2014 New Pain Medication Laws Dictating To Doctors That They Cannot Prescribe Anything Equivalent 120 Mg Of Morphine Or Higher A Day Per Patient (Page 34) (Top voted first)

I was told Friday by my Pain Management Doctor at my monthly appointment that the DEA was implementing a new law dictating to doctors on how much pain medication they could prescribe per patient per day. It could be equal to no more than 120 mg of Morphine per day per patient and they had to comply within 3 months for all of their patients. I am trying to find out as much information on this as possible. I don't know if my Pain Management Doctor is stating fact or if he is just running scared and if he is stating fact, I don't know if this is federal or state (Alabama) mandated. I spoke directly with the Southeastern division of the DEA in Atlanta this morning and they are not aware of any law of this nature coming into effect and I also contacted another pain clinic locally that has never heard of it either. So I have been trying to reach my Pain Management Clinic and get a copy of the law itself so I will know if it's federal or state and if it is an actual law or just a state regulation and if it's even true but so far no one has called me back so I thought I'd try my luck here and see if anyone has heard of this. This really has me bothered. It looks like either way, true or not, to get adequate pain care I am at least going to have to move out of state if not the entire country. I will ask my questions about that in a different post. But if this is in any way true, and it seems my pain doctor is going to be going by these guidelines whether it is or is not true, it is going to cut my pain meds by almost half. I am on 120 mg of Oxycodone and 8 mg of Dilaudid per day which I was told equals 212 mg of Morphine per day. And before someone decides to tell me that I don't need that much pain medication, I will go ahead and say to you, you don't know me, you don't know what conditions I have that cause me Daily Severe Chronic Pain and other Daily Severe Pain to warrant that much medication, you don't know my tolerance for pain meds, I do NOT take any pain medication to feel high, I ONLY take pain medication to relieve some of the pain as what I am on doesn't even relieve all of my pain, I do NOT drink, I do NOT do street drugs, I see my doctor every 28 days just as I am supposed to, I take my medication as prescribed and the way I am supposed to take it except when I had extreme oral surgery a month ago and I did have to break up my tablets for about a week but they were put on my tongue and NOT up my nose and they were IR tablets so I was fine doing that as I had checked with my pharmacist prior, and you don't feel what I feel or see me lying in bed 24/7 crying from the pain because it is so excruciating and unrelenting so please before anyone starts telling me that I don't need that much pain medicine just stop now before you even start. Those of you that have to live with daily pain will surely understand where I am coming from being this defensive as I'm sure you know you are treated as a drug addict by most doctors even. Thanks in advance for any help with my question.

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Posters,

Unfortunately Dr. Joey and I operate on a far deeper intellectual knowledge of Judicial (law) and Constitution (rights) with
not a broad base (freedom) but specific. Your problem is the president who is neither party, he is a minor, soft, would be, wannabe dictator and who is basically with government interventions adding pain clients to the list of chronic, over 30 illnesses that should be left without care to die.

There are paid incentives currently in place for physicians to stop treatment of certain chronic diseases in people over the age of 30; they are HUGE financial incentives. While people here piss and moan and more or less whine none of you know the true danger of taking a country that has always been freedom based by Constitution and riveting it without planning to a socialist run country. If that were to happen and it won't for the current faulty healthcare plan will be s*** down the toilet as soon as Odumma is pushed off his little pedestal in the near future.

In the interim he has enforced FDA for example and certain DEA actions. Most people did not know why he pulled bleach off the market for 3 years, name brand Maalox and other common items that we don't tend to notice. It all was marketing based to figure out how high the demand would raise the cost (what people would pay) and the outcomes allows a would be dictator to gauge the more important items for example Duragesic which is now in less than 3 years 100 x the cost it was when I was put on brand name in 2000. When someone who like Hitler or Mussolini takes over in silent form that is how they begin the tolls of hell. They also began to release s*** loads of criminals early who will later be dedicated soldiers in the cause and so forth. They foster racial inequalities now considered reverse racism (against those of us who really are white and now the minority it appears), and so on.

