Aa
NotDr shopping
i am prescibed 90 5mg percocet every 2 wks, i had teeth pulled and dentist gave me 10 viciodins now my primary acre dr has to take me off percocet...is this right
Well guess what! I have a friend who works at my pharmacy. I ask him about this. He said that they usually will fill a scrip from the dr or dentist because some pain meds are for different reasons. But he said that the ins-co sees it as a duplicate therapy. Which means that your ins co already has filled a pain med within the 30 days that works for pain. They usually will cover pain meds only every 30 days. So it seems like to me that the ins-co got this going. I sure hope this helps.
Bless
Bless
We were posting at the same time, lol.
Okay, so it's not a pain management doc, so that's not the problem.
The good thing is he is going to Rx you another script to taper. You may or may not be able to clear this up with the intervention of the dentist. If not, you'll have to find a new doctor.
Like I said, I would try to obtain your medical records, and in the very least, if there is documentation to the effect that you were drug seeking or doctor shopping, then you have the right to ask them to include a statement from your dentist, stating what procedure you had done, that you notified him of your Percocet script, and what he prescribed you for the dental pain post op. You could even ask that he include a copy of the Vicodin script to include in your medical record. You have that right.
It's really vital that you try to protect yourself from incorrect info making it into your medical record. It's one thing if your doc determines he's just not comfortable with the situation (which is his perogative), but to dismiss you, he will have to write you a letter, and a copy of that letter will go into your chart. If he accuses you of doc shopping/drug seeking in that letter, it can absolutely affect your ability to be properly treated in the future for your pain issues.
I would recommend posting in our pain management community here also. I think they also will give you some great input on top of the helpful answers you've gotten here. If you pot there, include a link to this thread also, so they can see this conversation before replying.
Sounds like a very unfortunate situation.
Okay, so it's not a pain management doc, so that's not the problem.
The good thing is he is going to Rx you another script to taper. You may or may not be able to clear this up with the intervention of the dentist. If not, you'll have to find a new doctor.
Like I said, I would try to obtain your medical records, and in the very least, if there is documentation to the effect that you were drug seeking or doctor shopping, then you have the right to ask them to include a statement from your dentist, stating what procedure you had done, that you notified him of your Percocet script, and what he prescribed you for the dental pain post op. You could even ask that he include a copy of the Vicodin script to include in your medical record. You have that right.
It's really vital that you try to protect yourself from incorrect info making it into your medical record. It's one thing if your doc determines he's just not comfortable with the situation (which is his perogative), but to dismiss you, he will have to write you a letter, and a copy of that letter will go into your chart. If he accuses you of doc shopping/drug seeking in that letter, it can absolutely affect your ability to be properly treated in the future for your pain issues.
I would recommend posting in our pain management community here also. I think they also will give you some great input on top of the helpful answers you've gotten here. If you pot there, include a link to this thread also, so they can see this conversation before replying.
Sounds like a very unfortunate situation.
Vickie's absolutely right that there is a big crackdown when it comes to scheduled meds, and it's unfortunate when someone who truly wasn't doing anything wrong gets caught up in that, but it's also necessary due to the extent of abuse and diversion.
I guess what you have to determine next, beyond the obvious having to deal with w/ds, is do you still need the Percocet or other pain medication for a chronic pain issue? If you do, then you have to figure out how to proceed.
It would be GREAT if you can get your doc to at least understand the situation and that you weren't doctor shopping. The thing I personally would want to ensure is that your medical record doesn't include notations to that effect, as that really wouldn't be fair and would follow you possibly to other situations. Especially if you need to seek out a new doc for pain management...if he has documented that you were drug seeking and doctor shopping, that's going to be an issue for you.
Remember that you have the right to your medical record. Usually most offices will require advanced notice, and many charge a fee. Regardless of how this pans out with your doc, I would secure a copy of your entire record.
Call your dentist Monday, explain what's going on and ask him to please contact the doc directly by phone. Let us know what he says. I would think the dentist would be happy to help you resolve this.
The only exception would be like I said, a pain mgmt contract, where you would be obligated to either notify them immediately if there was a reason you were Rx'ed another med, or if they have a strict policy in place about not being allowed narcotics from anyone else, and you signed an agreement to that effect. That may be a totally different situation, as those docs can be super strict about that, and you would kind of be between a rock and a hard place if you signed a contract and then didn't contact them about the Vicodin/
I guess what you have to determine next, beyond the obvious having to deal with w/ds, is do you still need the Percocet or other pain medication for a chronic pain issue? If you do, then you have to figure out how to proceed.
