User Reviews for Xtampza ER oral

This medication does not work. I take it mostly at night for chronic pain. I have been taking the same dose of Oxycontin for years. One day I go to pick up my prescription. Pharmacy said I need a prior authorization. I follow up with my doc. My insurance called and said it was denied. Back to doc to be told oxycontin is no longer on formulary..take Xtamza. 1. My doc knew nothing about this change. 2. more expensive than generic oxycontin 3. The capsule tastes disgusting 4. IT DOES NOT WORK! I would rather eat M&M's, at least they taste good. Read More Read Less

I switched to xtampza because my insurance would not cover oxycontin. I still wanted an extended release formula though, so I'd avoid waking up in extreme pain. Immediately I noticed that it wasn't working well at all. I was actually having moderate withdrawal symptoms! I read the fine print which said to eat a high fat meal every time you take this stuff. Well.....I don't have a gallbladder. Gallbladders help you digest fatty foods, so the Xtampza I was taking was literally going right through me. I'm working on a solution with my pain specialist, but this is week two of trying to start another pain med. It's been a real fun two weeks. I wouldn't recommend this crap to anyone wanting a pain med that's sure to work for them. Even I'm the best case scenario, it's ready inconvenient to have to eat a high fat meat every time you take this stuff. For now I think I'll go with oxycodone IR. At least I'll know what to expect. And if insurance doesn't want to pay I can handle the $20 per month. Xtampza is so abuse deterrent that they've made it extremely difficult for anyone to absorb it. 0 stars rating from me if it was an option Read More Read Less

I was forced to take this medication, which without insurance is actually 600 dollars more than the Oxycontin 30mg x2 I was taking, because my insurance company has removed the Oxycontin from my cadillac level insurance formulary. This makes a lot of sense, as they are both Abuse Deterrent Formulations (ADF) and the XTampza is more expensive and by and large less effective, so you can tell that a lot of research, evaluation, and testing went into this decision, and it had absolutely nothing to do with some kind of shady, back room shenanigan's and was very customer focused. Insurance companies are known for their attention to detail when it comes to patient medication, efficacy, and availability, and never make these choices because someone offered some kind of monetary incentive. That would be unethical and irresponsible, and insurance companies would never do such a thing. So I have enhancing lesions on my spine, stenosis, compression of four discs in my lumbar region, vertebral wedging of T-7, arthritis through my spine, acetabular tears in both hips, a rotator cuff tear in my right shoulder, multiple subluxations in my right, and a patellar tendon tear in my left knee. Soooo...I'm taking opioids for a reason, not because I sprained my finger and asked for 800 20mg Oxycodone pills. I've also been taking them for some time, and have a pretty specific understanding of efficacy, need, and timeframes. The Oxycontin was the first long-acting pain medication I was ever given, and was done so to replace the Vicoprofin 7.5/200 pills I was taking 6 times a day. Initially my insurance company covered the Oxycontin, but one day they looked at customer usage rates and saw that the lower cost medication was more effective and made their customers who required pallative care consistenly happier and thought "we need to correct this immediately." That or they read a medication brochure and saw that XTampza included not one but two smiley faces, and they realized that this MUST be the one true ADF long acting opiod they have been searching for. The medication claims that specific doses are equal to Oxycontin, and since they are both Oxycodone delivery vehicles, both with specific ADF methodologies, they should act the same for an equal amount (they include a very easy to understand pill equivalency graphic that lays this out.) As such, when I made the switch, I was not worried and assumed that with some slight adjustments, everything should be back to normal soon enough, and with the added bonus of not having to pay $870 each month for my Oxycontin script. That sentiment truly shows the stupidity of your average consumer, the fool in question in this case being me. Though it is on my formulary, my insurance company denied my prior authorization request for it...twice. Because of course they did. My doctor, who I believe is an actual, honest to god angel, provided a written appeal of medical necessity and additional information such that my insurance company eventually approved it. For 5 months. That said, I then had my specialty pharmacy order it, and within 24 hours, this adventure began. There are very specific instruction you must follow when taking this medication. For example-you absolutely have to eat when you take it. This is not negotiable. If you do not eat something while taking the medication, there is zero chance of it working. Also, please bear in mind timeframes-short acting opioids take about 15-20 minutes for blood saturation to start to become evident. Oxycontin takes about an hour. XTampza, if you have eaten correctly (something centered around a lean protein is preferred) will reach blood saturation maximum in about 5 hours. Now, you won't notice this, because the equivalent dosage of 30 mg of Oxycontin (27mg of XTampza) feels as if instead of a new ADF pain reliever, you instead took an instant withdrawal pill. Maybe that was supposed to be a cheeky little prize for buying ten doses of the XTampza or somethRead More Read Less

