Ok so back in april i was having severe lower back pain. I had a mri and unfortunately i have 2 buldging disk l4-l5. My doc put me on hydrocodone 10-325 3 x a day. Well it wasnt working one bit. So now he has me on 10 mg ir oxycodone 3 X a day. Well this medicine has relived my pain great, the only problem is it does not last 8 hours, so i have to take it every 6 hours instead. Now im short a week, will i get in trouble if i go back to the doctor saying i took 1 extra a day because they didnt last 8 hours. Sorry im so new to this and all these ridiculous rules they have? Please help me
You could very well get in trouble, especially if you signed a narcotics contract with your Dr. At best you'll have to go a week without any pain meds, at the worst he could refuse to prescribe any narcotic meds at all. If you're given a urine test, you won't have any of the medication in your system which is a huge red flag to a Dr, showing that you're not using your meds as prescribed. In that case he would only know that you're either using too many, or that you could possibly be selling your meds. Either is not good in his book. The DEA is making the prescribing of narcotics difficult at best for drs these days. Any suspected misuse could cost them their license, so the rules are very strict. That being said, I would explain to your Dr that your current meds aren't handling your pain. Although you need to be aware that as a chronic pain patient you can't expect to be pain free. The goal is to keep your pain at a manageable level enough to allow you to function as normally as possible. It sounds as if you'd benefit from an extended release med with a smaller amount of immediate release meds for breakthrough pain. However, don't make any suggestions to your Dr. Asking for specific meds is also a huge red flag. Simply explain that your current medication is not working well for you and let him decide where to go from there.
If you're not already out of your current medication, it would be best if you cut way back now so you have at least something to help you that last week. If you don't, you'll not only spend that week in extreme pain, but suffering the effects of withdrawal also. Not a good thing for you. Even if the Dr sent through a prescription to cover that last week for you, if he doesn't change the drug, or the dosage, the pharmacy isn't allowed, by law, to fill it. Prescribing narcotics is a very tricky business these days.
It's very hard to find a Dr willing to prescribe narcotics these days, and in certain places they won't prescribe them at all. So you need to count yourself extremely lucky to have found a Dr who will. To maintain that relationship is of the biggest importance. You have to prove yourself as trustworthy in following his orders to the limit. If you get kicked out of one practice for violating the rules, you'll never find another Dr willing to prescribe you narcotics again. They'd consider you too risky and a threat to their license. It's a fine line we all walk these days. Hopefully I've scared you enough that you'll forever after following your prescribed dosage to the letter. You have way too much to lose by not. I really do wish you the best of luck!
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