lots of narcotics are gonna stop being made

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Hello~Kitty
Veteran Member


Date Joined Jun 2005
Total Posts : 610
   Posted 4/4/2009 3:33 AM (GMT -7)   
I dont know if anyone ahs written this yet, but the FDA has announced that many manufacturers have to stop making any
'unapproved"  versions of meds. I guess they have 60 days to stop making these meds and the ones that are effected are-
 
Mallinckrodt Inc. Pharmaceuticals Group
Morphine Sulfate Concentrate
Oral Solution 20mg/ml

Boehringer Ingelheim Roxane Inc.
Roxanol Oral Solution, 20 mg/ml;
Roxicodone Tablets, 5 mg

Roxane Laboratories, Inc.
Hydromorphone Hydrochloride Tablets, 2 mg & 4 mg

Glenmark Generics Inc.
Morphine Sulfate Tablets, 15 mg & 30 mg;
Morphine Sulfate Solution Immediate Release Concentrate, 20 mg/ml;
Morphine Sulfate Solution Immediate Release Oral Solution, 20mg/5ml

Lannett Company, Inc.
Morphine Sulfate Solution Immediate Release 20mg/ml;
Hydromorphone HCl Tablets, 2mg and 4mg

Lehigh Valley Technologies Inc.
Morphine Sulfate Tablets, 15 mg & 30 mg;
Morphine Sulfate Solution Concentrate, 20 mg/ml

Physicians Total Care, Inc.
Morphine Sulfate Immediate Release Tablets, 30 mg;
Hydromorphone Tablets, 2 mg;
Hydromorphone Hydrochloride Tablets 4 mg

Xanodyne Pharmaceuticals Inc.
Roxanol Oral Solution, 20 mg/ml;
Roxicodone Tablets, 5 mg

Cody Laboratories, Inc.
Morphine Sulfate Solution Immediate Release
20mg/ml
 
I wish I could write more information, but I havent slept in 2 days, and I cant think anymore. But if you look it up, you'll see it. It was just announced a few days ago.
 
-hellokitty


26 year old Female , single mother of 2 kids, on SSI for migraines, pain, pancreas issues
All the things broken with me: Migraines, Fibromyalgia, Chronic lower back pain that causes severe pain/numbness/tingling especially to my left leg,Arthiritis in my back, Genetic Pancreatic Divisum that causes chronic pancreatitas, Asthma, Depression w/Anxiety/panic attacks, Bipolar
Prescription Meds:Suboxone 24mgs daily, Cymbalta 60mg nightly, Lyrica 50mgs nightly, Imitrex as needed, Ibprofen 800 twice daily, Zanaflex as needed, Ventolin as needed for asthma attacks, Advair twice daily
Over the counter meds: Benadryl nightly for itching due to meds (not sure which one yet), and Biofreeze  
Surgeries: Gallbladder removed at 15 years old, 2 ERCPs, stent put in pancreas, countless upper GI scopes, marsupilized bartholin gland cyst
 
"Never go to a doctor's office whose plants has died."
 
 

Post Edited (Hello~Kitty) : 4/4/2009 4:40:55 AM (GMT-6)


Tony McGuire
Regular Member


Date Joined Feb 2009
Total Posts : 483
   Posted 4/4/2009 10:33 AM (GMT -7)   
Hello_Kitty, thank you for discovering this and getting it started. I know I'll be watching this, and contacting my pharmacy to find out where they get MY meds. I cannot afford to run out of any of them, and I'm sure there are many on here is as deep a situation as I am in.


Here is the FDA page on this. Reading now, so I don't have any info.

http://www.fda.gov/bbs/topics/NEWS/2009/NEW01983.html


(Edit: Intro, and thank you to Kitty.)
Wife: Liz, the choice of a lifetime
Dogs: Koshka & Chomp

Post Edited (TonyMcGuire) : 4/4/2009 11:48:01 AM (GMT-6)


Tony McGuire
Regular Member


Date Joined Feb 2009
Total Posts : 483
   Posted 4/4/2009 10:45 AM (GMT -7)   
Sorry, that page may not be right. It is a real spaghetti mess of pages pointing to other pages. Below appears to get us a little closer.

http://www.fda.gov/cder/drug/unapproved_drugs/enforcement.htm#narcotics

They SAY that they have determined this won't cause a shortage in the US. But, frankly it concerns me since I take SOMEONE's version of some of these.
Wife: Liz, the choice of a lifetime
Dogs: Koshka & Chomp


Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 4/4/2009 11:25 AM (GMT -7)   
Hello~Kitty,

Thank you for posting the newest information. It's not happy news.

