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View Full Version : ER Doseage Vr IR Dosage?


Red_Baran
07-06-2006, 09:23 PM
If someone were to hava round a 35-40mg insnuffed ir dose of oxy, how much would one need for an er oral dose of oxy? Stuck with Tera gen. i head they suck for anything but oral, is that true? can you make the snortable or pluggable?

Phluck
07-06-2006, 10:40 PM
If you chew them, that defeats the extended release. The dosage for oxy is about the same for snorting as it is orally, just snorting hits you a bit faster. If they're the ones that gel up when you snort 'em, well, that kinda sucks, but it's not the end of the world. Like I said, chew 'em and it'll be almost the same.

Red_Baran
07-06-2006, 11:37 PM
Thanks for the reply, but thats not my question. im wondering what a doseage would be to leave the pills in tact aka ER (Extended Release tablets), if the IR dose is 35-40mg. in other words what is the release rate for OCs? And god damn dont snort the Tera, instant pounding head ach on the side it was sniffed

PRIZEFIGHTERINFERNO
07-07-2006, 02:44 AM
just wonderin do you mean teva? if so i think i could toss some info your way. i know a very close friend who gets the teva OC's 40 mg's ER. And this person has had years of experience with Oxy. But if tera is a different company then i dont know anything about it. Or is tera another name for teva? just wondering. peace

Red_Baran
07-07-2006, 06:11 AM
just wonderin do you mean teva? if so i think i could toss some info your way. i know a very close friend who gets the teva OC's 40 mg's ER. And this person has had years of experience with Oxy. But if tera is a different company then i dont know anything about it. Or is tera another name for teva? just wondering. peace

Ah correct i spelled it wrong, im pretty sure i was really high when i wrote that.
Id like to know how to make them IR with the administration via plugging or snorting

PRIZEFIGHTERINFERNO
07-07-2006, 11:58 AM
right on bro...i thought it was a typo. I wasnt trying to be a wise ass, i dont do that. But now that i know they are the Tevas, ill check into it for you. I have read some interesting stuff, so ill get back to you on it. PM you some links or something...peace.

Phluck
07-07-2006, 01:59 PM
Thanks for the reply, but thats not my question. im wondering what a doseage would be to leave the pills in tact aka ER (Extended Release tablets), if the IR dose is 35-40mg. in other words what is the release rate for OCs? And god damn dont snort the Tera, instant pounding head ach on the side it was sniffed

Well, OxyContins are supposed to release over 12hours, if that's what you wanted to know. I'm not sure exactly what you mean though... when you say the IR dose is 35-40mg, do you mean that's what you normally would take? Or that's the total amount in the pill if you were to chew it?

Red_Baran
07-07-2006, 03:44 PM
Well, OxyContins are supposed to release over 12hours, if that's what you wanted to know. I'm not sure exactly what you mean though... when you say the IR dose is 35-40mg, do you mean that's what you normally would take? Or that's the total amount in the pill if you were to chew it?
if my instant release doseage is around 35-40mg snorted (around one roxie) for a high that lasts around 30min or less, how much would i have to take extended release (oxycontin teva) oral for it to last idk at least a few hours

i would much rather snort or plug these damn teva but every time i snort them, i dont get any effect

bronyraur
07-20-2006, 11:30 AM
try 20mg ER oxy swallowed hole to get the effect of 40 mg IR oxy. The basic formula from converting to and from ER to IR is: Total IR dosage divided by 1/2 (one-half) equals ER dosage.

Example I take 30 mg of MSIR a day, so to put me on MS Contin you would divide 30 by 1/2 which equals
15mg of MS Contin

Hope that clears things up.

shaunclo
07-20-2006, 12:24 PM
try 20mg ER oxy swallowed hole to get the effect of 40 mg IR oxy. The basic formula from converting to and from ER to IR is: Total IR dosage divided by 1/2 (one-half) equals ER dosage.

Example I take 30 mg of MSIR a day, so to put me on MS Contin you would divide 30 by 1/2 which equals
15mg of MS Contin

Hope that clears things up.

I think you have the right idea, just backwards. If you were to take a 20mg's of Oxy ER, that wouldnt equal 40mg's of Oxy IR.......right? Or am is my brain just not fucntioning right now? (it wouldnt be the 1st time)

Curio
07-20-2006, 12:32 PM
I think you have the right idea, just backwards. If you were to take a 20mg's of Oxy ER, that wouldnt equal 40mg's of Oxy IR.......right? Or am is my brain just not fucntioning right now? (it wouldnt be the 1st time)
I think this explains how his doctor came up with the low dosage of MS CONTIN, after the incredibly low 10mg OC bid....
it's not really funny to me either cause it's the kind of quack crap docs pull every day of the week....
I was so out of it after my third surgery the pain management guy had me doing research on my own just to prove what I already knew: soma is a muscle relaxer....MF-er swore up and down, correcting ME, asking, "who told you soma was a muscle relaxer?" He KNEW I was a field medic and would double check, but I guess he simply didn't care at the time..I never went back, I would rather die than have some MD F## with my head more than it's already been twisted my whole life.

