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Link Posted: 8/22/2014 11:24:23 AM EDT
[#1]
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All of it is annoying. I can't get anything for sinus' that works for me and is under 4 bucks a pill.

I can't imagine how pissed people with actual pain problems and full time jobs are gonna be.
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All the people complaining about this, are probably people who develop a sweat after not having their hydrocodone a few hours past the time they normally take it every day. LOL. Pathetic

My ex's sister and her husband got into drugs. It started with oxy. They started using heroine, and then they started breaking into people's homes and stealing guns. Taking those guns to a major city and selling them to gangs to get money to buy more heroine. It look ALOT of work to get their lives back in order, and they still say it'd so easy to get back into it. This isn't a game, it's real life, people.
 


I've never even taken it and I'm bitching about it. I don't care about junkies.


Maybe I'm missing something, but I don't see the big deal.  Going from schedule 3 to schedule 2 means 6 month prescriptions get replaced with, effectively, 3 month prescriptions.  Twice the number of doctor visits, which is annoying, but not a huge deal.


All of it is annoying. I can't get anything for sinus' that works for me and is under 4 bucks a pill.

I can't imagine how pissed people with actual pain problems and full time jobs are gonna be.


Yeah the sudafed thing is fucking annoying I think a few states have changed it to require a script just to get any. I regularly have to take the real sudafed for sinus issues and it's dumb enough I have to have my id scanned id be really pissed if I had to see a doc just to pick some up.
Link Posted: 8/22/2014 11:25:23 AM EDT
[#2]
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Dang, that's expensive.  No generics available?
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All the people complaining about this, are probably people who develop a sweat after not having their hydrocodone a few hours past the time they normally take it every day. LOL. Pathetic

My ex's sister and her husband got into drugs. It started with oxy. They started using heroine, and then they started breaking into people's homes and stealing guns. Taking those guns to a major city and selling them to gangs to get money to buy more heroine. It look ALOT of work to get their lives back in order, and they still say it'd so easy to get back into it. This isn't a game, it's real life, people.
 


I've never even taken it and I'm bitching about it. I don't care about junkies.


Maybe I'm missing something, but I don't see the big deal.  Going from schedule 3 to schedule 2 means 6 month prescriptions get replaced with, effectively, 3 month prescriptions.  Twice the number of doctor visits, which is annoying, but not a huge deal.


All of it is annoying. I can't get anything for sinus' that works for me and is under 4 bucks a pill.

I can't imagine how pissed people with actual pain problems and full time jobs are gonna be.


Dang, that's expensive.  No generics available?


I'm not sure why he's paying so much the 120mg 12 hr generic at walmart is only around $6 a box here.
Link Posted: 8/22/2014 11:27:38 AM EDT
[#3]
This is a move for revenue generation for doctors.  Having to visit the office for another script rather than a refill, is a low-cost service with higher margins with medicare, medicaid, and other insurance.

That is all it is.
Link Posted: 8/22/2014 11:28:50 AM EDT
[#4]
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Sure, but is that something that actually influences a DEA decision?
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Hydrocodone can be abused.

Good restriction.
Well that will sure put my Grandmother at ease.    She gets around ok for a 96 year old with constant pain.  What's a bunch more Dr visits going to do to her.  


Make the Doctor more $$$$


Sure, but is that something that actually influences a DEA decision?


No because it doesn't effect them here is the decision process DEA: "drugs are bad mmmmmmmkay, schedule 2 tell your grandma to stop being a junkie"
Link Posted: 8/22/2014 11:31:27 AM EDT
[#5]
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Only because we have a system of social safety nets.  Get rid of those and there would be no reason for prohibition of anything.  You have no clue of social system dynamics.  
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Good.  After being a patient of a pain management specialist, I can say most of the patients are obnoxious seekers, not those actually in pain.  For one, you do not surf on your iPhone when in pain requiring opiates.  You do not drink 40 ounce sodas when you are in sleep depriving pain.  And you do not talk my fucking ear off when you are contemplating taking 300mg of diphenhydramine to sleep.  

Fuck all opiate seeking scumbags making it damn impossible to treat real, chronic pain.  Thankfully the epidural cortisone in C6-7 worked perfectly the first time.  No more appointments with fucked up pain clinic patients.  Fucking scum of the earth.  It is a damn miracle the physicians and staff were able to fix my problem, given the fucked up patients they must serve.


http://www.libertyjuice.com/wp-content/uploads/2011/02/nanny-state.jpg

For such a smart person, you post some dumb statist shit.
Only because we have a system of social safety nets.  Get rid of those and there would be no reason for prohibition of anything.  You have no clue of social system dynamics.  


