Doctors, and withdrawls

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Fyrfli
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Date Joined Jan 2011
Total Posts : 41
   Posted 5/22/2011 11:47 AM (GMT -6)   
So, I had my pharmacy fax the doctors office on Wednesday for my hydrocodone.  I called doctors office Thursday to remind them.  Pharmacy refaxed on Friday, and I recalled on Friday.  I have been out of meds since Thurday.  This sucks.
 
The withdrawls and pain are kicking my butt!!!  Can't sleep, can't sit still, super tired and twitchy....AGH!!! 
 
Any words of wisdom?  Ideas to calm my mind and body?
***Fyrfli***

Screaming Eagle
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Date Joined Sep 2009
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   Posted 5/22/2011 12:01 PM (GMT -6)   
Fyrifli, I don't have any suggestions, and I keep being amazed that Dr's do this to their patients. With Hydrocodone, I believe the Dr can fax that script in to you're pharmacy.

It's absolutely uncalled for! I'm also thinking they can add refills to your script with this med as well. I could always be wrong, but I know when I started on the Oxycodone, I then had to hand carry the script to the pharmacy, because of the class it's in. I had discussed this very thing with my Dr, and have a safety system in place, in case he is gone. As long as I'm holding to the contract I signed with him, they will get it refilled.

Drink lots of water, as this may help get you through the withdrawals quicker.

I'm terribly sorry to hear they have dropped the ball, and left you in this predicament. I would be making an appointment, and clearing the air with the Dr to say the least!

Take care,

SE wink
Moderator Chronic Pain Forum

Weekly Quote!

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Post Edited (Screaming Eagle) : 5/22/2011 11:05:26 AM (GMT-6)


Snowbunny21
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   Posted 5/22/2011 12:18 PM (GMT -6)   
Sorry you are hurting:(...I agree with SE...drinking lots of water...try to walk around a lot to help with the restless legs...also maybe watching some good movies or tv that will help take your mind off of things..something to hopefully make you laugh too..

What did the Pharmacy have to fax to your Dr.s? I agree that it would be the Dr. faxing the information for the refills...so I'm confused on the switch..

My Dr.s office has a policy that you have to call in for refills or for prescritpion pick up no earlier than 72 hours so they have a chance to go through the process...Since it's usually an NP that takes the message...gets the chart...then the Dr. has a certain time of day that he reads these and signs the prescriptions..since he has hundreds upon hundreds of patients so it takes time to double check everything..

Is there a way to go by the Dr.s office Monday am to just pick up the prescription instead of waiting for it to be faxed/called in?

I'm sorry this happened this way..hopefully it will get straightened out soon and for next time you can recognize in advance the day you will be out of medicine and give them plenty of time to get the prescription taken care of by the fill date...
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006
 
 

CrohnsPatient
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Date Joined Feb 2008
Total Posts : 314
   Posted 5/22/2011 12:57 PM (GMT -6)   
This may not be the best solution for you. But I know a coupe of times when this has happened to me, I've either been told by the doctor or took it upon myself to go to the ER, depending on how compassionate the ER doctor is they could very well write you a script for 3 or 4 days to get you to where you could go in and see your doctor (to make sure that you walk out with a script) or enough time for them to actually fax the information to the pharmacist.

when my doctor as written my months scripts then wrote the next months scripts and gave them to me just post-dated it to the day I can get it filled, And say its the day before or something then my pharmacist will give me enough of ONE of my medications not all three(2 controlled release and one instant release) so he'd give me say that days allotment of the instant release and then I would have to give him the instant release prescription in return that way he knows I wont get it filled elsewhere and leave him with a shorted supply. Then first thing the next morning he fills my prescription and no one is any wiser. Which might sound awful and someone and maybe even some of you might say oh how did you run out a day early... well I get up to 8 instant release a day, and I tend to take them actually everyday, I know thats not really protocol because then its not for breakthrough pain, its actually a scheduled medication just instant release, but my doctor would prefer not to go up on my controlled release at this point(until last time he gave me a pain journal to keep to show him if i need to go up instead of stay taking these instant release) so taking 1 extra pill every 4 or 5 days is actually not that off from the bottle. I have been with this pain management doctor for almost 4 years now and we have a very good relationship so it's alright with him, and if I tend to need more all I must do is call him and tell him over the phone and he'll ok me to take what he deems fit, which is usually what I tell him I feel I need extra. I'm in the lucky category of having a more 'liberal' doctor, if there is such a thing as 'liberal' with pain managaement lol.