It would be GREAT if you can get your doc to at least understand the situation and that you weren't doctor shopping. The thing I personally would want to ensure is that your medical record doesn't include notations to that effect, as that really wouldn't be fair and would follow you possibly to other situations. Especially if you need to seek out a new doc for pain management...if he has documented that you were drug seeking and doctor shopping, that's going to be an issue for you.
Remember that you have the right to your medical record. Usually most offices will require advanced notice, and many charge a fee. Regardless of how this pans out with your doc, I would secure a copy of your entire record.
Call your dentist Monday, explain what's going on and ask him to please contact the doc directly by phone. Let us know what he says. I would think the dentist would be happy to help you resolve this.
The only exception would be like I said, a pain mgmt contract, where you would be obligated to either notify them immediately if there was a reason you were Rx'ed another med, or if they have a strict policy in place about not being allowed narcotics from anyone else, and you signed an agreement to that effect. That may be a totally different situation, as those docs can be super strict about that, and you would kind of be between a rock and a hard place if you signed a contract and then didn't contact them about the Vicodin/
dr not pain management dr but have had 2 MRI that show bulging disc and herinated disc ...pain shoots right to foot guess have to live with it
yes willdefinetly consult dr before getting any meds from anyone but him, i seriousely had no idea was such a big deal....didnt know a dentist prescribing meds was same as regular dr...its people who abuse system that hurt people who really need painmeds....and ill tell unever been in as much pain as that toothe ache
Im taking percocet for herinated disc in back and arthrtis in back, only 41 single dad of 2...yes my dr is going to give me one more script of 90 pills ill just have to ween myself off
I still don't think my point is understood however there are some understanding physicians left that have not let DEA totally dictate the care of their pts and I would advise to start looking as soon as possible, if in fact your Pcp has discharged you as a pt or is unwilling to rx your needed pain medication , however I would suggest that if the situation ever arises again ( needing additional/ different pain meds from another md/dentist) please notify your Pcp before filling. It is a pain ( no pun intended) however a necessary one. Hope you get relief soon. ; )
Ps VIC --- no worries ; )
Ps VIC --- no worries ; )
If you were Honest with the dentist and he knew about the other scrip. I sure would go and talk to the Dr and ask to be tapered off the meds. I am sure he can at least do this or send you to one who can. Maybe the ins-co had seen that you were on them for a long time too. Many Company's and Drs and Pharmacist are cracking down. Your ins co obviously sees something that you are not aware of. I sure wish you the best and you should be able to get a taper plan done.Wish you the best.
Additionally...technically, by definition, taking the Percocet for the dental issues, which I assume was something other than why it's prescribed would actually constitute abuse of the prescription, which I'm sure your doc wouldn't be happy about. It should make more sense to him to have the dentist handle the pain resulting from that. If you don't mind my asking, what condition are you Rx'ed the Percocet for?
Is your doctor a pain management doctor, where you have a contract that you cannot get pain meds from anyone else under any circumstances? In that case, you may be held to that contract, although I still disagree. A medical professional cannot direct a patient to take a narcotic Rx'ed by someone else, FOR something else in order to treat a condition they are overseeing.
I still think asking your dentist to contact the doctor may be your best bet. That way the DDS can verify that you were not withholding the info, and that the small supply of Vicodin was appropriate.
Really hope you get it worked out!
I still think asking your dentist to contact the doctor may be your best bet. That way the DDS can verify that you were not withholding the info, and that the small supply of Vicodin was appropriate.
Really hope you get it worked out!
and on the question why did i fill the vicidon?? im asking that to myself everyday...i was taking more of the percocets to try to help tooth so didnt want to run out of pain meds when tooth was in pain...i never had a tooth hurt so bad i couldnt even work for 2 days and face was swollen,...well im in a mess now cause im probably looked at as dr shopping hope to find an understanding dr
I showed my DR the copy of the form i filled out at dentist stating i am on percocet daily, i guess i should have contacted my DR first...i just dont want to withdraw rom pain meds, guess my DR office has no exception rule
I just wanted to chime in and say I am sorry but maybe you read NG wrong. I too was in the nursing field. We have many on here that are. To me she made a lot of since. Each Med is prescribed for different reasons. I know that the hydos or oxys worked better then the Methadone for certain pain I had. We just all care on here. I sure wish you the best. Hope you do get to the bottom of this.
