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Avatar universal

Unethical Doc and Withdrawls

I have 2 questions.

First, Is it "unethical" for my doctor to abruptly stop prescribing me opioids? I have been on Oxycontin 20mg 2 to 3 times a day and Percocet 7.5\325 as needed , usually 2 - 5 a day, for almost 2 years. For withdrawals he prescribed me Clonidine 0.1 mg 2 times a day for 5 days then 1 a day for 5 days. I have never abused my prescription always staying within my prescribed amount and I have only missed 1 follow up appointment. This abrupt stop came after an argument between me and my doc about him taking a week or more to get my refills done leaving me without medication for 4 or more days on the last two refill requests.

Second question.
What do I do about the withdrawals that I am experiencing? I have not slept more then a couple hours a night for a week, 7 full nights, I am very shaky, some sweating, large amount of nervousness, reduced appetite and I am really being affected at work since I can not concentrate and find myself being forgetful. Any advice would be greatly appreciated.
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Avatar universal
Ok I called my regular doc today after a bad bad night last night. He is prescribing me Klonopin. I do not know the dosage yet since I got a call late today and and they said I could pick it up tomorrow any time.

Is there a difference between Clonidine vs Klonopin? Will the Klonopin help more or is it trading oranges for tangerines?
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Avatar universal
I am still taking Clonidine. I think I switch to 1 a day instead of 2 today. Started taking it on the 25th so ... yes today I goto 1.

Last night when I finally went to bed I slept like a rock. Today I feel good. No anxiousness or sweating. Still having issues thinking but other then that all seems ok. I don't think I am through it yet but it is nice to feel rested and calm.
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Avatar universal
Again. I understand how you feel, however I don't think that the reason he cut you off is because of an argument.  Narcotics are not supposed to be used long term.  I do not agree with the idea that he kept stringing you around for a week, however, becuase he is a doctor, and you are the patient, many times we get jerked around a bit before taken seriously, if at all.  If you are on day 8 or 9 than you should be feeling much better very soon.  Are u still taking the clonodine?
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Avatar universal
iI posted on here last night that I would not flush my meds.. I like you never abuse and stay within or below what my dr. gives me. However, I have no clue when one day I may walk in and he does the same your dr. has done,, they an refuse to see you anymore legally,, however if he caused me any harm I would sue him.. That is why I dont flush and keep meds incase I need them to find another dr. This has been going on for over 8 years.. I am ready to stop pain meds and get a hip replacement. I am sick of the meds and how they make me feel. Its like I dont have a life anymore.. I want to get off now after reading all the post here more than ever.. You guys have really created a neat support group here and some of you have really gotten into meds bad.. I am watching celeb rehab now and all they are talking about is OC and abuse of this and that.. I really hope we can all find our life again.. I want mine back more than anything. When I read on here a 22 year old or 26 yo that has been on oc for years it makes me want to cry.. These meds are evil and cause nothing but harm in the long run..
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Avatar universal
you know, many doctor's prescribe narcotics only for the short term, because that's what they really are meant for from everything i've heard.

after a certain amount of time, their effectiveness wears off, and that's why people take more and more.. well, that's part of it anyway. part is also because most get addicted (like myself.) in fact, statistically, i think if taken daily, my doc said after a month, 98% of people do get addicted.

maybe your doc decided to change the way he was practicing in terms of prescribing narcotics.  like i said, alot of doc's won't prescribe them for very long..

good luck to you.
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Avatar universal
I think I am on day 8 or 9?..... I would have to disagree with you. When you try to get a doc to call you back for a week that is his problem.

