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 script
s then wrote the next months script
s 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 prescript
ion 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 prescript
ion 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 'prescript
ion 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 prescript
ion, 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)