Use of ms-contin with oxyfast

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I've noticed a number of instances now where I find a patient on Ms-Contin but with Oxyfast rather than Roxanol for breakthrough. I think they may have all been the same doctor. Is there a rationale I am not seeing here? It just seems to make titration unnecessarily complicated to me. Does anyone else see this?

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If Oxyfast is the same thing as oxycodone ir than , yes i see it frequently. The rational is your getting 2 different meds to attack the pain receptors and decrease your pain level.

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Yes, Oxyfast is the concentrated liquid form whereas Oxycodone IR is the capsules.

Your response makes sense to me, Kewl. But then why do I always read that the same med should be used for the breakthru pain as the long acting? I feel like I am missing a puzzle piece here. Hmmmm. I'll have to go research exactly which receptors are used by which meds....

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Specializes in Emergency, ICU, Psych, Hospice.

Why not use liquid morphine for breakthrough? I don't understand why she is on long-acting morphine, but then switching to liquid oxycodone? Doesn't make sense to me.

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