Is it proper to provide a lenient Oxycontin and Percocet for torment that supposedly results from knees arthritis?
The man had a commuted left patella fracture and supposedly he developed patellofemoral arthritis secondary to this injury. The doctor claims that he have chronic pain syndrome from it and prescribed him Percocet and Oxycontin. Is this proper? Aren't Percocet and Oxycontin too strong for arthritis of the knee? Would not Celebrex suffice?
Answers:
I agree with you...somewhat...Oxycontin...is to powerful for an patella fracture injury...Oxycontin is usually given for finish stage cancer patients......However Percocet is okay..
The Oxycontin----no. The percocet------I guess, but Norco (vicodin) would be alot better. Not as addicting as percocets and has smaller amount APAP (tylenol) in it. I get 10/325. They come in different strengths. I took percocets and feel a physical dependence in less than a week. If I didn't take them prompt and even before time the more I took them, I would be very ignorant and hold an excruciating headache. I get the Norco now 10/325 the 325 is the tylenol which you have to be VERY particular what you take with it b/c too much tylenol can cause serious liver anticlimax. I used to take the regular vicodin which had same ingredients BUT had 500 mg of tylenol and count that to my headache medication which also contained tylenol I was exceeding the daily recommended dose by far. I would say that depending on the patients other medical history and any problems beside liver or older age, I would steer clear of the Oxy's unless they are being prescribed so because they do not contain tylenol and the doc is trying to achieve twinge relief with as little as possible because there may be some problems. Only the long-suffering would know if Celebres would suffice! Only he knows what is working. But it is very important for him to be see by a pain management specialist that can occasionally evaluate the patient and look for signs of addiction or dependency. Also they drop chance drug test as many docs who prescribe narcotics do now. It tell doc approx. how much of the meds are being taken thus looking for abuse etc. Good luck. Oh, and I am guessing that the oxicontin is time released since the percocet contains the same oxicodone but have tylenol added plus it is probably for breakthrough pain that the time released oxi's aren't helping and since time released you cannot just take anohter one when you call for it. The percocets you can and will have a faster affect (about 20 min) instead of a longer affect. Source(s): Chronic pain sufferer
It is firm to answer your question. Pain is perceived differently by different people. While if would be great if the condition could be managed short very strong pain medication, in might not be possible for this individual.
While the moving ingredient in Percocet and Oxycontin are the same drug, they can be prescribed together with the Percocet used PRN for breakthrough niggle.
You have never had a messed up knee, own you? Its actually quite painful,and every step for some inhabitants with bad knees is more pain than you hold ever felt in your life time.
If he is within that much pain, then yes, its appropriate. When taken as directed, there is lil risk for addiction. The addiction comes contained by when its abused, taken more often than directed.
The oxycontin is only oxy, and time release. The percocet is oxy and tylonal, and not time release. They should NOT be taken at the same time, but if i.e. what he has been given for his level of discomfort, then that is what he should be using.
Celebrex is an nsaid, and it doesnt work for everyone or all types of arthritus.
That's what a lot of folks in narcotic diversion units think, too. But they don't enjoy bum knees. Each person and his level of pain, and his response to medication, is completely individual, and the unashamed risks from oxycodone may be less than the debility from the patellofemoral arthritis. Nobody but the patient and his doctor really have much business sticking their nose into the decision, especially considering that the statistics on pain relief are pretty miserable. Only a minority of populace treated for pain are given adequate relief. You might want to look at some of the studies on oligoanalgesia. I'm not so up to date with the bulk of literature outside my specialty, but in emergency medicine, Knox Todd have been leading the charge on adequate headache relief for many years.
It is ok to prescribe oxycodone for such an injury, depending on levels of pain.
I would think that NSAIDs such as Ibuprofen will also be presribed to dampen the inflammation in that area.
1. Celebrex is not a pain medication. It's a COX-2 inhibitor that reduce the production of prostaglandins and decreases inflammation. This can help alleviate pain that is to say caused by inflammation mediated by prostaglandin synthesis, and if this type of inflammation is partly responsible for his anguish, then it would be an excellent ADDITION to actual pain medication.
2. Oxycontin is better for chronic pain than percocet (they contain equal active drug, but oxycontin isn't poisoned with acetaminophen and it's time released). As already pointed out, however, percocet is useful contained by addition to oxycontin for acute pain.