For pain patients in need we have reached crisis. For those like me who must have care or will die there is no waiting time. I suggest for all NOT to change physicians at this time; if you must taper knowing in a few years you will be able to go up a bit it is worth living for so do not change physicians. For those who lose a physician I had a store front opportunity Saturday and luckily God poured down flooding in rain and I rescheduled. In the meantime Jay and his wife apparently were praying for me and a young anesthesiologist with rave reviews is seeing me this week. I just filled out some excellent medical paperwork was impressed with his 'thinker' and was told basically the 4 drugs he does not like to write, and only one is what I need but in liquid she did not (his receptionist) see a problem with that. IF I am bringing my last scrips and I do from the last written have original left he will write what I get which I now no longer want. I want lower dosages for a purpose.

We are in uncertain times we cannot as a group take chances. Keep the ratty PM you have make due for now for getting in with a new one for someone like me with big connections, superb background, no criminal history, the top specialist listing me as highly rare and one of the most DEFINITE need patients who falls under California's intractable pain act for suicidal level pain and still alive, well when you have that in writing and still cannot get in for 10 months anywhere it is not YOU but it is your ********d leader.

He will be gone and not too soon. When he goes his slippery slope of predictable and foul documentation will be trash, and his edicts a bad joke. America will not in my lifetime vote in another minority or woman for he made a laughing stock of us all over the world. That is our problem. But we must hold tight so that America who has the best medical care in the world DUE TO for profit medicine (you do not train people like Dr. J and myself for pennies and the investment costs money but the outcome saves lives) and because healthcare is a business and must be run in this manner so you do have pain specialists, and people like me to get you the help you need.

Hell I was accepted into medical and law school in 2004 and after 19 hospital stays that year; weak and frail I said I could not do it. So I will continue onward hopefully medicated on the level I do seek which is reduced at this time in order for those of you who need help to receive it.

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P100....If this is true...I am so sorry, yet am honored to be in this group that you are sharing this with "the end of life" notice...at the same time I must ask, do you have a relationship with Jesus Christ? I'm not asking if you have joined a religion or what religion you are. Religion is man's attempt to get to heaven without a relationship with God. It's not about 'do this, don't touch that, etc.. It's about Have you acknowledged your need for a savior to reconcile you to God? Our sin separates us from God, Jesus death on the cross and the shedding of his holy, undefined blood cleanses us from all sin so that we may enjoy a healthy fulfilling relationship with our creator! Ok I rambled, LOL sorry for that. So again I ask, have you confessed your sin, asked Him to forgive you and invite and give permission for Jesus to guide you in this life?

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DrJoey, I was just going by what you said, "I'm guilty of taking advantage of my creds and rep more than once, so my orthopedist thought I was trying to mess with him and wouldn't write for more Percocet)"

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kb, almost all drs are reducing the pain meds they write to less than 120 mg Morphine/120 mg Morphine Equivalent Daily. The ones that haven't are joining the others quickly. There is nothing that says that you have to get a pain pump. But, if you want your pain managed adequately, it is something you may want to look into. Or you can go with the lower dose pain meds for a while or no pain meds and then you won't need as high a dose as you do now to manage your pain.

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Joe992d, can you please provide the link to that law. If you have read it, then you should know about where to find it online.

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Erik, you won't be able to find a dr that is going to give you the same dose, or even close to it, that your old dr did. That is a very high dose and almost all drs are going by the FDA Guidelines of 120 mg Morphine/120 mg Morphine Equivalent Daily. And chances are they are going to decrease 120 mg to 90 mg in the near future. You need to see a Pain Management Dr. You need a copy of your medical records from your previous dr to prove that you have medical reasons for needing the pain meds. But that does not mean that a new dr will treat you with the same meds or in the same dosage as your previous dr. The only meds that are pain de will prescribe you are those that manage your pain. You will need to find a Primary Care Dr and specialists for your other meds.

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Bamfuzeled, if you have cancer related pain or are terminal, the 120 mg doesn't apply. Actually the 120 mg was reduced to 90 mg last week by the CDC. The things that are going on now are not new. The time for public comments are over. The amount of opiates you were on is way too high and you will not find a dr that will give you anything close to that amount again. You do need to be prepared for the 120 to be decreased to at least 90 and more than likely less.

