Oxycontin 80mg Op Are Going Back To Oc (Page 8) (Top voted first)

switching back to original form

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Re # 63 @The Milkman: (Thursday, 2/28/2013 5:36:46 PM)
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The Milkman, it DOES matter if you take these medications if not in pain. The reason Purdue Pharma HAD to change oxycontin was because of the people you speak of (or yourself if that's what you meant!) What's happened in my neck of the woods is some of those addicted w/o pain have gone over to HEROIN!!! Many are dying, 35x the amount of last year where I live. So they made a bust today of $100k and 50,000 glassines of heroin and that's the tip of the iceburg.

So if you think there are no ramifications for that type of action you're wrong.

For my severe, true pain I am now on 60mg of MSContin BID and Roxicodone 30mg QID and I would never sell or give my medication to anyone as implied by another poster. "I" need it for my pain and it far from fully eliminates it but it does take the edge off. "I" have to go through twice a year urine, drug testing by my pain mgt/anesthesiologist physician to cover his behind with the FDA. They need to be sure us even us "REAL pain patients" are taking our medication and not selling it all or part of it. He knows my pain is legit by MRI's CT scans etc and that I take it as prescribed but if the FDA knocks on his door, he has to show them that he tests all of his patients.

So ALL of us are affected by these new laws created by the drug addicts/Dr.shoppers and even some MD's.) The ones that made a fortune up until a cpl of years back that I could care less about. They're drug dealers that lost a huge source of income. Poor babies, all of you!

So yes, it is ALL of our business and there is a difference if you're in pain or not The Milkman! YOU and your buddies caused those of us suffering, MUCH more urine testing (as most docs test more than twice a year) additional problems, oxycontin that doesn't help pain as well and the M.D.'s additional work.

You're the mental midget. Thanks buddy! NOT!

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I have to agree with you 150%. My pain dr retired and my regular dr took over until the last few months because of some board that has to do with obamacare stepped in and told my dr he could only write prescribtions for only one of my medications not both boy was I pissed!! I'm currently taking oxycontin 80mg 3xday, and fentanyl 75 mcg every three days. Found a pain dr that took me on. But the point is the government has no business interfering in my medical ir anything else. I agree and feel the same way you do. I have real pain problems with brain, had brain surgery, 3 neck surgeries w/ plates and screws, back several disk herniated. I would never sell my stuff either I would be screwed. I have had people ask, always tell them no, I keep my meds locked up And every 3 days take enuff for the next three days. Out of all this I hate the way some of these dr make you feel, pharmacists etc, they act like your a druggie. And I don't appreciate it. I mean omg its all regulated and you call tell by looking up your name. Even my insurance co gives me a hard time. They figure it on a monthly dosage and there is no lee way at all. If my patch gets messed up of when I showers. You have no room for adjusting. You take one more and your screwed. I get it that they are trying to keep people that are the druggies away from it. But damn it do they have to make it so tough in us that really need it. We think we have it bad now, I so scared when I think about what else is go an happen with obamacare is 100% in affect. I start crying honest because I'm so afraid on what else they will do. I have been on Medicare disability for over 10 years. I'm 59 now, and I hear things on what their gonn do to our age group, it is enuff to make you cry. It's evident thru want to kill grandma. If you think they won't, remember the 11 yr old this past week where it took a court to order HHS to put her on the Adult list, because sibilius (speeding sorry) and she runs it all said no. Think about it she has the power to put this 11 yr old on the adult list for transplants and said NO!!! The court made her!! For those that thought obamacare would be great but at what price ?? Your freedom??? Your life ?? You had all better quit saying how great it is and start opening your eyes and do
Your own research. Pretty bad when the younger people don't even know
Who our Vice President is ?? If you missed that poll it was unbelievable. So for those that don't know what's goin in shut up and get your facts straight !! And it if you voted for him you are to bland as well. The ones that want all these damn freebies and feel everyone should pay their way in life. You know what their called? Leeches!! For those that keep b****ing out the rich. Their the ones that employ people you fools. To sum this all up when you start feelin that everyone should pay for your birth control that puts the icing on the cake.. So the Americans have become fat and lazy ? The government lives it their Goal is to control everyone. A lot of people cannt see it., don't want to see it. Americans used to take pride in themselves, they knew that they were responsible for achieve ya or not was in their hands, they ran their own life. As of 2012 our president at Any and all cost played, behave so underhandedly he did not win fairly by a long shot. Look at all the scandals goin on now, democrats, media, Obama and his team, covered, lied. The dorms knew they would all lose. President has surrounded himself with people that will lie, cover him at any cost. So when the law or constitution is not followed or laws broke there is no one that makes that office accountable. When your own supreme justice rewrites verbiage with the obamacare came before them so they could pass it. We are in big trouble our checks and balances or more like lie, cover, act dumb. The best one have the attorney general investigate himself? I'm rolling with laughter. Like I said we have no one! The election should be redone, isn't that what us do?
This all has to do with obamacare they will not be out covering everyone , they already said that lately. Then to rob rMedicare ? For obamacare ? You got to know they won't looking out for our best interest. (Strange they don't mention how much is owed to that program, we paid into ) but they are taking more?
There will be dr shortages, and that's because their quitting. Do those of us that have a dr, what are they going to do to us then. We are not asking for miracle with our health, we just want to be as comfortable as possible. But even now their intruding. How do we turn things around? Sorry I started typing, started crying again,'just writing about it upsets all over again, and scared what ate they not gonna do? My grandchildren? When do we get someone in office that really care, morally, ethically, instead if longing their picked, and who had power. I don't know how, but those of us that have to rely on pAin medication, I wish there was a qAy we could get everyone on board. So sorry for going on and on, but crap people were in big trouble. HELP have everyone list problems.
Master list would be good that would help people understand what the problems are. Lot of people don't know. Perhaps if things were listed simple easy to understand to get people to starts involving themselves. Other problem with election alot of people really don't know. You get caught up in day to day living, your not touched by politics. Ok I'm done sorry. I could write a book. Lol

