
Is It Safe To Decrease Dosage Of Oxycodone From 60mg To 20mg?

so, the total amount is 20 mg/ day?
Detailed Answer:
wow....
Different doses of narcotic have different risks. Below about 40 mg a day is the minimal amount of risk. It rapidly increases and at up to about 90 mg a day the risk of any significant side effect triples. We are not at the death risk and this includes people starting to do stupid things with their medications. As such it is a bit of a tautology. If someone can tolerate 30 mg a day or less, they are going to be very careful and use a very minimal amount of any drug. Anyway, it is somewhere over 100 mg a day that things get actually dangerous. If there is a 12.5 mg fentanyl patch AND 4-5 a day of 5 mg oxycodone, that is a low, reasonable dose that might not be enough for everyone BUT is likely a bit more effect than, say, suboxone.
If you are just on a total of 20 mg a day of oxycodone, then suboxone might give more pain effect and be quite safe.
These are all low to moderate doses and, might be increased by a pain managment specialist.


Pain management
Detailed Answer:
sorry, best I can do.
But it's really a fraught topic:
1) a large number of pain manangement physicians WILL be inappropriate either because they are good... and want to ONLY do spine problems and are highly specialized or because they are not so good. Some are a bit too interested in narcotics and some are too interested in procedures. Your situation is not at all a common one, so.... they really might not want to be involved.
2) there's an epidemic in narcotics and that distorts the discussion. I mentioned the risk/amount/doses to set up the discussion AWAY from addiction issues because the doses we are discussing are SMALL but, the overall context is going to distort the situation and you might not be able to get anyone involved in your case OR... there will be a LONG wait, so, regardless, you should try to set up appointments immmediately.

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