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Re: Oxycontin question?

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In a message dated 10/22/2001 10:01:56 PM Eastern Daylight Time,

pghand@... writes:

> pghand@... (Jill -Hand)

I am on alot but nothing has changed except the increase in oxycontin. I am

on oxycontin 60mg 3 times a day with up to 40 mg oxyIR a day. I am also on

neurontin, relefen, zoloft, chlorzoxazone, and firocet (periodically) I am

kind of stressed but have never experienced this kind of anxiety before and

have had reoccuring depression in the past. It is the kind of anxiety you

feel before going into surgery. It starts around noon and builds as the day

goes on peaking in the evening. If you can give me any insight I would

appreciate it. i am going to be seeing psychologist for the first time later

this week so don't worry that base will be covered. As usual THANKS!

Sue K

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In a message dated 10/22/01 9:45:38 PM Central Daylight Time, pghand@...

writes:

> This is the report from Dr. Koop's website:

>

>

>

>

How'd you do that? I'm on 13 meds! I'd love to see this. Most of my meds are

not common drugs and for different problems ... I don't think I'm double

medicated for anything but allergies/asthma. But I'd still like to see it,

especially the food interactions.

Peggikaye

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Jill,

Thanks for the interactions. I see two possible problems in the grapefruit

juice area. I have been drinking alot of Fresca because it was printed on one

of my husband's medications not to drink grapefruit juice. Starting right

now I am off the stuff. Thanks for the information answer lady!

Sue K

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(I would like to see how the Dr. Koop site works too. I'm on some different

meds now, but I was on chloroxazone, and I did note some of the symptoms,

plus an almost allergic reaction to it. Now I'm switched to Robaxin which

seems to do better. It does make me feel a little off, but not too much. I'm

also on Talwin NX and Neurontin, and getting off valium (none for the past

four days..yay!) and halcion. I do take aspirin to fill some of the gaps when

I hurt a lot.

Blessings, jDoris

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This may be a situation where you are experiencing a conflict of

medications....what else are you on?

Jill

I was wondering if anyone knows if oxycontin can cause anxiety. Ever since

they upped my dosed I almost feel like I'm on speed. My Dr keeps asking me

if

I am too sedated but if anything it's the opposite. Just wondering if anyone

has experienced this or even know if it is possible. Maybe I'm just

neurotic!

LOL!

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This is the report from Dr. Koop's website:

Your Drug Interactions

There are 13 interactions for OxyContin , Neurontin , Relafen , Zoloft ,

chlorzoxazone and Fioricet :

0 severe, 2 medium, and 11 mild (10 are drug/drug interactions , 3 are

food/drug interactions).

1. Medium Food Interaction for Zoloft (generic: sertraline)

Grapefruit juice may significantly increase the pharmacologic activity of

drugs metabolized by CYP3A4. The mechanism is impairment of first-pass

metabolism by a grapefruit juice bioflavonoid. It is recommended that

patients who are taking drugs metabolized by CYP3A4 avoid grapefruit juice

to help prevent adverse effects.

----------------------------------------------------------------------------

----

2. Medium Food Interaction for chlorzoxazone (generic: chlorzoxazone)

In one small study, patients ingesting the vegetable, watercress were

reported to have a 33% increased peak concentration of chlorzoxazone, 52%

increased area under the plasma concentration-time curve, and 40% prolonged

mean plasma elimination half-life. The oral clearance of chlorzoxazone was

reported to have been reduced. Chlorzoxazone is a substrate of CYP2E1. The

vegetable, watercress is suspected of being an inducer of CPY2E1. Ingestion

of alternative vegetables is recommended for patients receiving

chlorzoxazone therapy.

----------------------------------------------------------------------------

----

3. Mild Interaction between OxyContin (generic: oxycodone) and Zoloft

(generic: sertraline)

CNS-depressant and/or respiratory-depressant effects may be additively or

synergistically increased in patients taking multiple drugs that cause these

effects.

----------------------------------------------------------------------------

----

4. Mild Interaction between OxyContin (generic: oxycodone) and chlorzoxazone

(generic: chlorzoxazone)

CNS-depressant and/or respiratory-depressant effects may be additively or

synergistically increased in patients taking multiple drugs that cause these

effects.

----------------------------------------------------------------------------

----

5. Mild Interaction between OxyContin (generic: oxycodone) and Neurontin

(generic: gabapentin)

CNS-depressant and/or respiratory-depressant effects may be additively or

synergistically increased in patients taking multiple drugs that cause these

effects.

----------------------------------------------------------------------------

----

6. Mild Interaction between OxyContin (generic: oxycodone) and Fioricet

(generic: APAP/butalbital/caffeine)

CNS-depressant and/or respiratory-depressant effects may be additively or

synergistically increased in patients taking multiple drugs that cause these

effects.

----------------------------------------------------------------------------

----

7. Mild Interaction between Zoloft (generic: sertraline) and chlorzoxazone

(generic: chlorzoxazone)

CNS-depressant and/or respiratory-depressant effects may be additively or

synergistically increased in patients taking multiple drugs that cause these

effects.

----------------------------------------------------------------------------

----

8. Mild Interaction between Zoloft (generic: sertraline) and Neurontin

(generic: gabapentin)

CNS-depressant and/or respiratory-depressant effects may be additively or

synergistically increased in patients taking multiple drugs that cause these

effects.

----------------------------------------------------------------------------

----

9. Mild Interaction between Zoloft (generic: sertraline) and Fioricet

(generic: APAP/butalbital/caffeine)

CNS-depressant and/or respiratory-depressant effects may be additively or

synergistically increased in patients taking multiple drugs that cause these

effects.

info

----------------------------------------------------------------------------

----

10. Mild Interaction between chlorzoxazone (generic: chlorzoxazone) and

Neurontin (generic: gabapentin)

CNS-depressant and/or respiratory-depressant effects may be additively or

synergistically increased in patients taking multiple drugs that cause these

effects.

----------------------------------------------------------------------------

----

11. Mild Interaction between chlorzoxazone (generic: chlorzoxazone) and

Fioricet (generic: APAP/butalbital/caffeine)

CNS-depressant and/or respiratory-depressant effects may be additively or

synergistically increased in patients taking multiple drugs that cause these

effects.

----------------------------------------------------------------------------

----

12. Mild Interaction between Neurontin (generic: gabapentin) and Fioricet

(generic: APAP/butalbital/caffeine)

CNS-depressant and/or respiratory-depressant effects may be additively or

synergistically increased in patients taking multiple drugs that cause these

effects.

------------------------------------------------------

13. Mild Food Interaction for Fioricet (generic: APAP/butalbital/caffeine)

This Interaction is due to caffeine which is a component of Fioricet.

The effect of grapefruit juice on the pharmacologic activity of caffeine is

controversial. One report suggests that grapefruit juice increases the

effect of caffeine. The proposed mechanism is inhibition of cytochrome P-450

metabolism of caffeine. However, a well-conducted

pharmacokinetic/pharmacodynamic study did not demonstrate this effect. The

clinical significance of this potential interaction is unknown.

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Sue,

My goodness! That's a lot of oxycodone...I can't imagine! I'm so sorry that

your pain has you taking so much. I know when you have to do it you have to

do it...I'm glad that you're able to find some relief from your pain

tho...hope the " speed " effect wears off or somethin'...

Many blessings and lotsa love, Janet : )

Sue K wrote:

> I am on alot but nothing has changed except the increase in oxycontin. I am

> on oxycontin 60mg 3 times a day with up to 40 mg oxyIR a day. I am also on

> neurontin, relefen, zoloft, chlorzoxazone, and firocet (periodically)

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