Re: New Meds...



Legend,

I still only see my doctor every 3 months. He is now writing my CII scripts
for a 3 months supply. He just started that last month. I was getting post
dated scripts that said DO NOT FILL BEFORE_____________ and my doctor would
fill in the date. My doctor actually mailed a letter to all of his patients
letting us know he would be writing prescriptions for a 3 month supply and
for us to check with our insurance to see that they would accept this.
That's 9 boxes of patches! That's crazy! My opinion only. :) I won't tell
you how many breakthrough pills that is.....it's insane!

I talked with my pharmacy and they will fill these, but I will need to call
them about a week ahead of time so they can have enough in stock. It seems
crazy to to the pharmacist too.

It makes no sense to me that the DEA would prefer we have 3 months worth of
these meds in our homes. Crazy if you ask me. I will be putting the
majority of these in my safe deposit box at the bank and not keeping them at
home.


"Legend" <livinnow@xxxxxxxxx> wrote in message
news:1154711797.304511.268950@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
Bob,
I was kind of confused when I read your apology/explanation, but I went
back and read it. Many pharmacies simply on't stock oxycontin, but the
reason I get so many is that I see my doctor once a month, unless
there's some problem.

I wondered how you got a new presription so soon...then I read that he
had given you something like a nine day supply! Most of us who take
opiates here see their doctors once a month, if they're on any schedule
2 med, which cannot be refilled. Some have even complained of having
to go THAT often-their doctors had been giving them post-dated scripts,
which is generally frowned upon (my doctor did this just once-as he was
going on vacation, and the other doctor in the practice is a foreigner
who hasn't gotten his license to write schedule 2 meds, yet).

I thought you never had trouble getting Percocets-how did you get up to
20 a day?

I had no problem with your post; I was just a bit confused. It IS
difficult to find a doctor whoo will prescribe these meds; that's
probably why the ones who do have to keep it to the legal limit and see
their patients just once a month.

If you don't remember from the last thread, I live in the NY metro
area.


-Legend



Bob wrote:
Legend...
I was just rereading my post/reply to you, and the part "...I'm not
sure what part of the world you live in" REALLY sounded bitchy. I just
wanted to let u know that it is NOT meant to be that way... it just
didn't "sound" right as I read it after posting it.
Take Care!
Bob


Bob wrote:
Hey Legend...
I wanna use YOUR pharmacy!
I have had SO much *** getting percocet's filled... even 1 (yup! I
said ONE!!!) day early. Either the pharmacist won't fill it, or he WILL
fill it, but the insurance won't cover it. Yeah, ONE DAY EARLY. I
remember a couple of months ago... now granted, I was NOT taking the
percocet as prescribed (after 4 years, I think I "may" have developed a
tolerance for 'em... Note: tongue planted firmly in cheek!)

I'm not sure what part of the world you live in, Legend, but here in
Maine, OxyContin is a HUGE problem. It has been linked to 178 drug
related deaths last year alone and is a VERY much in-demand street drug
(a lot of people are making a LOT of money... to give you an idea...
they sell for $1.00 per mg. so, I take OxyContin 40mg.~~~~ $1.00 / mg.
X just ONE 40 mg. tablet = $40.00 PER PILL! So, with my script for 42
tablets, and IF I were to "go into business", I WOULD... not "could"...
the market is HUGE here... I WOULD make $1,680.00 (that's ONE THOUSAND
SIX HUNDRED EIGHTY DOLLARS!)

Now, deduct my "out-of-pocket" co-pay of $1.00 (yup, killer
insurance!!!!) and I would net $1,679.00

Not bad for a total time investment of less than one hour.

Anyway... wow... I have absolutley NO idea where this was going! LOL
Thanks for listening to me rant!
Bob



then my $1.00 (yup, I DO have great insurance) out of pocket cost
LooseCannon wrote:
Bob wrote:

Hi Legend;
But I DID get the OC's filled today... and I still had 3 days worth
left of the script written on Saturday.
I thought it was odd that they would fill them (let alone that the
insurance went thru! NEVER thought THAT would happen, 'specially
with
the "big, bad and EVIL OxyContin!!!")

Its not that odd. Generally, even with Oxys, theres a few days
leeway
that you tend to have. 3-5 days is usually the average.


I ALSO couldn't believe it when he said to take regular OTC
Tylenol!
Didn't he just take me OFF the perc's with APAP (at MY suggestion,
no
less!)
Bob

You REALLY need to find a pain specialist. This guy is an idjit!
Docs
who treat individual patients have nothing to worry about, and hes
putting his fear above yer well being. The dea has far better things
to
do then to scrutinize every single prescription, and when the meds
are
justified, the doc shouldnt worry. Its prescribing patterns that the
dea looks for!

One thing to consider...if this doc really wants to learn about how
to
properly rx meds and know how to take care of his patients, he should
get a subscription (no cost for docs) to Practical Pain Management
medical journal. Lots in the journal for docs who want to know how
to
do things right. He can sign up for a free subscription at
www.ppmjournal.com

There he can learn about breakthru meds, monitoring patients, even
dea
stuff, and perhaps he can get some of this paranoia handled. Hes
truly
being paranoid when he worries about every single prescription, and
that
paranoia is threatening yer health! Either he gets a grip or you
need a
new doc. SImple as that. At least youve got him doing SOMETHING for
you while you look for someone better.



Legend wrote:

Bob.
I just got back from filing MY monthly supply: 120 Oxycontin. 40
mg,120
and 20 mg. roxicodone(identical to percocet-without the tylenol),
as a
breakthrough med.

