As of December 19, 2016 is there a federal law that my doctor cannot prescribe hydrocodone and benzodiazepines together?
No. I have both prescribed regularly. Even if one was implemented they would have to wean you as benzos are a much harder withdrawal.
No, patients receive prescriptions for both, and if it were a federal law, the pharmacist would never release them. :0)
Hi Somebody: Did your doctor or pharmacist tell you this? Did your insurance company tell you this? If it were true, seems like it would be something that everyone would know about?
What??? Degree in pharmaceuticals and criminal law and NO!!! THERE IS NO FEDERAL LAW THAT STATES THAT YOU CANNOT TAKE THE TWO TOGETHER! OR THAT A DOCTOR CANNOT PRESCRIBE THEM AT THE SAME TIME!
It's funny that you ask this, because of a situation im dealing with. I'm not sure why you said as of Dec 19th and am wondering as are others who told you this. Here's the thing... for a little while now there have been more cases reported of overdose from people taking a combination of opioids and benzos, like Vicodin and xanax for example. I have heard it quite a bit on the news over the past year. Personally my pain mgmt doctor has begun expressing concern about my combination of meds. One that he prescribes and one that my psychiatrist prescribes. I have been taking this combo for years and he is just now stating his concerns which I believe is an effort to protect himself, as he has also said he is on a crusade to get his patients off narcotics (he may be receiving pressure from somewhere).
Well I talked to my psychiatrist about this and she said that because I have been taking these medications for so long, and not at a high dose, that she is not concerned that I would overdose. Now... if you have not taken these medications before... say someone took them and they weren't prescribed for them... then there is a level of concern because of the high report of overdose. But it definitely has to do with the dosage, not just the combo. It is safe to take both if they are prescribed and taken appropriately. I think because of these recent reports there may be a more concerted effort by docs now not to prescribe this combination. But it is not against the law.
Somebody; NO, doNO, again the feds and medical board are putting pressure on benzo's as they have with the hydrocodone or any Opiate and are trying to restrict doctors from prescribing more due to overdoses of the two together. So it is going to get to be an act of congress in the USA to get benzo's as it is for pain medications at some point but at this time any doctor can prescribe these two together some doctors may say they can't but that is their preference, not law.
I have also been told this by my Dr, I had to make a choice 3 months ago whether or not to suffer from pain or panic attacks!!! I chose my Klonopin cause my panic attacks scare me so bad, I told my Dr it also scares me that I'm gonna be stuck in pain in my bed, Dr assured me there was other meds he could give me to cover the pain, I guess I'll find out Thursday!!! He said he had a vet that has severe PTSD and severe pain cause she's missing a leg and she had to make the same decision. It sucks for people who doesn't abuse it and really need it!!
There is no such law. However there are contraindicators with benzos combined with opiods. This is due to the fact that both types of medications are respitory depressants, they will both slow your heart rate and decrease blood pressure. As far as there being any laws, such laws do not exist. Reason i am certain is because i suffer from MS and take multiple narcotic pain meds in conjunction with my benzo (xanax) to manage my anxiety d/o and panic d/o. It is the discretion of the physician.
I was told 3 months ago by my PA at the pain management that I had to get off xanax by the end of the year. That is was a federal law going into effect Jan 1 that you couldn’t take both together. I’ve been taking Nirco 10/350 and 1 bar of xanax for 12 years with no problem. This is all brought on by all the kids that can’t get a job and have no education start using heron and wind up overdosing.
I have searched for such "Law" and there is no such law that i can find, or know of. I was told today 3-6-18 by my Pa that my dose of benzo will be cut in half, and the weaning process begins! I've been on the same med, same dose, since 2005. My app today was basically a lecture about the FDA recommendations on all benzodiazepines, and was written a substitute medication to go with my half "weaning" dose of benzo. The drug that has helped me for many years, now is so so bad for me, and must be stopped.
