Oxycodone "refill" question

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John510
Regular Member


Date Joined Jun 2004
Total Posts : 226
   Posted 9/25/2011 7:34 PM (GMT -6)   
Hey everyone..I normally post on the crohns disease board as I have crohns and thats where my pain comes from BUT I figured I would get a quicker response and the people who post here would know the answer to this.
 
I know with oxycodone refills they are very strict, which they should be, and you can get it filled every 30 days (or like 25 with your insurance-something like that) Anyway I was at my Docotors (GI)  on Sept 7th and got my normal script of 60 15mg Oxycodone ( I have been on this med/dose for over a year now and it helps when I have my bad days) Anyway ever since my appt on the 7th of this month I have gone into a REALLY BAD flare and everything from my stomach/back/anus heck even my gums and mouth are hurting. Im sure its inflamtion and I will discuss my crohns meds as well with him tomorrow.  So I called and got another appt with him for tomorrow.  My current directions for my oxycodone is 1 pill every 12 hour..so 2 a day, but during this time (the past 2.5 weeks) I have sometimes had to take 3 and a couple days had to take 4 of my pills. These are usally my longer days when I have work etcc but it helps. So im only down to about 6 pills left and "technically" I know I wont be able to refill it until oct 6th (or like I said before maybe around oct 3rd or 4th). But tomorrow when im discussing this with my doctor my hope and im sure he will, will be for him to change the directions to maybe 1 every 6-8 hours instead of 12 or even increase me to 90 pills during this rough time for me. 
 
My question is when I take this script to the pharmacy since it not exactly a "refill" since it will have different directions/ quantity will I have any problems filling it? Its only been 19 days to be exact but I thought I read somehwere that if the doctor changes the directions or amount even if its the same med they fill it whenever since its not the same as the last month. Has this situation ever happned with anyone here? I should be able to fill tomorrow correct?
 
I hope this makes sense as im typing in a lot of pain and thanks for any input.

NiNi53
Veteran Member


Date Joined Mar 2011
Total Posts : 816
   Posted 9/25/2011 8:51 PM (GMT -6)   
Hi, nini /Kathy here at cp forum, most of whether or not you will get what you need depends on who your insurance is with, I have medicare, and I have had to fill my percocet earlier about 1 1/2 years ago due to the awful blizzard we had and walking around in all that deep snow like I was 15 again was not smart.  I ended up with the worse pain in my back (thats where most of my pain is, lower back), I could not stand.
 
I ran out of my percocet which is my breakthrough pain med about 10 or 12 days early.  I went in to see my pm doctor and I expected a long lecture and maybe even worse, instead I got compassion and understanding.
 
Ok sorry, back to your problem, as I said it depends on the insurance, but I do know mine was filled as it was worded differently, as if it was a completely new prescription.  I believe if worded correctly by your doctor, and they know what to say, hopefully you will not have a problem.  It will read as if it is a completely different prescription.
 
Good Luck, and take care,
 
Kat  
degenerative disc disease, fibromyalgia, osteoarthritis, neuropathy, lumbar laminectomy july 1998 no help, rechargeable neurostimulator unit low right back w/lead wires to left side and right leg unit not working just sitting there.i am 57 years young in may will turn 58. i have 2 grown daughters, 25 and 29. i have 2 grandchildren, 9 year old grandaughter and 5 yr. old grandson

mrsm123
Veteran Member


Date Joined Dec 2007
Total Posts : 1116
   Posted 9/25/2011 11:27 PM (GMT -6)   
If it is for the same strength, they may not fill it since you should have some left over, normally from the previous fill of the same medication.
And, you are correct, these meds are usually given /prescribed for a 30 day time period, and with that, there is usually a MDD( maximum daily dosage) that the pharmacist goes by. Since your previous dosing schedule was 12 hours- the pharmacist can refuse to fill the script for any reason, and your insurance company may reject it because of the previous day of fill.
I'm sorry that you are having a rough time, but just so you know, before you ever take more of a medication than prescribed, you want to make sure that you talk to your doctor and get it okayed first, otherwise you may find yourself dismissed, even from a GI doctor.
With the DEA oversight on opiates, all doctors need to follow the latest prescribing protocals and so to stay on the good side of your prescribing doctor, clear any med ajustments with him first.....
Good luck,
Sandi

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 4994
   Posted 9/26/2011 1:31 AM (GMT -6)   
Hello John!

