Hi,I am Dr. Amitkumar Sharma (Internal Medicine Specialist). I will be looking into your question and guiding you through the process. Please write your question below.
A patient receiving long term oxycontin 20mg BD is about to enter an alcohol rehab programme. Staff at the rehab facility cannot administer controlled drugs. She does not want to miss her place in rehab. She has successfully self reduced her oxycontin from 120mg BD. She is off alcohol for one week, has normal liver and renal function. What is the best course of action to avoid withdrawl. On warfarin ( previous PE) and Librium.
OxyContin (oxycodone) is an opiod and definitely an addictive medication. From the history you have provided, it is not clear about the timeline for the reduction of dose from 120mg BD to 20mg BD. If this has happened steadily over weeks without any withdrawal symptoms, then stopping the drug can be tried in rehabilitation. If she is still depended on opioids, then she can be administered a opioid called methadone. Methadone is administered at corresponding dose of OxyContin and tapered off gradually. This drug may be available in the rehabilitation centre. You need to check this out for her. Or you may have to follow the protocol of opioid addiction in that particular centre. Hope this helps. Thank you.
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How To Avoid Oxycontin Withdrawal Side Effects?
OxyContin (oxycodone) is an opiod and definitely an addictive medication. From the history you have provided, it is not clear about the timeline for the reduction of dose from 120mg BD to 20mg BD. If this has happened steadily over weeks without any withdrawal symptoms, then stopping the drug can be tried in rehabilitation. If she is still depended on opioids, then she can be administered a opioid called methadone. Methadone is administered at corresponding dose of OxyContin and tapered off gradually. This drug may be available in the rehabilitation centre. You need to check this out for her. Or you may have to follow the protocol of opioid addiction in that particular centre. Hope this helps. Thank you.