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here in Canada we are lucky to have the generic in the old oxy form and it works great

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Nothing you do can or will "speed up the process" to bring about a return of the original formulation of OxyContin. The FDA has banned the original formulation because it is easily abused. Purdue Pharma,the company that manufactures OxyContin, has no intention of returning to the version of OxyContin that was not abuse-deterrent. For the many people who state that the original formulation of OxContin was more effective than the currently marketed OxyContin OP: Purdue Pharma has completed a number of studies. The two drugs are bioequivalent, meaning that the old and new versions both deliver the same amount of oxycodone at the same rate. I would suspect that, in many cases, the people who claim OxyContin OP does not work as well do not like the fact that the OP formulation can't be easily crushed and abused. Again, the company has done studies that are documented in the official prescribing information of the new OxyContin OP product. No difference in the amount of oxycodone or its rate of absorbtion.

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The studies have been done both by Purdue and other drug companies seeking to market generic versions of OxyContin OC. There are now over 30 studies that have been conducted; every study has produced the same result. Like it or not , believe it or not; OP and OC deliver exactly the same amount of oxycodone at exactly the same rate. Zero differences in blood levels, absorption time, rate of release, or duration of action. Proven over 30 times! The major difference is that some find the new OP formula harder to swallow. BUT the Patient Med Guide states clearly to take only one tab at a time with a full glass of water. I'm sure many will get angry at this post but the studies simply do not bear out people's complaints that the new version doesn't work as well. If you're dissatisfied with the truth, switch to some other extended release opioid or take immediate release oxycodone several times per day. OxyContin OC has been deemed unsafe and banned by the FDA. No amount of whining is going to change that.

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thank you for you comment,i too have taken his med. for 15yrs.because i have a spineal injury thats the problem prudue and DEA doesnt care about REAL patients its the money and gov. they worry about ive did alot of research on oxycontin and its shocking how gov. won law suite against them and what they did with money.there is always a few bad apples in every bunch its just sad this is true when it comes to the quality of life a persons has because of pain.

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You are mistaken. It was not only Purdue Pharma that did the studies comparing the OC formulation to the OP formulation. There were independent labs doing many of the studies and the results remained the same: BIOEQUIVALENT IN EVERY WAY - this include blood levels, time to reach peak blood levels, and half-life. The ONLY difference between OC and OP (which pisses some off) is that you can't abuse OP. Well tough!

