... done). I take oxycontine 80mg 2xs a day and oxycodone 6xs a day. I have been on this medication for 8 yrs. My pcp is willing but fears it may cause him problems. I have done some research and have concluded that his fears are unfounded. ... can he and am I right? I live in n.j.
Can my primary care doctor treat me for my pain management. my pain is intractable (nothing can be?
Question posted by eddielloyd123 on 17 July 2014
Last updated on 13 May 2018 by Drtabby4
9 Answers
No it is not unfounded at all. They are closing up primary doctors left and right. You should not put pressure on your Dr just because you don’t want to go to a pain doctor. Go to the pain doctor and see your pcp as needed. Wait about 10 years when you have been booted from just about every dr near to you for reasons that are wrong or unfounded. That’s when you pleade to your primary care dr.
I live in AZ. Can my doctor prescribe me oxycodone pills& how many?; because I have severe DVTS I have had several surges they cut my main artery & nerves in both legs removing a blood clots. I have been on oxycodone for 8yrs. I have been reduced from 120 to 90 a month. Can he prescribe pain pills ; and what quantity... & on a monthly basis due to my injuries. I will have pain for the rest of my life... Again what is the law in AZ for this drug.. Thank you..
yes
My PCP has been treating my back pain going on 6 years now. The problem is she won't prescibe long acting pain meds because she doesn't want to have to monitor the meds. I will consult with a PM doc on Dec 3 and have dealt with her in the past. From everything I've read I guess I'm lucky so far. Maybe going to see this PM better prepared will help, although I have my doubts. I mean heck she just wants to give steroids and that's it. It took a big undertaking to get my PCP this far. I realize this isn't a direct answer as I'm looking for answers myself. I live in Iowa and we just had a pain doc go through hell due to the death of a rock star who OD'd and was a patient of his. I don't think it's fair that those of us have to suffer because of actions of a few. Then you add the DEA on top all this. All I can say is be very well prepared. Have every document, MRI, x-ray, all treatments with you and provide them a copy and that's not a guarantee. Hope the best for you.
Yes, he can. But he probably won't. He'll refer you to Pain Mgmt.
I do not know whether this varies from drug to drug, state to state, from Dr. to Dr., or how it works. But my GP has prescribed my Norcos for quite sometime even though I do see a pain mngmt doctor.
And your pain management dr is ok with this? Norco is not a schedule 2 drug, they have the hots out for oxycontin particularly and any schedule 2 drug in general.
And this is federal law we're talking about.
I see, well my PM and my GP are at the same hosp. And i've been going to them for a long long time. That may play a part as well. Good info to know though.
geez, I signed a contract with my pain dr and one clause is that I will not take any narcotics ordered by another dr.
yep, I have the same. My contract states I am not allowed to get any opioids from any Dr other than my pain Dr and if I have an emergency or have to have surgery, he has to be notified before anyone else can treat my pain. Dont assume that since they work at the same hospital, they know what each other is doing. If you are in pain management and you are getting narcotics from another Dr and your pain doc finds out about it, he CAN discharge you from his practice so you do need to let him know and make sure this is okay with him before you get into trouble and lose your pain physician.
This is so true of the contract with a pain mngmnt. I had surgery and the surgeon gave me a script of more oxy and my reg pain Dr was upset about it and started questioning me on everything, needed the surgeons name etc.
Norco as of last year is a schedule II drug.
My doctor primary care has been giving me Percocet 5 milligrams 4 times a day for many years for severe back and knee pain now all of a sudden she doesn't want to treat me I went to pain management after trying many other medications and they you feel with my condition and the amount of meds I need she should continue to treat me but she is refusing what can I do
How long does your dr. Says no longer prescription meds.
30 days. Still not in pain management
Yes he can if he opts to. Not sure where you researched, his fears are valid. DEA can't control the abuse so they're intimidating Doctors who write scripts for highly abused meds like these. So, yes he can, and no, your'e wrong about his concerns. Hope this helps.
Your PCP needs to refer you to a pain management Dr as the DEA doesn't allow primary to give out a controlled substance scripts and your Dr could lose his license.
Actually any dr with a DEA number can prescribe narcotics. Whether they should or not is the question. Its not too safe for them to do it.
Ditto.
Thanks to both carma and pamee for your response. my pcp had treated me for my pain for several months as I was inbetween finding pain management. My pain management doc has terrible communication skills and although I am still seeing him I don't want to. Its tough here in n.j. to find good dr. It has taken me several years to find the right combination of meds that allow me to function and work and my new doc for the last 6 months wants to and has changed my regimine of meds . I still receive whats in my post but he eliminated 1 oxycodone a day and has replaced it with the taking of clonazepam 3 xs a day. I did what he instructed and feel like a zombie. 8 yrs ago I lost my primary arm in a car accident as well I injured several other areas of my nervous system. my body wont get better as a fact . I just thought I would give a little history. if n e one can recommend a good pain doctor that does not want to reinvent the wheel (lol) please do so. I am in central n.j. and of course would keep all confidential. t.y.
True, I just didn't want to go into long detail as most primary's will not do it, because as you said too many hoops. However, here where I live in CA the primary is only allowed to write scripts for hydrocodone and nothing stronger and that's only done short term then they must send the patient to pain mngmnt.
That may be california law, but its not the DEA causing it. Frankly I'm surprised at California, since they were the first ok medical marijuana.
Doc was visited by the DEA, in person. Badges and everything.
I know not the DEA, but they sure the heck meet the regular primarys and scare the heck out of them. Your right about CA being the first on mj, but now a bunch of jerks in office that has closed down so many dispensary's. I am a believer in medicinal mj and considering going to Washington state as they will no longer allow me to grow here.
Not true dea allows dr to give to chronic pain people narcotics if the dr just stops giving or don't feel comfortable it has nothing to do with the dea they just want these hard meds going to legitimate people who suffer in pain
My PCP prescribes pain meds. Any MD can. Many will no longer, however
My PCP prescribes pain meds. Any MD can. Many will no longer, however
His fears are anything but unfounded. There are multiple hoops he'd have to jump thru to protect himself. Generally its better to use a pain dr because they know and are set up for all the hoops. Many drs have lost their licenses because they forgot a hoop. Several have gone to jail and lost all their assets, because they were arrested as pushers. They did 25 yrs in jail. As long as society and government think its ok to treat chronic pain patients as drug addicts, and our drs as pushers, we have a battle.
You might want to read this, and there are many more like it. washingtonpost.com/local/woodbridge-doctor-samad-oraee-arrested-in-prince-william-narcotics-investigation/2014/07/16/3f2f8572-0d1f-11e4-8341-b8072b1e7348_story.html
It will draw attention to his practice and he could get into trouble. There is nothing that says he will get into trouble but it could bring trouble his way and if he is not following the national guidelines, they can make life miserable for him and it is enough just to be investigated to ruin his career. He doesnt even have to be convicted, just an investigation is enough to ruin a Drs future. It is very sad the way pain patients and the Drs who treat them have been treated like criminals in this country. Unfortunately, with pain patients and their Drs, you are guilty until proved innocent!!
Related topics
pain, oxycodone, fear, doctor, medication, pain management, management
Further information
- Oxycodone uses and safety info
- Oxycodone prescribing info & package insert (for Health Professionals)
- Side effects of Oxycodone (detailed)
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