I'm on a pain contract I'm taking 2 pain meds already I am in a wheelchair and now I had gotten a sore on my hip I was worried went the E.R room and even with what I'm taking its hurting here and there the ER prescribed me Ultram. Am I allowed to fill it?
Per my experience, no. Do not fill the pain meds given from hospital. You're in a contract with your pain doctor. Filling another prescription not from that specific doctor will violate your contract. (At least in my experience it did) If you fill pain medication written by different doctors it "raises a red flag" both for you as a patient and you primary pain doctor as a prescriber. If you are in A LOT of pain, try contacting your regular pain doctor and they may give you something else to help temporarily. Good luck!
I have had a different response when I had to go to the ER, and another time went through a root canal, then told my pain management Dr. later. I literally had a motorcycle accident, my forearm was shattered, my knee was destroyed (imagine wearing boots that stick in the grass and then the body turning but the foot staying in the same position - yeah so that happened), and we didn't know it at the time, but my back was broken, too. They were wanting to give me injections of pain medicine, and I was saying "no! I have a pain contract! I can't! I'll violate my contract!" They also wanted to prescribe pain meds to me, which I refused. I just kept taking my pain meds as usual.
So I go to the pain management clinic on my next visit (they see me every 3 months), and I told them what happened. They were basically like "um, look, if you're in an emergency situation, get the emergency medical help you need, including pain injections. If they prescribe something to you, go ahead and give our office a call, as we might call in the same prescription for you, instead, in our name." But basically, they were like "I can't believe you suffered like that, including all that healing time, without asking for help." I said "but I have a pain contract!" and they said "and we appreciate you taking that so seriously, but things happen in life where emergencies will occur, and you will need additional pain medication to go on top of the medication you currently take. The medication you currently take keeps you at a baseline. Should you receive further injury, and you have no additional pain medicine to assist with that, all you're doing is suffering... and it will be for no reason, because we will help you. The whole reason we're here is to keep you out of pain."
So from that, I learned:
* Get emergency treatment, including pain medicine at the ER, if necessary
* As soon as possible, report the incident to the pain management clinic
* Should a medical practitioner (i.e. a dental office) offer to prescribe pain medicine, accept the prescription, but do NOT fill it
* Call the pain management clinic, and tell them that you have just had a tooth removed/whatever, and that the Dr. has written a prescription for X number of X medicine, but you know you are not to fill it. You do need additional help with pain, what should you do? And let them be in control and take it from there.
Different places may run differently, but that's what happened in MY experience. I don't feel you should get in trouble because a Dr. GIVES you a prescription. Sometimes you can't even control that. Sometimes they don't even ask you if you want it, they just hand it to you with your paperwork, receipts, etc. The key is not filling the script. Make sure you have the name and number of the script-giver handy when you call the pain management clinic, so if they want to call and verify that the pain-inducing-work has been done, they can.
And honestly, I don't think your pain management doctor will have a problem calling in Ultram. It is a controlled substance, but it is in a lower category that the typical opiates. If you have a physical malady like sores from your wheelchair, bad enough to bring you to go to the ER, they may ask you to come to their office to see you themselves, and you never know, they might even prescribe something stronger. Just call them and let them know what happened, but "because of my pain management contract, I knew not to fill the prescription and call you for help and advice instead."
No; Do not take it this well violate your pain contract, And to make sure you might try and get into your pain doctor and see if they can get you something and that the doctor the prescription tell him or her that the E.R. gave this to you but from your understanding everything has to come from them. So you did not fill it. Because the chances are they have notified the doctor already that you were in the E.R. best of luck. they have many salves etc that you can get from your regular or pain doctor that well just numb it some and keep it clean and do your best to lean in a way that you can stay off of it like give it a break. sit on a pad towel etc to try not to put a lot of pressure on it. The hospital should have done something like this. But never fill any medication and more so pain medication without your pain doctor prescribing it.
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