I was reading a post regarding pain and meds. In the post was mention of a "Contract". I live in the US, in PA. I see a pain management specialist. I have no clue if I signed one of these "Contracts" or not (would I know?) I am going to check my copies of my paperwork asap! Do all pain managment specialists use contracts? My PCP manages my pain meds, except the injection stuff - thats is why I go to a Spine and Pain Center . . . . just for the alternative treatments (I have cervical nerve impingment C2-T1, and FM, and arthritis, and Narcolepsy, and REM Sleep Disorder, and Gastroparesis)
They should have mentioned it to you. They want to know if you are getting narcotic medication from anywhere else after they prescribe it to you. Also, to have you promise/agree that you will not get narcotic meds from another doctor after you begin treatment from their facility or clinic. Usually you will have a random urine test at one of you appointments to make sure you have the correct amount of meds in your system and the right meds in your system. For instance if you were given oxycodone (oxycontin) and you had hydracodone (vicodin) in your urine test, you'd be having to explain where you got that from!
In answer to your question yes. Most or should I say all pain management doctors or even a regular GP that prescribe narcotics will ask you to sign an agreement than you will not seek narcotics from another source or they will ask you not to. I recently went through this that is how I know. Good Luck... kimmie1
Hmmm, interesting. I signed no contract with my PCP. I also have had no urine tests. But a 30 pill bottle of 5/325 perc lasts me 2 months, at least.
I was just told to stop all NSAIDS and Narcotics 5 days prior to injections . . . . . which I will do, and have done when asked prior for other procedures.
There is an ocassional day when I take a half of a 5/325 perc for a migraine or leg pain so I can drive. Unfortunately, my gastroparesis has been more trouble than my FM and cervical pain lately, so I am home resting a lot, therefore; off meds.
I think I will bring this up at my next pain specialist appt - they do all alternative treatment. Maybe this is why there was no contract? But if I did sign something - I intend to find out!
I never had to sign one in 12 years until last year when i started at a new pain clinic. My issue is my idiot psychiatrist prescribed xyrem for sleep and it just about killed me on a starting dose. I knew him 16 years and what took place is i started mid Dec and told my pain psychologist who is affiliated with my pain team. The psychiatrist i began seeing for PTSD in 1994 and he was treating my sleep issues due to pain since 2001. I told my pain psychologist about the xyrem on Dec 17th but when i saw my pain doc on Dec 22nd i totally forgot and too many reasons why. Well on Dec 23 I almost died, they said I was Toe Tagged. my husband found me just in time with out a pulse, called 911 anf EMS performed CPR. Tough night as they gave me narcan and that had no effect on the xyrem but i woke up in the hosp. in total withdrawal and because of the narcan i had a bm in the ambulance which I was made to lay in 3 hours and was freezing cold and in withdrawl from hell with no warm blankets.
Sorry i keep rattling on . Point is my pain doctor used this as an excuse to dump me. My pain psychologist was blown away and asked why to my doc and he said my pain was beyond his scope but the letter I received said I violated NPC narcotic contract. So unfair when they know I am the most trusting patient. Never ever did anything i wasn't suppose to except for get to tell him about the new med. Never lost a scripts, ran out early, if anything I take less then prescribed, never diverted, smoke, drink did legal medical marijuana. I am the kind of patient that most doctors would want but not pain doctors because phantom pain is the hardest pain to treat and one of the nastiest. It is for me because of the prior 68 operations, 23 broken bones, complete degloving from toes to mid thigh.
Why wasn't my idiot uncaring psychiatrist sending reports after i had given the nurse who i see his and the pain psychologists business cards twice. They knew of my every med as did Jazz Pharma who said your fine go right ahead and take it. Such BS. I just looked at my Methadone papers that come with it and it states in big black bold letters. DO NOT TAKE WITH SODIUM OXYBATE-which is what xyrem is. My pain doc called right away The Monday after Christmas. I went to my psychiatrists office who never called and as i was wheeling down to the nurses office, he and i bypassed and he couldn;'t even look at me. He should have called and told me to at least dump the xyrem, bring it in, stop taking it. An I'm sorry this happened. My story is long enough. But i now have no pain doc and feel so abandoned. i didn;'t deserve this, not when there are so many people abusing the system. Sorry this got so long. I guess it's just frustration I am getting out
I work for a pain management doctor and we do not have contracts. If they get medication of the narcotic type or something they get from us and another doctor. The Doctor I work for, just fires them as a patient. No contract needed in our office.