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Spyz, people work because they have bills to pay. I don't understand why people think that if you work in the medical field that you don't have to work for your money. Protocals are for the safety and protection of the patients and the drs. Without them, drug addicts would be filling up drs waiting rooms and there would be little to no space for legimate pain patients, however long the dr remained in practice. Patients that don't go by the protocals are the ones that have made it hard on legitimate pain patients

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jamie, Methadone Clinics have never treated patients for chronic pain. The dosages of Methadone for chronic pain and the dosages for Medication Assisted Treatment of opiate addicts are not the same. Someone may have told you that, but it is not accurate. When someone is older, it is even more important that they be treated with the correct doses of medications for specific health conditions because of other health problems and other medications they are taking.

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Spyz, you're not going to be pain free. We have to adjust our lifestyles to the things that we can do now. It is not fair, but we also have to adjust to not being able to do the things that we did before chronic severe pain. If you don't like the way that your pain management dr is treating you, you can change drs. We may know our bodies better than our dr does, but we don't have the education and training that our dr does. We only see one aspect and our dr is able to see the whole picture.

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P450Metabolizer, yes, anyone can go to a Methadone Clinic. But, if you tell them that you are there for pain management, they will not prescribe Methadone for pain. Methadone Clinics only treat addicts. They do not manage pain. If someone has been going to a Methadone Clinic and they try and find a dr to manage their pain, they aren't going to find one.

Nothing in the CDC Guidelines says that Methadone or any Patients have to be reduced by 90% all at one time. I don't believe that there is such an Executive Order in Texas or any place else. If there is, it can be found and is not a secret.

Spyz ,what prescription could no longer be written for two months and who said they couldn't?

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Spyz, the rules for being prescribed Methadone or Suboxone for chronic pain is not the same as being prescribed it for addiction. A dr doesn't have to have special training in order to prescribe Suboxone for chronic pain, but he does if he prescribes it for addiction.

The Customer Service Reps at insurance companies don't receive any training regarding CDC, FDA or any other guidelines or laws.

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Posters,

I am posting primarily on "doctors who prescribe pain medication" if anyone is seeking my help.

Peace...

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Anybody here have epilepsy? I lost someone I met at Walmart and have no contact info....petite white female in ponytail with epilepsy.....not me, but girl I lost.....no more, this is not a hook up!

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rsder, the CDC issued Guidelines for prescribing opiates for chronic pain in 2016 earlier this year. The CDC Guidelines recommend not exceeding 90 mg Morphine/90 mg Morphine Equivalent Daily Dose among other things. You are correct, these Guidelines are not laws. But, more and more drs are going by them. The FDA came out with Guidelines that recommended 120 mg Morphine/120 mg Morphine Equivalent Daily Dose several yrs ago. The CDC Guidelines have replaced the FDA Guidelines.

Pain Contracts are up to each individual pain dr. The reason for them is so the dr has proof that the patient has been informed of the rules, understands them and agrees to them. Patients can't say they weren't informed or didn't understand or agree to the rules once they sign the pain contract.

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For your cancer try Rick Simpsons oil, it cures cancer!!

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Racism, misogyny, and politics invalidates that post.

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Noelmybell, Pharmacists having Corresponding Responsibility is nothing new.

A Pharmacist’s Obligation: Corresponding Responsibility and Red Flags of Diversion-
deachronicles.quarles.com/2013/08/a-pharmacists-obligation-corresponding-responsibility-and-red-flags-of-diversion

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KITTYMOOSLEY, I too at one time thought BL to be nothing more than an old codger, waiting with baited breath to pounce on us and make us only feel more tired, old and sick....we must keep in mind that with these posts along with Facebook posts and cell phone texts, our emotions and actual intent doesn't always show through. BL is not gloating but is actually in the same predicament that we are in. BL like myself oftentimes come across as rude, arrogant and even cross at times when really we are just blunt and to the point...remember, we all have different information that benefits each of us..together we gain knowledge and God willing, we gain grace to love and support others like ourselves going through these difficult times...

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Lynx, a patient having chronic pain does not mean they meet the Palliative Care criteria.

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