You just substantially increased the cost of some of those social safety nets Medicare/ Medicaid (tricare since the gov pays for that as well) because they have to pay for an extra 8 dr visit for every person with chronic pain taking these meds.
Link Posted: 8/22/2014 11:32:13 AM EDT
[#6]

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Exactly.  I've only rarely had a patient show any signs that were suggestive of drug-seeking behavior with tramadol.  It's more feel-good restrictions that accomplish nothing.

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Hydrocodone can be abused.



Good restriction.






You know that if one pays attention, things begin to fall into place.



8/18/14, Tramadol was just made a federally scheduled drug.  It was previously a legend drug except in some states.





So annoyed by the tramadol thing. It was so easy to get before and did wonders for my back pain. I don't know one person who's ever abused tramadol, which makes it even more annoying.




Exactly.  I've only rarely had a patient show any signs that were suggestive of drug-seeking behavior with tramadol.  It's more feel-good restrictions that accomplish nothing.

I've asked a doc for that script a few times. They always seem surprised, I guess people usually want hydro or something of that nature.



Funny enough Tramadol actually completely kills my knee pain. Opiates never did. When it got scheduled I was a bit upset.
Link Posted: 8/22/2014 11:32:16 AM EDT
[#7]
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Exactly.  I've only rarely had a patient show any signs that were suggestive of drug-seeking behavior with tramadol.  It's more feel-good restrictions that accomplish nothing.
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Hydrocodone can be abused.

Good restriction.



You know that if one pays attention, things begin to fall into place.

8/18/14, Tramadol was just made a federally scheduled drug.  It was previously a legend drug except in some states.


So annoyed by the tramadol thing. It was so easy to get before and did wonders for my back pain. I don't know one person who's ever abused tramadol, which makes it even more annoying.


Exactly.  I've only rarely had a patient show any signs that were suggestive of drug-seeking behavior with tramadol.  It's more feel-good restrictions that accomplish nothing.


Tramadol is my drug of choice for pain. Works better for me than Vicodins. Only problem is one dose makes me float for two days. For that reason they are in the Use in Case of Emergency locker.
Link Posted: 8/22/2014 11:32:21 AM EDT
[#8]
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  I guess it couldnt have anything to do with record numbers of people becoming addicted to heroine and committing heinous crimes to pay for their addictions or the record amount of people dieing from pill popping.
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I've been addicted to strong protagonist ladies for years and I don't think that makes me a bad person.
Link Posted: 8/22/2014 11:32:27 AM EDT
[#9]
I like how all the Docs in this thread are calling out all the "junkies", but completely ignoring their institutional complacency in this mess.


It takes two to tango Doc.  
Link Posted: 8/22/2014 11:33:55 AM EDT
[#10]
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They make generic Claritin D you know.......


About 1/2 to 2/3 the price of name brand
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All the people complaining about this, are probably people who develop a sweat after not having their hydrocodone a few hours past the time they normally take it every day. LOL. Pathetic

My ex's sister and her husband got into drugs. It started with oxy. They started using heroine, and then they started breaking into people's homes and stealing guns. Taking those guns to a major city and selling them to gangs to get money to buy more heroine. It look ALOT of work to get their lives back in order, and they still say it'd so easy to get back into it. This isn't a game, it's real life, people.
 


I've never even taken it and I'm bitching about it. I don't care about junkies.


Maybe I'm missing something, but I don't see the big deal.  Going from schedule 3 to schedule 2 means 6 month prescriptions get replaced with, effectively, 3 month prescriptions.  Twice the number of doctor visits, which is annoying, but not a huge deal.


All of it is annoying. I can't get anything for sinus' that works for me and is under 4 bucks a pill.

I can't imagine how pissed people with actual pain problems and full time jobs are gonna be.



They make generic Claritin D you know.......


About 1/2 to 2/3 the price of name brand


Also you can just buy generic 12hr sudafed and generic Zyrtec or Allegra and have the exact same drugs as the -d version of both at less than a quarter the price.
Link Posted: 8/22/2014 11:34:07 AM EDT
[#11]
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I've asked a doc for that script a few times. They always seem surprised, I guess people usually want hydro or something of that nature.

Funny enough Tramadol actually completely kills my knee pain. Opiates never did. When it got scheduled I was a bit upset.
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Hydrocodone can be abused.

Good restriction.



You know that if one pays attention, things begin to fall into place.

8/18/14, Tramadol was just made a federally scheduled drug.  It was previously a legend drug except in some states.


So annoyed by the tramadol thing. It was so easy to get before and did wonders for my back pain. I don't know one person who's ever abused tramadol, which makes it even more annoying.


Exactly.  I've only rarely had a patient show any signs that were suggestive of drug-seeking behavior with tramadol.  It's more feel-good restrictions that accomplish nothing.
I've asked a doc for that script a few times. They always seem surprised, I guess people usually want hydro or something of that nature.

