Switch from hydrocodone to Oxycodone?

Posted by phxratt1 @phxratt1, Jun 19, 2025

Hi all, I've had 3 lumbar surgeries, and still having pain 18 months after last one. My pain dr has me on 10/325 hydrocodone 2X/day that doesn't seem to do much. Has anyone with lower back pain switched from hydrocodone to Oxycodone, and did it make a difference? I'm being told Oxycodone is more potent. Thanks.

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@kayraymat

Sometimes we get whatever will dull or take the pain away. The side effects
can be problematic and can even result in severe liver damage. I was taking
percocet but it only slightly helped the pain. I've found that Diclofenac, an
anti-inflammatory med works okay for me with no bad side effects.

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@mikeb39a
I will ask my physician about Diclofenac.

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@loriesco
Thank you. It is the increase in Tramadol that has caused the problem, so
I am going to try to get out more to at least walk. I am not eating much at
all so I will also make more salads.

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@kayraymat yes while you have to eat in order to have something to poop, right? 🙂 and the warm fluids really helped like coffee in the morning. Tea can be constipating, but they make teas that are laxative like you might wanna investigate. Salads are good, but also things like oatmeal, flax bran muffins, add some greenish bananas , cantaloupe, if you do salad, make sure you do things like dark, leafy greens, carrots, tomatoes, walnuts, raisins, not just iceberg lettuce as that doesn’t help. . Whole-grain bread.(I can only do some because I’m gluten intolerant.) but I’ll make a sandwich for lunch with the whole grain bread have some fruit for dessert. At dinner I will have any mix of meat, chicken or fish and I will add some beans, broccoli, zucchini, and some brown or red rice should do the trick for you! And then maybe some blueberries, pears, yogurt before bed. So I’m kind of Inc some fiber into each of my meals, my whole life and so I’m pretty regular.

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I take 50 mg in the morning & occasionally take 50 mg at night. I don't have an issue
with constipation from Tramadol (I have more issues with Mounjaro 15 mg shots ...
it sows down digestion and gives me occasional constipation).

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Profile picture for loriesco @loriesco

@kayraymat yes while you have to eat in order to have something to poop, right? 🙂 and the warm fluids really helped like coffee in the morning. Tea can be constipating, but they make teas that are laxative like you might wanna investigate. Salads are good, but also things like oatmeal, flax bran muffins, add some greenish bananas , cantaloupe, if you do salad, make sure you do things like dark, leafy greens, carrots, tomatoes, walnuts, raisins, not just iceberg lettuce as that doesn’t help. . Whole-grain bread.(I can only do some because I’m gluten intolerant.) but I’ll make a sandwich for lunch with the whole grain bread have some fruit for dessert. At dinner I will have any mix of meat, chicken or fish and I will add some beans, broccoli, zucchini, and some brown or red rice should do the trick for you! And then maybe some blueberries, pears, yogurt before bed. So I’m kind of Inc some fiber into each of my meals, my whole life and so I’m pretty regular.

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@loriesco
I was regular before I started taking 2 tramadol 100mg.
Thank you for the advice & I will take it. I love greenish bananas.

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I went through hydrocodone, oxycodone, fentanyl patch, morphine, tramadol and buprenorphine. I developed serotonin syndrome from tramadol and depression drugs, so I had to go to methadone. I like methadone. it's not as hard hitting as the others and doesn't give me a high. It has a longer half life so the peaks and valleys aren't as bad. If you are dealing with a bad dependency it helps with coming down from high doses of fentanyl and oxycodone. It has a bad rap because it is used for heroin and fentanyl addiction, but a lot of former addicts stay on it because of the pain management that it delivers. I don't get the cravings for the next dose like I did on the other opiates. It doesn't have as strong a dependency issue as the others. It works well for a chronic pain drug, not as well for post-op pain.

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