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Dr. Andrew Rynne

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On Oxycodone, Suffering From Withdrawals. How To Overcome From This Problem?

Hi,
I have tapered off of Fentynal over the last 3 month. I removed my last patch 3 weeks ago. I still take Oxycodone, 15mg x 3 a day. I have been suffering from withdrawals for 3 weeks. I took the Oxy for brake through pain in the day only. I brake them in half and have been limiting myself to less then 3 when I can. I was not given instructions for the taper of the Oxy and feel I'm not doing this right. The withdrawals are lasting much longer than any of my previous drops. I've been taking the before mentioned drugs for 4 years. Do you think my withdrawals for this drop will last much longer and if they do subside how should I taper off the Oxy?
Thank you in advance for your help.
Bren
Mon, 8 Jul 2013
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

Abstinance from opoids is associated with withdrawal symptoms.
Naloxone is the drug which is used for withdrawal of opoids.
However, the drug has to be taken under supervision of a doctor preferably a psychiatrist.
The entire process of tapering off of the opoid and substituting with naloxone should not be tried by yourself.
You should get it done under supervision of a doctor.
You should stay in a rehabilitation center for some time as you will get a chance to stay with other people who are trying to get red of the habit.
This is a psychological effect on an individual also.

Thanks and take care
Dr Shailja P Wahal
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Psychiatrist Dr. Anjana Rao Kavoor's  Response
Hi,

Tapered off of fentanyl over three months but still on oxycodone (i assume prescribed medication for pain). Dependence on opioids can lead to withdrawal. Yes tapering the drug can be a challenging task. It has to be done very slowly with a reduction of around 10 percent of 45mg (your total daily intake) over 1-2 weeks.You can decide which dose you want to reduce (morning or noon or night). It is advisable you do this with your doctor's knowledge. If it gets harder then your psychiatrist will have other methods of weaning you off the drug with substituting other longer acting agents like methadone etc. Naloxone is an antagonist that is also used in opioid dependence but it can trigger off a strong withdrawal reaction and is hence better avoided. These medications are strictly meant to be taken under supervision ONLY.

Visit your treating doctor and go back for regular follow ups.

Hope this helps,
Dr A Rao
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On Oxycodone, Suffering From Withdrawals. How To Overcome From This Problem?

Hello and welcome to HCM, Abstinance from opoids is associated with withdrawal symptoms. Naloxone is the drug which is used for withdrawal of opoids. However, the drug has to be taken under supervision of a doctor preferably a psychiatrist. The entire process of tapering off of the opoid and substituting with naloxone should not be tried by yourself. You should get it done under supervision of a doctor. You should stay in a rehabilitation center for some time as you will get a chance to stay with other people who are trying to get red of the habit. This is a psychological effect on an individual also. Thanks and take care Dr Shailja P Wahal