He had a peak&trough test after asking for a raise in methadone,it was normal. He was told that they treat addiction not pain and was told to go to a DR.for pain.His DR. perscribed methadone and another narc. for breakthru pain.He is now pain free but very afraid that this may be considered Doctor shopping.He is afraid to ask because he doesn't want to lose either.After 15 years on methadone and 6 yrs with pain clinic neither can provide him with enough medicine alone.He is over 60yrs old and afraid of losing his medicare&SS if this is considered 'shopping'.He asked a retired atty and was told that since one is treating addiction& the other is treating chronic pain that he is OK. Not sure the 'retired' atty is up to date and is correct.Is this DOCTOR SHOPPING??
If I'm reading this right then he most definately is going to be in trouble if he is getting methadone from 2 different doctors. If he is getting it from just one doctor then he's fine.
The only problem with methadone is it virtually takes up all the opiate receptors in the brain and body. So ordering break thru opiates is going to do nothing as the methadone molecule is so large it blocks everything. So what he needs to do is stop the break thru meds and increase the methadone.
All the peak and trough test shows is how well he's metabolizing the methadone.
What dose is he on from the clinic and how much is his other doctor prescribing?? Also what was the second pain killer ordered?? ... Thanks..Dave
He might not be considered Dr. shopping but he definitely will get in trouble for using both Drs. When i went toa methadone clinic i too had a Dr. but as soon as they found out I lost both. When u go to pain mgmnt u sign or verbally agree that u will not get meds anywhere else. He needs to make up his mind and pick one and pray the other doesnt find out. Hope this helped
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