We especially appreciate your posting because you're not feeling well. Hello~Kitty,
are you totally certain that Suboxone helps pain. I read something to the
contrary here on the forum. I'd check it out but I hurt right now. Owww. Owww.

Pamela
MEDICAL CONDITIONS

Osteoarthritis all levels of spine right down to Coccyx,Spondilytis,Myofascial Pain
Fibromyalgia,Bulging Discs,Spinal Stenosis,Scoliosis,Osteopenia,Chronic Constipation
Carpel Tunel Syndrome, Attention Deficit Disorder,
Depression & Anxiety

Methadone for Pain, Xanax for Anxiety, and more, of course.


Tony McGuire
Regular Member


Date Joined Feb 2009
Total Posts : 483
   Posted 4/4/2009 11:53 AM (GMT -7)   
What I don't understand is that if these drugs are so bad that the FDA needs to act on their distribution, why are they giving the subject companies TWO MONTHS to continue distributing as long as they don't distribute more than normal.

Shouldn't the FDA require that they quit distributing those meds immediately?

Pamela, I don't see Suboxone on the lists anywhere...is it called by a different name?
Wife: Liz, the choice of a lifetime
Dogs: Koshka & Chomp


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 4/4/2009 1:50 PM (GMT -7)   
I posted elsewhere that my cousin (a pharmacist for many years) said one manufacturer was completely shut down. I think she said the name was Ethics, which I thought was pretty ironic. If we're already experiencing the oxycodone shortage, I wonder what it will be like if the others are shut down in 60 days! I'm not on any of the above mentioned meds., but I feel for people who are being forced into a quick switch. And then there will be shortages of other meds.

Like it's not hard enough to get our pain treated?


PaLady

Hello~Kitty
Veteran Member


Date Joined Jun 2005
Total Posts : 610
   Posted 4/4/2009 6:06 PM (GMT -7)   
I havent been up cause of pain, I just have lots of issues sleeping period. And even though I take the Lyrica and cymbalta with Suboxone around 10pm, but it doesnt make me drowsy. This has been going on for 3 months, I will usually not fall sleep till about 5am, get up at 7am and get my kids off to bed, then I sleep til about 1 or 2pm. I guess it's more of my sleep scheadule is off. And even when I force myself to stay up so I could fall asleep at a decent hour, I still stay up til 5am.

But I found this information on another forum I go to (I'm not a member, I just read) and thought it would be useful to some people on here. It's a very stinky thing for the fda to do. It seems like some people working for the FDA really hate people taking narcotics, so they're trying everything in their power to make our lives harder. I dont know what I would do if my Suboxone was to ever discontinue, I would be very depressed cause theirs nothing else in the world I wanna try. But for those who take any of these meds, or looking for somethng to try for pain, I would print out the list of those meds being discontinued and take it to their appointment so the doctor knows what the can and cant prescribe. I think it would make life quite a bit easier, because I would hate to get a prescription and find out none of the pharmacies carry it. But atleast for those that are taking it right now, has 2 months to find something diffrent with their doctor.

-hellokitty
26 year old Female , single mother of 2 kids, on SSI for migraines, pain, pancreas issues
All the things broken with me: Migraines, Fibromyalgia, Chronic lower back pain that causes severe pain/numbness/tingling especially to my left leg,Arthiritis in my back, Genetic Pancreatic Divisum that causes chronic pancreatitas, Asthma, Depression w/Anxiety/panic attacks, Bipolar
Prescription Meds:Suboxone 24mgs daily, Cymbalta 60mg nightly, Lyrica 50mgs nightly, Imitrex as needed, Ibprofen 800 twice daily, Zanaflex as needed, Ventolin as needed for asthma attacks, Advair twice daily
Over the counter meds: Benadryl nightly for itching due to meds (not sure which one yet), and Biofreeze  
Surgeries: Gallbladder removed at 15 years old, 2 ERCPs, stent put in pancreas, countless upper GI scopes, marsupilized bartholin gland cyst
 
"Never go to a doctor's office whose plants has died."
 