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Please remember that Oxycontin is, in most literature, released into the body as an instant release of "approximately" 40mg of narcotic with the remaining medication released over a period of time. I emphasize "approximately". The studies that have been done are standardized. They all have statistical margin of error, as all studies do. This margin of error accounts for the anomalies found within the study. Also, please consider the matter of each person having their own physiological response to anything put in their body. Be it food that can cause allergies, fluids, or medications; we all digest and metabolize things differently. Although Purdue Pharma in the US continues to state the company has no intention of returning to the OC formulation, the quality control division is encouraging all people who are taking or have taken the OP formulation and had legitimate documented adverse health effects due to the OP formulation to report it to the company. As far as the OP formulation being tamper proof...HUH ... within 48 hours of this formulation being available you could find numerous ways to override this tamper proof formulation. Thankfully, I did have an adverse reaction to the OP formulation. If it wasn't for this reaction I would not have found the Opana ER that I am on now. This medication is also tamper proof, so all of those out there that think I didn't want the OP formulation because of that reason ...you are simply wrong. I have had much more consistent pain control with the Opana than I ever had with either formulation of the Oxycontin. One other note...as some other people have written..abusers are abusers....they will find something or a way to abuse something. That is why this topic is on the board to begin with. While the federal government is considering the idea of decriminalizing marijuana, thus making it available as an open market much like cigarettes and alcohol, they continues to write and approve legislation limiting the ability for doctors to treat patients as they see fit. By forcing things like the OC to OP formulation and quantity limitations for pain medications, the government is forcing caregivers to defy two of their ethical obligations --- to care for patients to the best of their ability and to do no harm. I understand the situation of medication abuse in this country as well as other places. I am not saying the issue does not need to be addressed. Let the DEA and other law enforcement agencies do the job they are hired to do to address this problem. Stop forcing people to live in pain that is unrelenting everyday. As with me, I am sure the pain meds for many of you doesn't make you pain free, but we do have periods where the pain is tolerable and try to live life as normal as possible.

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In the previous post I was referring to the 80mg Oxycontin regarding the release of 40mg of narcotic into the system. Also, one must consider what ingredient changes were made to achieve this tamper proof medication. It may not ultimately be the narcotic itself that people are having a problem with. It may be the mechanism used to achieve the result that was wanted by the company.

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In response to the post about the rate of release of oxycodone into the system between OxyContin OP vs OC formulations, this has been verified by both Purdue and independent labs. The result iss same for each dosage firm: OC and OP release at the EXACT SAME RATE. As fat as fillers, binders, and all other ingredients in both pills , that did not affect any of the pharmacokinetics of the formulations. Some people find OP to be rougher on the GI system, though. OP has a higher rate of adverse effects like nausea and abdominal pain.

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Here in Canada we have Oxyneo and it works exactly the same as OxyContin if you really have genuine pain. I know some had adverse effects to it. But the majority switched because they couldn't sell it or abuse it. You all know it's TRUE. All of a sudden everybody was switching to Hydromorphs because Oxyneo didn't work for their pain. Bull s***!!!!!!

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my hats off to you,thank you so much for your two cents worth,as someone who is allergic to 2/3 of the meds. on the market I was unable to take opana.oxycontin op's have a silecone binder (which I'm allergic to)after many yrs.of taken this form the silecone may build up in their system. can anyone tell me what happens when silecone gets in your blood stream for a long period of time?It is not good and it has permant effects which can cause death thats the 1 thing that has not been released,this drug was'nt made for long term use.do the research I have and its scarey.I know this because I worked for one of these so-called research Labs who did studys for purdue.

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You stick to your guns, Olivia! Poor Diane! So sensitive! Hmmm...I wonder why. Methinks she doth protest too much! One of the surest signs of an illiterate person is that they are incapable of speaking or writing without using swear words. If the shoe fits....

The point is, it's hard to believe that someone is intelligent enough to know what they're talking about in regard to narcotics if they sound as though they never got past the 4th grade. And if the most mature way someone can communicate their disagreement with someone else is to throw a tantrum and swear profusely, it's really quite impossible to take them seriously. Perhaps you could try again. And this time, try to rise above the level of a 5-year-old.

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This releases process was explained to me by my pain management specialist. No, I personally did not look up medication information itself to find this answer. The specialist pointed this out to me in response to my question of the medication wearing off about 2 to 3 hours sooner than the 12 hour release depending on my activity level. I apologize for any misunderstanding this may have caused. That was not my intention, and I shall discuss the issue with my Dr. during my next visit.

