does he need an over-ride from his doctor? Does this have to do with his age, as he is now 70? Thank you.

Michael
8:27 pm October 17th, 2013

I feel stupid asking this question, but I have read the above article and the questions and answers. I am taking 20mg of Oxycontin 4 times a day. Two in the morning (40mg total), 1 in the afternoon (20mg) and then 1 in the evening (another 20mg). I can also take 5mg of Oxycodin (2 in the morning if needed (10mg) and then 2 in the afternoon or evening if needed (another 10mg). Since my last prescription, I went on a lengthy trip where I was driving cross country, and took more than the prescribed Oxycodin. I was taking 3 and 4 tablets at a time for breakthrough pain. I was also taking an extra Oxycontin or 2. I am almost out of the Oxycontin. If I cut them in half, I understand that I will absorb 10mg of the drug right away instead of the full 20mg throughout the 12 hour period. But I need to get me through for another few days before I am able to get a refill.

Am I at risk for an overdose if I take and cut the Oxycontin in half if I am already on such a high volume of Oxycontin and Oxycodin?

4:42 pm October 22nd, 2013

Hello Michael. It’s probable that if you’ve been dosing on oxycodone and OxyContin for more than a few weeks of daily use, you’ve already developed tolerance to opioids. How long have you been taking opioids?

Michael
11:27 pm October 22nd, 2013

It will be 3 years this coming February. I started out with just 5mg for breakthrough pain. Then started taking 1 10mg oxycontin 3 times a day. Now I’m up to 4 20mg oxycontin – 2 in the am, 1 in the afternoon and 1 in the evening, but they don’t last long enough. I understand the Oxycontin is suppose to last 12 hours but I find it only works for about 6 or 7 hours before the pain starts coming back and I have to take another one.

I am scheduled for a series of injections – hopefully no later than the end of next month – so I can start coming off these things. I really don’t like being on them for this length of time.

3:46 pm October 23rd, 2013

Hello Michael. It sounds as if you’ve developed a tolerance for oxycodone; pretty par for the course of treatment with opioids. Best of luck during tapering and withdrawal. Do you have another form of pain management lined up?

Ann
11:31 pm October 25th, 2013

Im taking oxycontin and would like to know whats in it and is there a difference between that and oxecodone?

Observer
3:27 am December 17th, 2013

@Ann,

I am not part of the Addiction Blog administration or affiliated, but while you are awaiting their official reply, I believe oxycontin is the time release painkiller and that oxycodone is released all at once. From what I understand, they are the same medicine, but oxycontin is designed to provide steady relief released throughout the day over time while oxycodone is more for immediate breakthrough pain relief. I hope this answers your question and helps you. Also, you may want to wait for an official reply from the Addiction Blog, but I believe this is information is accurate.

7:18 am December 17th, 2013

Hello Ann and Observer. That’s right. Oxycodone is the generic opioid contained in OxyContin. OxyContin is a brand that has been manufactured to release oxycodone slowly, over time. But at the basic level, they both contain the same opioid: oxycodone. Check the labels to confirm the DOSAGE, however. This can vary and high doses of oxycodone can induce overdose.

Observer
7:28 am December 17th, 2013

Thank you. Just the confirmation that was needed. :)

Susan more
1:04 am March 27th, 2014

I have been on Targin 40/20 for two yrs. In that time I have taken 10mg oxynorm 3 times a day then 20mg 3 times a day and this has been the way for the last 6 months ( 40/20 Targin and 20mg oxynorm 3 x a day). I recently saw a new pain doctor and he scared the willies out of me saying I could drop dead on the amount I’m taking. I said wouldn’t my GP tell me that and alter it? I got home that day and stopped the oxynorm all together. It’s been almost 3 days and I’m still shaky with rapid heart palpitations, sweats, my head feels like it’s going to explode. Plz help how long will it tske to feel Better? I’m also on Zoloft lyrica baptist and stilnox at night. Can’t wait to hear from someone. Thanik u so much.

ann
8:27 am March 28th, 2014

Does the body need more of the drug over a period of time to keep on working?

Paul
3:33 pm March 28th, 2014

Susan, I’ve been on Oxynorm 20mg 2x 4 times a day, Oxycontin 120mg 1x 2 times a day, Gabapentin 800mg 1x 4 times a day, Omeprazole 20mg 1 per day, Etodolac 600mg 1 per day and Paracetamol 2x 4 times a day!! I’ve taken that little lot for over two years now after spinal surgery that didn’t work unfortunately and I’m still alive and kicking.

So I wouldn’t take much heed of what you were told. But what do I know, I’m not a doctor!! Best wishes…..

Hannah
4:41 pm April 12th, 2014

How long will some one sleep if they were close to an overdose on oxy?

