Hey Mr. or Mrs. pharmacist, I'm not a junkie so quit treating me like one.

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newname
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   Posted 7/30/2011 9:27 AM (GMT -6)   
Is anybody else here sick and tired of pharmacists seeming to assume that everyone who takes a pain med is an addict just looking for a fix?
I'm sure I am not the only person who has experienced this. I'll call a prescription in a couple of days before I'm going to be out, requesting that it be filled the next day (actually, I request my refills over the computer  since I have an online account with Walgreens), and when I go to pick it up I get a comment from the pharmacist something along the lines of, "We filled it, but you shouldn't have been out yet". I feel like replying, "Uh, no maam, I am not completely out yet. Please forgive me for not waiting until the bottle was empty and then showing up at your store expecting it to be filled in fifteen minutes".
 
I know they can't refill pain medications more that a couple of days before you should be out, and I don't ask them to. But for the love of common sense, why do they need to make smart remarks if I try to get my medications...and only one of them is a controlled substance...just one day before I don't have any left?

Post Edited (newname) : 8/7/2011 3:05:29 PM (GMT-6)


Screaming Eagle
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   Posted 7/30/2011 10:00 AM (GMT -6)   
 
   ...my wife and I just changed Pharmacy's because if the snide remarks and wispering going on at the last one.
  So, yes!...I do understand....and I just won't put up with it.
 
         We also reported this to my Dr, and he was well aware of several complaints about them, and suggest a different one for us. He said that we would not have a problem there. We had already moved to a different pharmacy, and I let them know right off the bat, why I had switched to them.
 
   We shouldn't have a problem now, but if we do, then there are several of them in the area.
 
      Take care....good post! Thanks! wink
 
       SE
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Post Edited (Screaming Eagle) : 7/30/2011 9:43:53 AM (GMT-6)


straydog
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   Posted 7/30/2011 10:04 AM (GMT -6)   
I hear ya Newname that is another wonderful thing that happens to us peeps that battle CP. I really try not to let it get to me, because those idiots are just not worth the aggravation. One thing I have learned about CP is if you want to survive it in todays world, you better be able to get a little thicker skinned when dealing with drs and pharmacist or anyone else that happens to cross our path. Granted that is not a solution to this situation. I will not use Walgreens or CVS because of the attitude of their employees. I have for many years used the pharmacy in my grocery store and I get no grief at all about any of my scripts from them, but I did at the other places.

You need to keep in mind just because that pharmacist made it through a very hard school to become one he may have book sense only and no common sense. When that happens you end up with someone that is a complete moron and an idiot. Try not to let them get to ya, they just are not worth your time.
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newname
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   Posted 7/30/2011 10:29 AM (GMT -6)   
Straydog, you are right about me needing a thicker skin. But there comes a point where a person has to make a stand for themselves. Switching to another pharmacy may or might not solve the problem. It seems to be a pretty widespread phenomena. I think some pharmacists get jaded by having to deal with people who they have good reason to believe are dope fiends (after all, how many times can a person lose their vicodin and need it refilled a week early before it becomes obvious they're abusing it?), or maybe they are warned about dope fienders during their pharmacy training.

I don't know for sure what causes this problem, but one thing I am certain of is that it wasn't people like me. Perhaps from now on I WILL just wait until I'm totally out and then show up expecting them to refill my medications, pronto. Maybe they'd prefer that to someone actually being courteous and giving them a whole days notice.

I've never been one to rat people out, but if i get one more nasty remark from that pharmacist or any others there, I'm going to call their complaint department and let them know that some of their employees need an attitude adjustment. If they've got a good reason to believe I'm taking more of a prescription than I'm supposed to, fine. Call me on it. Contact my doctor and bend his ear about me. But if they do, they better be able to back it up. My brother in law is a lawyer, after all...

Jim1969
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   Posted 7/30/2011 10:57 AM (GMT -6)   
If I may continue to play devil's advocate, since I have been on that kick lately.

