Mixing opiods. Bad news!

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Pamela Neckpain
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Date Joined May 2008
Total Posts : 1821
   Posted 6/9/2008 7:23 AM (GMT -7)   
I have been sleeping quite a bit.
My husband was worried so he looked up Xanax and Methadone
- the meds the doctors gave me.
Xanax taken with Methadone can kill you.
I'm so glad to have found out.
It seems to me that you all have responsive and responsible doctors.
My doctors have been not real alert during these 6 years
of "doggone" pain.
Pamela Neckpain

PAlady
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Date Joined Nov 2007
Total Posts : 6795
   Posted 6/9/2008 8:52 AM (GMT -7)   
Pamela,
I'm glad you checked on your own meds. Each of us really has to be our own best advocate in today's health care system, especially us CPP's. No, we don't all have responsive and responsible docs! Read through more threads and you'll quickly find out your're not alone!

But most docs' and even pharmacies (sometimes the pharmacists are even better at catching these things) have computerized programs that should red flag drug interactions. I'd also call your pharmacist and ask, and if they say that's true that you shouldn't be mixing these meds, then why didn't someone catch it?

Good luck!

PaLady

Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 6/9/2008 9:34 AM (GMT -7)   
HI there
I had been given some sleeping meds and Flexeril along with my opiates ( which are strong ones) and I also take other bed time meds
I felt very strange after a couple of nights on the cocktail..broken sleep ...no sleep ...
Looked up info and there is not supposed to be the mixing of a couple of meds I am taking

As was posted by PaLady you have got to be your own first advocate........
And I did get ahold of the pharmacy and I was told that the doctor should have been aware......
I have been very ill but still I should have checked......

I have 3 specialsts...

I now make sure I CHECK all meds.......I did before but not as COMPLETELY as I do now......


  DX With Crohns,Pyoderma Gangrenosum,Anxiety/Panic,Fibro & Other DD
 
Moderator @ Anxiety Panic..Alzheimer's..Co mod @ Crohns
                               FIGHT the FIGHT with all YOU HAVE
         Be Well All and Stay With Us We are Here To Help
                               LYN 
   
 
                   
 


nvrthesame98
Forum Moderator


Date Joined Jun 2008
Total Posts : 6706
   Posted 6/10/2008 2:06 AM (GMT -7)   
Everyone reacts differently to meds. An example is how "housewives" get hooked on pain meds? They all agree that they give them an extremely high amount of energy and that gets them thru the long trying days of runing kids,cleaning house,cooking,whatever. It isnt the norm for most folks to feel this way on opiate therapy. Thus the different reactions for different folks.

I am on both methadone and xanax and have been for many years and the thing to remember here is the adjustment periods and times and amounts taken and how each of us are going to react to them together.

I didnt start out on this much X and this much M together I was adjusted slowly over a period of time and even though I can take tis mixture daily without any side effects some one not adjusted or tolerant could die from them at this level. My methadone always has a warning on it that states this med taken at this dosage to someone NOT adjusted can cause serious harm or even be fatal. True for any opiate or Benzo by the way this is the class of drug that xanax is in versus opiate.

I know some folks who take more then I do and some that cant take the two together at all. This is where good communicating with your treating Docs comes in.

These two meds taken together on a substance abuse level and other then prescribed can and often is fatal!!! I am talking about those fine folks who snort their meds mixed at higher then prescribed dosages and when they dont "feel" the desired buzz they simply snort more not keeping in mind methadones build-up properties and the amount you take today is still half in your system tomorrow so taking more today and more tomorrow more then doubles the amount left in the blood stream leading up to toxic levels on day 3.

You may simply be one of those folks who can NOT take benzo's and opiates together at any dosing and again this is where you need to educate yourself to the meds your taking and how they can effect you and then let your Doc know how it is effecting you with your new found knowledge in hand. There are other lighter benzo's that can be prescribed with the methadone and not cause the same types of problems. The only way to get this figured out and corrected is via the prescribing Doc.

If you do not feel comfortable taking them together simply start tapering the xanax as it can cause some w/d effects as well and let your Doc know immediately that you are doing so.
NVR
 
Bilateral knee replacements,spondylosis of L-3,4,5 and S-1, osteoarthritis,premenopausal migraines.
 