Dianne
12:17 am July 1st, 2014

Can someone tell me the answer to this question? I have been in chronic pain my entire life. Since the age of 2 if you want to be exact. I have been on some type of pain medication since my teens. My question is if I take two 30 mg oxycodone IR and I am out until my mail order. I also take 60 mg Oxycontin ER. Can I cut the 60 mg in half? Wouldn’t that be really the same thing? Being that it will basically go into my system Same way. My Dr is 2 hours away and of course it is not like we can drive 10 minutes to get a new script and I do not want to mess up my prescription order. It already has been a huge mixup this time!!! Any input would be greatly appreciated. Thanks

sheryl
6:22 am July 17th, 2014

I am on oxycontin 60 mg I have been on them for over 6 years but it seems that I that are not working as well as when I first started taking them I was wondering if I should cut the pill in half to make them last the break thru pain Med I don’t have enough

sheryl
6:45 am July 17th, 2014

I am on oxycontin 60 mg I have been on them for over 6 years but it seems that they don’t work as well anymore. When I first started taking them the pain was controlled it doesn’t seem to be controlled was well anymore. I was wondering if I should cut the pill in half to make them last? Would it matter if they are marked 60 op? Or should I not be scared to talk with my doctor he has so much to deal with when it comes to the FED he is trying to make the FDA happy but it is hurting his patient is afraid that if he adds meds that his license will be taken what should I do? Any advise?

2:43 pm July 24th, 2014

Hello Dianne. Extended release medications should not be altered or cut because this breaks the mechanism that allows the medication to be released in your body over time. Can your doctor call in a prescription so that you can avoid withdrawal?

jenny
12:40 am August 5th, 2014

I took my last dose of 4mg subconscious today at four o’clock. By tomorrow about 10am I’ll have two instant release oxidation and one forty time release oxidation will I feel tbem?

Susan
1:35 pm August 5th, 2014

I take 30mg of OxyContin 3times per day. I accidentally doubled my dose this morning. No ER.

8:59 am August 6th, 2014

Hello Susan. It depends on how high your tolerance is. It will absorb all at once. You should be ok, but be very careful from now on! If you feel like you arent okay get to the ER or Call The Poison Control Center on 1-800-222-1222 for a free over-the-phone asesment of the risk of overdose and advise on what to do next.

Johanna
6:17 pm August 9th, 2014

Hi Please can u advise me on taking OxyContin ,my prescribed does it one twice a day 10 mg ,I have been taken two tablets in the evening as evening time my body aches so much and by taken two I feel so much better ,a little light headed but otherwise ok my does add up to 30 mg please advise me if this is Ok .
Thank you JOHANNA

Steve
4:33 pm August 31st, 2014

Thank-you.
This is not your fault but I just needed to be sure that what I was feeling is because of the drugs.
I have CRPS Type 1 and since 1997 I have had unimaginable pain and I am past the point where I can`t cope anymore.

Steve
5:11 pm September 1st, 2014

An-yet I survive again.
My daily intake is Oxy “C” 360mg
Oxy “N” 40mg + 20mg emergency allowance.
And still I can`t find what will truly do what I want it to when I can`t go on.
The daily amaount is prescribed for my illlness. Until `97 I never knew pain like this. I have had three papers written about me. I have been the subject of at least two group meetings to try and help me, and all in vain. I am lucky enough to have an ilness that the medics aren`t fully sure what it is and then to put the boot in it just happens incureable. Aren`t I the lucky one?

E Murray
11:18 pm September 3rd, 2014

Hi my daughter takes 200mg of oxy c morning and night ,and 60 mg oxy n up to 6 times a day for spinal cancer ,over the past couple of day’s she has been talking nonsence ,is this just a build up of meds in her system or is she becoming toxic on the meds ?

7:07 am September 10th, 2014

Hello E. Murray. I’d suggest talking to her doctor about the risks. In situations like these it’s hard to say.

stewart
8:49 pm September 15th, 2014

I take 12 40 mg tablets a day and in the end is not working after long time use for pain.my doctor gives me them as im an amputee.i would advise anybody NOT TO START USING THIS PILL, it is awful to stop. I’m worried it will kill me eventually

stewart
8:57 pm September 15th, 2014

To E murray the talkingbis her dreamimg when awake loke tripping wen eyes closed sedated. Morphine is the greek god of sleep sorry morpheous I think the spelling may be wrong.i take a large ammount for injury and it may be high dose too but its the high effect of a large dose.i would see doctor and tell them this and watch her in the meantime.im also a drug support worker

Stewart
12:00 am September 20th, 2014

I’ve been prescribed 60 mg Oxcontin daily, 30 mg 2 x a day. How much medicine is in my blood stream at any given hour, and how long will the pain suppression last per tablet. I was previously taking 10 Hydrocodone a day, sometime more depending on the pain level.
Follow on question…. Can I reduce the amount I take by stretching out the 12 hour dosing to the point where I no longer need this? is that possible? I mean, maybe I can get off all of this.

