Is it proper to give a patient Oxycontin and Percocet for pain that supposedly results from knee arthritis?The man had a commuted left patella fracture and supposedly he developed patellofemoral arthritis secondary to this injury. The doctor claims that he has 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?
- Kiss
I agree with you...somewhat...Oxycontin...is to powerful for an patella fracture injury...Oxycontin is usually given for end stage cancer patients......However Percocet is okay..
- Brandon
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
- Stephanie C
The Oxycontin----no. The percocet------I guess, but Norco (vicodin) would be alot better. Not as addicting as percocets and has less APAP (tylenol) in it. I get 10/325. They come in different strengths. I took percocets and felt a physical dependence in less than a week. If I didn't take them on time and even before time the more I took them, I would be very ignorant and have an excruciating headache. I get the Norco now 10/325 the 325 is the tylenol which you have to be VERY careful what you take with it b/c too much tylenol can cause serious liver failure. I used to take the regular vicodin which had same ingredients BUT had 500 mg of tylenol and adding 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 with 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 pain relief with as little as possible because there may be some problems. Only the patient would know if Celebres would suffice! Only he knows what is working. But it is very important for him to be seen by a pain management specialist that can occasionally evaluate the patient and look for signs of addiction or dependency. Also they drop random drug test as many docs who prescribe narcotics do now. It tells 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 has 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 need it. The percocets you can and will have a faster affect (about 20 min) instead of a longer affect.
- UNCOLA
It is hard to answer your question. Pain is perceived differently by different people. While if would be great if the condition could be managed without very strong pain medication, in might not be possible for this individual.
While the active ingredient in Percocet and Oxycontin are the same drug, they can be prescribed together with the Percocet used PRN for breakthrough pain.
- Joe
1. Celebrex is not a pain medication. It's a COX-2 inhibitor that reduces the production of prostaglandins and decreases inflammation. This can help alleviate pain that is caused by inflammation mediated by prostaglandin synthesis, and if this type of inflammation is partly responsible for his pain, then it would be an excellent ADDITION to actual pain medication.
2. Oxycontin is better for chronic pain than percocet (they contain the same active drug, but oxycontin isn't poisoned with acetaminophen and it's time released). As already pointed out, however, percocet is useful in addition to oxycontin for acute pain.
3. Chronic pain is often best managed with opiate analgesics
4. You're not a doctor, so leave the decision making to somebody who is.
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