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 Emergency.

Ok, slightly off topic. I had a patient during my internship last summer with renal cell CA with tons of mets who was on 450mcg of fentanyl an hour. First and probably last time I'll ever see fentanyl running as a primary. He was also getting 60, I think of MS-IR every 8 hours. And he was lucid and ambulating.

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The oxygen comment was funny, lol.

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oh, and 160mg qid

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Specializes in Surgical/MedSurg/Oncology/Hospice.

Sickle cell pt with 180mg oxycontin q8 hrs, plus Dilaudid PCA 1 mg q8 minutes with a 30mg/4 hr lockout...still walking and talking (and complaining!). Recently saw an oncology pt with 225 mcg Fentanyl (two 100 mcg patches and one 25 mcg patch) for bone met pain.

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Specializes in Psych ICU, addictions.

80mg TID coupled with Dilaudid 8mg q4h. Walkie-talkie...and he was still complaining that it didn't take care of all the pain.

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I had an elderly CA patient on 120mg tid as well as Fentanyl 100mcg patch. Pupils were like pin pricks but she was still lucid despite her age and the drugs.

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Specializes in L & D; Postpartum.
I've seen 80mg of Oxycontin q6h, with Percocet QID PRN.

And I was thinking Oxytocin!

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Specializes in ED, Cardiac Medicine, Retail Health.

160mg QID for a 35 y/o with vague c/o body and back pain. And the patient was still complaining of 10/10 pain when she occasionally awoke up from her coma. Thought it was a mistake when I saw the order.

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Specializes in Emergency Dept. Trauma. Pediatrics.
I must be out of touch. When I read the title to this thread, I thought you were talking about oxygen. For what it is worth, my patient is on 8 liters.

Sorry, I was tired and didn't want to type out each drug, I didn't even think about that aspect LOL

This was the most pain meds I have seen so far. Well for home meds that is, pt. had joint pain. That is what it was prescribed for. She was walking and alert, was in for an asthma attack yet has COPD and Smokes pot (not medical) which probably promoted the asthma attack I am sure, on a sleuth of other meds to. She refused to be admitted though when she found out she wouldn't be getting those drugs in the hospital. Apparently the prescribing person is well known for giving out lots of pain meds in town and is the one to go to if other docs won't give them to you. I am not sure how true that is or anything, no doubt I will come into contact with a lot more and stuff and get immune to the amounts, but this was still shocking to me. I get percocet, and have a pretty good tolerance to pain meds, actually most meds period but shoot I am on 7.5 mg 1-2 Q4-6 hrs PRN and get 20 a month. So those amounts seemed astonishing to me.

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100mcg I'm on 200mcg, and have been for about 2 years now, and 10/325 (norco) as you probably all ready know. Oh, and the norcos are every 4hrs. dew to an accident back in 2005, but my pain control Dr. says that I'll be in constant pain for the rest of my life, and believe me, "I AM". I'm so use to all that pain meds. that sometimes even that don't work, especially if a cold-front is comeing, or is upon me already. Unfortunally, I also know I've gotten addicted to them, but the pain is real, and I'm paralized chest to toes, but wow can my pain be horrible, though I have a friend on oxy.40mg, and that seems to help me some at sometimes. My Dr. won't change my norcos for oxy. I guess their stronger, and dosen't want to be the cause of my death, lol.

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I'm paralyzed from my chest to my toes, and with a cath. but if I don't urinate in 4 hrs. OMG! My brain wants to explode, so be nice to your patients with caths. if he says he needs his cath. changed, "please" change-it, NOW! 44 year-old.

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Specializes in Geriatrics, Transplant, Education.

Highest prn dose of oxycodone ir i've ever given was 45mg q4 hrs...pt also had dilaudid i believe it was 6 or 8 mg po q3...forget what their long acting orders were.

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