As for drug seeking behavior, He has been treating me for about a year and a half. How would me getting the usual prescription be drug seeking?
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Avatar universal
I have to agree with Mizd.... The doctors can stop prescribing at any time if they see "addictive behavior" in their patients.  It also sounds like your doctor has a very busy office.  When the doctor said they have 120 calls a day they have to return, you told him that it was not your problem.  However, becuase you missed his call, is not his problem.  It is harsh, but it is the way the system works.  The doctor is looking out for himself and for you.  If he sees drug seeking behavior, he has merrit to cancel.  Whether or not you are in chronic pain.  It is unfortunate, but because many people do abuse the system, they ruin it for the people who indeed need meds in order to deal with chronic pain.  As for withdrawls, the most important thing is to control the blood pressure which he gave you clonidine for, and take lots of vitamins, drink h2o, and don't eat junk.  Sleep will come with time.  Many otc meds cause a reverse reaction during withdrawls and instead of calming and making you sleepy, often times cause nervousness, and jumpy sensations to where you want to thrash your arms and legs around. AKA restless legs/arms syndrome.  I am sorry that you have been cut off.  Have you thought about suboxene treatment? HOw long have you been on these meds? Which day are you on as far as withdrawls are concerned?
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Avatar universal
I SO understand what you have, and what you are going through. My husband suffers from psorasis, and developed the arthritis that can go along with it when he was about 22. It started in his ankles, and then his wrists, eventually his fingers were swollen and I couldn't even hold his hand. It took us a long time to figure out what was wrong with him. We started on Methotrexate, but after having to have blood work done every 30 days, he started to worry about the meds, and quit taking them. The pain returned promptly. My husband never used anything narcotic for the pain, but when I noticed that he was doing in a super-sized bottle of Motrin every couple weeks, I drug him back to the rheumy.
This time, we got put on Enbrel- which completely knocked out his pain, although did not help much with the skin. When we moved to a new family doctor about a year ago, he was very concerned about the Enbrel, (lymphoma risk) and put him back on Methotrexate. It works fairly well, but he still gets some breakthrough swelling/pain in his hands from time to time.
My girlfriends husband works for the arthritis foundation- a position he embarked on because their young son (now 14) had such a horrible case of psorasis and the arthritis that goes with it, that he became very involved in it all.
She told me that they finally got her son on Humera, which completely cleared both his skin and his pain when none of the other treatments had.
Perhaps you should look into this? When the methotrexate doesn't work well enough for my husband to tolerate the pain anymore, we are going to inquire about this one.
Good luck, and listen to the great advice you got here. Narcs are a bad path to start down, yes, they come from the opium poppy, as does heroin and morphine. The best thing you can do for yourself is find the best treatment for the root cause of your pain, such as trying Humera, and not have to treat the pain symptoms....
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Avatar universal
I dont think its unethical for him to stop prescribing narcs if he feels there is an issue. With the deaths of celebrities like Anna Nicole Smith and Heath Legerton the opiate issue has drawn alot of press. Docs are being charged for over or mis-prescribing, etc. I know right now you dont think so, but please try to think of it this way...your doctor could have saved your life or your freedom. Believe me I understand chronic pain. I had torn tendons and that is how I started using narcs. After my last surgery in December I was up to 10 or more 7.5 percs a day. (I started using vicodin 5 mgs, so you can see the progression)
After about 6 weeks post op, I went to the Dr for a check up, salivating for my new bottle of percs since I had been out from using them too quickly due to tolerance. When I asked for the percs he said "It would not be responsible for me as your surgeon to continue to give you these meds, it has been 6 weeks since surgery you need to use non narcotic meds for your sake". Boy oh boy was I MAD. I gave him this big speech about how much I hurt and how was I supposed to go without them, which I am sure in hindsight only confirmed to him that I was in danger. Now, 30 plus days off the pills I am THANKFUL to him for cutting me off. I know it sounds odd, but he did save me. I was on a fast track to no where. I found this board looking for home detox and after reading these posts, I realized that I was either going to have to spend the rest of my life chasing the pills illegally, possibly going to harder drugs due to tolerance (you realize heroin and percocet are not that far apart right?)
Hang in there and try to find a way not to take those pills would be my advice. My father has psorasis but not the arthritic kind, so I am not familiar with that, but there must be something that can help you. I wish you all the best. Please keep posting.
Peace.
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Avatar universal
I am taking .1mg two times a day.
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Avatar universal
I hope your day has flown by,.
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Avatar universal
depending on strength of tablet..., my dose was 3 times a day...i think it was .1 mgs ...i can look if you need me to?, i still have some left i never used...

and unfortunately,  whether you have legit pain or not, doctors have the power to leave you hanging for as long as they want for what ever reason they think is valid, it really isnt fair if legit chronic pain is involved and you dont abuse...but they have the power and it IS scary that they can have that much control over you and determine your amount of pain for you without taking YOU as an individual into consideration...
but they do it all the time...
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Avatar universal
memphis, thanks for the comments...

