Pain and medication

[alxvog]

I was wondering, I have a primary care physician and a pain management specialist. Right before I got my visit for my pain management my PCP wrote me a prescription for hydrocodone APAP 10 500 with 5 refills. My pain specialist originally told me to just take what I had left from my PCP but take 2 at time if it helps. So i did so, couple days passed and I realized by me doing that i was going to run out sooner and insurance wont cover an early refill, so I called my pain specialist and he gave me a script for oxycodone 15 mg Q 120. Ok i thought this is fine. Now that means a total of 4 a day and sometimes I have to take a half or 5 a day again making me run out 1-5 days before the new script can be written. I asked the doc to wright me a script early but to put a date on it when it can get refilled because I was leaving town. He put it on the exact day the 30 days were up. And im going to be 4 days short. He was already upset that I was taking half or one extra a day so I said I would compensate by taking only 3 one day which I lied because he seems upset. So would I get in trouble if I went to my regular pharmacist and had them fill my hydrocodone Q 90 and only use what is needed then go to a different pharmacy and give them the oxy script and put away the hydros. What ramifications could this have? Otherwise I am going to have to buy on the black market. I have a disk perfusion and fluid missing between L4 and L5. I’ve been on pain medications for 5 years. So not only would my pain come back full force but I would have withdrawals.

[Ike2]

I am a Pain management anesthesiologist (MD) and came on to this site while looking for a Florida law siute against a pharmacy that was settled for about $50 million.
I I am really impressed by most of you who are giving very good, sound advise on the ethics of apin management.
As the office manager said in a previous comment, we can check on the PDMP and see what controlled substance prescription was filled and written by which doctor and the dates etc. So it is not worth your while trying to cheat the doctors.
Every 19 minutes some body is dying in the US from prescription medication over dose. All of you
think that it is not going to happen to you!
Take care.
Dr.

[bamabred]

In florida anyway-filling ANY c/s script is on ALL SCRIPTS every dr.has it and use it,please i know this for a fact..  DANNY    Would advise not to do it,cash or not its recorded,be careful..............

[wendalynn1]

As a PMP office manager, I can tell you that by filling ANY narcotic that is not written by your pain management DR after you sign a contract is against the rules and you are subject to discharge. We pull the PDMP for every patient and if there are any prescriptions filled from other dr's then we do an automatic dc.

[pikachu124]

i am new and wondering if i might have a problem after my hardware removal surgery this wednesday,my pcp gave me a 30 day supply of ultram on june 11 and my doctor knows i am having surgery,and my surgeon knows i am taking the ultram as well,but when the surgeon prescribes me percocet for my pain i am worried the pharmacy will give me a hard time because of the remaining 2 weeks of ultram. and there is know way in hell that will control my post op pain,last year i had the same surgery and it hurt!should i have my surgeon or doctor wite the pharmacy like a note because of all the new laws and stuff?

[sandee1818]

Hi,
  I was not aware of this until recently but I heard a new patient outside my PMP discussing the fact that they would not accept him because he had a drug record. I do not know how this fits into the HIPPA laws but I believe Tuckamore would know. She is another community leader here.
As far as the Doctor not being able to write you narcotics because you have been red flagged, this is true.
You may want to ask him if he would be able to monitor you closely to build up trust. There is hope. Many have had problems such as getting medications from two different Doctor's and have been caught.
If he is not willing to ask him if he could refer you to someone who would.
Now I would like to address the issue of trading or selling medications. As you know his makes it so hard on those who need pain management.
I assume the trip to jail was a learned lesson so i will leave it.
I hope you do find some help:)

[RHbitz]

Hope you guys can help,somewhat complicated. My MD says I have been red flagged for years. He sent me to pain management in 2004, I had to guit going due to the fact I went to jail ( trafficking ) not my pain management meds but meds from a surgeon that PM was aware of me optaining. I don,t know if they know bout this or not( my charge)  I didn,t really sell them anyway! This girl that worked at very reptable place where I live had been doing my hair for years and somtimes I would give her some or she would knock off some of the bill. She wore a wire on me to keep herself out of trouble. Now back to the future, my back has gotten alot worse in the past few years, had a really bad MRI 2 weeks ago. MD still won;t give me anything except ultram 2, 3times aday. He said I needed to be monitered and due to my liver problems put back on OC or Fenytl patch. that was what I was on before ( 100 mgs ) and 20,s. I,m concerned that since he referred me that they will know what all has been going on in the past few years! Even though MD said I did need somthing but he couldn,t write it. what do you guys think!!!