 


Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2284
   Posted 4/4/2009 10:54 PM (GMT -7)   
While these recalls may affect availability of meds, they do not seem to eliminate all generics (except in the case of Kadian - morphine sulfate), just generics prepared by certain manufacturers at certain strengths. Kadian is still patented until April 2010, so the discontinuations in that case were due to patent infringement. I'm not sure about the other discontinuations. The FDA does have a site to look up what generic formulations (called "therapeutic equivalents") are still approved. Here's the link:
http://www.accessdata.fda.gov/scripts/cder/drugsatfda/index.cfm

Hopefully with a 2 month lead time, the approved manufacturers will be able to increase production, but based on history, I figure I will have to make sure to contact the pharmacy ahead of time to see if they can order it or not.

keeping my fingers crossed that no one here is impacted by this,
frances

PS -- thx for the info, Kitty!

Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 4/5/2009 4:18 AM (GMT -7)   
Seems to me the people who have Diabetes & Heart trouble will be able to keep
their medications.

I realize that people can die of these problems. As so they can die of Chronic
pain ... Stress, giving up, leaving. Absolute devastation & loss of family.

Just a thought before I go to sleep.

Pamela
MEDICAL CONDITIONS

Osteoarthritis all levels of spine right down to Coccyx,Spondilytis,Myofascial Pain
Fibromyalgia,Bulging Discs,Spinal Stenosis,Scoliosis,Osteopenia,Chronic Constipation
Carpel Tunel Syndrome, Attention Deficit Disorder,
Depression & Anxiety

Methadone for Pain, Xanax for Anxiety, and more, of course.


BionicWoman
Regular Member


Date Joined Jul 2008
Total Posts : 243
   Posted 4/5/2009 5:32 AM (GMT -7)   
They're not taking away all of those medications that are on the market.

Drug manufacturers are supposed to put their drugs through a testing and approval process, to prove that we get an equal formulation (same quality and strength) when we buy generics instead of name brands. The reason those particular manufacturer's drugs are being removed from the market is those companies haven't completed that testing. Those companies are selling narcotics using the same "rules" as vitamin supplements, where you never know exactly what's in the pill or how much of the drug you're really getting from one dose to the next.

I think it will be interesting to see if companies that have been told to pull their drugs choose to go forward with the required testing and PASS, so that they can go back to selling their formulations. After all, if their drug formulations really are good quality, then it shouldn't be that big of a deal for them to follow the rules they follow for every other drug they manufacture. I suspect most of them wouldn't pass, because if they weren't cutting some big corners in the name of profits, then they would have gotten their formulations approved properly when it became a requirement.

I have a half a bottle of hydromorphone manufactured by Roxane which was one of the unapproved drugs on the list. I still have the half a bottle because when I started taking hydromorphone, it worked really well, but 2 weeks later I refilled it with that Roxane brand and it didn't seem to work at all. I ended up going back to my doctor and we chalked the ineffectiveness up to tolerance and changed drugs. In hindsight, it makes me wonder if it was me or if it was the drug, and why I had to pay for an extra office visit and a new prescription, then had to go to the pharmacy where I got eyeballed and scowled at for filling 2 potent narcotics so close together, but nobody scowled at that company and they were allowed to go on selling unapproved drugs for all this time. But I digress.

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 4/5/2009 12:43 PM (GMT -7)   
Bionic,
You're not digressing at all. It's all a part of the picture for us.

You know, I take the generic percocet and since I've switched to my mandated hospital pharmacy, I have noticed a change in how the medication works. I have thought it was all in my head, but now it makes me wonder. When I pick up my refill next time I may ask what manufacturer they use. Then call my CVS and ask the same, and see. Who knows what's next down the pike.

