Hi all just wondering I was put on 20Mg Oxycontin for RSD Right leg and I am so anxious from it. I can't relax and this never happened when I was on Opana. I'm afraid to ask my Doc about the Opana because I don't want to step on his toes but I am in a lot of pain and I don't sleep

Can this be a side effect the nerves?

Any suggestions with how to talk to your Doc to work as a team I would be so grateful!

Namaste`~Dani

I want to welcome you to Neuro Talk. I hope you can find the answer to your questions about you medications. There is also a RSD forum yo can post to. On the top of the page is a search bar, just type in RSD. You may also get a response here. You have found a really good site for information and alot of support. I came here for cervical issues and never left because of the friends I made in many of the boards. I was supported all during my crisis and then beyond that.
I know that some medications, make people worse than if they didn't take the medicine. Your doctor is there to serve you, and don't be afraid of stepping on his toes by asking about this. You need that truthful talk between you. Go ahead and call if you feel that anxious. I get really jittery form Vicoden and prednasone. With RSD that communication is even more important so you can have the very best pain control that is possible. Keep posting, there will be others along to welcome you here too. I am glad you found Neuro talk and I hope you make alot of friends. ginnie

Ginnie offers some good advice. Our search function is very effective. However, I don't think she knows that the minimum search requirement is for 4 letter words/phrases.

So RSD won't work. But, Reflex will or sympathetic will etc.

If you go to the main index page...you will find Reflex Sympathetic Dystrophy:

http://neurotalk.psychcentral.com/forum21.html

This is the link to the index page, for other forums:
http://neurotalk.psychcentral.com/index.php

Each forum also has a search function. It is at the top of each first page of that forum, in the upper right just under the sign in data with your user ID on it. The other pages don't show it, only the first page of each forum. Or from the main index page.

I use the search function every day, helping people to navigate our forums, and also to find previously discussed information on my home forums.

Google: talk doctor pain

Just curious why your doc switched you from Opana to Oxycontin if the Opana was working?

Anxiety is a reported S/E, and I've heard of some patients losing a night's sleep when they begin Oxycontin, but it's sometimes described as "It felt so good not to be in pain, I didn't want to sleep through it!" This usually subsides after a day or two adjustment period.

Teamwork is built on honest communication. It's not stepping on your doc's toes to report a side effect that's intolerable, so if that's the case, just call the office and tell the doc about it.

Doc

I have read on internet pain forums for years, that some
narcotics are agitating for some people. And it is not predictable.
Oxycodone specifically is mentioned most often.

I think the doctor understands this, and if you discuss it with him/her you might get an explanation, dose adjustment or change.

I am learning day by day. I will remember to tell them to use more than four letters etc. I appreciate you telling me as much as you can like that! ginnie

Hi my name is Cathy and I just signed up today, so forgive me if I write any thing wrong. Dani: 20 MG of Oxycontin, is alot of pain meds to take at once, I have no clue how your stomach could handle it. Yes, It could cause that reaction. I do not know what Opana is, but if it worked in the passed I would talk to your Doctor as soon as you can. (If its not broke, don't fix it) I totally can relate to your situation. I wish you all the best.

Hi Cathy,

You haven't written anything wrong; we all learn together here.

When dealing with opioids and chronic or intractable pain, dosages are relative. Oxycontin is a controlled-release (long-lasting) medication. For an opioid-naive patient, 20 mg of oxycontin may be a lot; it's equavalent to 10 mg of oxycodone every six hours, or two 5/325 percocets every six hours. To an opioid-tolerant patient in a lot of pain, it may be sufficient or not even close. Opana is an opioid, so Dani is likely somewhat tolerant, and RSD is one of the most painful conditions I know of. Also, with opioids, there is no upper dosage limit; someone in intractable pain for 10 or 20 years may be on many times that dosage. Dosage decisions are up to patients' doctors, who are familiar with their histories.

Here is some information on Opana and RSD:

Oxymorphone (active ingredient in Opana)
http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004942/

Reflex Sympathetic Dystrophy (RSD)
http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004456/

Doc

I have PN and am up to 60mg Oxycotin ER ever 6 hrs. amounting to 240mg's of Oxycotin ER daily. Also take Oxycodone (percocet) 7.5-323 up to 4 times a day for breakthru. I do take a 5 mg. two times a day with the Oxycodone. I am hyper, but not sure because so many things do that to me, including pain. I at first blamed the Oxycotin; but I notice as my pain increases; I get even more hyper and can't seem to stop talking. I even had that reaction to the R-lipoic acid.

I tried Opana a while back and it didn't do much for my pain and went back to the Oxycotin ER.

Oxycodone and the liquid oxynorm (for breakthrough pain) ... God where do I start ? I was on 12 hour release 40mg OxyContin and I missed a dose. Within a couple of hours I was going through withdrawal.

The withdrawal frightened me so much that I decided to stop. I sent all tablets back to the chemist and at midnight on a Wednesday I took a 5ml dose of oxynorm.

I went to hell and back .. Serious sweats and chills .. I had to take about six baths a day to warm me and settle me. My legs and arms were jerking about and I could not shut my eyes no matter how tired I was. I had no appetite whatsoever .. Very unlike me, but I forced myself to drink smoothies and eat plain toast because I knew I had to keep my strength up. I had no strength .. My daughter had to wash my hair for me as I had no energy.

It seems so long ago now ... march last year, but I still get anxious when I think about it .. And it has left me with panic attacks, which I never used to get.

On the Saturday of that week, I looked at the bottle of oxynorm on the table and thought, one teaspoon of that and I will feel ok .. And that's when I thought, Jesus, you sound like an addict.

I emptied the bottle I the garden. .. No, the plants didn't die! And sat it out .. It took a good two weeks before I felt able to think normally.

I had surgery last week and the pain specialist came and asked if I would like to try OxyContin .. You can imaginenwhatnimsaid.

The funny thing is, I said I felt I had been addicted to it .. He said, when you have chronic pain there is no such thing as addiction, just dependency. I thought they sounded both the same ..