I'm new to this board, and have a few questions becuase I am afraid to ask my doctor. For the last year, I have been prescribed 240 7.5 percocets by my PCP. We've been either going up in mg dosage, or gone down. I have a narcotic contract with her, and give a urine test everytime I go to get my new script every month. About a month ago, we decided to increase the dosage to 10mg and to my suprise, they were making me very sick. I made an appoinment, and had to see a different doctor because she was on vacation. Thinking I was doing the right thing, I disposed the 10mg percs and thought nothing of it, since I was going to see this doctor and obtain a new script. Well, he yelled at me instead, and told me I should have brought them in for a pill count. My OWN doctor never has done this, so I was thrown off. I left, and was left to wd for about a week until my doctor came back from vacation. I had never been off the medication, and therefore got so sick, I had to resort to taking 1/3 of a suboxene, which unfortuantely my doctor saw in my urine when I went to see her. She told me this raised a red flag, because she had never prescribed the medication and that I would be doing pill counts every visit. She gave me a new script, and told me every visit we'd go down 5 pills to slowly ween off of them. Long story short, I took the medication for about 2 weeks then decided to stop. I disposed of them, and one night ended up going to the ER 3 times in one week for servere pain. All 3 ERs were different, and the scripts they wrote out were not enough, and filled each script at 3 different pharmacies. The third script, the pharmacists called CVS, and CVS told her about my 240 7.5 and that i was filled 2 weeks ago. She polietly gave me back my script from the ER and said I can't fill it, but you may take it elsewhere to get it filled. I am not addicted to thses meds, if anything I want to get off them but unfortunately I have such awful chronic pain, that I end up in the ER. BEcause i have a pain contract, is going to the ER considered doctor shopping? Also, will that pharmacist red flag me? Will my doctor get the reports to the ER for all those 3 times i went and cut me off? And will, CVS call my doctor to let them know the other pharmacy called them letting them know I tried filling a different script for the same medication? HELP!!
Question about narcotic contract?
26 Sep 2011
What does the narcotic contract with your doctor state? If it says that you can only get narcotics prescribed by her, then yes, the ER is considered doctor shopping. Sorry - especially when you went three times. Usually with a narcotic contract the ER doctor can treat you while you are in the ER while you are there under the ER doctor's care (though some contracts don't even allow that) but you cannot fill any prescriptions outside of the ER visit . Doctors in the U.S. have gotten very tough with prescribing narcotics - it is just too dangerous for them. They can be shut down, lose their license, lose their practice. I would look into finding a doctor to prescribe suboxone to help you get off this medication. I understand you feel you are not an addict, and believe me, I am not judging. Most likely though your body is dependent on this medication and you will go through withdrawal without it.
Suboxone, prescribed by a doctor along with a program to help you learn tools to deal without this medication might be the only answer. You can always try to go back to your doctor and see how things go - do everything they say and make sure you understand that contract perfectly. I wish you the best - it's tough dealing with pain all the time. I know. -
26 Sep 2011
First of all, welcome to the site. 2nd, don't feel you are all alone with you questions & delemma. Several people have had this happen to them. Unfortuneately with the new FDA rules about the pain management to keep drugs off the street, we that have chrontic pain are the ones suffering. I doubt myself that signing a contract or taking a pee test is going to stop street addiction here in the United States. If people can't get legitimate pills to get their highs, then they will go to chemically made ones which is more of a danger to themselves. Drug use has skyrocketed, & a lot of people on pain meds for chrontic pain are also on disability, & can hardley afford to live on the income they receive. Therefore they ask for more pills telling their doctors what they are taking just isn't cutting it.