My body is not metabolizing the Oxycodone. I have tried every way recceommended & conceivable and recceommended

xtampza requires 4500 calories of food to fully activate and does not really activate at all as far as I could tell. I went into withdrawals on it.

Hi fortunately this medication doesn’t work and on top of that, who could really afford to take it. I promise you it doesn’t work. If it does work then the pain is in your head and not your body.

I've tried other opioids but this medication xtampza er was the worst. No relief at all. It takes around 3 to 4 hours to kick in but only last about 4 but it states to take every 12. This medicine should've been tried on someone who really lives in chronic pain like most of us that are commenting on this site. I have been living in chronic pain since 2014 this pain is NO JOKE!!! You're lucky yo even get 3 or 4 hours of sleep a night. Then you have to deal with the pain during the day. You don't have the pleasure to enjoy life. I hope by some miracle someone will create a wonder drug that really can help with this unbearable pain I live in..no quality of lifeRead More Read Less

Have to take at least 144mg on a full stomach to get a few hours relief. It takes 3-4 hours to kick in and only lasts about 4 hours once it does.

After a couple injuries I’ve developed Spondylolisthesis (2.5)as well as spinal canal narrowing and disc failure. I started on tramadol a few years ago and as my condition worsened I take 40-60mg of oxycodone per day. As my conditions worsen and my tolerance increased the doctor put me on fentanyl parches but I hated the way they made me feel. He changed to this medicine and it does nothing for my pain. I get a weird feeling when taking it like I’ve had too much caffeine. I feel like this medicine was developed after the Purdue debacle and wasn’t properly tested before hitting market. Just reading the reviews here and seeing how little this helps proves it’s not effective. Doctors are running scared of prescribing pain medication which has had the effect of denying real chronic pain patients of a necessary dosage. Whatever the answer is it’s not this stuff. I’ve since turned to the dark net, which at my age is ridiculous, to properly medicate so my quality of life is manageable. Read More Read Less

I have Ehlers danlos syndrome type 3. I switched from interthecal pump to 18 mg every 12 hours of this . I also have malabsorption. I am warning anyone with malabsorption DONT try this. I am in severe withdrawal now because it just can't be absorbed into my body. ??

After 3 years of this med at night I received no pain relief at night from it. I live where there is only one pain management doctor in fifty miles. I am between a rock and a hard place. My doctor does not seem to care about treating any other pain than my original problem. OxyContin keeps my pain relief during the day if I sit and do not stand for more than a few minutes at a time. I am housebound but my doctor doesn’t seem to care.

I have been a pain patient for nearly 20 years due to Ehlers-Danlos syndrome. Previously, my pain was managed with a combination of extended-release morphine and hydrocodone. My new doctor wanted me to try other long-acting medications because they didn't like the side effects of morphine. I felt the same way, so I was fine with this and went into it with a good attitude. Their first choice was Xtampza, and my experience has completely shattered my confidence in my doctor and this process. My medication was switched from generic MS Contin 15mg twice a day to Xtampza 13.5mg twice a day, which is an increase. This is the worst medication I have ever tried, and I'm including medications that landed me in the ER. I am firmly convinced that this medication was manufactured to scare people away from opioids. A few reviewers used the word "torture" - this is accurate. From the very first day, I had diarrhea, chills, and hot flashes. My digestive system felt like it was writhing the entire time on this medication - literally like I was crawling with worms. I had pain in parts of my body where I never had pain before, or where pain had been well-managed previously. I stopped dreaming completely and developed terrifying intrusive thoughts, as well as extreme mood swings (either toe-tappingly happy or sobbing). This medication would either hit too hard or not work at all. I tried taking it with a fatty meal and I think I must've overdone it because two hours later I was frighteningly high, and later in total withdrawal for the last six hours of my dose time. Being in withdrawal made me crave taking more medication early, which I did not do. You cannot eat the wrong thing at the wrong time with this stuff or you will be shaking in bed, wondering if you should break out the Narcan (I left the Narcan on my bedside table and told my family to check on me). I tried both taking the capsule whole and sprinkling it on food (the same food every time) and every 12 hours was a totally different experience: some were fine and others were torture. After about three days of sprinkling the capsule contents onto food, I developed a prickly itch in my throat and rectum, as well as feelings of impending doom. It was at this point that I called my doctor, who emergently switched me to enough hydrocodone to cover me until my next appointment. I tried so hard to make this stuff work, but then came to the conclusion that your medication should work for you and not the other way around! At no time did I feel safe taking this medication, and it has left me terrified to try anything else and suspicious of my doctor's motivations for switching my medication.Read More Read Less