I don't know how much drinking more water is going to help but if anything it will help keep you hydrated because you will lose water over withdraw, and it might flush the system somewhat faster. This can last for a few days all the way to weeks for some people, it also depends on how long you've taken the medication and what dosage the medication is dispensed at and how frequently you take it will play a major role. But like I said if you find yourself not being able to handle the withdraw dont feel shy about going to the ER, I know its not ideal, but theres not much you can do.

OH! actually! there might be more you can do...since you take hydrocodone, that can be called or faxed in. Why don't you call the office or call the hospital and they can have the doctor paged or have one of your other doctors paged and from their they can just call the pharmacy and literally it would if your pharmacy is reasonable be ready within the hour. Thats how my hospital works. All my doctors almost are affiliated with the same hospital and I can call the hospital ask who's on call for Doctor X and they'll tell me who and then I say ok can you have them paged for me, they might as are you a patient or whats the problem, just tell them your in pain. They'll page your doctor and within 10 to 15 minutes the doctor will be calling you back. They will also send your name in the page so the doctor knows who they are calling back. And the hospital will tell you or if they don't I am tellin gyou that if the doctor doesn't happen to call within like 25 to 30 minutes then have hi paged again, thats what the pager is for. If the doctor for some reason tells you that he can not call in the medication which there is really no reason he can not, then just tell him or ask him if you go to the ER and the doctor wants to talk to him is that alright if the doctor calls him to get a snapshot of your history, and your medication history. I really don't see it being any problem, because if your state is like mine, Virginia, then they might have a 'prescription monitoring program' based in your capital where there is a centralized system that only doctors can access and the ER doctor can access this program and type ur Social security number or name and birth date into it and it will bring him back anytime in the last like 3 years or something that you have recieved or filled a controlled substance, in which case he would be able to see that your are not a seeker and that you are a regularly prescribed patient that has a true need and has just happened to run out before your doctors office was able to send in a refill slip to the pharmacy, in which case I hardly find there would be a problem to write you for like I said 3 or 4 days, but now I'm realizing its sunday so you might only need 1 or 2 days, but most doctors will give you usually 1 day extra-room incase you can not get into your doctor or something else comes up.

But if I were you I'd definetly have your doctor paged, I think a lot of us on HW go on the assumption or atleast presume that a great many of us are on controlled release medications which probably about 95% of them are a schedule 2 drug, in which case you would need to hand pick up the script and hand drop off the script to the pharmacy, because of risk of something being changed or the script copied, which is why they have such things as watermarks and special paper and ink they use. But thats why I think no one else has picked up on that you can always have your doctor paged.

Don't be shy about paging your doctor either, thats what that pager is for, if they are in a practice of multiple doctors then it might work as only one of those doctors being on call for that weekend or holiday, where as if its during the week then all of the doctors handle their own patients during the nighttime hours of paging. And you can page a doctor to as him, 'I have a fever of 101.3, what do you recommend that I do about it?', when surely everyone knows to take some tylenol, but it doesn't matter how 'simple' or 'stupid' something is for paging your doctor, theres actually nothing stupid about asking any question about your healthcare, plus... you can always fall back on 'hey you DO pay their salary, and your WHY they can afford and appreciate that great weekend fun their having at your expense!'

