I quess what I will do in the case of dropping the script off early is to let the pharmacist know that I have the rest of my 30 day supply left but I am just dropping off early to make sure if they dont have my next months available then they can order it. Last month as I said in the first part of this thread they did not have my oxycontin so they had to order. I was without for I think 1 or two days. When your body is used to these meds, stopping for two days is a no no. What I was forced to do was only take my b/t medicine for 2 days until the order for the oxycontin was in at the pharmacy. I am prescribed oxycontin 15 mg for b/t 3x day so for those two days i could only take 3 of the 15mg pills as opposed to taking 3 40mg oxycontin and 3 15 mg oxycodone per day. That is a 120mg drop per day for 2 days. I am sure that is not safe. Anyway my pharmacist was very sorry because he knew that when you are on any medicine for an extended period of time (especially long acting opiods) you have to take them regularly. I could definitely feel when i did not have my oxycontin. My pain levels were through the roof and my body just felt like crap but I had no craving for the medicine. I am sure my body was going through some physical withdrawal symptoms and of course I did not want to call my doctor and tell him the pharmacy was out and had to order because immediatley it would have been a red flag even if it was not my fault. I quess in general what really sucks is that no matter how good of a patient you are (one who takes meds as directed, never asks for refills, never refills early, never asks for more or different kinds, always brings meds to every appointment) there will always be big brother watching over you hoping you screw up. I just feel that all of us legitimate pain management patients are under a microscope. I know that I do everything right but I just hate the fact that everything we (PM patients) do and go through is rigerously watched because of people who abuse the whole system. I am sure I am speaking for a whole lot of you here. I hope GOD is with you all and that all of you feel as good as you can. I am always in pain. Every second of every minute of every hour of every day and its not fun but I have to live with it. God bless you all! p.s. sorry for the spelling
This is just some of the fun we get to go through being on these meds. As I've said before, try doing this with any other drug, ie diabetes or blood pressure and tell those people they have to work their vacations and travel plans around their refills and see what happens. The stuff we have to put up with is ridiculous. From my experience, my pharmacist special orders my meds every month since they are so expensive. Over the last 5 years there have only been a few mix-ups when the medication didn't get ordered on time. When that happens, I go to a family owned pharmacy that is a compounding and specialty pharmacy near the hospital. They keep a huge stock of all meds including the ones I'm on, so I know the will almost always have it if I need it on short notice.
As far as vacations go, I try my hardest to plan mine around my refills because it is such a hassel to figure out a way around it. When I first started pain management, my insurance allowed 2 early refills a year to cover vacations. When I went to do that a few years ago, apparantly they had stopped doing that for narcotics. So between the doc, the pharmacy and the insurance, I just work around it.