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Dear OPUser: I understand your rather certain thought that anyone complaining about the change of OC to OP is an abuser. There is definitely a problem with the abuse of the drug in many areas. But I would simply ask that you consider this:
1. All studies have a statistical margin of error, studies of a few hundred or even a few thousand people can not account for the many that actually take the med as prescribed ( meaning orally). Most studies are in a controlled factor- not in real living circumstances. That is why subject are required to qualify to participate in the studies.
2. Every person's body does not metabolizes things in the same way or rate. These factors are affected by other disease processes that may be going on at the same time.
3. Making a simple statement that anyone complaining about the OP not working must be an addict, not taking them properly, or must be abusing them in any way is simply unfair to those of us that do take our meds as prescribed and have good relationships with our health care providers in attempting to have a tolerable pain level to enable some quality of life.
4. I remained on the OP even though I was having adverse side effects until the point of vomiting blood. It was only then that I changed my medication after being diagnosed with medication induced gastritis. We are not all addicts or abusers.

I am happy that the OP works for you. That is great, because there are not many other medications out there that can cover the level of pain most of us have to require the Oxycontin to begin with. But please don't generalize, as this only perpetuates the problem of those of us in pain, including yourself, from getting the help we need.

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friend of mine who has Medicaid also take the 80s 3 times a day. They do not have much income, medicaid did not cover the OC and they were being charged 1200 dollars at the pharmacy. They spoke with doctor who then submitted a form to the manufacturer. The form stated that no other medication would work and that this patient required it.Don't know what the income requirements are I do you know my friend gets almost a thousand dollars a month in disability for a family of 6. I wouldn't let ur income stop u from perusing it...who among the uninsured cud afford $1209 for just ONE if their meds. Hope this helps!! Regardless, the manufacturer approved they are now getting their 240 80 mg oxycontins for free delivered directly from the manufacturer to either their home Or their local pharmacy... They weren't sure at the time... So I highly recommend you look into that. And for those of you in similar situations with brand name drugs I would recommend that you speak with your doctor or go on that manufactures website in the office in offer patient assistance. The assistance will vary on your current insurance status. your income and in some cases require your doctor's approval. My suggestion is to do the leg work on your own... Your doctor is more likely to help if they don't have to do as much paperwork. Good Luck.