CP patients need to be careful about how they (we) view the world around us. Because we do experience the prejudice in all its forms it is easy to become jaded and start seeing what is not there. In doing this we are no better than the doctor, nurse, pharmacist or pharmacy employee who has dealt often with the drug seekers/abusers often enough that they start seeing them everywhere. It is a human response, though it most certainly does not make it right.

One thing I want to point out that the issue brought up about getting bad service at a pharmacy is an individual pharmacy thing and is not a chain wide problem. I say this because there have been 2 people who have had bad experiences at their local Walgreens. I use Walgreens myself and have never experienced any of this from my local store. I have experienced though at other pharmacies in town including a "mom and pop" one.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.

newname
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Date Joined Jun 2011
Total Posts : 95
   Posted 7/30/2011 11:16 AM (GMT -6)   
Point taken, Jim. But the snide remarks I get from this pharmacist really aren't open to interpretation. If they were, I'd think nothing of it. I'm thinking of going to another pharmacy, but I am going to wait until my current prescriptions have no refills left. That way I can get new prescriptions from my doctor and just take them somewhere else without there having to be any communication between this pharmacist and my new one. If she thinks I'm an abuser because I get my meds refilled just one day before I'll be out, who knows what she might say to this new pharmacy about me?

Post Edited (newname) : 7/30/2011 10:59:29 AM (GMT-6)


Jim1969
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   Posted 7/30/2011 2:42 PM (GMT -6)   
I wasn't directing my comments towards you or trying to indicate that what you have experienced is anything but genuine. It was just a general comment on things.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.

straydog
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   Posted 7/30/2011 4:34 PM (GMT -6)   
Newname, good for you on reporting to someone higher up the ladder, I am real big on this too. I have also been known to send an email reporting too, lol. I know its unprofessional, among a few other things some of the stuff we get to endure because of our illnesses. I don't have a problem reminding the pharmacist or any employee there that without people like me needing medications for various reasons they would not have a job and I am one part of their meal ticket. I have zero tolerance for stuff like that and the older I get the worse I am about it too, lol.

And please do not wait until you run out of meds before calling in that refill because if they do not have your meds in stock you are really going to be in a big bind, so keep on just as you have to help insure your medications will be there to be picked up. Tell that pharmacist how unprofessional he is acting and remind him you are one of the reasons he still has a job. If there was a problem with you trying to get your meds too soon your insurance would not approve the refills either so remind the idiot of this too. Don't take no guff and don't give them the satisfaction of upsetting you.
Moderator Chronic Pain Forum

newname
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   Posted 7/30/2011 6:23 PM (GMT -6)   
@Jim. I wasn't trying to be a jerk to you, bro. Sorry if it came off that way. What you are saying is true. Kind of like the old saying, "Once bitten, twice shy". If you've had pharmacists in the past basically accuse you of abusing a medication, it's easy to get paranoid about it. So I totally understood what you were getting at.

@Straydog, yeah, I reported this little snot. I hate calling people names because it is somewhat immature, but sometimes it's also justified. Hopefully they actually chewed her out and she'll think harder before making anymore uncalled for and unjustifed remarks. If it backfires and she tries to get me in trouble with my doctor, she won't have a leg to stand on and I'll make her regret it. If she had to wake up every morning feeling like someone had taken a sledgehammer to her back, maybe then she'd understand. Besides, I use tramadol. Yes, it can be addictive and I'm told has the potential to get someone a "high", but only if you take a handfull at a time, which I'm not stupid enough to do.
When I was first told that tramadol could have that effect, I thought I was being bull****ed, but apparently it's true. I've never gotten even slightly buzzed from taking it, but that's because I actually care about my health and have no desire to jeopardize it.

mtgman
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   Posted 7/31/2011 12:58 AM (GMT -6)   
i've been really lucky- i was using a fry's in store pharmacy and the pharmacists were great! i just changed to cvs bc it's a bit closer and the fry's sis not have the full amt for the last script i got filled there. i was going out of town the next day and i had to sign an agreement to only use one pharmacy...i had to fill for less than the correct # of pills and it hacked me off a bit bc i could not come back for the rest due to it being a narcotic so i basically got screwed bc they did not have enough in stock...they have been really nice though in the past and the pharmacists at my local cvs seem awesome as well (so far)

I had to edit a word in your post as there are rules here at the forum regarding language. I am going to borrow what one of the other mod's here at the forum says when needing to edit for this purpose. Please know with this being a public forum we do not know the ages of people that read these posts.