Well, a lot of them have to sell them to survive! What a horrible situation to be in. With our economy in the state it is, I fear this only going to get worse than better.The federal govenment is broke, & also most states. Some states are cutting Medicaid that helps so many people with their prescriptions. It is a shame. Now getting off the bandstand, I agree with ElizaJane on everything she said. They are going to look at your record of going to 3 different ER's & think you are doctor shopping. I understand what you are saying. I had to change pain doctors last April because mine wouldn't change me from methadone to a regular opiate after it took me a year to lower the dose to make the jump, I was promised this would be ok, but by then the FDA had come up with their new ideas, & my old pain management doctor would not prescrie the 4 to 6 hour meds to anyone! I saw my primary care doc & begged him to start writing them for me again. He couldn't because they blood tested their patients on pain meds & 50% showed no evidence of the drug in their system, so became an office policy not to write pain scripts at all. He did stay on the phone until he found me a new pain management doctor that would write the proper script. Maybe this would be an avenue for you if you are unhappy with your current doctor. You have to be honest about all of it tho'. If you make up something, then you have to remember that story everytime you see a doctor. Best to be truthful anyway for your own good. Just my thoughts...
26 Sep 2011
Dr Shopping? it sounds worse. I am not passing judgement but I will answer you honestly. If I was a DR and you told him this story I too would have a hard time believing you. First I have to say I do empathize with you. I know pain and it is horrible. Your wanting to get off the pain pills is admirable. But twice flushing numerous pills down the toilet and then seeking out new meds as you know is not the way to go. If you want to get off you have to have a plan. If you have to go to separate Er's, well lets face it, you might need to keep your pills even after you stop in case your pain is uncontrolable. I think you might have some type of problem and if i were you i would tell your PCP you have a contract with. You might as well as you are already have to speak to him , he will have reports from Er's forwarded to him. If you did take the suboxone and it helped, then tell him your desire to quit pain pills . You might need to go on them instead.
When you did suboxone , did you have to go to Er or did it handle the pain? Sometimes the truth sets you free, you might not have a dependancy issue but after reading I am not so sure. Perhaps I am off base if so i appologize, you asked for help and if this was considered Dr shopping, which means do you have a problem... my answer is I think so and I would pour my heart out to your PCP.
I hope I am way off base and I am just reading too much into your post. I just have to be honest, it might help or at least help you understand what the Dr Pharmacist, ER doctors all of them think. I thought long and hard about even sending this, why? It will serve no purpose othere then to say I think you do have a problem, it does not provide you with assistance getting out of the situation you are in. I am a postive person and I HATE to write any thing negative and i know addiction and dependancy is tough, even tougher to admit to.
I wish you the best and I am sorry to answer this way.
Maybe someone else that reads this can offer you a better solution. As mine is to admit to the DR what is going on and get help quitting.
Good luck I do know if you decide to get off the ppills and get a tapering plan or go on suboxone there are many people here that will truly help you and support you.
26 Sep 2011
Hi clueless. Listen I am going to practice some tough love here... you have got a problem. It sounds to me that you have been doctor shopping and now you are scared of being caught. Please believe me when I say that I am not passing judgement. Many people here have been doctor shoppers to be able to get the amount of opiates that their bodies r craving. We understand here. Most of us here also came to the realization that the drugs were controlling our lives so decided to put qn end to opiate use and went on suboxone.
Getting back to your question... most states, with the exception of 13 have prescription drug monitoring programs (PDMP). You can go online using PDMP as your search subject and there is a plethora of info along with the states that have them. Under this program pharmacies have to, by law, document and report to the PDMP the drug, doctor. Quantity, etc. It doesn't matter if it is a doctor's office or ER... you still are filling more prescriptions than necessary According to their guidelines. If u r n one of those states u will eventually b caught.
I hate to b tough on you but I think u need to get some help.
What kind of pain do u have?
I would suggest going to your physician and be candid, sincere, and humble. Let her know that you are needing more than prescribed, ask her about suboxone. I can promise you that if you try to get help by being candid and honest, if you r caught doctor shopping, it will certainly will work more in your favor.
Be careful, good luck, and come back here if u need anything else. Pup
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