So go ahead and be pro-active and give your doctor a page, and ask them if you could have them call in the prescription, or ask them could they call in 1 or 2 days until the week starts and they can get back to look at your records if they want, just explain you ran out on thursday and you had the pharmacy fax the twice and they hadn't recieved anything at all yet. This is also a reason to instead of leaving it up to the pharmacy to fax the doctors office about a refill, if it's possible you should call the doctors office one or twice per day, to keep on them about it, you dont want to leave the slightest possibility that they may happen to forget if it's a more hectic day then usual, and if they keep acting as if they remember just haven't gotten to it, then the 2nd or 3rd day you've recieved nothing, is when I would actually show up at the office that way they can see your face, and their should really be no way that they forget you after that, and plus they might get tired of hearing from you then and rush it along. OR they might go ahead and grab the doctor between patients and bring it up to him, then if they forget, then you know who's fault it actually lands on, him, because if everyone in the office knows including him then ultimatly Id say the fault lies with the doctor.

And by the way I'd bring this up to the doctor, not in a confrontational way obviously, but just to show that your concerned. Withdraw can actually be dangerous to some, some people have seizures and other serious health issues from the lack of something the body is extremely used to.

Sorry If I've offended absolutely ANYONE on this post, on this thread, on this forum, or on HW, I simply know what it feels like to go through a withdraw especially from narcotics. It's seriously something that besides the awful and extremely painful and actually irritating physical problems, there are serious and dramatic mental issues that accompany these withdraw symptoms, such as major depression and anxiety attacks, which leave you feeling loathesome and helpless and completely alone.

I truely feel for any such person having any single one of these symptoms, so for someone to have them all is just unbearable, and it really becomes a strain on the body and mind.

Post Edited (CrohnsPatient) : 5/22/2011 12:02:14 PM (GMT-6)


Jim1969
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Date Joined Jul 2009
Total Posts : 2042
   Posted 5/22/2011 1:41 PM (GMT -6)   
I can empathize and relate to what you are going through 200%.

My doctor is bad, very bad, about taking days to go through her "mail" and fill out scripts, refill requests, etc. I have been through this 3 times this year alone, and to add injury to insult all three times it was because she canceled the appointment on me.

Because of this I do my best to save back part of my pain meds each month. On decent days I simply don't take all that I am allowed, and while I end up hurting more than I would be if I took all the daily doses, it is a lot better than going several days without any pain meds at all.

In a way though I am lucky right now as the pain med I am on does not come in the dose the doctor has Rx'd, so I get it in 2 different mg pills. This allows me to kind of tailor what I take based on my pain levels, so my "savings plan" is more about taking a lower dose once in a while than skipping one.

Perhaps you could, from time to time, take a 1/2 dose, even if it means cutting a tablet in half, and build up a stash to get you through times like this.

Good luck, and hopefully you will get your refills taken care of early tomorrow.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.

mrsm123
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Date Joined Dec 2007
Total Posts : 1235
   Posted 5/22/2011 3:54 PM (GMT -6)   
I need to correct a few things that are in this thread. The majority of withdrawal symptoms are easily treated with some simple over the counter medications such as immodium to manage any diarrehea and some tylenol to manage the headaches and body aches, as well and a simple hot shower or warm bath will help with the muscle fatigue  and cramps. In fact, in immodium has medication that also eases stomach cramps. In fact , some of the over the counter flu medications work wonders for someone going through withdrawal to manage the symptoms.
Withdrawal does not cause major depression or some of the other things listed. It is a physiological response, not a mental one to a sudden discontinuation of medication. With the exception of three or four medications currently used for pain management- withdrawal symptoms last at most a week.  Dosage, or duration of time taking the medication has nothing to do with the intensity of withdrawal. Someone taking 5 mg of oxycodone can have just as bad a withdrawal as someone taking 500 mg of oxycodone. It just depends in large part how they think that withdrawal will be.
If you believe all of the horror stories out there about withdrawal then it will be that much more miserable, but if you view it as a short duration "thing" that you may have to go through that is more like the flu than not, and it will be over soon, you won't have as bad a time as you might otherwise. Withdrawal also does not cause seizures unless you are taking anti epiletics or benzodiazepeines. Those are only a few medications that I am aware of that can  cause seizures if abruptly withdrawn as far as medications that we pain patients take.
Most PM practices have a policy that they will NOT call in or refill prescriptions on the weekends, no matter what, so calling them is going to get the original poster red flagged for calling. The same thing could happen if they go to the ER and get medication prescribed. Withdrawal is not a good reason for going and getting a new prescription from another doctor.
I hate seeing these myths perpetuated about withdrawal, because it makes it sound so horrible and long lasting, when in most cases , it is simply a matter of it being  uncomfortable, and very, very much like the flu, and of a short duration....seizures, mental problems, etc, are all myths perpetuated that have nothing to do with withdrawal because it scares people about what might occur during it.  Withdrawal can be uncomfortable, achy, cause stomach and intestinal upset, but it will not kill you or cause some of the other problems that I have seen attributed to it. If you have an  underlying medical condition that may be exacerbated by withdrawal that is a different story and you need to be monitored by your physician in that situation.
 

