oxycodone/Oxycontin

kids · Mar 27, 2011

Re-read your drug book more carefully.

There is more to a drug than it's brand and generic name, sometimes you need to look them BOTH up.

Oxycontin is oxycodone but it's not the same as oxycodone.

(I'm giving you hints here, I want YOU to find/figure out the diffeence)

CanuckLPN73 · Mar 27, 2011

Re-read your drug book more carefully.
There is more to a drug than it's brand and generic name, sometimes you need to look them BOTH up.
Oxycontin is oxycodone but it's not the same as oxycodone.
(I'm giving you hints here, I want YOU to find/figure out the diffeence)

Looked up Oxycontin and on same page...and is under oxcodone...then under Availability it states for oxycodone has controlled realease tablets (Oxycontin)...so Oxycontin would be a SR tab where as oxocodone would not. But other than that they would be the same.

So is the reason it states under Implications not to confuse them is because of Oxycontin being SR?

heron, ASN, RN · Mar 27, 2011

dingdingding ... give that student a dozen roses. Correct!

CanuckLPN73 · Mar 27, 2011

dingdingding ... give that student a dozen roses. Correct!

Ahhh Thanks :)

And being SR the person would either not get the amnt needed as fast for their pain control (as it the drug is being released slow and longer) or if they chewed it or had it crushed (accidentally thinking it was Oxycodone) then that is when they would be in danger of an overdose that could be fatal :)

Just like anyother drug though in a sence that one doesnt want to confuse a SR tab with a reg tab...

kids · Mar 27, 2011

You've got it :)

Can you think of a reason why a patient would be on both medications?

CanuckLPN73 · Mar 28, 2011

oxycodone for prn (acute) and Oxycontin if the pain is chronic?

arthritis would be one...can be acute at times and chronic at other times...

:confused:

kids · Mar 28, 2011

oxycodone for prn (acute) and Oxycontin if the pain is chronic?
arthritis would be one...can be acute at times and chronic at other times...

You're very close :)

SR/XR pain meds are given to provide a somewhat stable dose of medication around the clock. The ramp up over several hours, plateau then ramp down. They are often timed so that the new dose ramping up overlaps the ramp down of the earlier dose.

The regular acting med is given for breakthrough pain.

You'll probably most commonly see SR (sustained release) XR (extended release) and LA (long acting) meds given for 'chronic' pain. The last few years a lot of the ortho doc in my area have been prescribing lowish dose Oxycontin for their surgical patients with oxycodone for breakthrough. Their patients seem to be more comfortable, mobilize a lot faster and over all get less medication that those on the traditional "oxycodone 5-20 mg Q 4hrs prn pain".

Because of the use of generics and similar names you'll always want to read your medication and it's dosing throughly. Generic Oxycontin may be written as oxycodone SR, oxycodone liquids may be written as oxydose or oxystat and generic oxycodone tabs may be written as IR (Immediate Release).

There is also MS Contin which is a brand name for sustained release morphine sulfate.

CanuckLPN73 · Mar 28, 2011

You're very close :)
SR/XR pain meds are given to provide a somewhat stable dose of medication around the clock. The ramp up over several hours, plateau then ramp down. They are often timed so that the new dose ramping up overlaps the ramp down of the earlier dose.
The regular acting med is given for breakthrough pain.
You'll probably most commonly see SR (sustained release) XR (extended release) and LA (long acting) meds given for 'chronic' pain. The last few years a lot of the ortho doc in my area have been prescribing lowish dose Oxycontin for their surgical patients with oxycodone for breakthrough. Their patients seem to be more comfortable, mobilize a lot faster and over all get less medication that those on the traditional "oxycodone 5-20 mg Q 4hrs prn pain".
Because of the use of generics and similar names you'll always want to read your medication and it's dosing throughly. Generic Oxycontin may be written as oxycodone SR, oxycodone liquids may be written as oxydose or oxystat and generic oxycodone tabs may be written as IR (Immediate Release).
There is also MS Contin which is a brand name for sustained release morphine sulfate.

Thankyou ...:) More info then what I actually need at the moment but am sure that will help in the near future :)