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Can 60 Mg Of OxyContin And 30 Mg Of Roxanol Be Taken Together?

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Posted on Fri, 16 Jan 2015
Question: my doctor has me on 60mg oxy every 12 hours with 30mg of roxnol (liquid morphine) in between for breakthrough pain. I am just wondering if tyis is a normal thing? my friend who is a nurse said this could kill me. so now I am very worried and wondering if I should stop taking this together, I usually have to take the roxnol 4 hours after the oxy. I also take 20 mg of lexapro a day. any advice would help as I am in a lot of pain but I am also only 29 and do not want to continue you taking this if it may cause harm or as my friend warned even death.
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Answered by Dr. Dr. Matt Wachsman (1 hour later)
Brief Answer:
doses much more than 100 mg a day would arouse concerns.

Detailed Answer:
The addiction society's review lecture course cited some surveys in which patients taking over 100 mg of oxycodone a day were likely to have problems: increased addiction risk and increased risk of overdose.

Personally, I find clusters of patients at about 20-30 mg oxycodone per day, or 50-75 mg a day. Taking over a 100 mg a day of oxycodone equivalents being rather a high dose group. There are many, many patients who are on more to much more, and that tends to be dangerous. In a young person with disorders anything less than very very severe, you'd really wonder if that was inappropriately high and whether they needed to be on that much, and what other issues such as orthopedic, physical therapy, psychological, occupational, etc were being addressed.

While many patients are on 120 mg oxycodone equivalents per day or more, it's a concerning dose. In a young person one would worry a lot about whether they are able to have a life with activities, social interactions, job/earning potential, etc. In this context, addiction treatment with suboxone or methadone might be considered, but other modalities like physical and occupational therapy would be at least as important.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Matt Wachsman

Addiction Medicine Specialist

Practicing since :1985

Answered : 4214 Questions

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Can 60 Mg Of OxyContin And 30 Mg Of Roxanol Be Taken Together?

Brief Answer: doses much more than 100 mg a day would arouse concerns. Detailed Answer: The addiction society's review lecture course cited some surveys in which patients taking over 100 mg of oxycodone a day were likely to have problems: increased addiction risk and increased risk of overdose. Personally, I find clusters of patients at about 20-30 mg oxycodone per day, or 50-75 mg a day. Taking over a 100 mg a day of oxycodone equivalents being rather a high dose group. There are many, many patients who are on more to much more, and that tends to be dangerous. In a young person with disorders anything less than very very severe, you'd really wonder if that was inappropriately high and whether they needed to be on that much, and what other issues such as orthopedic, physical therapy, psychological, occupational, etc were being addressed. While many patients are on 120 mg oxycodone equivalents per day or more, it's a concerning dose. In a young person one would worry a lot about whether they are able to have a life with activities, social interactions, job/earning potential, etc. In this context, addiction treatment with suboxone or methadone might be considered, but other modalities like physical and occupational therapy would be at least as important.