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Joysotay
Regular Member


Date Joined Mar 2011
Total Posts : 53
   Posted 8/5/2011 1:07 PM (GMT -6)   
I need some advice concerning a prescription.  I have a GP who prescribes pain meds each month. I have gone to him for over 2 years. I have signed a pain contract with him, however he never has done a urine test or pill count the whole time I have seen him. 
 
Last week I was extremely sick with some type of stomach bug. I was vomitting continously for 14 hours then had extreme headache and nausea for 2 days, then started throwing up again on Friday with extreme back pain. My husband took me to the ER. They rehydrated me, gave me pain meds through my IV and sent me home.  They said I probably had a virus.  I specifically asked for a prescription for phenegran (anti-nausea medicine) which they gave me. They also wrote a small prescription for a low dose pain medicine. The same pain medicine I already take just in a lower dose.  I did not ask for the pain medicine.  The prescriptions  were wrote in a way that the phenegran was on a seperate prescription sheet (I filled this one after I got home), while the pain medicine was printed on a sheet with a prescription for another anti-nausea medicine. 
 
So my question is... will I get in trouble with my doctor if I fill the pain medicine prescription? If I do fill it, should I go to the same pharmacy I get my monthly meds filled at, or should I use a different one? I don't want to do anything to get in the way of getting my monthly meds, but due to the extreme headache and back ache that I had while being sick, I did take extra pain meds and I could use the few that they prescribed.  What should I do?
I appreciate any and all advice.
thanks
 
Fibromyalgia, Degenerative Disk Disease, Scoliosis, Celiac Disease

Rev 21:3,4: "God will be with them. And he will wipe out every tear from their eyes, and death will be no more, neither will mourning nor outcry nor pain be anymore. The former things have passed away."

Screaming Eagle
Veteran Member


Date Joined Sep 2009
Total Posts : 5005
   Posted 8/5/2011 1:22 PM (GMT -6)   

 

        Hello Joy!

               I would not fill it!....you need to call your PM and tell them what is going on, and see if they want you to fill it or maybe make a change themselves. I just would not take a chance on messing things up with your PM.

      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"

Joysotay
Regular Member


Date Joined Mar 2011
Total Posts : 53
   Posted 8/5/2011 1:34 PM (GMT -6)   
Thank you for your response.  That was the way I was leaning towards, but I had never been in this situation before and wasn't sure what to do.  And I figured there was probably someone on the forum that had dealt with this before or had more experience with it.  I think I will probably just throw away the prescription and then I won't have to worry about it.
Thanks again!!
Fibromyalgia, Degenerative Disk Disease, Scoliosis, Celiac Disease

Rev 21:3,4: "God will be with them. And he will wipe out every tear from their eyes, and death will be no more, neither will mourning nor outcry nor pain be anymore. The former things have passed away."

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 8/5/2011 1:36 PM (GMT -6)   
I certainly would not fill them. You have the contract with your GP which if it's a standard one...it specifically says that you should not get pain medicine from any other Dr. unless directed by your GP.

And while I know that a stomach bug is awful...I have had them many times through the years...and while I've had some extra achy pains...I didn't need to up my narcotic pain medicine to combat this...I just needed rest and staying hydrated and slowly adding back in food (the BRAT diet works wonders!) Along with Vita Coco water which is filled with needed potassium and sodium...
 
But because you say you've already taken extra medicine without your Dr.s permission...you will unfortunately have to cut back some in the next week so you don't run low for the end of the month or if he does a urine test or pill count next visit...This isn't a reason to fill this new prescription...

Many states have the prescription monitoring system (it will be required in all states over the next two years)...This is where no matter where you fill the prescription...it will show up in one database that can be accessed by your GP. So if you fill them without his permission...this could get you immediately dismissed from his practice and put a mark on your records that you broke your contract which could then cause you to have trouble from any Dr.s here on out.

You should always call your Dr. when you are going to or just get back from the ER...Especially because they gave you pain medicine at the ER through the IV...I would be letting your Dr. know all of this and about the added pain...and the prescription and ask him what you should do. He may say to go ahead and fill it...The ER might even be sending him information about your visit anyway if you wrote down that you are being seen by him as your GP. So I would call immediately so that it doesn't look like you are hiding this visit from him.