Carm
2:45 am October 15th, 2014

I went to a new doctor that was supposed to be this big time pain doctor in 1999.. He said there was a new drug that was not addiction, the new drug “Oxycontin” was supposed to be miracle. 13 years later I now take 500 mg a day. They wasn’t to increase the dosage to 600mg. Scary

Mick
7:05 am October 27th, 2014

So when were the 120mg purple OxyContin taken from the market? I know the 160mg were, but less than a year ago, 120mg were certainly available. But only by Napp in the UK, not by Mundipharma in the rest of Europe. The Napp website still lists the 120mg strength, so I am more than a little confused.
I find myself in the position where 80mg bd is simply no longer enough, and would like to access the 120s.
Could anyone enlighten me?

Mike
9:27 am November 19th, 2014

Does oxycotin make your body feel heavy.

Stacey
9:58 pm November 22nd, 2014

Hi I’ve been told to take 2 20mg omeprazole with 2 clarithromycin 500 my with 2 amoxicillin and I’ve just relized I’ve too 4 20mg of omeprazole will I be ok

kathlee
3:56 am November 29th, 2014

i take oxycontin 80 mg 3 times a day, every 8 hours, doctor is thinking about increasing to 80 mg every 6 hours. i have endometrial cancer. medication wears off after 6 hours and pain returns. i am 78 years old. thank you

Ambrosius
12:39 pm December 14th, 2014

Can simultaneously taking multiple 10mg OxycoNTIN (controlled release) tablets increase the effect or dose released over a 12 hour time period?

4:41 pm December 16th, 2014

Hi Ambrosius. I’d only recommend taking a medication in the doses and time periods suggested by your doctor. Otherwise, it’s abuse and can result in dependence, addiction and/or health risks.

Connie
11:25 am December 23rd, 2014

I been taking 60 MG oxiconde per day since 2009. I have OA ra and fibermyalgia. Now my doctor says u r depending on it so we won’t prescribed it any more. I am sOwing getting off but they are not giving me anything else, my pain. Level is becoming debilitating I should be starting g subox need in jan. I not sure how I can make it that far over the counter pain stuff doesn’t work

1:42 pm December 29th, 2014

Hi Connie. Ask your new doctor to help you create a tapering schedule and continue to give you prescriptions while you gradually reduce doses. The withdrawal symptoms will be far less severe and you won’t suffer as much. It’s barbaric to force you to go cold turkey after such high dose and long term use.

Ron
11:47 pm January 8th, 2015

I investigated what was done to oxycontin pills when they changed the back from an OC to an OP on them. Yes it was to prevent people from shooting, or snorting it. This was done by adding a substance called “intac” to the oxycodone ER’s actually melting the two together. From what I read you can no longer separate those two substances so no matter if you (chew or cut) them they will not instantly release like the OC’s did. You will only get the extended effect, but not all the amount labeled on the pill. Actually a lesser amount. Is that correct?

Mick
10:34 am January 22nd, 2015

Too much depends on the pain levels, the tolerance and other considerations.
The strongest tablet on the market is the purple 120mg strength. I have used these which are certainly not too much considering the level of pain I experience.
For opioid naïve people (those using less than 30mg morphine or equivalent daily) 20mg OC may be too much – it is described in different places as being between 2 and 3 times more potent than morphine salts.
Best to stick with the doctor’s instructions at all times!
To the poster taking Oxycontin FOUr R times daily, that is absolutely ridiculous as it is a TWICE DAILYbONLY medicine, and if further analgesia is required then an immediate release analgesic of 3-4 hours’ duration of action should be prescribed up to a maximum of two or three doses daily. Oxycontin should NEVER be taken more than twelve hourly. READ THE BOX AND THE PIL!!

Ron Case
5:54 pm January 22nd, 2015

The oxycontin ER reacts differently on different people. The twice a day is an average as I need them more than that also. I had the same problem with the duragesic patch. I had to change them every 2 days instead of three like the instructions said. So each persons chemistry is different and studies are based upon the average. So with your “READ THE BOX” comment unfortunately some people’s chemistry are different. In pain management one size or specific dose doesn’t work the same for all.

Tony
6:07 am January 24th, 2015

Question I feel my old doctor was trying to kill me He had me taking 8-80 mg oxycontin a day plus 3-4 5-325 oxycodone a day for break throught pain. Now my teeth are falling out the emmauel is gone plus now I got knots in m y chest and alot of times I can’t eat for my food gets caught where the knot are and won’t go down. I feel like this doctor cause me alot of other problems now so what can I do about it now my life all F—— up now if It wasn,t for my lady I’d be dead by now lucky shes a great nurse who loves me and went throught the hell with me

Mick
9:56 pm January 25th, 2015

Ron you are absolutely correct.
The drugs with the greatest RANGE of effective dose in different individuals which is NOT governed by BMI are Hydromorphone HCl and Oxymorphone HCl. Why these ketones should both have the same problem regarding dosage I do not know but that would be a great idea for a study – being involved in a University Research, the first problem ai would have would be the procurement of OXYMORPHONE which is LICENCED only in ONE country, the U.S., and there is not a single pharmacy in that country who will mail ANYTHINGbto the UK at all.
Easily synthesised from Oxycodone base, but production is the one thing we are NOT exempt from in terms of legislation and regulation.