The only trouble I had with the drugstore was when I presented a
"daw"
script for the brand name Oxycontin; he said thar Endo was just as
good, and that dispensing such an expensive drug would raise my
insurance Co-pay from one dollar to twenty five (plus, he wasn't
making
much profit). I insisted on the name brand because I heard bad
things
about Endo, the companythat makes the generic brand he stocks.
With
my insurance, set up by medicare, asking for another generic brand
isn't an option; Its either the cheapest generic in stock, or the
brand
name drug. So, drug stores DO fill two types of pain drugs, as
long as
they're written by the same doctor.

What you WON'T be able to do is get the new prescription, which
sounds
like is for the same drug you got a few days ago, filled, until the
other has had time to "run out". You could get it filled at
another
drugstore, if you don't present any prescription forms, and pay for
it
in full, but that's illegal in many states, and the DEA, who
receive
copies of ALL scheduled narcotic prescriptions, frown upon this,
and
may start to hassle you. I wouldn't recommend doing it. I've had
my
own troubles with the law (I did my time-11 months in '95-96, plus
three years parole, so don't arrest me, Officer-lol), and the
consequences are not pleasant!

It sounds like this doctor is not educated in pain control. You
should'nt alienate him, as he's always willing to give you
something,
but you definitely should look for a good pain specialist.

My next dose of Oxycontin is due in about an hour, and I'll find
out
how much of a difference there is. I would have liked to try the
other
generic, but, as I said, that wasn't an option, as the druggist
didn't
have any in stock, and I had a total of one Endo left, and none of
the
BT pills, as I've been nursing a very painful ear infection, so I
could'nt wait for him to order it. I'll try to post later tonight
aboutt the differences; Bob, you have a generous doctor, but one
that's not well-informed. I know that it sounds great, getting all
the
percs you needed, without waiting long or being hassled, but you
were
destroying your liver. And most likely, he hasn't heard of the
short
acting perc without tylenol. But maybe you could ask him-it is
very
short acting, and I find it useless by itself, but you might not.
But
your ultimategoal should be to find a doctor who'll treat your
entire
pain problem-not a little of "this and that", and not keeping up on
what different pain drugs are for.

You're probably totally confused now-but I wish you the best.


-Legend



Bob wrote:

Hi OG,
Just got home from the doctor's...
I explained the "B/T" discussion on here and he stated, quote,
"Nope...
I can't write the prescription for percocet because, frankly, the
pharmacy won't fill it. Plus, the D.E.A. will flip out! So, the
best I
can recommend is Tylonol (spelling?) or Advil."

So, I guess that's the course I have take. He DID write another
script
for OxyContin 40MG 3x a day. This one was for 42, whereas the one
on
Saturday was for 28. Now, a question to all of you: Yesterday,
here in
Maine, the temp was 99 with about 10000% humidity (actually it was
about 75%) and the sun was GREAT (that's how I tan nowadays...I
slather
on the oil and put the shorts on, take the roof outta the Corvette
and
drive all over the place!), BUT!

I felt like absolute CRAP after about 2 hours. I asked the doc
about it
today, wondering if I had the adverse reaction because of the
OxyContin, and he said that the "sun was really funky yesterday".

What the hell does THAT mean?

Has anyone else ever had that happen when they have been on this
med?

Thanks again everyone for all your help, it is TRULY appreciated!
Best Wishes,
Officer Bob
OldGoat wrote:

Dear Bob,

It sounds like it might be time to toss a BT/rescue dose on in
there.
Everyone is so different, but you have to imagine your pain
relief as a line
graph. The line has peaks and the line has valleys. The line of
this drug
working on you, may be too flat or a valley too deep. Enter the
rescue
medication.
If you can find or have a PDR (I figure you guys had one at the
station) you
can find the "relief graphs" in the medication literature. But
remember all
that's gathered for thousands of test patients over years of
testing so you
won't follow it exactly, but you will see certain "relief lines"
for certain
drugs are straighter than others and most want you to test drive
a med for 2
weeks, before you decide up or down, but they also suggest you
have rescue
meds available as you adjust.
It's not out of line to talk to the doc now,maybe he can give you
enough of
a " kick" to make this med succeed.
Hang in there, you will find the right dose to work. And if you
feel like
you may say something to make the dock think you're "shopping"
tell him why
you are hesitant, then let it go. If your doc feels you're
holding back you
can end up on the *** list for nothing. He can't fix it if you
can't say
"doc it hurts!". They don't want to give you something that's not
working.
As a Cop, you know where that stuff ends up, so they want to hear
it, and
get you on something that does work.

Feel Better Soon--og





















"Bob" <kennedy64@xxxxxxxxx> wrote in message
news:1154619236.641438.41950@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

Hi Cabbi,
I was taking between 10 and 20 10/325 Percocet a day
I realize I've only been taking the 40mg OxyContin's since
Saturday,
but it really does not seem to be working the same way as the
Percocet.
I know that makes me sound like I'm "med-seeking", but I'm kinda
at my
wit's end.
Bob

Cabbi wrote:

Bob,
I'm sorry, but what were you taking before this change in
medications.
Cabbi


"Bob" <kennedy64@xxxxxxxxx> wrote in message
news:1154530451.270075.319770@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

Hi All,
Well, I've been taking the OxyContin 40mg 3x/day since
Saturday and
it's not working as well as I expected. Any suggestions of
what to do?
Thanks for all your help,
Bob


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