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first of all, let me say that I am sorry to all of you that suffer from chronic pain. second of all, if you are on this site to call us drug addicts we have all heard it all before....have any of you not seen the judgment in a drs eyes the MOMENT he walks into the room????( If you are not here to reply to someone's often times desperate pleas for help and offer valid advice or info please save yourself and us time and data usage and find a site where you can join other ignorant folks out there who have been blessed without chronic pain. f.y.i... Studies has significantly shown that approximately only 90 percent daily opiate users actually become addicted. They do however become dependent. Dependency means that without the medication after a relatively short petlriod of time, our bodies will begin to suffer withdrawal symptoms which cannot kill you in this case however during withdrawal you will wish it would I would not wish it on my worst enemy. for those of that run out of our meds early it does not necessarily mean that we are using them. Most often is because we are being under medicated and on our worst days have to take more meds then that I have been prescribed for that day. as they say, walk a mile in my shoes...
For the past 10 years. I have chronic migraine which means that without medication I suffer from severe migraine over 20-25 days per month. I'm not talking headache I'm talking migraines which are in bed all day throwing up super sensitive to touch, light, sounds, etcetera. Not to mention the feeling that there is a vice squeezing into your templesthat appears to get tighter and tighter and tighter until sometimes your only option is to go to the emergency room without insurance unfortunately to get a shot off pain meds because your stomach can't keep it down your oral meds and because of that it pain level is now that was a 20 in oral meds wouldn't help now anyway. In addition I suffer from final stenosis of the upper neck in the degenerativedisc disease in my Dr spine. If you have never had a migraine before I ask that you not even pretend to know the debilitating Effects of it in every area of your life so that the quality of your life is so diminished you are unable to hold down a full time job. When I discovered I was going to be a first time grandma I was so excited unfortunately my excitement turned to anxiety. wondering I could be grandma to my precious grandson cuz since my short acting has been lowered I have so many debilitating days. I too was on the generic 80's 1 every 8 hours along with 6 30 milligram oxycodone for breakthrough and I had my life back it worked wonderfully in the only had maybe one ER visit every couple of months when it has been 2 times a month and would have been more if the ER hadnt refused me for more than that. for you haters out there I never used my 80's except as prescribed. When they switched over to the brand OC they bother to my stomachto the point where I had too much pain there. I switched to 100 milligram morphine extended release 3 times a day. Not as effective. but manageable.again I can't expect you to emphasize if you never experience chronic pain but perhaps a little sympathy. My older sister in the best friend is my world took her own life because the pain caused by her fibro my algia and she was sensitive and or unresponsive cue any and all medication she try... I was extremely angry at her until my pain doctor put it into perspective and asked me that it would I want to live if I had to suffer my worst migraine every single day of my life? That really helps put things into perspective and I was no longer angry and her but even more sad when I read the autopsy and other than the fibro she was a completely healthy 51 year old woman. So you see I don't understand the pain of fibrobbut I can definitely be sympathetic.
now my problem is that a year ago I tried to we on the meds to see if I still really needed them unfortunately it turns out I do during this time I spent two months in bed running every single day in the next 6 months barely functioning I am finally in a great relationship after 12 years single after a difficult to force I have 3 beautiful children who got to High School with good grades and you are sober and now of course a beautiful grandsonmy big problem is I am financially in dire straits since I can no longer work. After I weaned myself off I've seen several different pain specialist and while they all keep me on my morphine 100 milligrams 3 times a day a day I'm finding that they are hesitant to give me much of the oxycodone for breakthrough. At one point believe it or not 2 years ago I was on 13 30 milligram oxy's a day and I thought that was too high I even went down to 10 30 milligram oxy's a day that was too high finally settled at 7. However after the weaning I have only been able to been prescribed first two then three then for then finally tapped out 5 TEN milligrams of oxys per day and its not cutting it. I run out of the oxys way too early. I've never had that problem when I was on the 30's. I don't want to appear like I'm just shopping. I live in the Denver Metro area in for the love of God I wish I could find a doctor that would work with me. My current pain doctor will not update me on the short acting but would rather change my morphine to you either the fentanyl patches or exalgo....both of which have a high rate of overdose. For those of you unfamiliar exalgo is a time release dilautid. Taken once a day. Currently there is no generic so cash price is $5000 yes 5OOO. Medicaid covers it. I was willing to give it a try til she said she shud only give me Vicodyn for break thru. Vicodyn is like sugar pills for me plus I refuse to put more burden on my liver. I told her I'd think about it. For those of u interested..Google it. Also there may be a generic coming on or before mid-Nov...July '14. If I could just get back on my 30s 4-6x a day, stsy on the Morphine..Id be fully functioning again!!!

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Thank you for your post. It is finally nice to see someone that knows the relevant information and the literature to back it up. I didn't think my pain management specialist was stupid regarding telling me about the Oxycontin having an immediate release factor with additional release over time frame allotted for the medication. I and many other have noticed the significant difference with the OP formulation not being as effective and causing far more adverse effects than the OC's. thank you for providing the link for the literature, it is greatly appreciated even though I know the US companies are not gong to bring back the original formulation. Canada is right next door to me and they have gone back to the original formulation and at a much lower cost.

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This is something I was just reading this morning from the American Chronic Pain Association (theacpa.org) website's 2013 Resource Guide to Chronic Pain Medication & Treatment:

Recently, the manufacturer of OxyContin® reformulated its product. The previous OxyContin® product contained an immediate-release component (38%) as well as an extended-release component (62%). The reformulated OxyContin® is 100% extended-release. The reformulated OxyContin® is harder to tamper with and therefore serves as a better deterrent for abuse. The previous OxyContin® had an imprint of “OC” on the tablet, whereas the reformulated OxyContin® has an imprint of “OP.” There is currently no generic for the reformulated OxyContin®, which is the only form available in the United States. With the older formulation, many patients experienced euphoria, which was essentially due to the initial high levels of the oxycodone in the blood. Often times the euphoria feeling has been equated with better pain control, although research has not shown this to be the case. The new tablet formulation takes longer to reach peak levels, which can be incorrectly associated with inadequate pain control.

Thought some of you may find it interesting reading and may want to visit the website provided.