Serenitee
Regular Member


Date Joined Apr 2011
Total Posts : 463
   Posted 5/22/2011 4:53 PM (GMT -6)   
Fyrfi...

I am very sorry your in pain and not getting your meds. I completely understand what that is like. And the stupid Dr's don't realize that if you've been on meds its not just good to abruptly stop. Are you supposed to be able to get them tomorrow?

Wishing you all the best.
Your healwell friend,
Serenitee

momtofourangels
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Date Joined Apr 2010
Total Posts : 2261
   Posted 5/22/2011 6:33 PM (GMT -6)   
Hi fyrfi I'm sorry to hear that you're going thru this he**. I just went thru it about a month ago. It's horrible. I didn't know what to do for it, so I just suffered for the week and a half until I got my patches again. I am doing something different this month though. The patches are due to be refilled next Saturday, so I'm calling tomorrow to tell them that I need my meds refilled. My advice is that you do the same thing next month also. I sure hope that you get them tomorrow so that you don't have to suffer any longer than you have to.

I hope you feel better really soon.

love and soft hugs
Loretta
Dx: osteoarthritis, bursitis in left hip, Osteoarthrits in right hip, compression fracture in thoracic spine due to falling on frozen ground March 2001 , ddd, spinal stenosis, bone spurs, osteoarthritis in spine, osteoarthritis in both knees
Meds: Fentanyl patch, oxycodone, otc: BenGay, Tylenol Arthritis on occasion

Hound-Dog
Regular Member


Date Joined Oct 2005
Total Posts : 183
   Posted 5/23/2011 1:18 AM (GMT -6)   
Jim 1969's idea of squirreling away small amounts of meds that may not be needed on good pain days is a good one.Over the last number of years I've had a couple of flu's that didn't allow me to keep my meds down.After a couple of days, the pain that I've been prescribed the narcotics for, comes ROARING back.I'm not afraid of having flu symptems for a couple of days but I sure am unhappy over the idea of having to suffer in bed, unable to walk to the bathroom if I run out of my meds thru no fault of my own.I'm lucky I guess because my Dr. makes sure that his patients have a little extra meds in case of snow-slides,road closures,and any number of reasons why,some times, pharmacies run out in our little mountain town.

CrohnsPatient
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Date Joined Feb 2008
Total Posts : 314
   Posted 5/23/2011 7:06 AM (GMT -6)   
Just want to show what can happen such as symptoms of withdraw, and also how durations and dosage dose play a role in withdraw.

Symptoms of withdrawal from opiates include, but are not limited to, Physical Symptoms: tremors, cramps, chills, perspiration, priapism, tachycardia, itching, restless legs syndrome, flu-like symptoms, rhinitis, yawning, sneezing, vomiting, diarrhea, weakness, nausea, dizziness, dehydration. PSYCHOLOGICAL SYMPTOMS: dysphoria, malaise, cravings, anxiety, insomnia, depression.

Other less common but more serious symptoms are cardiac arrhythmias, strokes, seizures, suicide attempts.

Depending on the quantity, type, frequency, and duration of opioid use, the physical withdrawal symptoms last for as little as forty-eight to seventy-two hours (for short-acting opioids such as hydromorphone [Dilaudid] and oxycodone after short duration lower-dose use), and as long as thirty to sixty days for long-acting opioids such as buprenorphine and methadone, respectively, after extended high-dose use.