wait2long, I am taking it. Today it seems to be doing more than any other day.
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Avatar universal
are you taking the clonidine?  it really does help....
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Avatar universal
I just commented to you and not sure where it went so if this ends up as a double well...
Dr. are overloaded with patients now days. You feel like a number instead of a person. If your dr. has concerns I don't know why he just hasn't said something before just c/t you. It is so important to find a dr. that you can be honest with without feeling like if you tell him something isn't working or you are becoming tolerent that he will c/t you. From what I have read there is a big differnce in tolerence and addiction. Not that it doesn't lead to the other but tolerence is normal.I would find a new dr. remember dr. work for you so fire this one and move on,. there are good dr. out there. Iam not say find a cany dr. that just gives you what you want and looks the other way but one that has all your best interest in mind. You have health issues that need attention,. It is depressing to have pain that isn't validated. Again Iam not say this dr. is a jerk for not giving you meds. but you need a dr. that cares for your health not just the numbers on your refills. Isn't funny you get the refills from them and all of asudden your the bad guy.
I found a dr. that wants to help me. I didn't realize how bummed I had become until I left his office. He listened, validated my pain as not in my head, and has taken an aggresive approach to fixing me. I also like that he has suggested that I google my symptoms, concerns about my options and then make an appt. to see him and discuss everything. Most dr. don't want you to ask a lot of questions or google. If he doesn't know the answer to my questions He says Ill get back to ya.... and he does. Anyways, Iam rambling, Just find one that hasn't lost his pizzazz and love for caring for people.
good luck
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Avatar universal
Thanks for the comments all. I did not expect so many responses so soon. Here is the info on what got me on this road. I am not exactly sure of timelines so I am guesstimating.

VERY LONG. Grab some coffee and get comfy

I have had psoriasis since I was a kid and about 5 years ago I developed psoratic arthritis.  My Derm put me on enbrel about 3 years ago. It cleared my skin and did help my arth for about 6 months or so then the pain came back. I went to a rhumy and she put me on methotrexate along with the enbrel. Pain was a bit better but I still had trouble in the evening and morning so I went to my doc and he got me on low level pain killers.

I have a natural tolerance to opioids for some reason so we went through many different types of pain killers some were narcotic and some non narcotic but percocett ended up doing the trick. I was on 7.5\500. I quickly went from 2 a day to 4 a day so my doc referred me to a pain specialist.

The pain specialist did not like the amount of aspirin I was taking, with the other arth meds I have to get a livever enzyme test every 6 weeks, so he knocked it to 7.5\325 and aded 10mg of Oxy 2 times a day. I was scared of oxy because of all the bad press but to my surprise it didn't do jack so he bumped me to 20mg 2 times a day and percocet as needed. I get a script for 60 20mg Oxy and 60 7.5\325 every month. The percocet I take 2 - 5 times a day so there have been times when I request a refill early but never more than a few days. I would know I took 5 today so I can't take any tomrrrow so I didn't run myself out of meds and the oxy  was one in the morning one at night one sometimes mid day.

I had appointments every 3 months for a check in but other then that I just called into their refil like and I would get a call back in a day or 2 to come pick up my scripts.

Last month I called in on a friday so I thought it would be done monday. I ran out over the weekend and got no call monday. Tuesday no call so I called in left VM and no call back. I called wends and got a person and explained the situation and he promissed to get it written before the end of the day..... Thursday morning called in and was very upset. I was just short of yelling they said they would call right back and they did and I was all set to go.

next call in for refill......  I called in my script on Thursday. No call on friday. This time I called early because I learned my leason last time so monday rolls around. Tuesday out of pills still no call back. Wends I call the main office and insist I talk to the doc. Got his assistant said he would have the doc call me back. Wends night get a call from doc but unable to get to phone and he leaves VM saying he can refill the percocette but they want to try something new on the long term meds and to call the office in the morning.  Thurs call leave VM, Call again and told everone is at lunch. I call in the afternoon get ahold of the refill guy and I told him I need to get my script filled doc left me a VM. He said he dosen't have a script ready and will have the doc call me back. Friday still no call so I once again call the main office and insist I talk to someone. Got a nurse and told here what is going on and isisted they get this taken care of. She said that she would talk to the doc and get back to me and I said no. I have been jerked around for over a week. If you guys can't take care of me refer me to someone that can.... and so on. She said she understood and would have the doc call me back. Doc calls back about 15mins later and asks me about what I said to the nurse. I told him if he has to many patients he should refer some out. I am not getting taken care of. He says they return 120 or more calls a day to which I said not my problem hire a secratary...... we went on like this for a little bit then we got to the scripts. He says they want to try me on a non narcotic trimadol or something like that. I told him my other doc tried it and had no luck. He says that is all he can do and I ask what about the percocett. He tells me no he can not perscribe any more narcotics to me. I ask about the withdrawls and he says he will give me Clonidine and I should be fine.