Funny enough Tramadol actually completely kills my knee pain. Opiates never did. When it got scheduled I was a bit upset.



Tramadol works very well and is longer lasting than most narcotics

I prefer it for most pain.

I tried to get it for my first MRSA attack last year, but they insisted on monster Vicodin.
Link Posted: 8/22/2014 11:35:05 AM EDT
[#12]
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hydrocodone is like 2 aspirin and a beer..
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it's that bad on the liver?
Link Posted: 8/22/2014 11:36:17 AM EDT
[#13]
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Also you can just buy generic 12hr sudafed and generic Zyrtec or Allegra and have the exact same drugs as the -d version of both at less than a quarter the price.
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an style='font-weight: bold;']Quoted:[/span]
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All the people complaining about this, are probably people who develop a sweat after not having their hydrocodone a few hours past the time they normally take it every day. LOL. Pathetic

My ex's sister and her husband got into drugs. It started with oxy. They started using heroine, and then they started breaking into people's homes and stealing guns. Taking those guns to a major city and selling them to gangs to get money to buy more heroine. It look ALOT of work to get their lives back in order, and they still say it'd so easy to get back into it. This isn't a game, it's real life, people.
 

I've never even taken it and I'm bitching about it. I don't care about junkies.


Maybe I'm missing something, but I don't see the big deal.  Going from schedule 3 to schedule 2 means 6 month prescriptions get replaced with, effectively, 3 month prescriptions.  Twice the number of doctor visits, which is annoying, but not a huge deal.


All of it is annoying. I can't get anything for sinus' that works for me and is under 4 bucks a pill.

I can't imagine how pissed people with actual pain problems and full time jobs are gonna be.



They make generic Claritin D you know.......


About 1/2 to 2/3 the price of name brand




Also you can just buy generic 12hr sudafed and generic Zyrtec or Allegra and have the exact same drugs as the -d version of both at less than a quarter the price.


Hush

Knowledge is only for people with the power of the pad
Link Posted: 8/22/2014 11:36:52 AM EDT
[#14]
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My doctor does the same thing, not sure if our state allows this for SII. The doctors office also had a 15 dollar prescription refill option over the phone so you don't physically need to have a doctors visit to refill a prescription. They send all request to any pharmacy of your choosing electronically. About as easy as it gets.


edit: I also feel for my fellow allegry sufferers. I take two claritin in the morning, flonase, mucinex, singulaire, and a zyrtec before bed. My doctor suggested mucinex D or Pseudoephedrine for a decongestant but I hate how tweaky and irritable it makes me, plus it kills my sex drive. I refused his suggestion. I really had to step up my meds this year as I had a chronic sinus infection due to my allergy cycle.
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Frigging great... $185.00 a month to go visit the Dr. to get a monthly script the wife needs basically forever.


You can't get more than 1 monthly script each visit?  I know someone who takes a drug which requires a new prescription every month, but the doctor will give him 3 30 day prescriptions per visit.  Different schedule, maybe?

Edit: Nope, it's a schedule II as well.  Don't see why you shouldn't be able to do the same with Hydrocodone.



My doctor does the same thing, not sure if our state allows this for SII. The doctors office also had a 15 dollar prescription refill option over the phone so you don't physically need to have a doctors visit to refill a prescription. They send all request to any pharmacy of your choosing electronically. About as easy as it gets.


edit: I also feel for my fellow allegry sufferers. I take two claritin in the morning, flonase, mucinex, singulaire, and a zyrtec before bed. My doctor suggested mucinex D or Pseudoephedrine for a decongestant but I hate how tweaky and irritable it makes me, plus it kills my sex drive. I refused his suggestion. I really had to step up my meds this year as I had a chronic sinus infection due to my allergy cycle.


Septoplasty + turbinate FTW it really cut down on sinus infections although I still have a river of mucus running out of my head most of the time. And yeah sudafed and boners don't seem to occur together.
Link Posted: 8/22/2014 11:38:25 AM EDT
[#15]
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Really ?

Did you bring them back to the USA ?
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Can't call it in or fax it in. It has to be locked up and a second inventory is kept. Same schedule as morphine and methadone. There were 130 million scripts for it last year. Hassle I don't need for my job. The MDs are in favor of making a c2 but we pharmacists are not. The strongest opioid you can call in now is tylenol with codeine. Welcome to 1935.

Also, some states have NPs or PAs that cannot write for c2 prescriptions.

The same as restricting firearms, doesn't do a damn bit of good. Bad guys gonna be bad whether legal or not.
The best part is that just north across the border, Tylenol with Codeine is OTC...some freedom around here these days.
 

No.
That changed a few years back.
Tell that to the 300ct bottle I bought in Montreal Last fall...
 

Really ?

Did you bring them back to the USA ?