This mod I am speaking of says if you do not want the administrators young children reading your post then you probably should not use the language.

Thanks.

Post Edited By Moderator (straydog) : 7/31/2011 1:26:20 AM (GMT-6)


Jim1969
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   Posted 7/31/2011 2:53 AM (GMT -6)   
I may have been told wrong on this, but I had a pharmacist tell me that it was a violation of Federal DEA regulations/law for a pharmacy to do a partial fill on a medication and then to refuse to fill the remainder of the script once the meds are back in stock.

The reason I was told this is that one time I had a partial script fill at a pharmacy for a narcotic pain med and when I went back in they told me that they could not give me the rest because it was a narcotic and I had accepted a partial fill on it. This was before I became a CP patient and I was given the meds for post op pain control. I was nearly healed and was able to make it the last 5 days (which was the amount that didn't get filled) so I just let it drop.

A few years later, after becoming a CP, I was faced with the same thing at a different pharmacy and was about to refuse the partial fill which was when I was told that it was actually illegal per federal law.

If you have the time and the ability I suggest talking with a few pharmacists in your area and ask them about this and/or talk to your doctor about it. If you find out this is true you then might want to contact upper management at that pharmacy or even the police. At best it would then be a case of someone not knowing what they are doing, at worst it could be a case of drug theft.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.

straydog
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   Posted 7/31/2011 3:16 AM (GMT -6)   
Interesting Jim, because many times they have not had my full script amount and I have always been given the choice of taking what is available and then when more comes in I would need another script from my dr for the remainder. The pharmacist always says she has no problem calling and letting my PM dr know she did not have enough to fill the script. I have never been told I could pick up the rest when they come in, either take what is available or none at all. I wonder if this isn't perhaps just a state by state thing.
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newname
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Date Joined Jun 2011
Total Posts : 95
   Posted 7/31/2011 9:08 AM (GMT -6)   
@requiem.
Yes, pharmacists and doctors need to be vigilant about making sure people are not abusing prescirptions. But I don't see how snide remarks from a pharmacist are ever neccessary. If they have a reason to believe someone is taking more of a medication than they should be, the solution is to call their doctor. Besides, my pharmacists got snotty with me simply because I got a prescription filled one day before I would have been out of it. How was my doing that an indication of abuse? If anything, it shows I have common sense and it certainly didn't require a snippy remark. I mean, one day? It's legal to get even controlled substances TWO days before you'll be out, so what problem was there by my getting tramadol (which isn't yet a controlled substance in most states but apparently soon will be) just one day before I would have been out of it? And believe me, I'm not the only person in town who has experienced that kind of stupidity. Not just at my current pharmacy, either. It seems to be a general attitude of most pharmacists around here.
Bottom line, if a pharmacist has a legitimate reason to suspect that someone is abusing a prescription, they can refuse to fill it and call the persons doctors about their concerns. But smart a** remarks aren't neccessary, especially when a person has done nothing wrong.

Post Edited (newname) : 7/31/2011 8:11:25 AM (GMT-6)


Jim1969
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   Posted 7/31/2011 9:23 AM (GMT -6)   
Looks like I was told wrong. Here is what it says about partial fills straight from the DEA.
=======================================================================
A prescription for a schedule II controlled substance may be partially dispensed if the pharmacist is unable to supply the full quantity of a written or emergency oral (telephone) prescription, provided the pharmacist notes the quantity supplied on the front of the written prescription, on a written record of the emergency oral prescription, or in the electronic prescription record. The remaining portion may be dispensed within 72 hours of the first partial dispensing. However, if the remaining portion is not or cannot be filled within the 72 hour period, the pharmacist must notify the prescribing practitioner. No further quantity may be supplied beyond 72 hours without a new prescription.
===================================================================================================

www.deadiversion.usdoj.gov/pubs/manuals/pharm2/pharm_content.htm
It is about 1/2 way down the page under Partial Dispensing.