Fyrfli
Regular Member


Date Joined Jan 2011
Total Posts : 41
   Posted 5/23/2011 8:29 AM (GMT -6)   
Thank you sooo much everyone for your kind words, support, and love. I made it through the weekend with lots of sleep, water, trips to the bathroom, and an understanding family =) My doctors are going to get an ear full from me today, and crossing my fingers that I actually get a live person on the phone, and that my meds are filled today. Not sure how much longer I can take the pain!!

You all rock, and gave me insight and perspective. Thank you my pain family!!!
***Fyrfli***

CrohnsPatient
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Date Joined Feb 2008
Total Posts : 314
   Posted 5/23/2011 9:16 AM (GMT -6)   
I hope all turns out well for you today and that you get your scripts. There was no sense in you have to wait like that when it would have taken the doctor probably less then 5 minutes to call in that refill. I dont know why he doesnt just give refills on the bottle if you've been taking this medication continually for a period of time then I would think it would be easier to just give refills...its not as if you could get it filled early and stock up on them or hoard them and get addicted.

mrsm123
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Date Joined Dec 2007
Total Posts : 1235
   Posted 5/23/2011 12:07 PM (GMT -6)   
Fyrfi,
I hope that you can get this straightened out with you doctor today. I know that it must've been an uncomfortable weekend for you. I would have a discussion with your doctor to make sure that this doesn't happen again.
Best of luck to you,
Sandi
Motorcycle accident 1992, Back problems from 92 to 2005. August 2005- early 2006- Chiropractor care
March 2006- consult with surgeon -PLIF/TLIF L4-5, spondylolysthesis, canal and foraminal stenosis, multiple herniations
Post Op Cauda Equina Syndrome
Revision August 2007- salvage op
March 2011- 2nd onset of Cauda Equina Syndrome
Needs surgery to prevent paralysis

mrsm123
Veteran Member


Date Joined Dec 2007
Total Posts : 1235
   Posted 5/23/2011 12:15 PM (GMT -6)   
Chrons,
I don't mean to be argumentative but simple, straightforward opiate withdrawal for a chronic pain patient, does not involve all of the things you listed. Straightforward opiate withdrawal for a pain patient is a lot different than it is for someone who is abusing medications or opiates. While there are some shared symptoms, the mental depression, agitation, etc occur far more often in someone who has a history of abusing medications and is commonly referred to as PAWS- post acute withdrawal syndrome. This occurs in some people who have a history of abusing medications or street drugs.

This is straight from emedicine.com This is the standard opiate withdrawal symptom list that the majority of us would experience in the event that there is a sudden stoppage of our pain medications.


•Opioid withdrawal
◦Patients experiencing opioid withdrawal can usually provide an accurate history of their usual dose, of the timing of their last dose, and of any other current symptoms. The clinical problem is in differentiating symptoms associated with opiate withdrawal from symptoms that may reflect an underlying medical illness.
◦In general, opioid withdrawal does not directly cause life-threatening symptoms, seizures, or delirium.
◦Opioid withdrawal syndrome may resemble a severe flu-like illness. The syndrome is characterized by rhinorrhea, sneezing, yawning, lacrimation, abdominal cramping, leg cramping, piloerection (gooseflesh), nausea, vomiting, diarrhea, and dilated pupils.
◦Altered mental status, disorientation, hallucinations, and seizures, which are characteristic of DT, are not seen in opioid withdrawal.
◦The half-life of the opioid causing withdrawal syndrome determines the onset and duration of symptoms. For example, heroin and methadone withdrawal symptoms peak in 36-72 hours and 72-96 hours, respectively, and may last for 7-10 days and at least 14 days, respectively.
Motorcycle accident 1992, Back problems from 92 to 2005. August 2005- early 2006- Chiropractor care
March 2006- consult with surgeon -PLIF/TLIF L4-5, spondylolysthesis, canal and foraminal stenosis, multiple herniations
Post Op Cauda Equina Syndrome
Revision August 2007- salvage op
March 2011- 2nd onset of Cauda Equina Syndrome
Needs surgery to prevent paralysis

CrohnsPatient
Regular Member


Date Joined Feb 2008
Total Posts : 314
   Posted 5/23/2011 8:39 PM (GMT -6)   
I would have to say that anyone that is dependent would come across the same type of symptoms as well. I'm not trying to be arguementative this is just what I've experience and I know others to have, so when you disagreed I searched it, that word for word that is what I found which basically went along with what I had printed, copy and pasted.

