Most PM doctors are following the CDC recommendation of not exceeding 120 mg of morphine equivalent dosing in treating chronic pain.
With the hysteria of overdoses and too many doctors overprescribing, they are cutting back on almost all patients.
It might be worth talking to your doctor about perhaps switching you to something else long acting, rather than the fentayl.
I don't think it's fair or right for any Dr to try and tell us what our pain levels are. The FDA and CDC are giving guidelines. That doesn't mean that every single patient should be on only a certain amount of mgs per day.
I would ask your Dr why she thinks you need to decrease your meds if they're working well for you. I would also ask her how it would benefit you to be in more pain which is going to effect your quality of life.
Hi, Good answer, Remar! Except that today, what with the political hysteria, a lot of docs are being threatened with having their licenses taken away, so they feel that they have no choice. I also am being cut off, and am going to new pain management practice, tomorrow. I hope they have some answers! Pls. pray for me; thx.
The Medical Insurance companies and Distributors are putting everyone into the same category regardless of the new law passed in July 2018, that states only acute care patients are to be limited in their pain medication. It was not suppose to affect chronic pain patients. It is definitely political as with President Trump's wife, First Lady Melania Trump leading the march, the democrats are trying to sway the older chronic pain patient voters away from the republican side, trying to place the blame for removing chronic pain patients off of pain medication as being the fault of the conservatives. This is working with some President Trump votes I personally have spoken to, who also have had their needed food stamps taken away even though they do qualify for both pain medications and food stamps. It is always political, it is always about the money. So many patients will either suffer with chronic pain, like myself included, having my pain medications reduced, with the goal of my pain doctor to remove me altogether, in the hopes of making me consent to very expensive invasive medical treatment under Medicare, that will ultimately cost the United States considerably more money than keeping patients caring for themselves, on pain medications. I have a medical background personally so know that patients will end up being in extended care facilities at ages up to decades sooner than they would be had they remained on their pain medications. The pain medications are the best treatment for the chronic pain sufferer because it allows us to continue with our activities of daily living to the best of our abilities. The newer generation of Pharmacist, Physicians, and those who have never had to deal with daily, debilitating pain have no idea of the daily, hourly, minute by minute pain we suffer day in and day out. The only concern the public seems to care about is the fact the pain medication actually makes us feel better! Because it has a mood elevator as a bonus, it must be cast aside because if others cannot use it for recreational purposes, then chronic pain patients must not need it either. However, it is ok for the person with insomnia to take Seraquel daily, the number one abused drug , by the way. So the DEA has a nice paycheck punishing the ones who desperately need to take pain medications, and the physicians who care for pain patients have all been made out to be criminals for doing what is in the bible of giving "strong drink" to those who suffer. Those who take and sell drugs illegally will continue. It is those who desperately need pain medications who will be left to die a slow agonizing, painful life, bedridden for the last many years of our lives to appease those who are ignorant to true pain sufferers. Pain medication was put on this earth by God to ease the suffering.
Pain medications do NOT contain mood stabilizers/mood elevators. Opiates work by filling certain receptors in the brain, which allow a patient to perceive less pain.
No one including the federal govt forced anyone off food stamps. Food stamps and Medicaid are managed by states, funded by Federal tax money. Criteria for those programs is set by state govts. People were receiving them who should not have been, were above the financial caps set by individual states, did not meet the requirements, that's why people dropped off the program.
As far as pain meds go, in almost EVERY state, seeing a pain management doctor is the recommended doctor to manage long term chronic pain patients.
Primary care doctors were a huge part of how patients were able to get away for years with doctor shopping, multiple prescribers, dentists, urgent cares and ERs ALL prescribing far too many opiates and benzos for things like ankle sprains, headaches, vague aches and pains, with no diagnosis, or further treatment. Writing prescriptions for 360 norco a month, with 5 refills for someone who said they sprained their ankle is what caused the problem we ALL face now.
I would stay away from using a primary doctor for treatment for chronic pain and find a pain management practice. People who use primary care doctors seem to find their doctors under more scrutiny, not just from the CDC, but pharmacists too and face problems trying to fill eventually.