Welcome to the CP forum!

I will share with you what I have have experienced in the past as far as a new dosage and refills. I recently had my dosage of Oxycontin increased, and when my Dr orders this, he expects the dosage to take effect on that day, even if you are early on your refill date. What he does is calculates how many pills I will need to reach the refill date, with the new dose, and writes a script for that, and then will write another script for a full refill on my normal refill date. My Insurance CO. seems to recognize that the new dose is to be effective now, and not when the normal refill date comes around, and will allow the fill.

However, if you have been taking more than you should have been, then you are still going to be short, because he is calculating from how many you should have left. I want to be clear, that the strength is the same, but he added an extra daily count. What bothers me in your case is that with Crohns, you probably should have been on a around the clock pain med, instead of a 4 to 6hr med, unless it has been scripted as needed, since Crohns can flair up. In a flair, there is no way you can get adequate care every 12hrs with the 6hr max oxycodone. shakehead

One other thing I do different than I think most patients do, is I have my med's refilled on the same date every month, and do not count out 30 days as most do. I did not want to recalculate what day of the month 30 days was going to fall on. What this does is, change my dose requirements depending on how many days there are in the month. Since I take #20 X3 Oxycontin daily, there are some months with 31 days in them, so I get 93 pills for those months. Of course, 30 day months…then require 90 pills…and so on. I'm not actually getting more med's this way, it's just that I refill on the 28th of each month.

Hope this helps, and again Welcome to our forum! Stop by anytime!



SEwink
Moderator Chronic Pain Forum

Weekly Quote!

"Snowflakes are one of nature's most fragile things, but just look at what they can do when they stick together"

Post Edited (Screaming Eagle) : 9/26/2011 1:17:57 AM (GMT-6)


honestwoman50
Veteran Member


Date Joined May 2009
Total Posts : 833
   Posted 9/27/2011 12:45 PM (GMT -6)   
 
yes its true, if you go in with a different dosage they will fill it.  At least in Oregon.  I too am on Oxycodone as the Vicoden was killing my stomach and it was not working any more.  My doc give me 6,   15mg oxy a day.  I try and stay with 3 as much as I can.  I am a old poster on here usually on Ostomy site, but have not been on there much either as I have been horrible ill.
 
I dont have a appliance they just re-connected me when they did a Total Colectomy in 2010,  now the rest of my intestines and stomach are not working, so trying Reglan to see if it will get my stuff moving again.
 
Hope you do well, and if he is not helping you enough just my thought he should up it a lot.  Hope that did not break Forum rules...
 
Good Luck
 
Leslie nono

stingray
Regular Member


Date Joined Oct 2009
Total Posts : 174
   Posted 9/28/2011 6:24 PM (GMT -6)   
Hi John
It's been my experience that if the dosage changes or the amount changes it becomes a new script and pharmacies will fill it. That's been my experience. I'm in Ontario Canada so I don't know if the regulations are different where you are but that's how it works here. Best of luck. Take care.
Stingray
Chronic Back Pain, Anxiety, A little Depression
Meds: Oxycodone, Oxycontin, Clonazapam
Birthday July 18th

stingray
Regular Member


Date Joined Oct 2009
Total Posts : 174
   Posted 9/28/2011 6:24 PM (GMT -6)   
Hi John
It's been my experience that if the dosage changes or the amount changes it becomes a new script and pharmacies will fill it. That's been my experience. I'm in Ontario Canada so I don't know if the regulations are different where you are but that's how it works here. Best of luck. Take care.
Stingray
Chronic Back Pain, Anxiety, A little Depression
Meds: Oxycodone, Oxycontin, Clonazapam
Birthday July 18th
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