DEA has clamped down on doctors for not doing enough to control drugs, that is why some doctors have gone to contracts.
In my experience, I was given regular Rxs of several narcotic pain medications from various doctors and specialists while being treated for cancer and was never made to sign a contract until it became clear that I was doctor shopping and having far too many experiences of "the airline losing my luggage" and "my toddler dumping my medication into the toilet" and requesting early and additional fills. My doctor didn't want to fire me as a patient and as a cancer patient I needed palliative care so I was made to sign the contract, I am assuming more to protect the practice than to protect me in any way.
In my experience as both a healthcare professional and now a patient with chronic pain from a sacral fracture, subsequent lower spinal cord injury and RSD, I have seen my PCP regularly and spine/pain specialists for injections, spinal cord stimulator trials and pain pump trials. I have been on Opana ER(long acting morphine derivative), MSIR( immediate release morphine), as well as Klonopin for spasms and other non-narcotic meds for the RSD pain. I have never been asked to sign any kind of contract, but I agree with someone's earlier post that it is probably dependent on the doctor/practice where you go. They are covering themselves as some people have a history of narcotic abuse , attempting to either control their pain or perhaps have addictive behaviors.
I have already made a comment about contracts. They protect you, your doctor as well as alot of other pan management centers. There are alot of pain clinics here in south florida. The problem is there are even more drug seekers, abusers, and even dealers. This makes problems for the doctors. If they know where thier scripts, and the medications are going they do not have to worry that the DEA will close down thier business. If that happens, you are also affected. You show up for your monthly appoinment and they are closed and gone! Not to worry, a contract makes things more reliable for everyone. Just one more thing this also means the doctor cares about your pain and not so much on "the almighty dollar".
Pain contract is a form you sign when entering a pain clinic. It says that you agree to not ever get any kind of pain medication from any other doctor other than the one who is currently prescribing for you. Doctors have access to a pharmacy site on their computer which allows them to track any activity at any pharmacy in the US. If you get a prescription somewhere else you are liable for charges against you, you would be released from your current doctor immediately , without the option of being weaned down off of your narcotic pain med, which would cause you to go into severe withdrawals. Most doctors will not treat you without one. Be careful what you sign, and be aware of what you are agreeing to. NIK
I live in PA as well, and while I am new to pain management. I am not new to drs as I have seen quite a few over the last three years dealing with back pain that I just found out is probably DJD, not DDD. And any doc other than your PCP ( and even they sometimes do it) if they give you narcotics as part of an on-going treatment they will ask you to sign a contract. It states you wont get pain meds from another doc, that you wont sell/trade/or give away your pain meds. And that you wont take other pain meds not prescribed to you by them (as in off the street of whatnot). At least that has been my experience here in PA. I don't know that it is a requirement as in they all have to do, but I think it is mostly just a CYA thing for the Drs.
Just out of curiosity how is your treatments going? When I was looking for a pain management Dr, I couldn't believe some of the things some of these practices do and actually charge you money for... since most insurance co wont pay for that type of treatment... I ended up going with a traditional pain management group just because there wouldn't be any issue of my insurance paying for it. So far it's going well. Just wondered how those sort of treatments actually worked...
My wife has had increasing pain from requiring surgery on both ankles after a fall. She has CHF, kidney diease other health issues.
We just went to a pain clinic referred by her orthopedic surgeon.
He gave her 10 mg hydrodone to be used 2 times a day.
My question is: She already has a refill for 90 7.5 mg hydrocodone which will expire for in June 2012 from her Surgeon which she has not filled.
If She decides to fill this because we would hate to waste this refill how would the pain clinic know. Her phamacy is Walgreens. Should she go to another Walgreens before June 2012 or would it matter if we obtained the refill from our local walgreens.
She is not a driug addict. Does not smoke or drink alcohol and has no addiciton issues.
It's still hydrocodone so how would they know She obtained this refill?
Her Surgeon has told her that She is developing severe arthritis in her ankles and will require pain medicine for the rest of her life. She is limited on her pain medicine options because of her kidney function. No Advil or NSAIDS.
Why let the 7.5 hydrocodone prescription go to waste? She may need it some day.
Thanks for any reply.
I would say your dr would be taking some chances if you didn't sign one. It is for the safety of all involved. Mine said I would not give my meds to anyone else, I would not take more then prescribed, I would not go to another dr at the same time. And if someone stole my meds I had to report it. You probably have a copy in your papers. The DEA requires papers to be signed between dr and pt.
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