I picked up the Clonidine try it for 2 days and it isn't doing **** so I call the office monday left a vm and..... of course no call back. I called all day until I got someone and was told that was all they could do for me.... An dhere I am now loosing my freakin mind. THANKS DOC!
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401095 tn?1351391770
Something in your conversation brought your addiction to his attention...No I dont think that was the right approach...just to cut you off completely....But tapering can be very difficult as well....Main thing is to get clean now...have you gotten the Thomas recipe off of the forum?  Exercise when you can...it helps tremendously...get you something to help u sleep as you need it to fight this battle....ask your doc about that...he may have no qualms with it...keep posting
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Avatar universal
You know, I have been unable to follow my scrip for quite a while in that I always take more than prescribed and run out too early, then have to call or go in and explain it.  It's a strange scenario where I really do have pain symptoms, but then again how much of it is actually caused by the drugs, and how do I know where I'm really at unless I get off them for a while?

If I can't handle my pain without narcotics, I'll take them again.  However, for right now I'm pushing through this until the w/d's are gone and I can tell what's real.  Was I imagining pain to take more meds?  Is the pain really bad enough to warrant narcotics?  Is there another treatment that will work?  How will I know this if I don't get off the vicodin?

The w/d symptoms won't kill me and judging from the great posts on this site, they will subside.  I'm trying to keep a positive attitude and resolve.  There are lots of people on here who suffered much more than me and they made it, so can I and so can you.  I don't think the issue is the doctor, it's the drug.
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Avatar universal
Well the good news is you are almost thru the physical part of withdrawl,but welcome to the mental portion.What you do not mention is why you needed the pills so pretty clear indicator that there is a problem.Not normal to yell at the doctor(not good refill ettiquette ha ha).So we can not really help you until you get honest an admit you have a problem and REALLY want to stop.Do you? People do not just stumble on an addiction forum ,so if you want support an advice and a place to vent while going thru this no med process this is the best place for ya .If you really want to stop in a few weeks you can begin a new life without needing those awful pills.Glad you found us Keep posting We care
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Avatar universal
My Dr. assistant called me an addict when I asked for my refill. I have just been taking what they perscribe and seeing a specialist to fix my problem that is causing me pain so I don't need pills. I know it makes you feel like a pill seeker when the throw it in your face. I would find another Dr. Iam. They could of told me they noticed a problem or had a concern instead of just calling me an addict. They filled my rx and gave me stronger pills so whos at fault. Good luck This is a great place to vent
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Avatar universal
try tylenol pm for the sleeping, its helped some on here. breating excersise will slow your heartrate and calm the nervousness. breath deep in thru your nose , hold 5 count, out thru your mouth, hold 5 count, back in thru nose. keep repeating, and you will notice a difference , or you should. seems leg cramps or rls will be a factor. they say eat lots of bananas for potassium which is depleted during your w/d's. also hot baths and heating pads seem to help some. again im just repeating what i have read, more people will be on today with tons more info.  best of luck with today...
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268911 tn?1213744781
Sundays are usually slow but please be patient...more people will begin to respond as the day goes on.  Unfortunately there is no easy fix here.  While I do believe it is unethical for your doc to just cut you off it is not illegal.  Docs are under such tigth regulations from the DEA that they are very nervous because us drug addicts are quite good at lying.  I know you said that you never abused your srcripts but people like me did and I am the reason doctors are nervous.  You might try visiting a Pain Mgmt doc but usually you have to be recommended by another doc to get a visit.

As for your sleep...try Melatonin...you can get this at any health food store or Wal-Mart.  What you are going through is quite normal...I have done this before...as a matter of fact today is day 5 for me and I'm right along with you.  Keep posting here.... just talking about it helps.
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Avatar universal
maybe get a new doctor? if you are following guide lines, he shouldnt drag his feet with your refills, but maybe he is noticing a problem your not aware of. the w/d symptoms seem right in line with everything i have read on this forum. others will help you with answers to your ?s. but i wanted to offer support and say welcome to the forum. its changed my life and it can do the same for you!!! much love
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