PaLady

Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2284
   Posted 4/5/2009 12:47 PM (GMT -7)   
PA-
Doesn't it say on your bottle who the manufacturer is? I thought that was required. All of my med bottles list the manufacturer on the pharmacy label.

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 4/5/2009 2:46 PM (GMT -7)   
Frances,
I never looked at the fine print before! Guess I never had to. Yes, the manufacturers are on there, and yes, they are different. The ones I'm getting now are from Mallinckrodt (ahem, see above!), and I have no choice but to use them due to insurance restrictions. Course my COBRA will end in a couple of months and then heaven knows what I'll be doing. Hopefully will be eligible for Medicaid until I can get Medicare. And then I can go back to CVS, which uses a manufacturer that's not on the list Kitty posted.

It's not in my head! These two generics of percocet are different. The ones from CVS always felt "smoother" if you know what I mean, in the way the med was being released in my system. The ones I take now feel like they almost vary by pill!

Thanks for cluing me in on that, Frances. And Kitty, thanks for posting this!

PaLady

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13478
   Posted 4/5/2009 2:56 PM (GMT -7)   
PA this kind goes along the story I was reading about generics, which ones were good and which ones not so. Because of the variance on generics you may not be getting the same amt with different brands. I have ran into what you have with the Dilaudid. Some scripts worked better than others. Susie


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 4/5/2009 3:08 PM (GMT -7)   
I knew about the generic variance; that is allowed by law. But it's true it can vary within legal limits between manufacturers. I suspect what might have happened with some of the above manuf. is their generics were tested and didn't pass the amount of the active med that was in the tablets tested (they can vary from 80-120%, I believe, under the law). I know they are periodically tested, and a number of tablets from different batches are tests to see if they maintain consistency.

Right now I hate it because I can't switch pharmacies, or I would go back to CVS. Course, it's better than no insurance.

PaLady

modelmaker
Regular Member


Date Joined Feb 2009
Total Posts : 168
   Posted 4/5/2009 3:12 PM (GMT -7)   
Hello all,

Because of the shortage of oxycodone, I have been switched to Opana which I believe is oxymorphone. The ONLY reason this was changed was because of the availability problem. I was doing fine on oxycodone. Since the switch (two weeks ago) I have been having some problems with side effects. While Opana IR does eventually get to the pain, it is not as quick and effective as oxycodne. It also costs 4X as much per month. Sometimes I get so dizzy I have to sit or lie down. And if I am late on taking the med (like in the morning) I immediately feel the onset of withdrawal symptoms. I don't think this will work for me but I don't know what else to do. My doc is going nuts trying to keep all his patients on some meds that are both available and will work well for them. He often shares with me the hassles that being a prescriber of narcotics means to the physicians and now this complication.

My day to day functionality has absolutely diminished on Opana. Now I feel like I have to take it just to avoid the nasty withdrawal symptoms whether or not my pain level justifies it. I felt that I had much better self control with oxycodone. This has got to stop. Our wonderful government is excellent at declaring the stop of something before a better or equal replacement is available. I'll bet NONE of those folks make that decision are living with CP. Well, I'll stop the rant for now. Thanks for tuning in. Good luck to all.
Modelmaker