I assume lots of people are going to have different reactions.

mrsm123
Veteran Member


Date Joined Dec 2007
Total Posts : 1235
   Posted 5/23/2011 11:10 PM (GMT -6)   
Hi Crohn,
Yes, some of the symptoms are shared, but the extended withdrawals only happen with drugs such as methadone or suboxone/subutex. Seizures, major anxiety, depression, cravings,arrhythymias etc, only happen in someone who has an abuse history or is going through alcohol withdrawal. It won't happen to anyone who is having a "standard withdrawal" from discontinuation of opiate pain medication therapy.
PAWS ( post acute withdrawal syndrome) is where the anxiety, depression, cravings, and even seizures may happen, but again, that is only with certain drugs/alcohol withdrawal.
The half life of opiates has everything to do with the short time frame that most of us will experience if we suddenly , for any reason stop taking our pain medications. And it is also what make methadone and suboxone type medications withdrawals linger a bit longer, but even those will lessen over a week and improve after that. For the majority of us here, we will only experience flu like symptoms, for some it will be a bit more intense than others, but that is all that we will experience when it comes to opiate stoppage.
Wiki is a good general source but there is a huge difference in the types of withdrawal that we go through as pain patients and the withdrawal that someone who has substance abuse problems will experience. I read the information that was on Wiki and it was talking about withdrawal in substance abuse, not opiate discontinuation in pain management. That's why I went to emedicine to look it up, since it is research/medically based and a reputable medical site. I usually look up medical stuff there or pubmed.
I think that sometimes , we read or hear from someone what might happen if we stop taking our medications, but we don't know their history of medications, and whether there is any abuse of them in their history, so we think that we all are going to go through these long , drawn out horrible withdrawal effects, when it has little to nothing to do with stopping opiates for our purposes. I used to read forums where they talked about stopping opiates and all of the horrible withdrawals etc, and it scared me half to death. Mind you, I've been in pain management on and off since 1995-2003, when I went into it for RSD in my arm,shoulder and hand. Then went back into it for my back, pre surgery, the first time (2005) and then constantly since then, and I have taken myself off many of the medications over this experience of mine with pain management, including methadone three times, and never had more than a horrible flu like feeling for a few days, even with the methadone and it's long half life.
I also know that people are going to have different experiences in stopping medications and I don't ever recommend doing without the supervision of your prescribing doctor, since only they and you know what other conditions you have or medications that you are taking that might come into play in stopping medications, it is the only safe way to do it. A doctor can give a patient a tapering plan that , if done correctly, won't even cause the flu like symptoms that we would get if we stopped abruptly or went too fast in reducing our dosages.
Take care,
Sandi
Motorcycle accident 1992, Back problems from 92 to 2005. August 2005- early 2006- Chiropractor care
March 2006- consult with surgeon -PLIF/TLIF L4-5, spondylolysthesis, canal and foraminal stenosis, multiple herniations
Post Op Cauda Equina Syndrome
Revision August 2007- salvage op
March 2011- 2nd onset of Cauda Equina Syndrome
Needs surgery to prevent paralysis

CrohnsPatient
Regular Member


Date Joined Feb 2008
Total Posts : 314
   Posted 5/24/2011 6:15 AM (GMT -6)   
I saw that wiki you looked at also and I just have to say thats its even titled narcotic dependence, and we should all know dependence is not that same as addiction or tolerance.

NiNi53
Veteran Member


Date Joined Mar 2011
Total Posts : 816
   Posted 5/24/2011 10:17 AM (GMT -6)   
I believe at one time or another we (cp patients) have all gone thru this.  The very few who use narcotic meds, not for relief of pain but for a buzz, but those of us who rely on the meds for some type of relief of the unending pain we feel everyday.
 
At this point in time, if you dont go to a pm doctor with every bit of paper work, mri's, ct's etc that you have, it is difficult if not impossible to get the help we so desperatley need.  I am so sorry you are going thru all of the pain of withdrawl plus the pain you were prescriped to take for your pain.
 