Ron
3:29 am January 27th, 2015

Tony, I would like to ask a couple of questions. How many oxycontins are you taking now–if any? and what breakthrough med–if any? How long were you on them and how long have you been off –if at all. ALL and I mean ALL these meds. can screw up many different parts of your body,digestive system, metabolism, hormones, brain, neurotransmitters etc, etc. It is a personal thing depending upon your particular chemistry, if you smoke, drink, are overweight, are a diabetic etc, etc. — plus what other meds. you are taking. I’m not a doctor but have been going through chronic pain for over 30 years so I have a lot of personal experiences with so many different pain meds. it’s ridiculous. My doctor had to beg me to finally get me on oxycontin cause of the amount of tylenol in percocets or norcos I had to take to hold the pain down. He was concerned I was going to fry my liver. Eventually I also found myself taking 8-80-mg.’s a day with 4-30mg. IR’s for B/t pain. I am now tapering off and down to a much lower level and my mind feels a lot better, pain not as bad but still bad–real bad. I hope to help you but remember our chemistries are different in some way. Before I attempt that I need the answers to my questions.
KEEP UP THE FIGHT!

gTony Tusing
6:56 pm January 27th, 2015

Ron,To answer your questions I,m down to 4-30mg roxicodone aday now feeling alittle better now but always in pain. I also been deal with this problem for over 15 years. I was never told what could happen by taking large amounts of oxycottin could do to your body. Every doc I’ve talked to in the past month can’t believe the amount of meds he had me on. Seems like I should be able to sue him for all the damage he’s cause me all my teeth are falling out can’t eat forall the knots in my stoma sorry can’t spell for shit. I know he’s f my life up lost a business can’t hold a job I’m lucky to still have my lady. I do want to get even I’d just like to get back what I lost and something for all the damage my body in now. any help you can give my I could use.I’m 53 now and life just screw up, I’m ex-military served 8 years with the 5th special forces,3 years with black water all that time never a sc with over 6 fire fights with the 5th and god only knows how many with black water. Now these dawn pills have really screw me up,I had no ideal the cost they can do,No warning for the doc’s or from the makers then you learn how to use a comupter and learn what doc’s and the maker don’t want you to know. Thanks for any help. Fu–ed up in Virginia.

Al
3:04 am January 28th, 2015

I have severe Spinal Stenosis and am taking 30mg morphine spaced four (4) times daily. I weigh 165 pounds and am 70 years old. My question is: Am I an addict? If so, how can I detox on my own. I cannot afford to go to any hospital. I am quite poor with no credit to speak of. My pain management doctor wants to detox me at a local center. I will never go to a hospital, they have never given me the right meds at the right times. Please answer me as soon as possible. Thank you very much for your time and patience, Al

Ron Case
7:32 pm January 30th, 2015

Honestly I don’t have any problems with my teeth but I’m finally down to 4-40mg. ER and tapering every 90 days. I also can take up to 4-30 mg. instant release, like you. I hope you get the generic for those roxicodones. There is a lot of natural (no joke) herbal like stuff that can help your guts. Hope you aren’t drinking a lot, it just makes everything worse. My son is loosing his teeth from smoking. I understand your frustration cause after my operation I felt worse than before. The Doc. said you will have to learn how to live with it and said good-by. (If I wasn’t in a steel back brace I’d have given him something to live with the rest of his life!) Anyway it takes a lot of time for the meds. to clear out of your system. Drinking lots of liquids is great–not coffee. This site has some other forums that someone might be able to help you on. Try the ones that only talk about oxycodone or oxycontin and see if any of those guys have had your same problem. I’m 63 now and can’t remember why I even went over to the computer. Not good.
I would like to personally thank you for fighting for our country and sacrificing your life for mine!!!!!!!
GOD BLESS YOU

Mick
4:36 pm February 2nd, 2015

Mistaken info in article.
Oxycontin 120mg (the purple tablets) have NOT been withdrawn at all – I was dispensed a box only the other day and have been getting them every month now for two years, the only strength I know of that have been removed from pharmacy shelves is 160mg, which were long blue oval tablets.
120mg not available on Continental Europe and never have been, but are still going strong in the UK.