kttn251977
Veteran Member


Date Joined Jul 2007
Total Posts : 554
   Posted 4/5/2009 8:39 PM (GMT -7)   
Well, this is my second time trying dilaudid, just like straydog- CVS was out of the generic and i said name brand is fine, what a difference! the first time we tried it, nothing. and a huge difference this time, still its nothing compared to oxys. there was i believe dateline story awhile back in regards to this very thing, about how pharmaceutical companies, mainly in china, are actually some groups are mixing a lot of junk together and selling them in the place as different meds, without a trace of the medical ingredient needed. there was a lady who actually had severe cancer and died from what was they thought a $4000 a shot medicine being nothing but junk and ultimately died. very sad. it made me question the chemical compound in generics... i would think more or less it would have to be the same right? when i was without insurance i had to do my own shopping to find out who had the better prices, so i would go to different pharmacies compared to the prices and i think any of us who have gone through generics can agree one med to the next brand is not the same.
i hope this recall is to eliminate the "black marketing" of medicines we need.... to make them equally dispense the medicine whether it is generic or brand. i'm sure some of it is to help keep people from cooking these meds up at home and keep pharm parties down... but a shortage is unfair. i am allergic to half the ingredients in pain meds, so i have to options, oxy or dilaudid.
on the brighter side i have found some generic oxycontin at a few pharmacies now, so maybe that med is allowed again or i am just getting lucky.
hope this does some help, hang in there....
RX's: Oxycontin 80mg 2x's daily; Oxycodone 30mg 5xs daily; Zanaflex 4mg 3x's daily; Restoril 15mg 1x; Soma 3x's daily; Lyrica 100mg 3x's daily (pain & fibro.); Phenergan 25mg (as needed); Amitriptyline 25mg 1x (chronic pain); Cymbalta 60mg 2x's daily (pain from fibro); Abilify 5mgs at bedtime (depression); Metoclopram (as needed) & Senokot (as needed).
"The most critical choice you'll ever make is the one you make about what you're going to do with this. The past is over. The future hasn't happened yet. The only time is now."
- Dr. Phil


jojononny01
New Member


Date Joined Mar 2009
Total Posts : 1
   Posted 4/15/2009 5:13 PM (GMT -7)   
hi  everyone   i am new to this site   i suffer from chronic back pain fibro.  and have just started with cymbalta  it seems to cause me insomnia   

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 4/15/2009 5:41 PM (GMT -7)   
Hi, Jojononny,
Welcome to the Chronic Pain forum of Healing Well. We're always sorry to find another person in pain, but this is the best site on the web (IMHO!) for support and sharing if you are in pain.

I'd suggest you start a new thread (topic) and introduce yourself to everyone. A lot of people may not see your post when it's on another thread, and many people will welcome you if they know you're here.

A lot of people here are on cymbalta; some with good results, others not so good. Medications are so individual. We're not doctors here and can't give medical advice, but one thing I'd suggest is talking with your doctor about what time of the day you take it. If you take it in the evening, perhaps your doctor would suggest taking it in the morning, but again, I'm not a doctor. I do know that anti-depressants can take awhile to reach their full effect, and in the first week or two you may have some side effects that eventually go away.

I'm glad you joined us.

PaLady

Tony McGuire
Regular Member


Date Joined Feb 2009
Total Posts : 483
   Posted 4/15/2009 6:17 PM (GMT -7)   
I also take Cymbalta. I don't have issues with insomnia, but I agree with PaLady - results are individual.

My results with Cymbalta have been stellar, I believe. No issues with sleep to report.
Wife: Liz, the choice of a lifetime
Dogs: Koshka & Chomp
<-- Click to Get Prayer


Tony McGuire
Regular Member


Date Joined Feb 2009
Total Posts : 483
   Posted 4/15/2009 6:35 PM (GMT -7)   
I also take Cymbalta. I don't have issues with insomnia, but I agree with PaLady - results are individual.

My results with Cymbalta have been stellar, I believe. No issues with sleep to report.
Wife: Liz, the choice of a lifetime
Dogs: Koshka & Chomp
<-- Click to Get Prayer


Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2284
   Posted 4/17/2009 10:46 AM (GMT -7)   
**bump for Sam**

Tony McGuire
Regular Member


Date Joined Feb 2009
Total Posts : 483
   Posted 4/17/2009 10:59 AM (GMT -7)   
What does **bump for Name** mean?
Wife: Liz, the choice of a lifetime
Dogs: Koshka Prayer & Chomp Prayer


LLPLUV
Veteran Member


Date Joined Mar 2009
Total Posts : 1158
   Posted 4/17/2009 11:01 AM (GMT -7)   
yeah  she was just posting on the thread to bring it back to the top of our veiwing list. For Same

Chronic Kidney Stones, PKD (Polycystic Kidney Disease), Chronic Kidney Failure, Severe Hypertension, Urological RSD

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