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To Cynthia: I totally understand your frustration over the continued scrutiny we get as patients trying to manage and live with chronic pain. I have always maintained a very healthy relationship with my primary care doctor but continue to be treated as nothing more than an addict when it comes to going to the pharmacy to get my prescription filled each month. I relayed a recent visit to the pharmacy to my physician and he was outraged with how I was treated as I have always allowed the pharmacy access to any and all medical information they wanted or needed. I get this kind of treatment, oh you have to wait one more day or more, when all I am trying to do is save another hour drive to the pharmacy, an hour or more waiting for it to be filled and another hour drive back just to get it filled the same day as my doctor's appointment. My doctor trusts me, he has scheduled me up to a week early, the insurance company is fine with filling it as long as it is within 6 days supply left, no this is a pharmacy policy of not filling any schedule II or higher narcotic until they feel it's necessary. Many times, while I sat with patience for my medication to be counted by 3 people and put in a bottle, I have seen over and over again young people probably no more than 24 or 25 yrs. old come into the pharmacy walk up to the counter request and receive a bag of clean insulin needles only to have something available to IV the H this area is plagued with.

I have never abused any of my medication and I get hard time about being 1 day early, simply wanting to save myself what will amount to a 4 hour long trip to get my medication the day after my doctor's visit. These young people get no trouble at all... All due to my state's clean needle law. My state gives anyone old enough access to clean needles that are really supposed to be by prescription only, yet has decided it (the legislature) knows how to treat my pain better than combined effort of my pain management team by setting quantity limitations on how much medication I can take in a month. Our rights as a patient to be treated with respect and have our concerns addressed are being stripped away one by one to protect people who WILL find something to abuse if they WANT to abuse something. I have been living with this back condition for what will be 14 yrs. in January 2014. I spent the first 6yrs. going through every conservative treatment option they had available only to end up with the original condition of 1 torn lumbar disc becoming 2 torn lumbar discs and a massive fusion surgery that has fail and I have since found out that some of the hardware was placed incorrectly. I have a screw that was put in straight and goes totally through the vertebra instead of at an angle into the body thickness of the vertebra. I have been diagnosed with permanent nerve damage in my left groin from not being padded properly during the procedure.

Sadly this procedure was not something I had done at a local medical facility. I was sent to Boston to one of the best in the spinal surgery field and that is my result. My latest visit with the pain management team resulted in a recommendation that I have my right hip replaced at 44 years of age. This is due to the fact that I have altered the way I walk to ease the stress on my back and have ruined my hip in the process. With everything going on to limit my ability to have even a tolerable level of pain, having my hip replaced is not something I will jump into without a great deal of thought and conversation about what the future holds for me. I will admit I am afraid of not being able to be treated for pain adequately after having the procedure, due to the never ending legislation to reduce the abuse of pain medication. I understand that the need to keep this medication where it is supposed to be is great...but I also know from my previous occupation that if someone is self-destructive they will find a way. You are correct Cynthia. The only people these formulation changes and quantity limitation regulations are hurting is those of us who live with chronic pain. I know it all to well. I live it everyday. I know what it feels like to be a walking weather barometer. My back tells me when a storm is coming not the weather report and my back is far more accurate as well in predicting the weather. Sorry had to add a little humor, but I am certain you know this same feeling and it is actually not funny to live like this every day.

This IS NOT living. This is just being!!!!! The ACPA 2013 guideline may not be perfection by any means, but it does offer suggestions for treating chronic pain that were worth looking at and also addressed the issue of breakthrough pain. Something many healthcare professionals don't treat well enough in my opinion. The report addressed this by recognizing that these extended release medications do not last 12 or 24 hours for everyone and the breakthrough pain needs to be managed as well. The American Pain Association is much more legislatively active regarding the restoration or our right to have a quality of life than the American Chronic Pain Association. I have been a member of the APA for many years and will continue to do so. That is another website anyone frequenting here should take a look at and I believe you will be much more impressed with the efforts of the APA than the ACPA. the APA also addresses issues regarding chronic pain and I believe is a much better voice for US. Please take the time to visit the APA website, I think you will be pleased with the steps they are taking to correct this ever growing problem of people being forced to live with intolerable pain levels everyday. I am not looking to be "pain free". I am realistic, I know being pain free is not an option for me. But is asking for moments or periods of tolerable pain too much to ask for or expect. I think NOT.

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