Yep, I was told today by my primary care physician, who prescribes my Xanax, that I could no longer have Xanax, since I take Norco on a regular basis (prescribed by my pain management doctor). She said the FDA has very recently said that patients can no longer be treated with both benzos & opioids because of abuse and overdoses. I couldn’t believe it! She felt really bad telling me that, I could tell, but omg! She said that she could get in disciplinary trouble if they find she continued to prescribe Xanax for me, and that if a person gets in a automobile wreck and they find both benzos and opioids in that person’s system, the prescribing doctor(s) could be sued. So..I’m wondering the same thing. I truly don’t know how I am going to be able to get along without Xanax. My PCP did say that maybe a psychiatrist can prescribe Xanax even to a person on opioids, but based on what someone said earlier in this thread—it doesn’t look like that’s the case either.
Google and you can find the CDC recommendations that have sparked this. They are recommendations, not a law. Some prescribers are simply not willing to risk the government scrutiny and are adopting arbitrary policies that the two can't be prescribed together. That is their right to adopt such a policy, whether it is a law or not. The recommendation is that providers are to take due care when prescribing the two together. In other words, they should understand why both are needed and document accordingly. The recommendation does not suggest there could never by any medical need to have both medications at the same time, which of course there often is.
I confronted my pain clinic with these "recommendations" after they too tried to tell me it was a law. She then admitted it was not a law, but as a result of the commendations they were adopting this policy and there was nothing she could do. She also admitted that I (and the majority) were being punished by the actions of the few (abusers). Reprehensible to do this to people suffering. Not to mention that most abusers don't go through proper clinical channels to get these meds, so these actions do nothing to stop the abuse. If anything, it drives law abiding people to the black market in desperation. These actions are clearly driving up the rate of overdose as a result, not helping the issue. Keep speaking out. People in chronic pain need to have their voice heard, and treatment our our condition is not an "epidemic". No one who ever suffered, or had a loved one suffer, from chronic pain would refer to their treatment as an epidemic. God bless. I hope all here get the relief they need and deserve.
Some off my best friends have had to choose between Vals or Narcs. Started about 4 months ago in Michigan. I still get both from my Dr. So I am asumming this is all about insurance companies? If it is or gets to be a Fed Law millions of working Americans won't be able to function in society from panic, pain or both. One of my points is Will social security applications skyrocket? If so then the Feds has a new poster person. Put them on meds or SSD...
Im beside myself as well. Ive been on clonazepam and hydrocodone for years, in fact, when i switched doctors, 4 months ago, i still have approx 30 benzos left from prior doctor because i told her i did not need 90 a month nor 60. I continued to get my refills, thank God i did because the "new rules" that my doctor said was illegal to fill both. I still have several left. I cannot get out of bed due to numerous conditions proven from MRI results, without pain medication. My doctor told me to cut myself to a quarter of 1mg clonazepam daily, he stated it probly wont help but titrate off as there unwilling to refill the benzos. OMGOSH, its a proven fact my blood pressure is on the rise when i dont take them and i have severe dizziness and terrible anxiety , i feel like im going to seize up without them. Ive offered ANY kind of bodily fluid and hair folicles to prove that i DO NOT abuse either one. This is an outrage.
I here there may be another doctor in town that LISTENS to his patience. He even states it on his web page. However im afraid they will label me as a seeker if i try to match a doctor with my needs. Its unfounded that they cannot prescibe both however they decline to fill if your on state insurance and they will not allow you to pay for it yourself if you have there insurance. Its a trap that can cause many to suffer emotionally as well as physically.
My primary doctor told me last year March that this was in the pipeline. I had back then been on Percocet 5 for only two months and he told me that I had to choose between the two... Xanax or Percocet... I took the Xanax. I have DDD & DJD and am in constant pain after just a few hours of very easy work but I've been on Xanax for over 17 years so thats the reason I chose Xanax.
One of the largest reasons (that nobody has mentioned yet) aside from the DEA and CDC for doctors not willing to prescribe both and is...
L I S T E N. IN MY HUMBLE OPINION:
Insurance companies and their higher than mighty MALPRACTICE threats. Vailed or not the health care providers have perceived this. Bottom line. Doctors are afraid.
I saw just yesterday that the chance of dying from opioid overdose is now HIGHER than dying from an automobile accident! Think about that. Insurance companies are most likely behind all of this. They are the ones getting hit in the pocketbook. They are the ones paying all the bills from accedents. Plus the "kids"
- Hydrocodone Information for Consumers
- Hydrocodone Information for Healthcare Professionals (includes dosage details)
- Side Effects of Hydrocodone (detailed)
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