Meds: Methadone,xanax,zanaflex,maxide,prempro,K+,indocin,lexapro,neurontin(coming off) lyrica(going onto)
 
 


Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 6/10/2008 3:12 AM (GMT -7)   
Thanks for the information everyone. Xanax helps my pain so I think of it as a pain medication. I know it's for anxiety. I tried cutting down on Xanax. It didn't work out too well so I decided to let Methadone go. I went from 4 a day to a little over 3 a day. It works well for me. NVR, Zanaflex is the med that really gives me a good sleep. Really. I can't call my doctor for anything, All questions require an office visit. It's so hard for me to get out and it's expensive. I could write a book about doctors. (I'm sure you all could)
Pamela Neckpain

Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 6/10/2008 7:03 AM (GMT -7)   
They keep those data bases right here Gramps in Ontario
Every opiate is entered into this database
and you are so right they are not secure at all

I have all my meds in a lock box and I make sure they are accounted for ..........

PPL that are on Methadone here that I know of have to go to the clinic or a specific pharmacy to get their doses each day

Just my half penny worth today......

Cappy
  DX With Crohns,Pyoderma Gangrenosum,Anxiety/Panic,Fibro & Other DD
 
Moderator @ Anxiety Panic..Alzheimer's..Co mod @ Crohns
                               FIGHT the FIGHT with all YOU HAVE
         Be Well All and Stay With Us We are Here To Help
                               LYN 
   
 
                   
 


Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 6/10/2008 8:38 AM (GMT -7)   
 You are right about that Gramps
I just talked to my friend whose brother is in the program and thats what it is for ....

Luvs
Cappy


  DX With Crohns,Pyoderma Gangrenosum,Anxiety/Panic,Fibro & Other DD
 
Moderator @ Anxiety Panic..Alzheimer's..Co mod @ Crohns
                               FIGHT the FIGHT with all YOU HAVE
         Be Well All and Stay With Us We are Here To Help
                               LYN 
   
 
                   
 


Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 6/10/2008 11:47 PM (GMT -7)   
Gramps -- Thanks for bringing up an important subject. Scary.
Another problem: The pharmacist says to you, "Well here's your
Methadone, Mrs. Neckpain." People stand in line behind you and
who's listening? Anyone!
Data base ....... Oh awful.
Pamela Neckpain

Freya
Regular Member


Date Joined Apr 2008
Total Posts : 164
   Posted 6/11/2008 12:03 AM (GMT -7)   
Is there a data base for everyone taking any narcotic or is that just the case for methadone?
If someone types in my name will my script info come up?
If that is the case that is a little scary

As I've learned on the forum any benzo taken with methadone has a reaction. Not a fatal one. But I believe methadone some how interacts with benzos making them increase there effects. More so than taking a benzo with any other opioid.
I've never taken Methadone so am not sure exactly how it works and someone may say..no, no, no thats not what happens!
  In suffering, we are given the key to a door which most rarely 
      get to open.  Behind it lies the ultimate gift which is only visible
                             in our darkest hour.
                                True strength.


nvrthesame98
Forum Moderator


Date Joined Jun 2008
Total Posts : 6706
   Posted 6/11/2008 3:50 AM (GMT -7)   

Gramps your absolutely correct and here in this state the system is referred to as KASPER and again as you said it was set up that only Docs,hospitals and police and pharmacies but as the system got better and the drug wars got bigger insurance companies were added as well as teaching hospitals to use as a statistics base in research,now I am sure that only certain people with a certain security level was intended to make use or access but hey we all know that any good 5th grader with a computer can make there way by hacking.

I have dealt with KASPER many years living here in KY and I will explain how it works for those of you not yet monitored and curious.

When you go the pharmacy and fill a narcotic and this includes benzo's(xanax,klonopin,valium etc) in this state they enter it into Kaspers system along with the prescribing Doc the amount you filled and the dose you are to take as well as where you filled it. This is entered everytime you fill a script anywhere in this state. So if you say are Doc shopping and you take a script in there for sa Lortab 10's written at your own Doc and you get a 120 to take 6 a day and 3 days later you hop into a different pharmacy and attempt to fill a script for lortab 10's written by your dentist for a dental procedure then bellls of warning will sound and both Docs will be notified while you patiently wait for your meds to be filled and most likely one or the other will tell them to cancel the script or not fill it until the original one runs out and depending on the Docs they both may say cancel all refills and your had! If they see where you have attempted to do this more then this time or if it looks suspicious to them that you are filling several different narcotics from several different prescribers the police may show up to investigate whether you are forging,attempting to obtain meds by fraud,or Doc shopping.

Alot of folks have a real problem with the system but other then me thinking it violates my privacy, I think it has made a world of difference by cutting down on the number of addicts showing up in the waiting rooms of your PM Docs office wasting his time and yours and making it harder for everyone to obtain meds and taking alot of drugs off the streets! I have found really the only people who scream the loudest are those diverting or addicted.