Ron Case
10:53 pm February 2nd, 2015

Well Mick they aren’t allowed in America. If the DEA only understood that if a person wanted to “get high” all they would have to do is take 4-30mg. oxycodone IR—then they would have their 120mg. high. If the UK uses the OP’s and not the old OC’s then even if you cut them you would not be able to shoot or snort them and they don’t instantly release if you chew them.
I am amazed at the stupid logic America uses toward any “drug”. Yea I’m an old guy now–but when I was in my teens and twenty’s I smoked a lot of dope. All of us did. I don’t know any of my friends who moved on to more addicting drugs, or Acid or whatever—who didn’t first start with smoking. I’m not saying everyone moved past smoking weed, but it really was and is usually the gateway drug that people first use. Now America uses so many resources to “catch” illegal pain med users , yet legalizes Weed. In their efforts to “catch” the bad guys, they have made life almost unbearable for the rest of us in the Chronic pain community–treating us like drug addicts. I am tested constantly by my doctor to see if I have anything in my system that he did not prescribe. Even if another doctor gave me a script for something as innocent as an Ambein to sleep, I was made to sign an agreement that I would never get any medications from any other doctor while under his care. I understand the concept of doctor shopping but these guys have made many truly injured people’s lives miserable by the tactics they use. They scare most doctors so much with penalties they are afraid to write any prescriptions for any pain meds. at all. But if you want, you can go to certain states, soon probably any state, and get an ounce of dope and get high all day and they don’t seem to care. They have pushed the price of oxycontin through the roof. It’s just ridiculous. This is why many chronic pain patients turned to heroin. Isn’t that a wonderful plan? Get all the pain patients hook on Smack so eventually have to go to detox and then to methadone or they can kill themselves! What an extremely flawed system and expensive way to “figh” the war on drugs”. If it wasn’t so tradgic it would be humorous! Well there’s my 2 cents worth! HA!!!!!!!!!!!!!!

Ron Case
11:16 pm February 2nd, 2015

Hey Al, I’m so sorry I didn’t see your post! Are you an addict? I would say no if you have spinal stenosis and are using the morphine for pain. If it works, and you’re not abusing it, you are “dependant” on it to get through a life of pain. If you are using it and getting high I’d cut back to what you need just for the pain. It depends on how you are getting it into your system if you can do it at home. My main question is why is your doctor wanting you to get off it? What is he gonna do for the pain? Surgery? Is the stenosis in the main spinal canal or in the foraminal openings. Sometimes a decompression surgery works, sometimes not. That’s all up to you and your doctor. As for the addict thing, are diabetics addicts cause they use insulin? If you have a legit problem and you are getting treated for it don’t let anyone tell you that you are an “Addict”. Even the true addicts will tell you they use just to get high, not to relive a real injury or illness. If that were true every cancer patient would be an “addict”. Don’t listen to that condemning crap!

Shelley
6:50 am February 14th, 2015

I was critically injured in 2004 in a hit & run automobile accident that mangled my left forearm. Since that time I have been on a variety of pain meds including Percocet, Oxycondone 15mg to Oxycontin 20mg. Two months ago my pain physician tells me that he will not be prescribing Oxycodone 15mg anymore due the abuse (not by me, but generally) of the medicine and substituted Oxycontin 20mg which does not help my “breakthrough pain” and last month prescribed Percocet 10/325 five times a day or when needed. The Oxycodone 15mg worked fine and I am wondering if I should consult another physician who does prescribe it. I am not abusing the medicine and starting to believe the doctor is protecting his ass rather than treating my pain with the medicine that gives ME the best relief. Please advise

3:25 pm February 17th, 2015

Hi Shelley. Sadly, you are not the first person I hear such a story from. It happens a lot and to a lot of people. I usually wouldn’t recommend speaking to a different doctor about prescribing you medications, since it may be perceived as doctor-shopping, but if you explain your situation you might get you medicine again. I cannot understand how some doctors are ignorant about pain. Best of luck to you!

Ron
5:14 am February 19th, 2015

So Shelly you aren’t on any oxycontin— just the percs, right? If the 50mg. of oxycodone in the percocets helps I would just leave that whole thing alone. You are only getting 1650 mg. total of Tylenol in the percs and that’s not enough to hurt you. You can take about 2 or 3 times that amount. The reason the doc. changed was because the percs. are in a “lower class” of narcotics than the oxycodone “without” the Tylenol. These docs. are so scared to do anything because the DEA has a gun to their heads threatening to revoke their liscense I agree with Ivana cause if these doctors get any reason to think that you are doctor shopping—-they will show you the door, even if your arm was dangling from your side and bleeding on the floor. My doctor has to make out so many forms cause of the meds. I take it’s ridiculous! The DEA is trying to shut the barn door after the horse has escaped. It’s so unfair and really probably 80% of real chronic pain patients never get all the meds. they really need. All of us are usually treated like drug addicts and continually tested to see if we are using any illegal substances. I’m tested several times a year from a doctor who I’ve known for 16 years. He has to submit the findings of the test or he’s in big trouble. If you knew the whole story it would amaze you at the money spent to keep legit pain patients from getting meds. that would help them live any type of life. Sadly many of us are just numbers on a report. I am trying to lower the amount of oxycontin I have been taking for years and can you believe that my insurance co. penalized me because I asked my doctor to lower my level from 4-60 mgs. a day (=240 mgs.) to 5-40 mgs. a day (=200mgs.) They wrote me a letter and said because he wrote me a script. for more than 4 pills a day I would have to pay double for that extra pill. I went from 4-80′s down to 5-60′s and they didn’t say anything, then down to 4-60′s but now some new law has been put into effect or something. I’ll have to pay cause I really want to get off these pills but I can’t drop 80mgs. a day without withdrawls. It’s crazy!!!!
Just how ridiculous is it that the same rule applies if you take 4-10mg. pills daily or 4-80 mgs. pills. That is how dysfunctional the rules are. They count the amount of pills not the mgs.
If the 5 percs. work— stay with that or they will put you in a class of pain people trying to get high on top of their pain. If it’s not enough you could get more from him before it affected your liver. Just be careful how you talk to him. Don’t act like you know a whole bunch about pain meds. or they always get suspicious, especially if you start using proper names of other medications.