They don't check your butthole when you come back into the US but it sure is hard to get that 300 ct bottle in.
Link Posted: 8/22/2014 11:40:28 AM EDT
[#16]
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Septoplasty + turbinate FTW it really cut down on sinus infections although I still have a river of mucus running out of my head most of the time. And yeah sudafed and boners don't seem to occur together.
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Frigging great... $185.00 a month to go visit the Dr. to get a monthly script the wife needs basically forever.


You can't get more than 1 monthly script each visit?  I know someone who takes a drug which requires a new prescription every month, but the doctor will give him 3 30 day prescriptions per visit.  Different schedule, maybe?

Edit: Nope, it's a schedule II as well.  Don't see why you shouldn't be able to do the same with Hydrocodone.



My doctor does the same thing, not sure if our state allows this for SII. The doctors office also had a 15 dollar prescription refill option over the phone so you don't physically need to have a doctors visit to refill a prescription. They send all request to any pharmacy of your choosing electronically. About as easy as it gets.


edit: I also feel for my fellow allegry sufferers. I take two claritin in the morning, flonase, mucinex, singulaire, and a zyrtec before bed. My doctor suggested mucinex D or Pseudoephedrine for a decongestant but I hate how tweaky and irritable it makes me, plus it kills my sex drive. I refused his suggestion. I really had to step up my meds this year as I had a chronic sinus infection due to my allergy cycle.


Septoplasty + turbinate FTW it really cut down on sinus infections although I still have a river of mucus running out of my head most of the time. And yeah sudafed and boners don't seem to occur together.



Viagra doesn't care

Link Posted: 8/22/2014 11:40:45 AM EDT
[#17]
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Heroin is already cheaper, which is why it's coming back.  

Frankly, I'd rather the pill-heads just did Norco, which is at least a known quantity, than becoming part of the violent criminal enterprise that's the heroin trade.  

Make Norco OTC.
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They are making money on this. War on Drug$. Gotta be.


I'm trying to figure how they make more money on this.  Maybe through additional fees?

In any case, it just makes it more cumbersome to prescribe those medications.  It wastes more of my time without doing anything about drug diversion.  While I agree it's a problem, this does absolutely nothing to fix it.
With the price of pills on the street, it's getting to the point where it's cheaper to just do heroin. At first, of course over time it's going to get pricier as your tolerance shoots up. The average user probably isn't crunching numbers though.

Source: RIP
 
Heroin is already cheaper, which is why it's coming back.  

Frankly, I'd rather the pill-heads just did Norco, which is at least a known quantity, than becoming part of the violent criminal enterprise that's the heroin trade.  

Make Norco OTC.


A much lower to nonexistent chance of spreading diseases through norco as well.
Link Posted: 8/22/2014 11:46:30 AM EDT
[#18]
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Interestingly one of the markers for reimbursements under Zerocare is patient satisfaction and part of that is pain management.  
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<groan>  

We were just talking about this at our monthly clinic meeting.  I think it's completely ridiculous given the way our system is currently set up.  In an ideal world, the free market would force out doctors with poor skills and/or shitty bedside manners.
Link Posted: 8/22/2014 11:48:41 AM EDT
[#19]
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<groan>  

We were just talking about this at our monthly clinic meeting.  I think it's completely ridiculous given the way our system is currently set up.  In an ideal world, the free market would force out doctors with poor skills and/or shitty bedside manners.
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Interestingly one of the markers for reimbursements under Zerocare is patient satisfaction and part of that is pain management.  


<groan>  

We were just talking about this at our monthly clinic meeting.  I think it's completely ridiculous given the way our system is currently set up.  In an ideal world, the free market would force out doctors with poor skills and/or shitty bedside manners.



Counter-revolutionary speech reported to Motherland Security.
Link Posted: 8/22/2014 11:50:51 AM EDT
[#20]
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I feel safer already.
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I feel safe as fuck!!!
Link Posted: 8/22/2014 11:52:31 AM EDT
[#21]
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This is a move for revenue generation for doctors.  Having to visit the office for another script rather than a refill, is a low-cost service with higher margins with medicare, medicaid, and other insurance.

That is all it is.
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Shit like this is absolutely the last thing doctors are interested in.
Link Posted: 8/22/2014 11:56:10 AM EDT
[#22]

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Hydrocodone can be abused.



Good restriction.
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Lots of things can be abused.

 
All this is going to do is increase my outlay of cash

to get my prescriptions filled.
Link Posted: 8/22/2014 12:01:41 PM EDT
[#23]
I just turned 52 and to my knowledge, I've never taken anything with hydrocodone in it. I had to google to find out what it is.