I cant say I have not run into a problem with KASPER as I did during my post-op period when my regular Doc was writting my regular meds and the Surgeon was writing a different med to cover the basis of post op pain and KASPER didnt like the fact I was filing them together but once the Docs were notified and the notifying RPH was enlightened as to the fact they KNEW,everything was OK. I still dont think the RPH liked the fact he didnt get the galory but hey? Too bad.

They meaning again the DEA also keeps a watchful eye on the amount of scripts Docs are writting via KASPER and this is where my problems are with it the most. Since we had all the oxy problems here in KY that brought about the drug wars far too many Docotrs trying to treat folks with legit pain that others would not have gotten in trouble,got investigated and some clinics even shut down,not to mention the Docs who stopped treating with opiates since the aggravation of being watched and accused of pill pushing was by far too much hassle,therefore leaving this state far too understaffed with good compassionate Doctors who would treat medicaid folks and folks with no insurance for pain when they were the only recourse some of these folks had.

That part of this systems saddens me greatly. So we had an ineviatble increase in the amount of methadone clinics that arrived and even far more folks being treated for pain at those clinics and they are NOT cheap by any means. In this area alone we have one fee based clinic with a waiting list of somewhere around a year unless your pregnant and that is immediate acceptance and 7 private pay clinics without a first visit fee of around $400 and a weekly dosing fee of a little less then $100 not to mention the required counseling sessions that you must attend once every 30days at another cost of $55 and the blood work required as well randomly somewhere about every 45 days also costing about $75. So I have known folks who have had to use their entire SS check to pay for the pain relief each month and live on the street or in a shelter.

I know Gramps this is going to enrage you and I apologize before hand but I wanted others to see the good and bad of the system if there really is any good that outweighs the bad.

There seems to have to be a better way to me then this.


NVR
 
Bilateral knee replacements,spondylosis of L-3,4,5 and S-1, osteoarthritis,premenopausal migraines.
 
Meds: Methadone,xanax,zanaflex,maxide,prempro,K+,indocin,lexapro,neurontin(coming off) lyrica(going onto)
 
 


Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 6/11/2008 8:17 AM (GMT -7)   
Every Narcotic is on the Database here in Ontario
  DX With Crohns,Pyoderma Gangrenosum,Anxiety/Panic,Fibro & Other DD
 
Moderator @ Anxiety Panic..Alzheimer's..Co mod @ Crohns
                               FIGHT the FIGHT with all YOU HAVE
         Be Well All and Stay With Us We are Here To Help
                               LYN 
   
 
                   
 


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 6/11/2008 11:12 AM (GMT -7)   
It may be a little off topic, but there's some excellent info. here thanks to Nvr and Gramps. I think the story you posted says it all, Gramps. It's no longer going to be just about CPP's, but all of us. All of our medical records will soon be online if they aren't already, in some so-called secure fashion. I don't think we'll be able to stop this process and there may be a plus in that we won't have to cart things around with us anymore, but if there aren't some severe legal penalties put in place for people who violate (and I think Congress is way behind on this issue) privacy laws...and that will only be the people who get caught....ah, you all get the point.

You know I used to be a very private person in a lot of ways, but probably most everyone is in regard to health and financial data. Yet when we have to go through all these processes - not just medical, but legal, disability, etc. - I feel like my life is already spread out all over the place. Some days i feel like I might as well be standing out naked in the middle of the street.

PaLady

nvrthesame98
Forum Moderator


Date Joined Jun 2008
Total Posts : 6706
   Posted 6/12/2008 2:03 AM (GMT -7)   

PA,if you have had a total body scan then your probably already standing out there somewhere looking naked for all the world to see. LOL!

I went to the Ortho Doc to request copies of my MRI's and my surgery reports and the girls asks me my name and birthday and next she is handing me a computer disk! I took it home put it in and there it all was,my entire medical chart from that office including the MRI pics as well as the recorded live surgical procedure of my knee replacement redface  

Now I imagine that with a little bit of thinking and searching anyone could come up with my birthdate dont you? She asked for no ID,nothing more then my name and BD. Never saw this person before either so it wasnt that she recognized me.

Here is another one I thought was totally out there. I was in a car accident last October and was taken via the ambulance to the University of Ky. I got a statement from them of an itemized bill about a month later that had my name SS#,address,PCP's name and address,BD,and medicare and supplementary insurance info on it in its entiriety, On this itemized list was everything they did,every med they gave me,every test they did,every stitch they put in. With this paper alone anyone could have made a Doc appointment using my my info and got free treatment,accessed medicare,my supplement,my pharmacy records and about anything they wanted to do short of going to my regular Doc since I had been there for 25 years I know they know me.