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Bless
Nursiegirl I am a RN as well therefore I KNOW that Vicodin is not as strong as Percocet and YES a small amount of VIcodin would be appropriate for a dental procedure ; HOWEVER the point that I was attempting to make is that a quantity of 10 Vicodin I would think would hardly provide anymore relief than the presumably 6 Percocet the OP takes daily. Your tone in responding is somewhat condescending in its effect ... Just so you know.
Not the bill, the medical record where the dentist and his staff would have documented that they were aware of the medications you were on. I would ask the dentist to contact the doctor. That may be your best bet.
yes i showed my primary care DR the dental bill showing i had 3 teeth extracted, one tooth wa abyssed and dentist took he other two out also..was in sevree pain i dont understand
I guess my question to the OP is why would you even fill a rx for 10 Vicodin when you are prescribed 180 Percocet monthly? .
Because for something like dental work, the OP may not NEED a pain med that strong, Vicodin isn't as strong, plus, each med was prescribed for totally different reasons by totally different doctors, not to mention they are different meds. A PRN small supply of Vicodin after a painful dental procedure is something that would be appropriate. If it was the same exact med, I could see there being more of a question, but even still, the first script is Rx'ed for a totally seperate condition. A doctor cannot expect a patient to use their pain meds Rx'ed for something else to cover their dental work pain.
OP...if you told the dentist what you were already being rx'ed the Percocet, you shouldn't be in this position. I would recommend sitting down with your PCP with a copy of your medical record from the dentist that should show you were forthcoming about your Percocet script from the PCP. You didn't do anything wrong. I would also ask your dentist if he would contact your PCP to explain.
It's actually imappropriate for a provider to assume or direct a patient to take a narcotic Rx'ed by someone else for a condition THEY are treating you for.
Get your medical records and contact whomever you have to to get this fixed. I apologize if I missed this, but WHO exactly contacted your doctor? The insurance company? The pharmacy?
Hope you get this firgured out, I'm sorry you're going through this, it isn't right.
Because for something like dental work, the OP may not NEED a pain med that strong, Vicodin isn't as strong, plus, each med was prescribed for totally different reasons by totally different doctors, not to mention they are different meds. A PRN small supply of Vicodin after a painful dental procedure is something that would be appropriate. If it was the same exact med, I could see there being more of a question, but even still, the first script is Rx'ed for a totally seperate condition. A doctor cannot expect a patient to use their pain meds Rx'ed for something else to cover their dental work pain.
OP...if you told the dentist what you were already being rx'ed the Percocet, you shouldn't be in this position. I would recommend sitting down with your PCP with a copy of your medical record from the dentist that should show you were forthcoming about your Percocet script from the PCP. You didn't do anything wrong. I would also ask your dentist if he would contact your PCP to explain.
It's actually imappropriate for a provider to assume or direct a patient to take a narcotic Rx'ed by someone else for a condition THEY are treating you for.
Get your medical records and contact whomever you have to to get this fixed. I apologize if I missed this, but WHO exactly contacted your doctor? The insurance company? The pharmacy?
Hope you get this firgured out, I'm sorry you're going through this, it isn't right.
I guess my question to the OP is why would you even fill a rx for 10 Vicodin when you are prescribed 180 Percocet monthly?
COMMUNITY LEADER
How many do you take in a month? Did they red flag you or your Doctor?
Hi. I do know that a lot of ins co will only pay to have a pain scrip filled every 30 days. You have a right to know what is going on. I would call the ins co if they did the "Red Flag". What does the Dr say? Heck I used to get my Methadone and if I went to the dentist I still got the hydos. I also had surgery and took my Methadone with me. Of course they took it and gave it back. But the other Dr still prescribed me the perks after I left.This however was many years ago. Maybe OpenMind is right. I do know they are craking down because prescription pain med addiction is very out of control now. I wish you the best. Maybe take it as a sign to get off of these meds for good. Believe as a long time user and I still deal with some pain but not as bad, you will be better off with out them. The pain pills evidently do nothing for the pain and we have a natural pain receptor that will work better in the long run. The meds do alot to unbalancing the transmitter in the brain. Whatever you want to do I sure wish you the best.
Bless
Bless
I have herniated disc in back that shoots right down to my foot and arthritis of back, like i said didnt want to be on pills forever but it really helps pain...
yes i told dentist i was on percocet and used same pharmacy as always, but insurance co red flagged my DR....i had no idea was doing anything wrong ...i didnt want to be on percocet forever but to suddenly be taken off i dont know what to do...not like i can just go to another dr im sure its hard to find a dr to prescribe that many pain meds and he has been my dr for 8yrs....so be in pain and now withdrawing from meds
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