Doesn't look like I'll be missing anything except more of my tax dollars.
Link Posted: 8/22/2014 12:14:46 PM EDT
[#24]
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It all depends on the doc and the surgery and I think in some cases how well they know you. I've never had an issue when I had back surgeries 3&4 in February of this year I was taking 2 norco 10/325 every 4-6 hrs so it was quite few pills and had a refill (month long scripts).
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Hydrocodone can be abused.

Good restriction.



Interdasting.

I had brain, skull, and spine surgery about 3 weeks ago ( August 4th) and when I was discharged from the hospital the surgeon gave me a scrip for 40 Hydrocodone and 40 Flexeril ( muscle relaxer due to the fact that they cut through all of my neck muscles), and when I had my 1 week post-op check-up his PA said if I need a refill on my meds that I should call them. Well, I ran out of the Hydrocodon and was still having pretty bad pain in the evenings, so I called and asked for a few more pain meds. They said no problem, your likely to have  neck pain for up to 5 weeks just from the neck muscles trying to heal while still holding my head up all day..


I figured they would refill for 10 or so of something other than hydrocodone since I was already well into recovery.

The refilled the whole 40 Hydrocodone. I was stunned. I was taking one in the evening when my neck hurt so I could sleep instead of the two every 4-6 hours. During the day a couple of ibuprofen keeps everything quiet. I think I have taken 2 out of that 40 in the last week.

No wonder folks get hooked on that shit.

When I had my ACL done, they gave me like 2 days worth and then something different.


It all depends on the doc and the surgery and I think in some cases how well they know you. I've never had an issue when I had back surgeries 3&4 in February of this year I was taking 2 norco 10/325 every 4-6 hrs so it was quite few pills and had a refill (month long scripts).


Had a sub occipital craniectomy, a C1 laminectomy, and a duraplasty to decompress a Chiari Malformation Type 1.  Lots of work in one surgery, but my legs feel great now.

Yeah, I went through a lot of the pain meds for the first week or so, but damn, I really didn't need to take 2 every 4-6 hours after a week and a half, I am down to one in the evening. I was just surprised that they refilled the whole 40.
Link Posted: 8/22/2014 12:17:08 PM EDT
[#25]

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I was called for a burglary report where apparently someone broke into this gals house without forcing entry, passed up all the goodies in the bedroom, went into her bathroom, stole her pain meds (from among 15 undisturbed other bottles,) left the house, emptied the bottle into his pocket (or one of those big sacks they carry around with the dollar sign on the front) and absconded.  Just two days after it was filled.
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Meh, let them.  Turning down drug seekers is a unique pleasure.  Their little faces get so sad...

This ruling might turn out to be a pain in the ass if I can't phone in scripts for vicodins anymore.  Giving Tylenol #3 just means you get a call back later saying it still hurts.  


I was called for a burglary report where apparently someone broke into this gals house without forcing entry, passed up all the goodies in the bedroom, went into her bathroom, stole her pain meds (from among 15 undisturbed other bottles,) left the house, emptied the bottle into his pocket (or one of those big sacks they carry around with the dollar sign on the front) and absconded.  Just two days after it was filled.


So you're saying you didn't believe her?  If it helps, any time a patient says their pain meds are stolen they do not get a replacement refill, police report or not.  I also dig into the situation to see whether they should ever get any more.  It's too bad that she wasted your time.  I know some docs will give replacements with a police report which then wastes your time.
Link Posted: 8/22/2014 12:22:10 PM EDT
[#26]



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You have it backwards.
Point to me where the Constitution allows the government to ban drugs.
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HydrocodoneFirearms,Ammo,Knives, can be abused.
Good restriction.

FIFY







  Point to me where the constitution says anything about a right to have prescription drugs whenever you want?







You have it backwards.
Point to me where the Constitution allows the government to ban drugs.






 


Gee. That inconvienent part about the general health and welfare.










I dont see any constitutional scholars trying to repeal these drug regulations.










The only place where there is this contraversy about resecheduling hydrocodone is right here.


 
Link Posted: 8/22/2014 12:25:00 PM EDT
[#27]
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  Gee. That inconvienent part about the heneral health and welfare.

I dont see any constitutional scholars trying to repeal these drug regulations.

The only place where this contraversy about resecheduling hydrocodone is right here.
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HydrocodoneFirearms,Ammo,Knives, can be abused.

Good restriction.


FIFY

  Point to me where the constitution says anything about a right to have prescription drugs whenever you want?

You have it backwards.

Point to me where the Constitution allows the government to ban drugs.

  Gee. That inconvienent part about the heneral health and welfare.

I dont see any constitutional scholars trying to repeal these drug regulations.

The only place where this contraversy about resecheduling hydrocodone is right here.


One day I'm going to sit down and go through every bill proposed and passed in the first, say, 10 years of the United States of America, and compile a list of the kinds of things they passed and proposed.   Curious to see how many bills they passed would have been rejected by the modern super-strict Constitutionalists.
Link Posted: 8/22/2014 12:28:34 PM EDT
[#28]
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Quoted:

  Gee. That inconvienent part about the general health and welfare.