3. Chronic pain is commonly best managed with opiate analgesics
4. You're not a doctor, so leave the verdict making to somebody who is.
girl above me, since oxycontin and percoset are the same drug (oxycodone), i think u just pulled tht answer out of ur as* lol. and no its not THAT powerful at low mg's, such as 5 and 10
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Answers:
I agree with you...somewhat...Oxycontin...is to powerful for an patella fracture injury...Oxycontin is usually given for finish stage cancer patients......However Percocet is okay..
The Oxycontin----no. The percocet------I guess, but Norco (vicodin) would be alot better. Not as addicting as percocets and has smaller amount APAP (tylenol) in it. I get 10/325. They come in different strengths. I took percocets and feel a physical dependence in less than a week. If I didn't take them prompt and even before time the more I took them, I would be very ignorant and hold an excruciating headache. I get the Norco now 10/325 the 325 is the tylenol which you have to be VERY particular what you take with it b/c too much tylenol can cause serious liver anticlimax. I used to take the regular vicodin which had same ingredients BUT had 500 mg of tylenol and count that to my headache medication which also contained tylenol I was exceeding the daily recommended dose by far. I would say that depending on the patients other medical history and any problems beside liver or older age, I would steer clear of the Oxy's unless they are being prescribed so because they do not contain tylenol and the doc is trying to achieve twinge relief with as little as possible because there may be some problems. Only the long-suffering would know if Celebres would suffice! Only he knows what is working. But it is very important for him to be see by a pain management specialist that can occasionally evaluate the patient and look for signs of addiction or dependency. Also they drop chance drug test as many docs who prescribe narcotics do now. It tell doc approx. how much of the meds are being taken thus looking for abuse etc. Good luck. Oh, and I am guessing that the oxicontin is time released since the percocet contains the same oxicodone but have tylenol added plus it is probably for breakthrough pain that the time released oxi's aren't helping and since time released you cannot just take anohter one when you call for it. The percocets you can and will have a faster affect (about 20 min) instead of a longer affect. Source(s): Chronic pain sufferer
It is firm to answer your question. Pain is perceived differently by different people. While if would be great if the condition could be managed short very strong pain medication, in might not be possible for this individual.
While the moving ingredient in Percocet and Oxycontin are the same drug, they can be prescribed together with the Percocet used PRN for breakthrough niggle.
You have never had a messed up knee, own you? Its actually quite painful,and every step for some inhabitants with bad knees is more pain than you hold ever felt in your life time.
If he is within that much pain, then yes, its appropriate. When taken as directed, there is lil risk for addiction. The addiction comes contained by when its abused, taken more often than directed.
The oxycontin is only oxy, and time release. The percocet is oxy and tylonal, and not time release. They should NOT be taken at the same time, but if i.e. what he has been given for his level of discomfort, then that is what he should be using.
Celebrex is an nsaid, and it doesnt work for everyone or all types of arthritus.
That's what a lot of folks in narcotic diversion units think, too. But they don't enjoy bum knees. Each person and his level of pain, and his response to medication, is completely individual, and the unashamed risks from oxycodone may be less than the debility from the patellofemoral arthritis. Nobody but the patient and his doctor really have much business sticking their nose into the decision, especially considering that the statistics on pain relief are pretty miserable. Only a minority of populace treated for pain are given adequate relief. You might want to look at some of the studies on oligoanalgesia. I'm not so up to date with the bulk of literature outside my specialty, but in emergency medicine, Knox Todd have been leading the charge on adequate headache relief for many years.
It is ok to prescribe oxycodone for such an injury, depending on levels of pain.
I would think that NSAIDs such as Ibuprofen will also be presribed to dampen the inflammation in that area.
1. Celebrex is not a pain medication. It's a COX-2 inhibitor that reduce the production of prostaglandins and decreases inflammation. This can help alleviate pain that is to say caused by inflammation mediated by prostaglandin synthesis, and if this type of inflammation is partly responsible for his anguish, then it would be an excellent ADDITION to actual pain medication.
2. Oxycontin is better for chronic pain than percocet (they contain equal active drug, but oxycontin isn't poisoned with acetaminophen and it's time released). As already pointed out, however, percocet is useful contained by addition to oxycontin for acute pain.
3. Chronic pain is commonly best managed with opiate analgesics
4. You're not a doctor, so leave the verdict making to somebody who is.
girl above me, since oxycontin and percoset are the same drug (oxycodone), i think u just pulled tht answer out of ur as* lol. and no its not THAT powerful at low mg's, such as 5 and 10
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