Felicia
2:38 am February 23rd, 2015

I’m on OxyContin 20mg BID for q12 hrs for several years now. I also take Monopril ER 25 mg hs. My Dr. increased the OxyContin to 30mg q12 hrs. and I developed light headed ness, became very dizzy,could not focus,the room was spinning and fell!! What do you believe happened??

Nicola
4:40 am February 25th, 2015

My mom recently passed for what the coroner said was mixed drug toxcitity. Her Oxycodone level was 3.4mg/L they said it should have been between 0.02 and 0.1. It is possible that my mother could have deliberately OD as she was in a lot of pain and depressed. However, I have heard about build up of morphine in the system over a period of time. With older bodies they aren’t able to metabolize the morphine? I’m trying to find some answers and would appreciate any insight. Is it possible that she had a build up over oxycodone over a period and then when she took her normal dose it tipped her over the edge? Any help would be appareciated pls. Thanks

1:57 pm February 27th, 2015

Hello Nicola. I’m very sorry for your loss! But, I cannot answer your question…maybe you can ask a toxicologist, or addiction medical professional and they’ll be able to provide an accurate response. I apologize again!

Jayson
2:44 am March 3rd, 2015

If I was on 30ml of methadone and they drop me down to 26 taking 2 OxyContin 10mg so that wouldbe20mg would I be right because I’m having bad withdrawell symptons

12:15 pm March 3rd, 2015

Hi Jayson. Withdrawal symptoms are a natural occurrence when a medication’s dosage is lowered or discontinued. You can consult your doctor about how to deal with these uncomfortable effects…they shouldn’t be left untreated.

ken
8:28 am March 28th, 2015

I have been on 25 mg of fentanl patches for over 2 years. then was taken off of it and put on 30 mg twice a day of oxycontin and oxycodone 5mg I tablet 6 times a day if needed for breakthrough pain. this is for joint pain and foot neuropthy. is it safe to take more. it’s notworking an my doctor is closed till Monday am.

11:00 am March 30th, 2015

Hi Ken. Maybe you can tell your doctor about your meds not working when he opens. I cannot advise you to take more of your medications without your doctor’s guidance. Plus, it’s considered drug abuse if you take them in any manner or dose other than prescribed.

Chris
10:21 pm April 13th, 2015

I have very odd situation-was treated injection/capsules chemo for liver virus which I believe is why my tolerance to Oxycontin & now OpanaER is soo high. I never had taken any pain meds before when I started Oxy I had to be tritrated to 600mg for it to effect me. Nothing felt before that but when it finally hit me it was a miracle!Obviously this has freaked out other drs. whom I have seen but there is no test I have taken to verify this or tell me what really is causing only a small amount of what I take to actually get through. Would you know where I can get tested to show what is happening with this? Have been taking huge amounts for over 10 yrs with no ill effects at all. It works great at huge levels but nothing at normal amounts. Please give me idea who can test this phenomenon? Thanks,
Chris

jim
2:33 am April 22nd, 2015

I disagree. Many people have been tested in close medical monitoring. In these test patients were given a dose and several had the oxy effect wear off in less than 7 hours. I personally take oxycontin 3 pills a day.

ed
8:16 pm April 22nd, 2015

A patient has been prescribed oxynorm10mgBD/PRN on the medication chart.Themedication cupboard contains oxycontin 10 mg tablets.Can we give an oxycontin 10 mg tab?