I wonder how many pharmacists that do partial fills and that do not or can not fill the remaining script within 72 hours actually notify the Rx'ing doctor?

This would be a good topic of discussion for all of us who take a controlled substance to have with our doctors. Ask your doctor what happens if your pharmacy is unable to completely fill your pain medications.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.

straydog
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   Posted 8/1/2011 1:21 AM (GMT -6)   
Jim I think I am repeating myself here but my pharmacist is willing to call my PM dr and let her know she did not have enough for a complete refill. I can then pick up a script from the PM to get the remainder of the script, or I can go across the street to another pharmacy if they have the medication. My pharmacist always gives me that option and will call over there and ask if they have enough to fill the entire script.
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newname
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Date Joined Jun 2011
Total Posts : 95
   Posted 8/1/2011 8:31 AM (GMT -6)   
Requiem, I'm talking about getting the prescription refilled a day or two before you should be out. I don't consider that early. If I get something filled on the 18th one month, on the 16th of the next, the 14th the month after that, and continue that pattern, okay, that would indicate a problem. I do not do that, however. Actually, my pharmacist was wrong last month when she said I shouldn't have been out yet on the day I got it refilled. Apparently despite her supposed intelligence when it comes to math, she couldn't grasp that if I got a thirty day supply on the 14th of the previous month, then getting it refilled on the 13th of the next month was right on target since there are thirty one days in most months. The only reason I wasn't totally out when I got it refilled is that I don't always take six a day like the instructions say I can.

Scarred_for_life
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   Posted 8/1/2011 9:52 AM (GMT -6)   
I have to comment on this topic as well. Sometimes my Pharmacy (I use a local grocery store pharmacy) has not enough to fill my Kadian for a full month supply. Now, I was told that they have to be able to fill it within 72 hours. If they can't then they call my PM and tell them that I need a new script. They have always been good at doing this. But I as a patient will always call the pharmacy to make sure they have enough to fill the script. I usually call them a few days in advance so that I am not caught off guard and in a situation where I cannot get my meds. Wal-mart here does not carry Kadian and the other smaller pharmacy does not either. So I am at the mercy of my own Pharmacy with refills.

I just got a new script for my Kadian and forgot to call in advance to see if they had enough to fill. So.....lets see if they have enough to fill this month. And....they do have my Kadian and my oxi so I can fill them today.
I live to "Tame My Pain!"

newname
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Date Joined Jun 2011
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   Posted 8/7/2011 4:03 PM (GMT -6)   
@Lahaina.
I don't know if it's fair to condemn Walgreens as a franchise, but the local one doesn't have a great reputation. The only reason I go there is that they get your prescriptions done quickly. At the other chain pharmacies in town, they'll tell you that your prescription will be ready in two hours and when you go to pick it up, you usually end up waiting another hour. Time is valuable to me, so that kind of stuff just doesn't work.

Angeleyes13
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   Posted 8/8/2011 12:50 PM (GMT -6)   
Our local chain pharamcy is always "out" of 1 or more of my meds when its my date to fill, even though I would try and fill the same thing every month there was always a problem. They only order narcotics once per week so at times this leaves you really in a jam, unless you want to get permission to fill elsewhere and drive 30 minutes to a different pharmacy. I am happy I am now with a little local Mom and Pop pharmacy. They order narcotics every business day, so even if they are out one day they will have it in their hands the next. Of course they are at the mercy of their supplier, but since I switched there I havent had an issue. They are the only pharamacy that can order one of my meds too. They accept all of my scripts via fax too, of course I need to bring the hard copy to them when I pick up, but that helps tremendously when I am having a really rough day. I sure hope this place can stay open!
DX: CRPS, Fibro, CP, DDD, DJD, OSA, Syringomyelia, Arachnoiditis, failed fusion. Fusions C5-6, L5-S1, hardware removal and removal of scar tissue. SCS trial successful awaiting placement.
MEDS:To many to mention, changes every week it seems.

