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Re: Pain killersFrom: jennifer (anonymous@obgyn.net)Tue Jul 4 01:59:45 2006
At Mon, 3 Jul 2006, Jessica wrote: > >This is intresting because I started a new insurance plan about a year >ago and had to start seeing a new Obgyn and Gp. My knew OBGYN who >specialises in endo and pelvic pain said since there was no big P on my >belly there was no way of telling where the pain was and if it was >really there. You would think somsone who in there Biography states he >specialises in Pelvic pain would be more empathetic. >After finding a Dr. for my endo I then sought out a new Gp for my >Constant joint pain. He told me it was probably due to my endo(I >learned later it is FMS.) He said he woudl write for a few months so I >could gte all my ducks in a row. He started writing 60percocet a month, >then 30 percodan every 2 weeks as needed. he does not like me taking >them during the day so I try my best to take one or two only at night. I >called for a refill today and he himself called my back and explained >that he did not want me taking them everyday, I agree because I know >what its like to have physical withdrawls from narcotics(The pain clinic >had me on methadone for my endo pain when I was 18 and didnt ween me off >just cut me off) MY Dr. said he would be more comfortable writing a 5 >day supply once a month for my cycles. I told him that was a good idea >and we cold even drop it down to vicoden if that would make him feel >better. He agreed but then wrote me 30 percodan again. I def think it >is getting tougher for Dr.s to write for patients without having >somekind of hardcore evidence that someone is in pain. My bottle of >percodan has always said take 1 every six hours as needed for Endo pain. >I will def be looking to see if this changes. Thanks for the heads up >ladies > >Ps. >to the woman who takes Darvocet. I think every Dr. has a diff way of >prescribing how meds should be takin, and your Dr is probably adjusting >it based on how soon it was from your last refill. I really dont think >your Dr. is worried about you getting hooked on Darvocet. 10 a month >of something that is barley stronger than tylenol isnt going to cause >trouble. If you think your Dr. has a certain opinon of you then you >need to ask him about this. I think telling him your concerned about >becoming dependentwill let him know you have your head on straight and >know what the risks are. > >-- >Jessica > >At Fri, 30 Jun 2006, Anonymous wrote: >> >>Thank you so much. I was really worried that he thought I had become a >>druggie or something. I was wondering about the labeling change. It >>being in caps jumped at me and I thought I was being paranoid or >>something. They also had a prescription pad changed in my state too. >>All physicians are required to order their pads through the state. This >>changed in June, so maybe everything is part of that. I'll talk with >>him when I see him again and make sure it is ok to take two when needed. >>I am sure it is. He has told me at other times (because I didn't want >>to take the pain meds) to take them because I needed them. So I was >>kind of surprised by the labeling that the nurse called in. >> >>Jocee thanks for your kind words too. You are an inspiration to me. >> >>Yes I think it stinks how govt agencies tell drs how to practice >>medicine! >> >>At Fri, 30 Jun 2006, anonymous wrote: >>> >>>The new FDA regulations require that all pain narcotics be tracked, >>>primarily because of doctor hoppers. My Dad takes pain killers fora >>>back injury. Wal-Greens refused to fill his meds because the bottle >>>said mild to severe pain, which would only warrant a three month supply. >>>He has been on them since an injury in 2002. His doctor had to revamp >>>the labeling to SEVERE PAIN to justify doling out an extended >>>prescription, instead of Daddy having to call every month the way you >>>are having to do. As it is, Wal-Greens still calls to verify each >>>month, but Daddy does not have to deal with as much aggravation. Your >>>doctor has to justify keeping you on an addictive drug, that why the >>>labeling change. Mine put one pill every four hours, but verbally told >>>me to take two. That way a one month supply, when doubled up, took care >>>of the two weeks of pain, but it did not throw up red flags at the >>>pharmacy anymore. Isn't it sad that our physicians who know us and our >>>medical history are being questioned in such a manner by the little >>>pharmacy peons? >>>At Fri, 30 Jun 2006, Anonymous wrote: >>>> >>>>I have been on Darvocet since January for mid cycle and period pain. The >>>>first month I was given 16 by the ER. Told to take 1-2 tablets every >>>>4-6 hours for pain. Then in March, I called my dr and asked him to >>>>refill it. He did and he had on there 1-2 tablets every 3 hours for >>>>pain. He prescribed 10 pills. In April, I called again, he was out so >>>>the midwife refilled it (He has me call in once a month and sees me >>>>every three months right now) for 10 pills. Except she changed it to 1 >>>>tablet every 4-6 hours for pain. In mid May, I saw my dr. I told him >>>>that there wasn't enough pills to cover the midcycle and period pain. So >>>>he increased it to 15 pills for the month. The rx was 1 tablet every 4 >>>>hours for pain. I didn't call till yesterday, but I go off of the bcp >>>>and progesterone on Sat July 1st. Being that it is a holiday weekend >>>>and I don't want to be caught when it turns severe, I called and asked >>>>for the script. Pain started early this time this past monday and is >>>>moderate now. It has been 7 weeks since I called for a rx for it. The >>>>nurse took my info. Then she called me back late yesterday and said she >>>>had called in the RX. Well I go pick it up, and now it has changed >>>>again. Same number of pills - 15. But the instructions say take 1 pill >>>>every 4 hours for SEVERE PAIN. Before it was for pain, but now he has >>>>in capital letters severe pain. I was only taking it for severe pain >>>>anyway as I can't chase the kiddos and take it at the same time because >>>>it makes me sleepy. He kept the number of pills the same as in May. >>>> >>>>I don't think I am overtaking them. I mean I have had 61 pills in 6 >>>>months - averaging 10 pills a month. I was wondering if he meant >>>>something by that???? I only get them from him and have refused it for >>>>other things (torn tendon in knee from my pcp) I don't want him or the >>>>office to view me as some druggie. I don't want anyone to accuse me of >>>>dr shopping so I make sure my pcp and my obgyn know who has me on what >>>>and when. But the feeling I get when I call now is oh that druggie girl >>>>is calling me. I have not gotten that from him, just the nurses. >>>>Honestly, it takes the edge off of it but doesn't kill the pain. It >>>>allows me to not be doubled over in tears. He has refilled every time I >>>>have asked, but I wonder if he is taking it seriously. I also wonder if >>>>the next time I call he will be like nope no more for you. I don't want >>>>to end up in the ER. But I am worried that I will. Also, the package >>>>label says to use it for mild to moderate pain, but his instructions are >>>>for SEVERE PAIN. Yes just like that. I have used it to his >>>>instructions except the take one. Because I had previous scripts from >>>>him and the ER, I try to follow the 1-2 tablets every 4-6 hours because >>>>it is in the middle. If I take one and it doesn't help, then I follow >>>>it up with another. Then I wait 4-6 hours before the next. >>>> >>>>How do your drs do pain management? > My family doctor started writing my pain meds but when it started to become a chronic problem he sent me to a pain specialist. I see him once a month and based on how that one month went he will increase or decrease accordingly. At one point I was up to 140 Norco a month and some months went down as far as 30 and still had them left over. Its better to see a pain specialist #1 he regulates you pain meds and understands from speaking to your doctors why you need it. #2 Im moving quite far and have to find all new doctors and he said that he would write a letter saying that I do not abuse any medication given to me along with the records he has made. Pain meds have been my only source for me to live a somewhat normal life. Finding that pain specialist has been a god send for without him to prescibe my meds every month, I wouldnt know how to deal with that God awful pain all by myself. Good Luck to you all
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