I dont see any constitutional scholars trying to repeal these drug regulations.

The only place where there is this contraversy about resecheduling hydrocodone is right here.
 
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HydrocodoneFirearms,Ammo,Knives, can be abused.

Good restriction.


FIFY

  Point to me where the constitution says anything about a right to have prescription drugs whenever you want?

You have it backwards.

Point to me where the Constitution allows the government to ban drugs.

  Gee. That inconvienent part about the general health and welfare.

I dont see any constitutional scholars trying to repeal these drug regulations.

The only place where there is this contraversy about resecheduling hydrocodone is right here.
 


The constitution doesn't mention health anywhere.

And "general welfare" is the single most abused two words in the constitution.

If the founders had wanted healthcare regulated by the federal government they would have added healthcare to the list of duties the federal government does.
Link Posted: 8/22/2014 12:36:27 PM EDT
[#29]
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Interdasting.

I had brain, skull, and spine surgery about 3 weeks ago ( August 4th) and when I was discharged from the hospital the surgeon gave me a scrip for 40 Hydrocodone and 40 Flexeril ( muscle relaxer due to the fact that they cut through all of my neck muscles), and when I had my 1 week post-op check-up his PA said if I need a refill on my meds that I should call them. Well, I ran out of the Hydrocodon and was still having pretty bad pain in the evenings, so I called and asked for a few more pain meds. They said no problem, your likely to have  neck pain for up to 5 weeks just from the neck muscles trying to heal while still holding my head up all day..


I figured they would refill for 10 or so of something other than hydrocodone since I was already well into recovery.

The refilled the whole 40 Hydrocodone. I was stunned. I was taking one in the evening when my neck hurt so I could sleep instead of the two every 4-6 hours. During the day a couple of ibuprofen keeps everything quiet. I think I have taken 2 out of that 40 in the last week.

No wonder folks get hooked on that shit.

When I had my ACL done, they gave me like 2 days worth and then something different.
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Hydrocodone can be abused.

Good restriction.

Interdasting.

I had brain, skull, and spine surgery about 3 weeks ago ( August 4th) and when I was discharged from the hospital the surgeon gave me a scrip for 40 Hydrocodone and 40 Flexeril ( muscle relaxer due to the fact that they cut through all of my neck muscles), and when I had my 1 week post-op check-up his PA said if I need a refill on my meds that I should call them. Well, I ran out of the Hydrocodon and was still having pretty bad pain in the evenings, so I called and asked for a few more pain meds. They said no problem, your likely to have  neck pain for up to 5 weeks just from the neck muscles trying to heal while still holding my head up all day..


I figured they would refill for 10 or so of something other than hydrocodone since I was already well into recovery.

The refilled the whole 40 Hydrocodone. I was stunned. I was taking one in the evening when my neck hurt so I could sleep instead of the two every 4-6 hours. During the day a couple of ibuprofen keeps everything quiet. I think I have taken 2 out of that 40 in the last week.

No wonder folks get hooked on that shit.

When I had my ACL done, they gave me like 2 days worth and then something different.


With the type of surgery you had (and I'm familiar with since I refer patients for it), it's not unreasonable for you to take 2 tabs 4 times a day for 5 days (40 tabs).  Or start with 2 tabs 4 times daily and then begin tapering to 3 times a day for a couple of days, etc.  Can someone get a "taste" for it after 40 tabs?  Absolutely.  But at that point it is mostly psychological and little physical dependance.  Some people heal slower and may require more so it is difficult to make a one-size-fits-all tapering schedule.  The patient who is out buying street hydrocodone and then heroin after 40 tablets is doing so of their own free will.  They can stop at that point but choose a different path.

Link Posted: 8/22/2014 12:37:02 PM EDT
[#30]
Link Posted: 8/22/2014 4:17:09 PM EDT
[#31]
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Like we have any control over the FDA?

Please tell me more about how this is all my fault.  
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I like how all the Docs in this thread are calling out all the "junkies", but completely ignoring their institutional complacency in this mess.


It takes two to tango Doc.  


Like we have any control over the FDA?

Please tell me more about how this is all my fault.  


"Pain is the 5th vital sign!" If you don't take someone's word and treat pain aggressively, you are a bad guy.
"Don't you dare prescribe what we deem are too strong or too many narcotics." If you don't aggressively limit your narcotic distribution, you're a bad guy.

Posted Via AR15.Com Mobile
Link Posted: 8/22/2014 4:30:17 PM EDT
[#32]


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The constitution doesn't mention health anywhere.





And "general welfare" is the single most abused two words in the constitution.





