this is embarrassing to post here... swim recently moved to the UK. her GP (general practicioner in the UK) is clueless about opiate dosages -- she was taking vicodin/hydrocodone or oyxcontin/oxycodone in the USA for the past 4 years for chronic pain PRN. I do not take these daily so as to not develop tolerance/dependence as she has a condition which is long-term (forever). she increased dosage the first year but constant ever since so has been pretty good in terms of management... she uses about 1-2 times a week as needed but has not had any in months. based on her medical reorts, her UK doctor prescribed codeine at the same milligrams, I was suspicious that OTC codeine can be as effective for a pretty serious pain condition. but did not want to be a pain. but she was right, codeine doesn't work as well. I had to take 10 tablets to feel just the tiniest pain relief but at that point also nausea. swim needs to speak with doctor but basically needs to show GP oxycodone and hydrocodone is not the same as codeine and suggest an alternative. this GP is allright when you go to her with suggestions (e.g, also expects swim to find out the best doctors to refer herself to). basically swim's medical care is in her hands. I am kinda used to this and have had little problem in the past. but when swim looked for opiate equiavalents between US/UK, it's another story. it's not like antibiotics or something where you can find the equivalent name and it's not tripterol but imprimpteryl... I has had a hard time with this. or maybe it's embarrassingly obvious and she's not been able to see the obvious. if anyone can help, I would very much appreciate it. now swim enjoys a recreational dug or two, but in terms of opiates, it's not her "recreational" choice... (mainly the nausea stops it from moving in that direction)... she does have a chronic pain problem... which will tend to get worse as the cold weather comes in and she still has not figured out her meds situation... so your help would be especially appreciated. thankssss.