In the 11-12+ years I have been dealing with doctors, I have been to hell and back.  In the beginning of my journey of constant unbearable pain, I had the most wonderful gp doctor in the world.  During my time with this doctor, he moved his practice three times, I along with hundreds of other loyal patients of his took our records and made whatever move we had to so that we could stay with him.
 
Unfortunatley the last move he made was to a very large and (he told me) financially for him something he could not pass up.  He had two children to put thru college, and although I totally understood his reasons, I cryed anyway.  He is working at a large retirement home that is two minutes from where I live, but alas, at the time I was not at the age requirement needed to buy a condo at this large and very lovely retirement community.  The other thing even when I reach the age (which I am rapidly approaching), I cannot afford to move to the retirement community he is working in.
 
So, in Dec of 2006, we gave me a hug and two months worth of prescriptions until Icould find a pm doctor.
Before he left he told me the doctors who were moving into the office he once had, were great doctors, and I would have no problem getting the meds I needed.
 
This was the beginning of a nightmare that lasted until March or April of 2010.  At last I found a doctor who would and could listen.  I will not bore you with the many (I hesitate to call them doctors), persons who treated me (and there were many) but this doctor I have found now is great and even better than great.
 
I take public transportation, each month I take 2 buses and 3 metro trains to reach my doctor, and I gladly take this trip, he is so worth it.  I hope and pray you will find a doctor who will not torment you with the threat of withdrawal and all that goes with it.
 
You deserve better, you are worth every bit of the attention you should be given.  If you do not get the results from the doctor and pharmacy you have now, its time to find another.  I will be praying for you and hoping you will be doing better real soon.
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

CrohnsPatient
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Date Joined Feb 2008
Total Posts : 314
   Posted 5/24/2011 3:00 PM (GMT -6)   
Its really awful going what some go through when they need to find a doctor for the first time, or just find a new doctor. Or like actually many of us that have had a doctor move his practice we couldnt attend or moved out of state or something similar. Its really awful trying to find a doctor. When one of my doctors left to go t Yale medical school to teach, he was my first pain dr, I had only 30 days notice which he apologized for but he just couldnt pass that up. He wrote in the letter to me and all patients that they could get their primary care to continue writing for them until i found a pain dr that we liked...I brought the letter to primary and they told me he said he wouldnt do it...really made me mad cuz he knew by the letter that I would be left hanging, which I also dont get because he had been writing me for my pain medicine before going to that pain doctor which really didnt make much sense. So I ended up going to a doctor that I didnt like just to have access until I found a doctor I really liked...which I went through 3 before that happened. The doctor I just went to to have access after mine moved...I walked into his waiting room and their were others there and they said 'your from doctor grass's office arent you?' who was my doctor who left for teaching, and I said yes, and they straight out told me that I should 'turn around and leave and find another doctor' I found that to not be a good sign. And it wasnt one person it was many many people sayin this and agreeing in the waiting room. When I got in the back I was talking to him about something or other where I had mentioned that my GI had called me, and he interrupted to say no you mean his nurse or maybe he said his secretary and i said no actually my GI calls me himself all the time, he's never had anyone else call me, and he still insisted that my GI did NOT call me and basically told me I was a liar without using the word liar...I took my scripts that day and never came back.

Medicalkid2
Regular Member


Date Joined Oct 2010
Total Posts : 147
   Posted 5/27/2011 4:37 PM (GMT -6)   
I hate this...My doctor sure takes her time calling in refills for anything I might need. Its fine I get it you have 999999999999 patients because your an Internist but at least give me the courtesy of being prompt. I mean how hard is it to call in a script after I've talked to you on the phone (yes the MD not the nurse)! If its an issue then just put refills on it which shouldn't be an issue if your planning on keeping the patient on the drug for a while.

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 5/27/2011 4:58 PM (GMT -6)   
Hi Medical...I'm sorry that you are having to wait...

I know for my Dr..his office requires a minimum of 72 hours call ahead time to fill a prescription request...

