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Old 02-24-2012, 09:42 AM #31
ginnie ginnie is offline
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Default Thanks Doc

Yes you are right. I did get them confused. I was given percocet, and what the label does say is oxycodone/acetamineophen 10/325 TB. Is this fast acting or time released, it didn't say? When the drugist changes the script to generics is when I get more confused. I have this med for the pain my foot and joint. I am trying NOT to take any during the day, and have only taken enough to get me to the appt. or where I have to be with walking.
I am allowed 4 per day. I will not be doing that. I also am having a delima in what to do Doc. In fact I don't know what to do at all.
My ankles are shot, I won't qualify for ankle replacement due to this being a dejenerative problem. My toe joint is also shot and in pain. Ball of foot joint. They want to replace the toe joint, but the rest of the foot is not going to get any better. It is like fixing the door lock and the key hole is missing. I am not sure doing this surgery will do me any good in the long run. Sitting around here doing nothing isn't eithor getting me on my feet. Both conditions are only going to go one way, degenerate. The ankle canot be fixed only the toe. I don't know what to do. I it is a month or more recovery, and I have legal things happening in my life that may pop up and need to be taken care of at any time. I have an agency working to get me pro-bono. I have to take whatever slot they give me. If I fail to take what they offer and when, I loose a 10 year struggle out of my family trust and a family who abuses me.
I am in limbo, eithor way. Any ideas? The legal agency said I was on top of the list, and had me seek a lawyer this week that didn't do my kind of litigation. This is coming up I think sooner than later. If I do nothing with my physical body, it will be in a wheelchair for me. I am having a terrible time in this decision. ginnie
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Old 02-24-2012, 01:03 PM #32
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Default Thanks Dr. Smith,

Quote:
Originally Posted by Dr. Smith View Post
Ginnie,

Are you sure your label says Oxycontin? I'll bet it says oxycodone w/APAP 5/325. There are other ratios as well - 7.5/325, 10/325. There used to be higher APAP/acetaminophen ratios, but I'm not sure now that the daily maximum for acetaminophen has been reduced.

The active ingredient in both Oxycontin and Percocet is oxycodone. Oxycodone is prescribed by itself (sometimes called IR for Immediate Release), combined with acetaminophen (Tylenol) under the trade name Percocet, and in a continuous release formulation called Oxycontin (the Oxy part comes from oxycodone - the contin part stands for "continuous".

There was a time a few years ago when it was thought that the patent had expired on Oxycontin, and it was sold generically as oxycodone CR (continuous release), but Oxycontin CR is redundant. The mfr. (Purdue) went to court and had the patent date extended, so now the only continuous release form available legally in the US is brand-name Oxycontin.

http://en.wikipedia.org/wiki/Oxycodone

I know it's confusing, and I don't often get picky about posts, but in the case of medications, I think it's important to be clear and precise. Often just a letter or two difference can mean a lot. For example, some people misspell Oxcontin as oxycotin. However there's another substance - a hormone - called oxytocin. There are more and more cases of misspellings of medications causing serious problems for patients:

http://www.nytimes.com/2003/03/11/he...ted=all&src=pm

One convention that helps some is that brand-names are/should be capitalized, whereas generic names are not (as above).

Hope this helps,

Doc

I think you gave an excellent explanation.

I myself am on Oxycontin 60MG (mfg, Purdue) every 6 hrs for a total of 240mg's daily and Oxycodone/APAP 7.5 - 325mg tablets (mfg. Watson) (generic for Percocet 7.5-325 tablets) up to 4 a day for breakthru pain. Did not realize the "contin" meant continuous. Just looking over my bottles while responding to your post.

Also noticed, I frequently write Oxycotin omitting the "n". I should be and will from now on write Oxycontin. There; the "n" is included in the spelling as my bottle states.

Thanks again,

(Gerry)
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Old 02-27-2012, 02:42 PM #33
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Default

Quote:
Originally Posted by ginnie View Post
I was given percocet, and what the label does say is oxycodone/acetamineophen 10/325 TB. Is this fast acting or time released, it didn't say?
It's fast-acting. "TB" probably stands for "tablet" (although it should be TAB) so that you know what it should look like (vs. capsule).