So...I recommend calling your GP right now and talking with him or a nurse and letting them know what's going on and their thoughts about the prescription.
 
And any time in the future...you need to check with your Dr. first before you take any extras of your prescribed medicine.

Good luck and hope you are feeling better soon!

Post Edited (Snowbunny21) : 8/5/2011 12:40:23 PM (GMT-6)


Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 8/5/2011 1:41 PM (GMT -6)   
Wanted to add...PLEASE don't throw away the prescription! Your GP might want you to bring this in to him so that he sees you did not fill it in case your state doesn't have the monitoring system.
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
 
 

Screaming Eagle
Veteran Member


Date Joined Sep 2009
Total Posts : 5005
   Posted 8/5/2011 2:37 PM (GMT -6)   

 

         I agree with Snowy here! ...in fact I would turn it in, as it may help build some trust with him. Even if you go to a Dentist and they script you something...make sure you call your PM first. If you have a good PM, you will certianlly want to keep him...so be careful.

     It was a good question, and one I had not seen posted in quite some time....Thanks for asking! These are the types of post that benefit the members here. wink

 SE


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"

Snowbunny21
Veteran Member


Date Joined Jan 2010
Total Posts : 3557
   Posted 8/5/2011 2:43 PM (GMT -6)   
I hope I didn't come across too stongly...and I truly am not trying to judge at all..We definitely appreciate these types of questions on here as so many are new to living with chronic pain and all the details like this that comes with it.

So it's such a great forum to be able to share suggestions, tips, as well as care and concern as we all may have wonderful friends and family but no one can know what it's like to live with CP like we do!
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
 
 

NiNi53
Veteran Member


Date Joined Mar 2011
Total Posts : 816
   Posted 8/5/2011 2:59 PM (GMT -6)   
Hello.nini53 here, I think everyone has given you great advice, do not fill it.  That happened to me once and I filled it and got booted off the  pm clinic.  Even though I told the truth and told them before they found out it did no good.  Although I believe other things were going on, if I had not done that, I would not have given them the one thing they needed to boot me.
 
So, lesson learned I will never do anything like that again.  It has been years since this happened, and I still remember it as if it were yesterday.
 
So take care and good luck, everyone has given you good advice, please learn from my lesson.
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

Joysotay
Regular Member


Date Joined Mar 2011
Total Posts : 53
   Posted 8/5/2011 6:53 PM (GMT -6)   
I knew I would get good advice here. I appreciate everyone's advice. I'm glad I asked the question too as I have been trying to figure out what to do for a week now.
 
I will not throw away the prescription so I can show my dr that I didn't fill it.
 
Snowbunny: I didn't think you came on too strong.  I certainly don't want to do anything that will jepardize my relationship with my dr. I appreciate your advice.\
 
Thanks again.
 
Joysotay
 

Trudy2
Regular Member


Date Joined Dec 2010
Total Posts : 213
   Posted 8/8/2011 8:07 AM (GMT -6)   
I have been with the same pain management physician since 2007. I never signed a pain contract until 2009. I have discussed the pain contract in detail with my PM doc and he has told me that if I have to go to an ER on the weekend, to have them send him the records of the visit.

If I do get prescribed pain meds from an ER visit or a dentist visit, I have been told that it is ok to fill them and use them as long as the docs office notifies my doctor of the visit and that I call them with the information within 24 hours of the visit.

So in the future, if you have a conversation with your doctor about what is acceptable and what isn't - you will know how to handle this in the future.

Trudy
DX pyoderma gangrenosum, Acute Myelogenous Leukemia, Bone Marrow Transplant, Chronic Pain syndrome, Chronic Kidney Disease Stage 3, Major Depressive Disorder, Radiculopathy, Bilateral Hip Pain, Insomnia,Left Groin Hernia, Bulging Disk in Lumbar Spine, Tear in Lumbar Spine, Tendonitis and Bursitis in both hips, hypoxia due to sleep apnea and new problems with my lungs. Have had 2 abnormal CT scans.
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