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Q: oxycontin ( Answered 5 out of 5 stars,   1 Comment )
Question  
Subject: oxycontin
Category: Health > Medicine
Asked by: holli1122-ga
List Price: $2.00
Posted: 22 Aug 2002 21:06 PDT
Expires: 21 Sep 2002 21:06 PDT
Question ID: 57666
I have been on this pain medicine for 2 years now. I had to increase
my dose due to being on it so long. I do want to get off of it
though,and I do not know the best way to do it. I will be going to the
pain specialist to find out how.
I though will still have this pain, and will have to deal with that.
At the same time I am tired of being "stuck" on pills.. I also have
now started to be bloated. What I a wondering is can a pain medication
make you bloated? This may also do to the fact though that I have not
had my cycle in a year do to all of the interfion medicine I have been
on. I just do not know if the oxys have made me this bloated. It
really scares me.. IT is not my liver, all of those counts are fine
other than my viral load. Thanks for the help.
Answer  
Subject: Re: oxycontin
Answered By: sublime1-ga on 22 Aug 2002 22:36 PDT
Rated:5 out of 5 stars
 
holli1122...

Bloating is certainly a possible side effect of
many medications. The information I located on
oxycontin states that urinary retention
(which might account for some bloating), occurs
in less than 1% of persons taking oxycontin.

The more common side effects (experienced by 5%
or more of the persons taking oxycontin) are:
Constipation, Nausea, Somnolence (sleepiness),
Dizziness,Pruritus (itching), Vomiting, Headache,
Dry Mouth, Asthenia (weakness), and Sweating.

A full description of this drug is available here:
http://www.oxycontin-addiction-help.com/pages/fda.html

This page notes, in addition to the above, that
"Oxycodone causes a reduction in motility associated
with an increase in smooth muscle tone in the antrum
of the stomach and duodenum. Digestion of food in 
the small intestine is delayed and propulsive 
contractions are decreased. Propulsive peristaltic 
waves in the colon are decreased, while tone may be 
increased to the point of spasm resulting in 
constipation. Other opioid-induced effects may 
include a reduction in gastric, biliary and 
pancreatic secretions, spasm of sphincter of Oddi,
and transient elevations in serum amylase."

In layman's terms, this would seem to suggest a
decrease in digestive function, which could
account for feeling bloated.

The homepage for this site:
http://www.oxycontin-addiction-help.com/
provides a 1-800 number, offering legal
assistance, and notes that:
"OxyContin, marketed by Purdue Pharma L.P., has
been linked to addiction, suffering and death of
patients using this prescription painkiller. 
Addiction and abuse of the drug, crime and fatal
overdoses have all been reported as a result of
OxyContin use."

This page:
http://www.oxycontin-addiction-help.com/pages/facts.html
notes:
"OxyContin is the brand name for the time-release
tablet form of oxycondon, an opium derivative 
similar to codeine but more powerful and more 
likely to be addictive."

"Oxycondone is an ingredient in the prescription
drugs, Percocet, Percodan and Tylox, in much 
weaker strengths than OxyContin. Oxycondone has
been around for decades and taken by millions of
people for post surgical pain, broken bones,
arthritis, migraines and back pain. 
While Percocet and Percodan have about five 
milligrams of oxycondone, OxyContin tablets 
contain oxycontin in amounts of 10,20, 40 and 
80 milligrams."

The site goes on to stress that oxycontin is
a time-release formulation, meant to be 
swallowed whole, whereas, if chewed, 
intentionally or accidentally:

"OxyContin is highly addictive and gives a 
heroin-like rush which is released when pills
are crushed or chewed. Many pain patients 
become dependent on the drug for more than 
pain relief and find themselves with a full 
scale addition that has led to severe and 
damaging consequences."

"Purdue Pharma is facing more than a dozen 
lawsuits from patients, claiming they have 
become addicted to the painkiller, and others
blaming the company for abusers' overdoses 
and deaths because of the company's failure 
to distribute adequate warnings."

When you said "I had to increase my dose 
due to being on it so long", I only hope
you did so under the guidance of your
prescriber.

This page, about the potential for addiction:
http://www.oxycontin-addiction-help.com/pages/addiction.html
states:
1. Always follow medication directions carefully.
2. Don't increase or decrease doses without 
talking with your doctor.
3. Don't stop taking medication on your own.
4. Don't crush or break pills. 
5. Be clear about the drug's effects on driving 
and other daily tasks.
6. Learn about the drug's potential interactions 
with alcohol, other prescription medicines, and 
over-the-counter medicines. 
7. Inform your doctor about your past history of 
substance abuse. 
8. Don't use other people's prescription 
medications and don't share yours.

The FDA warning page:
http://www.oxycontin-addiction-help.com/pages/fda.html
emphasizes:
"OxyContin (oxycodone hydrochloride controlled-release)
TABLETS ARE TO BE SWALLOWED WHOLE, AND ARE NOT TO BE 
BROKEN, CHEWED OR CRUSHED. TAKING BROKEN, CHEWED OR 
CRUSHED OxyContin TABLETS COULD LEAD TO THE RAPID 
RELEASE AND ABSORPTION OF A POTENTIALLY TOXIC DOSE 
OF OXYCODONE."

It also notes:
"Cessation of Therapy"

"When the patient no longer requires therapy with
OxyContin tablets, patients receiving doses of 
20-60 mg/day can usually have the therapy stopped
abruptly without incident. However, higher doses 
should be tapered over several days to prevent 
signs and symptoms of withdrawal in the physically
dependent patient. The daily dose should be reduced
by approximately 50% for the first two days and 
then reduced by 25% every two days thereafter 
until the total dose reaches the dose recommended
for opioid naive patients (10 or 20 mg q12h). 
Therapy can then be discontinued.
If signs of withdrawal appear, tapering should 
be stopped. The dose should be slightly increased 
until the signs and symptoms of opioid withdrawal 
disappear. Tapering should then begin again but 
with longer periods of time between each dose 
reduction."

In other words, going to your pain specialist
is absolutely necessary in order to monitor
and prevent withdrawal symptoms, and to 
suggest workable alternatives to oxycontin.


Searches made, via Google:

oxycontin + "side effects"
://www.google.com/search?hl=en&ie=UTF-8&oe=UTF-8&q=oxycontin+%2B+%22side+effects%22

If you need further information, please
feel free request a clarification of this
answer before rating it.

sublime1-ga
holli1122-ga rated this answer:5 out of 5 stars

Comments  
Subject: Re: oxycontin
From: sublime1-ga on 23 Aug 2002 21:06 PDT
 
holli1122...

Oxycontin is being featured in the CBS
series "48 Hours" tonight, 08/23/02,
if you get this in time. They are
highlighting it's addictive qualities.
Maybe you can see a re-run if you 
miss it tonight.

sublime1-ga

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