What is the highest regular dose of Oxy that you have seen

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Sorry to steal the same title as the BP one. Patient was in the ER today, was reviewing home meds, and she was on

130mg Oxycontin Q TID (not 3 divided doses) and 30 mg Oxycodone Q TID I was shocked, the ER nurse I was with has been a nurse for 22 years and she had never seen a dose this high either for someones personal home meds.

Just curious what others have seen.

Specializes in future OB/L&D nurse(I hope) or hospice.

I may have you all beat. LOL... I have a good friend that has chronic pain, Degenerative Disc Disease, has had a fusion and failed back surgery and the list goes on. Anyway, she has been taking oxycontin for almost 10 years now. After her fusion she was actually on 280mg q8h. Of course, she began on the 10 mg tabs and worked up and up and up. The good news is that currently she has been weaning herself down for a while now and she is now on 120mg A DAY!!.. She takes 80mg in the am and 40mg at bedtime. Of course she is still in a lot of pain but after being on this drug for so long it began to work against her. She has an appt. with a new pain dr. on the 9th of this month and I am praying he can help her out. She is pretty much bed-ridden. So sad. Chronic Pain is just horrible.

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Specializes in school RN, CNA Instructor, M/S.

My husband is on Oxycontin 160mg q 6 with IR 20mg up to 3 times a day. he has failed back surgery syndrome and 2 knees awaiting replacement. He was injured on the job (L5 & S1 chipped and pieces ended up in the nerve root) in 1994. I watch him cry in pain when the weather gets cold and damp here in NY. Yesterday was 1 of those bad days. But we are married 14 years this past Sept and we make each other laugh at least once a day!! And I love him with all my heart!

I just wish he wasn't in so much pain all the time.

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hmm, also had a pedi home care on 300 mcg of Fentanyl Q48'.....

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Ok... so its not oxy, but I had a pt (dx bone cancer) on 560mg MScontin bid, with fentanyl patch 175mcg, pt was up with minimal assist and sharp as a tack!!

555 or 570.....basically = to 370 of oxy....

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Specializes in CCT.

400mgs of MS for pain related to mets from prostate cancer.

100 to 150 mcg of Fentanyl, especially through the transdermal route, is nothing. I regularly do IV doses around those levels.

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Specializes in Pediatric/Adolescent, Med-Surg.

Morphine 18mg IV q6min Pt regularly went through 1.5-2grams of Morphine per day (and on RA, fully alert)

Methadone 60mg PO every 6 hours.

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Specializes in Cardiothoracic ICU.
Morphine 18mg IV q6min Pt regularly went through 1.5-2grams of Morphine per day (and on RA, fully alert)

Methadone 60mg PO every 6 hours.

wow, seems like if you were gonna take that much, seems like actiq would be more effective.

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Specializes in Pediatric/Adolescent, Med-Surg.
wow, seems like if you were gonna take that much, seems like actiq would be more effective.

Actiq?

I should add that neither of these pts were hospice or palliative care. Both were sickle cell pts, and these were their baseline hospital doses when in crisis.

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Specializes in LTC, med/surg, hospice.

I'm sure I've seen some higher but recently 80mg oxycontin BID plus 20mg IR Q4hours.

I know my cancer patients, chronic pain and sickle cell patients generally get the highest doses of any of the pain meds we give.

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Specializes in Hospice.

Nothing stands out for me re oxycontin, but:

-pt w/ terminal ca, 550mcg fentanyl patch + dilaudid for breakthrough

-pt w/ end-stage HIV disease on MSO4 @ 750mg/hr

-pt w/ terminal ca in pain crisis w/ dilaudid @ 15mg/hr and 15mg q30 min for btp, - had over 800 mg in 12 hr. Turned out he was experiencing opioid -related hyperalgesia AND benzo withdrawal.

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Specializes in CCT.
-pt w/ end-stage HIV disease on MSO4 @ 750mg/hr

-pt w/ terminal ca in pain crisis w/ dilaudid @ 15mg/hr and 15mg q30 min for btp, - had over 800 mg in 12 hr.

THAT is pain control....

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Specializes in Med/Surg/Ortho, Oncology, PACU.

I can't remember for oxy, either. but I had a 35 yo man with severe spinal problems (I forget the details) on 700mcg of Fentynal in patches, as well as a PCA of up to 200mcg of fentanyl on top of that. he was awake, alert, speaking.

Then I had a dying cancer patient on 14 mg an hour Dilaudid (continuous automatic PCA drip) as will as 1 mg ativan every hour iv push and a supplement of 4 mg diluded iv push per hour PRN.

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