sore42long
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Date Joined Apr 2011
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   Posted 8/8/2011 6:26 PM (GMT -6)   
I feel in the most part the pharmacy people are only trying to do there jobs,as for snide comments,its possible they are looking for a reaction.I personaly don't understand why anyone would take painmeds ,if they didn't have too,yet I know people do??? I also have had comments from people ,even my Ibs specialist DR.saying you shouldn't use narcotics,Iwas stunned,I thought what?Its not like I want to use pain meds!With nerve pain they help but I'm still in pain! I feel its a case of addicts wrecking it for others,much like insurance fraud ,makes us pay higer rates.Ionly wish for oneday one of these people could feel the pain Ido ! I think getting tougher skin is the only answer!sorry you had such a nasty experience .takecare

Woolrow
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Total Posts : 102
   Posted 8/9/2011 12:35 PM (GMT -6)   
Hi. I am new to this forum. I wanted to post to tell you that my DH tried to turn in a prescription at Walgreens one day early, sayin he would pick it up the next day day, the day it was due and they wouldn't even let him turn it in. They it had to be turned in the day it due for a refill. We live 40 mi. from town so it's not exactly a hop skip and a jump thing. Maybe we should talk to someone about this? Won't it make it more unpleasant dealing with these folks in the future?

I have Fibro - bad and don't get around much anymore. Poor DH having to put up with that. :(

newname
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Date Joined Jun 2011
Total Posts : 95
   Posted 8/9/2011 1:36 PM (GMT -6)   
Woolrow, that's just pure stupidity on the part of whoever at that Walgreens refused to even take the prescription form. They could easily have put it into the system and filled it the next day. Even controlled substances can be filled two days before you should be out of them, so unless the doctor had put a specific date on which it could be filled, there was no reason I can think of that they couldn't have filled it when you tried to simply turn it in.

Gopurdue28
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   Posted 8/9/2011 3:48 PM (GMT -6)   
Yes, I was addicted to the meds because I needed them for real pain. They never made me feel high or anything, and I would rather not have had to take them.

Wanna hear a funny but not so funny story?

When I was on a high dose Vicodin (60mg daily) for pain I called my doctor for a refill and they said that I had missed more than 2 appointments in a 90 day period and she was no longer my doctor and could not give me a refill. I was like, oh you have GOT to be XXXXXXXXXX kidding me! She was the one that convinced me to start taking it!
Anyways, after 24 hours or so I started to go through massive withdrawals. I called this thing called "ask a nurse?" (idk if any other hospitals have something like this but it's basically just for medical advice) I explained all my symptoms to her and asked her if there was anything I could do to ease the symptoms. She kept asking me if the symptoms were bad enough that I would want to hurt myself or something and I kept telling her no. She insisted that I come to the hospital for some methadone but I declined. about ten minutes later I hear some pounding at the door and I look out and there are 3 county cop cars, a fire truck, and an ambulance in my driveway with their lights on!!!!
XXXXXXXXXXXXXXXXXX
I opened the door and was like, "Yyyess? Can I help you?"
They said that the ask a nurse had told 911 that I was probably going to kill myself!!
Oh for cryin out loud!!!!
After mmmmuch persuading, they finally left!

So to summ up, NO! I don't think anyone that doesn't take meds for chronic pain understands anything about that situation at all.





(edited for foul language!) Please read the forum rules! Thanks! SE
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Post Edited By Moderator (Screaming Eagle) : 8/9/2011 4:49:46 PM (GMT-6)


Screaming Eagle
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   Posted 8/9/2011 6:51 PM (GMT -6)   
Gopurdue, I would like to invite you to read an article in the "Chronic Pain 101" located at the top of our home page. It explains the difference between "Addiction" and "Dependency".

…..as chronic pain patients we suffer "Dependency"….and not "Addiction" Please take a peek at it when you get a chance!…it's very well written and explains the difference.

Take care!

SE wink
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"

Woolrow
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Date Joined Jan 2010
Total Posts : 102
   Posted 8/10/2011 2:51 PM (GMT -6)   
@ newname

tyvm for that info
dealing with petty bureaucratic control freaks is a drag.
seems like anyone who a just a little power will wield it to our detriment these days. (:
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