Quote:
I am trying NOT to take any during the day, and have only taken enough to get me to the appt. or where I have to be with walking.
I am allowed 4 per day. I will not be doing that.
That may not be wise. You should take it earlier rather than later, when pain begins.
Quote:
Don't wait until pain becomes severe to take pain medication. Pain is easier to control when it is mild. You should take your pain medication regularly, just as prescribed. Sometimes this means taking medicine on a regular schedule.
http://www.webmd.com/pain-management...management-faq
Also, when you wait until the pain is unbearable, the medication won't work as fast, or as well, and you may need more to achieve the same analgesia. Please, take it as directed by your doctor.

Your ankle may be degenerative, but that could still take many more years.

Your big toe and ball of foot joint are necessary in keeping balance when you walk. They may not be able to fix your ankle right now, but it may come down to not being able to walk at all or needing a cane, crutches, walker, or wheelchair. This, of course, is up to you, but I would think you'd want to keep walking - even with a little difficulty - rather than not at all, to avoid possible PAD, atrophy, and/or other complications.

Ask your doctor about this (and maybe his nurse?) They may have some ideas about other folks you could ask (about the toe/ankle matter).

Have you tried any Elder Law support groups?

Doc
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Old 02-27-2012, 03:01 PM #34
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Quote:
Originally Posted by ger715 View Post
Also noticed, I frequently write Oxycotin omitting the "n". I should be and will from now on write Oxycontin. There; the "n" is included in the spelling as my bottle states.
Hi Gerry,

No biggie; no offense, and I wasn't trying to single you out. I make plenty of mistakes/typos, and I'm not so pedantic about spelling and grammar - my own is abominable at times , but as I said, with meds... Someone here on NT once made a comment (paraphrasing from memory here) that since we're talking about medical/technical matters on this site, we should try to be accurate - this can be complex/daunting stuff. If you read the links, there's a lot of confusion even between the professionals who should know better, and that's causing people harm. When I was looking for some information for the previous response on taking meds on schedule, I found a medication information sheet from a pharmacy that spelled it wrong!

Doc
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Old 02-27-2012, 08:36 PM #35
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Default Hi Dr. Smith

I know you are right, that I should take more of my medication. However I have a law suit in the works with my family. I will loose my house if I do not address this situation while a pro-Bono Attorney is willing to listen and help. You only get a certain amount of time to reply. In the meantime, The ball of the foot is already attrophied. I am questioning if I want the surgery, because it will not just be this joint. ALL my joints are involved withthis partydon't want to become the bionic woman! The ankles are already bad enough to put me in a wheel chair, and I don't qualifyfor the ankle replacement program as my problem is degenerative in nature. My question is do I ever get to say no to more surgery? How many joints are they going to require me to fix and replace before I get to say no more? My hands arn't in good shape, and neithor is my neck. I am having trouble with C1-2 and T1-2
above and below my surgery at C3-7. The pain specialist wants me to get this joint replaced. I don't think he will give me enough medication to see my court date come up. I am on top of the list right now. That is why I am trying to stretch this medication out, and not use it as much. He only gave enough for a month, in which he expects me to do this surgery. I can't do both at once. I also as I said have second thoughts about going forward. The foot doctor said a month ago, he would schedule me in, after two calls of inquiry, he still has not had his office contact me anyway. I have never had so much trouble all at the same time either. Two other medical problems are there also. My barretts esphogus is not under control regarding the stomach acid. All the stress in my life caused this. I am fighting to get a medication from Humanna with appeals for the medication I need. I am prolapsying too. Right now I think this is more than I can handle. I need to keep a roof over my head first. I would like to take the medication as prescribed, but I don't think the doctor will let me postpone as I need to. I don't know what to do. ginnie
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Old 02-27-2012, 09:37 PM #36
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Smile Dr. Smith

Quote:
Originally Posted by Dr. Smith View Post
Hi Gerry,

No biggie; no offense, and I wasn't trying to single you out. I make plenty of mistakes/typos, and I'm not so pedantic about spelling and grammar - my own is abominable at times , but as I said, with meds... Someone here on NT once made a comment (paraphrasing from memory here) that since we're talking about medical/technical matters on this site, we should try to be accurate - this can be complex/daunting stuff. If you read the links, there's a lot of confusion even between the professionals who should know better, and that's causing people harm. When I was looking for some information for the previous response on taking meds on schedule, I found a medication information sheet from a pharmacy that spelled it wrong!