Bob
7:01 pm April 23rd, 2015

I have had back pain issues for 9-10yrs, and about 4yrs ago it took a severe turn for the worse; I have severe spinal stenosis cervical and lumbar, spurs all thru the thoracic region, bone compression, ruptured & herniated discs, and so on…..have had several surgeries to not much avail, tried injections (no relief) was rejected as a candidate for spinal cord stimulator; and have been told that I have a very bad back and not much more can be done, and that I am going to have to learn to live w the pain! I have been taking Meds for 9yrs and the last 2yrs have been taking 3 OxyContin 80′s 3x a day – 9 total. As we all know, tolerances develop, and my pain is getting worse. As per my Drs advice, taking my Meds every 6-8hrs, they used to work every 8 and now it has been 6 or less, so every night has been horrific as they wear off during my sleep every night. My stenosis is getting worse and scar tissue from surgery is causing a very painful cutting feeling like razor blades and shards of glass thru my legs and back and it is getting unbearable. My dr is reluctant to prescribe any more, as he feels this dosage is the “correct dosage” but I know that it is falling short of helping- I do understand some of the potential risks of “too much” OxyContin…… But…..what amount is “too much”?? I know my body, and am not abusing or getting “high” from my current dosage, and it is merely making me “feel more normal” and taking the edge off, but pain is still very severe. Is my doc just scared to write more? Or is there anything else that can help? Should I see a new dr or is it just going to seem like dr shopping? Personally, having been taking these meds for this long I feel caught in a huge “catch 22″ of the politics, the abusers, the benefits and risks, but at the same time feel hopeless that I am suffering & not going to get the help I need to live this majorly altered lifestyle. Oh, and I am a 50yr old male about 275lbs that used to be an athlete, and my life as I once knew it has changed. My question is….”how much OxyContin is really too much, and are the risks really worse than the potential rewards or possible relief? Or is it just a never-ending cycle of tolerance building?” Oh, also, not sure if it is important but I have been with the same medical practice for 20+ yrs but new doc 6mos ago as my primary retired.
Thanks in advance!

maddy
5:26 am April 29th, 2015

Hi i understand that this topic is oxycontin but i am 19 years old & i just took 2 15 mg morphines . i have lock jaw and cant stop yawning . my tolerance isnt super high but itsnt real low either . I’ve took morphine before & when i take my norcos i take 3 at once . please help I’m scared ! Even though i only took 2 , they say 54 733

cpugnome
1:13 pm May 4th, 2015

I take 180mg of oxycotin er plus 2 percs a day. Would this show up as morphine on a urin test???

Tim
7:01 am May 6th, 2015

If you cut a oxy in half you will not get 40 mg of oxycodone at once. The time release isn’t just a coating on the outside of the pill. So please get your facts before you just print stuff.

Christine
9:58 pm May 7th, 2015

Can you take oxycotin 3 times a day. Can a doctor prescribe oxycotin 3 times a day

Stewart
4:34 pm May 8th, 2015

Dear Susan,Nodding off to sleep all the time is a sign that the doze is heading for overdose levels as Is slow breathing,coma like sleep,turning blue and vomiting are all signs of overdose

Hurtin
12:30 am May 13th, 2015

Tim is correct. The substance called “intac” was fused with the oxycodone, kind of like a big glob of glue now, so the outside cover isn’t the time release, it’s all through the pill. From all I’ve seen they say if you do cut, say an 80 in half you probably only get about 60mgs. of relief because of how it’s formulated. Best thing is if you can get the 30mg. IR pills and take the 80′s normally. I too have been on them a long time and in 17 mos. Ins. will stop paying and I’m in big trouble. I am going to switch from 4-60′s a day to 8-30 IR a day and ride out the WD’s. It is a catch 22. I told my doctor I never wanted to get on this med. but he did anyway–now I’m gonna pay!!!

Chris
4:23 pm May 14th, 2015

I had posted about my absorbance problem about month ago-however, an extremely horrible thing has happened which leaves me terrified after over 10 yrs. of taking high dosage of Oxycontin (now OpanaER). My 10+ year pain dr. suddenly was removed for “review” by DEA leaving me without dr. to prescribe my meds! New regulations/laws have drs. scared to take new patients here in FL that are taking these medications. I have been to 10 drs, sent records to 7 others-all have told me they cannot help me. Only 2 admitted their fear of losing license, but am certain that is why none have treated me. I am wheelchair bound intractable pain with broken forearms, fused kneecaps, scoliosis, DDD, Fibromyalgia, & more. Extremely obvious my need to have major pain relief. How are you all finding drs. to write prescriptions still?? Any near Florida that could help me before am OUT OF MEDICINE!!?? Am out of options & petrified of pain & withdrawals!!
YIKES<
Chris

Hurtin
3:27 am May 18th, 2015

Oh Chris what a horrible mess. It looks as if I am on the same set of tracks but for a different reason. I worked 30yrs. before they finally ruled that I was in so much pain, due to failed back surgery, failed Pudendal Nerve surgery, on and on the list goes.. I never wanted to get on oxycontin but my doctor insisted. Like you, that decision was about 10yrs. ago. Up until then I was on Norco 10/325 mg. Ok so I was taking 8 a day. That only gave me 2600mgs. of Tylenol a day and that’s not enough to fry your liver, it’s about 1/2 as much. It takes about 4 to 5,000mgs. to possibly hurt the liver. Now after 10yrs. I find out that when I turn 65yrs. old my company ins. is cancelled. I went on strike several times, getting no extra money, just assurance that my older years would be covered by company insurance. That whole thing has turned out to be a lie and there is no way to “re-do the decision”. I don’t know who decided on this since none of us card carrying “worker-bees” voted upon this back stabbing decision. JUST GREAT!!
I do not know what to do. I have actually done tons of research on neurotransmitters, dopamine, serotonin, etc. I think I will have to go into a rehab place, even though I don’t have any savings anymore, and be taken off meds. Yep terrible withdrawls! You may not die, if they take you into their program. Sometimes they don’t want us who are taking so much “oxycodone”. If they ask you if you have had suicidal thoughts, answer “NO”.(because if you weren’t in pain I know we all think this wayit would all be different! And