If the founders had wanted healthcare regulated by the federal government they would have added healthcare to the list of duties the federal government does.
View Quote





 

You had a time machine and asked them?







AR15.com is the only place I've ever been where the unanimous opinion is that meth, heroine, and everything else should be legal to purchase off a super market shelf.







It's a good damn thing most people aren't all super libertarian like that as a majority in this country.




And you have a bunch of people who've spent decades in school learning medicine, all telling you, what a bunch of idiots you are.

 
Link Posted: 8/22/2014 4:37:32 PM EDT
[#33]
I really hope they ban alcohol!
Link Posted: 8/22/2014 4:54:43 PM EDT
[#34]
Discussion ForumsJump to Quoted PostQuote History
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This is a move for revenue generation for doctors.  Having to visit the office for another script rather than a refill, is a low-cost service with higher margins with medicare, medicaid, and other insurance.

That is all it is.
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Lol.   Want to come help run my office?  You seem to know something I don't.
Link Posted: 8/22/2014 5:12:22 PM EDT
[#35]
Tylenol with Codiene #3 and #4 are about to go through the roof.

But that's just my guess.

As a Pharmacist all I can say is that I'm glad I don't work retail full time anymore.
Link Posted: 8/22/2014 5:17:41 PM EDT
[#36]
Discussion ForumsJump to Quoted PostQuote History
Quoted:

  You had a time machine and asked them?

AR15.com is the only place I've ever been where the unanimous opinion is that meth, heroine, and everything else should be legal to purchase off a super market shelf.

It's a good damn thing most people aren't all super libertarian like that as a majority in this country.

And you have a bunch of people who've spent decades in school learning medicine, all telling you, what a bunch of idiots you are.
 
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The constitution doesn't mention health anywhere.

And "general welfare" is the single most abused two words in the constitution.

If the founders had wanted healthcare regulated by the federal government they would have added healthcare to the list of duties the federal government does.

  You had a time machine and asked them?

AR15.com is the only place I've ever been where the unanimous opinion is that meth, heroine, and everything else should be legal to purchase off a super market shelf.

It's a good damn thing most people aren't all super libertarian like that as a majority in this country.

And you have a bunch of people who've spent decades in school learning medicine, all telling you, what a bunch of idiots you are.
 

I'm fairly certain that the founding fathers did not want a powerful central government that was able to tell you what to buy and what plants to avoid or be put in prison.
Link Posted: 8/22/2014 5:30:26 PM EDT
[#37]
Link Posted: 8/22/2014 5:32:53 PM EDT
[#38]
Link Posted: 8/22/2014 5:43:14 PM EDT
[#39]
Link Posted: 8/22/2014 5:49:57 PM EDT
[#40]
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It's your fault they're addicted, doc.  You're the guy who put them on the stuff.

You should have used your DNA-Reading Super Power (TM) to look deeply into their base pairs, and see that they were genetically primed for addiction, and unable to control themselves.   In fact, I think you should be sued for failing to recognize that the patient was drug-seeking... You either knew or should have known (don't  laugh... I had a colleague who was sued by a drug seeker, and the seeker's lawyer said exactly that)

Yep.  All our fault.
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Quoted:
Quoted:

"Pain is the 5th vital sign!" If you don't take someone's word and treat pain aggressively, you are a bad guy.
"Don't you dare prescribe what we deem are too strong or too many narcotics." If you don't aggressively limit your narcotic distribution, you're a bad guy.

Posted Via AR15.Com Mobile


It's your fault they're addicted, doc.  You're the guy who put them on the stuff.

You should have used your DNA-Reading Super Power (TM) to look deeply into their base pairs, and see that they were genetically primed for addiction, and unable to control themselves.   In fact, I think you should be sued for failing to recognize that the patient was drug-seeking... You either knew or should have known (don't  laugh... I had a colleague who was sued by a drug seeker, and the seeker's lawyer said exactly that)

Yep.  All our fault.


Oh I've seen a few Docs build a business of regulars.......Went right ahead and started writing scripts for the good stuff, and adjust needlessly for tolerance.

Don't take it personally.  It happens.  Docs happily peddling a sheet of paper.  Ding the insurance company or medicare for a cut every month.  Pain Management clinics wouldn't exist outside of major metropolitan areas otherwise.
Link Posted: 8/22/2014 5:50:55 PM EDT
[#41]


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I know, right?  Meth and opiate abuse would be at epidemic levels!
View Quote







Oh, wait...
 





 

I fail to see how making them unrestricted would fix all this.....