Doc

No offense taken. I thought you did a great job of explaining.
Thanks again,
(Gerry)
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Old 02-28-2012, 12:23 AM #37
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Heart Still prayin for you Ginnie

Quote:
Originally Posted by ginnie View Post
I know you are right, that I should take more of my medication. However I have a law suit in the works with my family. I will loose my house if I do not address this situation while a pro-Bono Attorney is willing to listen and help. You only get a certain amount of time to reply. In the meantime, The ball of the foot is already attrophied. I am questioning if I want the surgery, because it will not just be this joint. ALL my joints are involved withthis partydon't want to become the bionic woman! The ankles are already bad enough to put me in a wheel chair, and I don't qualifyfor the ankle replacement program as my problem is degenerative in nature. My question is do I ever get to say no to more surgery? How many joints are they going to require me to fix and replace before I get to say no more? My hands arn't in good shape, and neithor is my neck. I am having trouble with C1-2 and T1-2
above and below my surgery at C3-7. The pain specialist wants me to get this joint replaced. I don't think he will give me enough medication to see my court date come up. I am on top of the list right now. That is why I am trying to stretch this medication out, and not use it as much. He only gave enough for a month, in which he expects me to do this surgery. I can't do both at once. I also as I said have second thoughts about going forward. The foot doctor said a month ago, he would schedule me in, after two calls of inquiry, he still has not had his office contact me anyway. I have never had so much trouble all at the same time either. Two other medical problems are there also. My barretts esphogus is not under control regarding the stomach acid. All the stress in my life caused this. I am fighting to get a medication from Humanna with appeals for the medication I need. I am prolapsying too. Right now I think this is more than I can handle. I need to keep a roof over my head first. I would like to take the medication as prescribed, but I don't think the doctor will let me postpone as I need to. I don't know what to do. ginnie
There are miracles around us just as there are blessings. I am praying for you Ginnie.
Mark56
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Old 02-28-2012, 12:26 AM #38
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Thumbs up I agree Gerry

Quote:
Originally Posted by ger715 View Post
No offense taken. I thought you did a great job of explaining.
Thanks again,
(Gerry)
Ger-
Dr Smith works quite hard to provide links and information for us..... and I still think of this little kid Will Robinson and Zachary Smith with his "Oh, the pain, THE PAIN!"

Chuckle,
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Old 02-28-2012, 09:34 AM #39
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Default Hi Mark

I am very frightened as you could see from my post. I don't know what to do. I am afraid to take more pain meds. for fear of the withdral after. also I only have enough for a month. My pain doctor wants me to do a surgery I am not sure I should do. I don't want to keep replaceing joints as they go out. Also I have other medical issues that are piling up. I cry alot now, even though I try to be supportive of others. I could litterlly spend the next year in the hospital addressing all that is wrong with me. Humpty dumpty is tired and not wanting to pick up the pieces. I hate having to deal with my legal issues as well. I do need prayers, and advise. ginnie
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Old 02-28-2012, 09:44 AM #40
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Default Elder law

Hi Dr Smith. I went to my state Rep. Jim Boyd last year. he put me in touch with this particular acency for elder help. However, it has already take 6 months just for one lawyer to be in contact with me. He couldn't do my kind of litigation. Do you or anyone know of any other agiencies I could go o. I have to reslove my legal issues, or loose my home. I am being abused by parts of my family over this issue. Help needed for direction. This agency I am going to has me at the top of the list now, but no time frame in which I can make any plans of my own, for surgery for example. ginnie
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