And not sure if you are speaking specifically about needing medicine today..but with the holiday this weekend I"m sure it's much busier...

Not sure if you also know that any narcotic that is a Class 2 has to be physically picked up and taken to the pharmacist...It can't be called in or have refills on the prescription..

Something like Tramadol or Vicoden can have refills...But even those now..they are wanting to only provide no more than 3 months worth without seeing the patient to monitor them..

Since a lot of medicines are meant to be a 30 day prescription..If you are a chronic pain patient and going to be on the med long term, it's good to make sure and mark on the calendar about 3 days ahead of when you need the medicine to call the Dr. and give them time to look over your files...and then write the script..

I do feell for you as we have to go through a lot just to take care of ourselves when we have chronic pain...I just wanted to share a few things in case you are fairly new to the process.

Post Edited (Snowbunny21) : 5/27/2011 5:38:33 PM (GMT-6)


Angeleyes13
Veteran Member


Date Joined May 2011
Total Posts : 636
   Posted 5/27/2011 5:51 PM (GMT -6)   
I have also stashed away some extras just for this exact reason. I may replace my patch on the 4th morning 2 times a month instead of the 3rd day just to have 2 days to play with. It doesnt do me any good for pain levels but I dont have much choice. My PM office is only open 9-3 and I work 8-3, 40 miles away. For me to get there I need to sneak out early or take a half a day.

You can have your narcotic meds delivered mail order, at least Express scripts and Medco. I used to do a 90 day supply of my Duragesic thru the mail. Of course your doctor needs feel comfortable with doing this, and I can see why some may not be OK with this. I believe they send these fedex with a signature required, its been a while since I did it with those meds. The dr can the mail early (I dont think they took the fax for these) and they will ship it overnight before you run out. It worked really good when I did it. Its worth checking into to make things easier. I still saw the dr every 2-3 months, he just dated them for when I should mail it.
DX: CRPS/RSD full body, Fibro, CP, DDD, DJD, OSA, Syringomyelia, Arachnoiditis, failed fusion non union with hardware issues. Fusions C5-6, L5-S1. SCS trial successful awaiting placement after fusion revison 6/11.
MEDS:Fentanyl Patch 25 & 12.5 mcg, Fentora 100mcg, Oxyfast 10mg, Morphine Sulfate 15mg, AtacandHCT32/12.5mg, Clonidine, Zofran.

Medicalkid2
Regular Member


Date Joined Oct 2010
Total Posts : 147
   Posted 5/27/2011 5:55 PM (GMT -6)   
Somebody said...
Hi Medical...I'm sorry that you are having to wait...

I know for my Dr..his office requires a minimum of 72 hours call ahead time to fill a prescription request...

And not sure if you are speaking specifically about needing medicine today..but with the holiday this weekend I"m sure it's much busier...

Not sure if you also know that any narcotic that is a Class 1 or 2 has to be physically picked up and taken to the pharmacist...It can't be called in or have refills on the prescription..

Something like Tramadol or Vicoden can have refills...But even those now..they are wanting to only provide no more than 3 months worth without seeing the patient to monitor them..

Since a lot of medicines are meant to be a 30 day prescription..If you are a chronic pain patient and going to be on the med long term, it's good to make sure and mark on the calendar about 3 days ahead of when you need the medicine to call the Dr. and give them time to look over your files...and then write the script..

I do feell for you as we have to go through a lot just to take care of ourselves when we have chronic pain...I just wanted to share a few things in case you are fairly new to the process.

I'm actually fine at the moment haha just this is what happens every 25-35 days..and class 1 drugs can't be prescribed at all the highest is Schedule II which can't be called in (Oxycodone, Morphine, etc) but Schedule III and Schedule IV drugs (Vicodin, Lortab, Klonopin, etc.) can be which is what I currently take. I'm just waiting to see a busy orthopaedic mad

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 5/27/2011 6:39 PM (GMT -6)   
Thanks..I edited my post...don't know why I put the Schedule 1...LOL...

Shell's idea to everyone to have a few pills extra to keep around in case of these type of issues is a great idea..

Glad that you are taken care of Medical
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006
 
 
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