 
Link Posted: 8/22/2014 5:53:08 PM EDT
[#42]
I have had 2 major surgeries in as many years. Got oxycodone or hydrocodone prescribed for post-op pain. Yeah,  it takes the edge off but the side effects aren't worth it. Your body's systems lock up and there is itching and hallucinations. It took 3 days after stopping the oxy to shit again. It was like a concrete pine cone. I don't see how anyone could abuse that stuff.
So glad the gov is there to protect people from themselves.
Link Posted: 8/22/2014 5:56:30 PM EDT
[#43]
Legalize adderall and oxycontin. ARF-party, yo.
Link Posted: 8/22/2014 7:01:04 PM EDT
[#44]
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I always thought anything that is - wholly or in part - an opiate/opiod was schedule II.

And ofcourse, pot is still schedule I.

War on Drugs, fuck yeah
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Dronabinol is schedule III if it makes you feel better?  
Link Posted: 8/22/2014 7:04:03 PM EDT
[#45]
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I ran a poll one time and roughly 65% of arfKom responded that they took prescription opiates legally.

This ruling will affect a significant portion of this site.  You know you just won't be able to waltz into the apothecary and ask your druggist to call up Dr. Jones to refill your Norco.

You will have to go down and wait in line to get a new handwritten copy every time.

If your doc is cool with it (hint, he won't be now that this is a Deuce) he would be able to write you three separate rxs totaling a 90 day supply.
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Hmmm they filled 90 for me but it was oxycodone 10s.

Link Posted: 8/22/2014 7:04:03 PM EDT
[#46]
Discussion ForumsJump to Quoted PostQuote History
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It's your fault they're addicted, doc.  You're the guy who put them on the stuff.

You should have used your DNA-Reading Super Power (TM) to look deeply into their base pairs, and see that they were genetically primed for addiction, and unable to control themselves.   In fact, I think you should be sued for failing to recognize that the patient was drug-seeking... You either knew or should have known (don't  laugh... I had a colleague who was sued by a drug seeker, and the seeker's lawyer said exactly that)

Yep.  All our fault.
View Quote View All Quotes
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Discussion ForumsJump to Quoted PostQuote History
Quoted:
Quoted:

"Pain is the 5th vital sign!" If you don't take someone's word and treat pain aggressively, you are a bad guy.
"Don't you dare prescribe what we deem are too strong or too many narcotics." If you don't aggressively limit your narcotic distribution, you're a bad guy.

Posted Via AR15.Com Mobile


It's your fault they're addicted, doc.  You're the guy who put them on the stuff.

You should have used your DNA-Reading Super Power (TM) to look deeply into their base pairs, and see that they were genetically primed for addiction, and unable to control themselves.   In fact, I think you should be sued for failing to recognize that the patient was drug-seeking... You either knew or should have known (don't  laugh... I had a colleague who was sued by a drug seeker, and the seeker's lawyer said exactly that)

Yep.  All our fault.


Why did I decide to go into this field again?
Link Posted: 8/22/2014 7:32:47 PM EDT
[#47]

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Tramadol works very well and is longer lasting than most narcotics



I prefer it for most pain.



I tried to get it for my first MRSA attack last year, but they insisted on monster Vicodin.
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You know that if one pays attention, things begin to fall into place.



8/18/14, Tramadol was just made a federally scheduled drug.  It was previously a legend drug except in some states.





So annoyed by the tramadol thing. It was so easy to get before and did wonders for my back pain. I don't know one person who's ever abused tramadol, which makes it even more annoying.




Exactly.  I've only rarely had a patient show any signs that were suggestive of drug-seeking behavior with tramadol.  It's more feel-good restrictions that accomplish nothing.

I've asked a doc for that script a few times. They always seem surprised, I guess people usually want hydro or something of that nature.



Funny enough Tramadol actually completely kills my knee pain. Opiates never did. When it got scheduled I was a bit upset.







Tramadol works very well and is longer lasting than most narcotics



I prefer it for most pain.



I tried to get it for my first MRSA attack last year, but they insisted on monster Vicodin.


I prefer it for daytime use. I can take a tramadol and still have my mind and run the tractor all day without my knees and back giving out on me, but if I take enough Hydrocodone to deal with the pain I don't accomplish a thing. It feels like moving in molasses all day.



 
Link Posted: 8/22/2014 7:36:49 PM EDT
[#48]
Discussion ForumsJump to Quoted PostQuote History
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I have had 2 major surgeries in as many years. Got oxycodone or hydrocodone prescribed for post-op pain. Yeah,  it takes the edge off but the side effects aren't worth it. Your body's systems lock up and there is itching and hallucinations. It took 3 days after stopping the oxy to shit again. It was like a concrete pine cone. I don't see how anyone could abuse that stuff.
So glad the gov is there to protect people from themselves.
View Quote


The answer you're looking for is lots of colace.
Link Posted: 8/22/2014 7:47:25 PM EDT
[#49]
Link Posted: 8/22/2014 7:49:36 PM EDT
[#50]
Saw somebody's wife complaining about having to go to the doctor's office to get a script for her Husband's Adderall every month.
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