This product has a difficult wax based coating that can only be dissolved by certain foods, period. Try your own or take a look at my suggestion. Finally, it works for almost 10 hours if you are lucky but you should get 8 hours without issue, with relief starting at about 75 minutes and good relief around 2 hours. Two soft boiled eggs, or one but the yolk is what will dissolve the coating. Adding a small breakfast link sausage will help. And when you take it, sprinkle it in 1-2 tablespoons of virgin olive oil. This actually will help some people with their cholesterol but see nutrionist reviews on unsaturated fats and benefits of virgin olive oil. It's ridiculous patients have to suggest to their doctors, even experts, how to take this because the manufacturer won't and isn't going to put this in the patient information section. If you don't take lipid soluble foods, it simply won't work (applesauce makes zero sense). And, eat fifteen minutes before taking the medication and always wash down with 4-8 ounces of water. Read More Read Less

It works for over night although I find ER pain Med was worse because I would sleep through the whole night and not use the restroom and wake up in worse pain due to a bladder disease and it making me tired and not wake up to pee. Tell your doctor even if it works a little. They will find something better, if you have a good one. They don’t want you in pain and miserable. I spoke up and even wrote a pain log of how it affected me all day for a few days. Iv tried many and I was hoping this would be it but unfortunately it wasn’t. I also didn’t know about eating with it to make it work better. It made me feel antsy but sleepy at the same time. I’m sorry to everyone struggling with chronic pain like myself. I know it’s horrible but don’t give up speak up and tell the truth. Read More Read Less

Coordinating with meals difficult. Long uptake time. Narrow analgesic window. 12 hour duration is false, even with strick meals compliance.

Doesn't work. What a nightmare. Torture.

I have been a chronic pain patient for over 20 years. I had been on OxyContin ER 40mg twice a day. I was given Oxycodone for breakthrough pain. I was now switched to Xtampza ER 36mg which is supposed to be equal to the Oxy 40s. It’s a joke. They don’t really tell you how much HFHC food you need. I have found that sprinkling it on food is somewhat better. I usually have a cup of pudding and sprinkle it on that. But one takes forever to kick in and I don’t feel any relief. I realize I’ve grown quite tolerant to this. I’m only allowed 3 Oxycodone per day for breakthrough pain. Most times I need to take those three at once to get any relief. I tried doubling up on the Xtampza ER but still nothing. The pain I encounter in my legs and back is excruciating. I’m waiting to get a new MRI but in the mean time the doctors don’t want to increase the dosage. It’s been hell living with this pain. I’m lucky if I can sleep two hours straight per night. I just don’t know what else to do. I’ve been on Gabapentin and that did nothing for me. I’m also HIV+ so that adds to my discomfort. I feel like the CDC wants to just watch us all die from this pain. There must be something we can do to get the CDC to understand what we are going through. Read More Read Less

It puts my stomach in knots 24 hours around the clock even when I eat with food which you're supposed to, it doesn't last 12 hours it lasts eight hours so you go through withdraws if you don't have breakthrough medicine

I like xtampza because it lasts all day. I was reading some reviews and while it's true it takes awhile to kick in most people don't know that you have to eat something with it to get the full effect. Most pain meds work without food but Xtampza you HAVE to eat for it to work properly. Doctors should let their patients know this when they prescribe it.

Very minimal pain relief. I feel that Xtampza brought on more pain, and I began to have pain in places where there was no pain previously, to wit, my right hip.