I swear they are ALL in some drug company pockets...DEEP pockets....

Curio
07-20-2006, 12:39 PM
Thanks for the reply, but thats not my question. im wondering what a doseage would be to leave the pills in tact aka ER (Extended Release tablets), if the IR dose is 35-40mg. in other words what is the release rate for OCs? And god damn dont snort the Tera, instant pounding head ach on the side it was sniffed

the dosage can stay the same....if you're leaving them intact....milli for milli...although if for pain control, the extended release may prove to be MORE than adequate, thus requiring less breakthrough pain meds, etc.. because there aren't the peaks and troughs in therapeutic levels that a person has with instant release meds.

bronyraur
07-21-2006, 12:33 PM
I think you have the right idea, just backwards. If you were to take a 20mg's of Oxy ER, that wouldnt equal 40mg's of Oxy IR.......right? Or am is my brain just not fucntioning right now? (it wouldnt be the 1st time)

shaunclo, Maybe you're brain is a little off. The formula I'm using is one that's accepted for pain control, but not necessarily what we do...

but nonetheless, I understand where someone could be confused by the formula.:)

shaunclo
07-21-2006, 01:08 PM
shaunclo, Maybe you're brain is a little off. The formula I'm using is one that's accepted for pain control, but not necessarily what we do...

but nonetheless, I understand where someone could be confused by the formula.:)

Yeah, brain definietly working wrong, has been for a while, anyway the whole pill formula thing always confused me. I usually just take what the scale says as how much I have. I usually dont have many pills, just H

Curio
07-28-2006, 08:35 AM
I forgot to post this info I pulled up after I felt certain that the formula bronyraur posted was just not the appropriate conversion for IR/ER pain meds:


Clinical Geriatrics
http://www.skinandaging.com/cg/index.cfm
For example, a patient who uses 30 mg of short-acting morphine every four hours can be anticipated to require 90 mg of controlled-release morphine every 12 hours. ..One should be prepared to increase medication by 50% to 100% when pain relief is inadequate. On the other hand, because long half-life preparations take more time to achieve steady-state blood levels, doses should be escalated slowly. Short-acting preparations may be needed in this interim.

Some patients metabolize the medication more quickly and may have adequate pain relief for eight hours, but then have breakthrough pain. The solution would be to increase the frequency of the controlled-release morphine to every eight hours. A few metabolize medication more slowly and may need less frequent dosing at surprisingly low quantities of opioids, such as 15 to 30 mg of controlled-release morphine every 24 hours.

Controlled-release preparations of morphine or oxycodone should not be prescribed more frequently than every eight hours. If breakthrough pain occurs in three to four hours, the amount of medication should be increased and the same dosing schedule maintained.

This confirms my earlier belief/post regarding how it is a conversion equalling the same milligram per milligram dosage - you do NOT decrease the dosage by half when switching to an extended release medication:

try 20mg ER oxy swallowed hole to get the effect of 40 mg IR oxy. The basic formula from converting to and from ER to IR is: Total IR dosage divided by 1/2 (one-half) equals ER dosage.


I do not mean to be picking on anyone, I just want to make sure we're all posting accurate info here.

bronyraur
07-28-2006, 08:57 AM
ComaTOES: The information you posted is correct, as is mine. I gathered my information directly from the OHP Chronic Pain Management Manual (specifically: Part II, Section 4). Here is a link to the manual: http://www.ohsu.edu/ahec/pain/painmanual.html

Like you, I make sure I post accurate information. The last thing I want to do is to cause some one harm or pain and suffering because of incorrect conversion information.

What I think we can agree on is that there are lots of different formulas for converting from ER to IR, so it would difficult if not impossible for all of us to agree on one formula. Just letting you know where I was coming from.:D

Curio
07-29-2006, 03:06 PM
that's good info on the link, but I only saw converting one long acting opiate to another and then converting short acting opiates to long acting MS, and various short acting to other short acting opiates....I didn't see anything about anything other than long acting MS conversions from short acting opiates...i.e. oxycodone to Oxycontin....such as I was describing.

Do you have an IR to ER link I missed?