She
9:36 pm May 19th, 2015

I just cut a 60mg OP 60 in half and took it before reading up on it. I know that it was a stupid move but I am seeing mixed reviews all over the net. Is it something I should worry about? I AM opioid tolerant.

Hurtin
7:39 pm May 20th, 2015

to she–probably not a problem. Remember all our systems are chemically different but —–It isn’t like the old days when you would get the whole 60mgs. at a once. They have infused the entire pill with a substance called “intac” which is kind of like a glue/or soft plastic that causes all the oxycodone to be covered by it. You will probably not get the length of time and actually not the full dose of oxy but for me it does give me more pain relief to cut them in half. Most doctors are so far behind on all this, they think you are abusing the med. if you do this but actually when the 60ER doesn’t work and the 30IR’s make you half sick you need to do whatever helps. I actually got down to using less medication by tapering this way. Then I asked for my next script to be for 40 and didn’t cut them in half and went into wd’s. Stupid mistake on my part and it set my whole world upside down. I had to go back to the 60′s and start all over. That really bummed me out after 6mos. of work getting down to 40mg. and then messing my whole plan up. I might add if you ever do it that way expect a good dose of depression to come along with the taper.

Steve
5:18 pm June 12th, 2015

I normaly use OxyNorm capsules 20 mg,but this moment[I am short of them[doctor away] could I use OxyContin 40 mg cut in half.Thank you

Dr. Shire
7:05 am June 13th, 2015

Thanks you for the posts which I was researching. Since it wasn’t really clear about how much OxyContin can a patient take without an accidental overdose.
This is my ?: I take three (3) 80 mg, of OxyContin per day. Plus I’m to take 45mg of morphine BID (twice per day), siupposedly for the breakthrough pain. Unlike Billie Brian, I do not get much relief nor do I have an abundance of energy after taking the medicine. I have extensive/multiple injuries. My Pain Rehab Doctor believes I shouldn’t go through anymore surgeries. Frankly because of my past surgeries that also developed post op infections plus multiple Rt. Hip Dislocations and revisions the Orthopedic Doctors in my area are refusing to assist me with surgery. I’m at my last days I believe. I’m bedridden 90% of the day. I’m able to feed my cat and I drink Ensure pretty much to stay alive. I read your response to Susan just now. Some of the symptoms I am going through. I’m in my early 50′s
and was athletic most of my life. The last 2 years I ha e been unable to work out. My Physicla Therapist who is excellent actually told me during PT in 2013 “don’t wast your days for therapy) there isn’t anyway I c an work you out until you have the surgeries”. I concurred with him, thinking I’d get the surgeries done and 2 years later not 1 surgery. After having “pus” pulled from my knee last year 2014…the Orthopedic Doctor who removed my “Pus” became scared and on my visit I was told there wasn’t an infection. I knew that statement was untrue. I asked him can you a least put the implant back into its position and clean up the multiple Cysts behind my patella and remove my Baker Cyst. He refused to treat me period. I asked him what do I do? He replied stay on pain medicine for the rest of my life. So I ask you…what d I do? I have taken the medicine since then and I abhor the fact I have to take medicine. I use to be able to function after taking my prescribed dose, he at this point I’m barely functioning! I hired my long-time friend who does my shopping, picks up my mail, does banking for me and cleans my house. He’s a blessing yet I’m afraid that if my life has come to this…what’s the point? In not contributing to society whatsoever and I feel I’ve been rendered useless and I don’t want to fight the Severe Chronic Pain. It’s not just my Rt Knee that hurts, my back was injured years ago from Auto Accidents, both times I was a victim of drunk drivers and at that time laws didn’t exist as now regarding Drunk Deivers. So my back and neck were injured from both accidents. The latter accident was so severe the police that stayed in ER with me told me the cannot believe I survived. I couldn’t either. I wondered why I lived. I went on to finish college and received my Doctoral Degree. As I mentioned my slip & fall that occurred in 2010 was the end for my back. After the fall in the resteraunt I was helped up by a waiter and waitress. I slipped on some water went up and landed on my glutes compressing my spine. A month later I had an MRI it showed 2 herniated discs on my L3 and L4. Als

6:54 pm June 18th, 2015

Hi Steve. Ask a pharmacist at your local pharmacy to get a professional’s opinion.

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