How many times do hospital bills end up in your mailbox that dont belong to you? On an average I get about 2 a month for someone else.

I was stunned that all of this is on there. Another thing I have noticed is that medicare sends those papers where they paid whomever what and it also has alot of info on them including what meds we fill each month and where giving anyone the date you fill your meds and the place you fill them at and how many you fill. That to me is a little too much info to put in a letter that has a high probability of getting lost or someone else's mailbox.

I agree with you Palady Congress needs to address this problem at some point and the more advanced we get the worse the problem gets.


NVR
 
Bilateral knee replacements,spondylosis of L-3,4,5 and S-1, osteoarthritis,premenopausal migraines.
 
Meds: Methadone,xanax,zanaflex,maxide,prempro,K+,indocin,lexapro,neurontin(coming off) lyrica(going onto)
 
 


Freya
Regular Member


Date Joined Apr 2008
Total Posts : 164
   Posted 6/12/2008 2:28 AM (GMT -7)   
I am blown away by this information. Not in the way that I think it's a terrible thing but more in the way that I had absolutly no idea.
I of course would be mortified and frightened if my personl information was available via the world wide web. I think it would certainly put alot of us at risk.
But if the sysytem was kept at an extreamly high state of security which was as extreamly difficult to tamper with(I know, not possible in todays technological world) I would absolutly support a state system that is able to flag those who are DR shopping or pharmacy hoping.
I do not like to hear that it puts the good DR's at risk and wish it didnt.
A while back someone was telling me they were sure there was some type of under ground system that let everyone know if you were blacklisted or red flgged. And while at the time it did seem a bit paranoid, this system defenitly does equal that type of system!

Heres to hoping we never find our personal info on the internet for the world to see.

Freya
  In suffering, we are given the key to a door which most rarely 
      get to open.  Behind it lies the ultimate gift which is only visible
                             in our darkest hour.
                                True strength.


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 6/12/2008 9:05 AM (GMT -7)   
Nvr - I have had total body scans!! Yikes! Course I think that's similar to what they want to do at airports. We might as well just become one big nudist colony. LOL

Maybe we should start a new thread about privacy issues? We're sort of hijacking this thread from Pamle's topic. (sorry, Pamela!)

PaLady

nvrthesame98
Forum Moderator


Date Joined Jun 2008
Total Posts : 6706
   Posted 6/13/2008 1:20 AM (GMT -7)   
Your right PA! So sorry Pam but I guess when we get on our privacy issues it is a touchy issue and everyone can see why.

I like you have some very strong feelings about being put thru a body scan at of all places a airport?

Maybe we should start another thread and if everyone googled the,selves to see what comes up we might have more surprises then you can imagine.
NVR
 
Bilateral knee replacements,spondylosis of L-3,4,5 and S-1, osteoarthritis,premenopausal migraines.
 
Meds: Methadone,xanax,zanaflex,maxide,prempro,K+,indocin,lexapro,neurontin(coming off) lyrica(going onto)
 
 


Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 6/13/2008 6:39 AM (GMT -7)   
Is someone going to start a new thread
I am just going to see how to get into my name and info here in Canada( ontario)

LYN
  DX With Crohns,Pyoderma Gangrenosum,Anxiety/Panic,Fibro & Other DD
 
Moderator @ Anxiety Panic..Alzheimer's..Co mod @ Crohns
                               FIGHT the FIGHT with all YOU HAVE
         Be Well All and Stay With Us We are Here To Help
                               LYN 
   
 
                   
 


Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 6/14/2008 9:52 AM (GMT -7)   
I'm comfortable with different topics in a thread. That's how conversations go -- from one thing -- to another thing -- to another thing. I'm ALWAYS off topic.
I even love it when people answer their own posts!
Pamela Neckpain

Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 6/14/2008 9:53 AM (GMT -7)   
I'm comfortable with different topics in a thread. That's how conversations go -- from one thing -- to another thing -- to another thing. I'm ALWAYS off topic.
I even love it when people answer their own posts!
Pamela Neckpain

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 6/14/2008 10:07 AM (GMT -7)   
LOL Pamela!!!

Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 6/14/2008 12:49 PM (GMT -7)   
PAlady ....

: ) ( :

Glad to meet you!

Pamela Neckpain

Muzz
Regular Member


Date Joined Mar 2008
Total Posts : 395
   Posted 6/14/2008 4:28 PM (GMT -7)   
 Posted Today 12:53 PM (GMT -5)    VIEW IMAGEVIEW IMAGEVIEW IMAGE

 

Post Edited (Muzz) : 6/14/2008 8:38:00 PM (GMT-6)

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