Robert Says:
2016 Cdc Guidelines For Prescribing Opioids For Chronic Pain (Page 3)
Updated
Roy Says:
Hey all fellow patients out there, did you know the CDC has published a list of their proposed 2016 guidelines for doctors who prescribe opioids for chronic pain? That includes oxycodone, lortab, percocet, hydrocodone, opana, suboxone, morphine, and any other drug that has an opiate ingredient in it that so many of us count on to lead normal lives! This affects all of us and the comment period ends on January 13 2016! That's about a week from now! You know the doctors are going to have to follow whatever federal rules pass so if you are worried that you might not get the care you need please go to the gov web site for the office of the Federal Register and submit your comments to them before it's too late! "The Centers for Disease Control and Prevention (CDC) in the Department of Health and Human Services (HHS) announces the opening of a docket to obtain public comment on the draft CDC Guideline for Prescribing Opioids for Chronic Pain (Guideline). The Guideline provides recommendations regarding initiation or continuation of opioids for chronic pain; opioid selection, dosage, duration, follow-up, and discontinuation; and assessment of risk and addressing harms of opioid use. The Guideline is intended to be used by primary care providers (e.g., family physicians or internists) who are treating patients with chronic pain (i.e., pain lasting longer than 3 months or past the time of normal tissue healing) in outpatient settings." https://federalregister.gov/a/2015-31375 Editor's note: Please note that the above statement "You know the doctors are going to have to follow whatever federal rules pass" is technically correct but may be misleading in this case because the CDC draft says that it is "not a federal regulation" and that "adherence to the Guideline will be voluntary." Editor's note # 2: The title for this discussion thread has been updated to reflect the topic most effectively.
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My DR had no problem telling me to NOT come back on September 8th 15 and I have Reyes, several mussel relaxers. they made me very aggressive. I do not want that as I'm a alpha male and I try hard to control my temper. it can be rough when my candle is lit. My old Dr knew this. she had a male with her till I told him he should leave. I don't want to be a training aid SOO just my DR and me for a visit. I still think the World of the DR I had in Rustburg VA. she was very kind and understanding till the DEA GOT ON HER. SOME people lack the fight to do the Right thing But a DR works awfully hard to become a Doctor so I Understand from her stand point but I still am in a lot of pain. I'm not trying to be messed up on my medication. if I were that type of person I would be in a very bad way I have some medication put back. I saw the righting on the wall. We Should Not Have to be Stressed out worrying about our meds. We All should be upset with the DEA. in this country the government is our servant not our Master. I have but one Master and it's No Person. I'm 60. I saw the hippie movement when I was a kid. I don't want a Buzz. I want to be able to walk a little and if it's a nice day I would love to ride one of my Harley Davidson motorcycles just a little. Not much just a little, they are what I want. some quality of life. I think some of the old meds work just fine. my crummy insurance will pay for my valiums and the Opana works. so did the oxycontin. I think we have a Right to meds we need to do the things We Enjoy. I'd as soon be Dead as I have no life so I'm going to do some things to stay on my feet.
I Don't think we should be held accountable for other folks Not Raising there kids Not to Steal or use Drugs. Not There's that is a failing of the parents. my Daughter is 41 yrs old and she was taught these things by me and her Mother but it seems young people are Not getting this. they seem very spoiled and entitled to me. well when the dust settles the Chronic Pain Patient is Going to Hurt And the young people who have stolen, bought or how ever they get the meds they don't have A Right to have are going to meet the Dealers in on the South of Atlanta and on Old National Highway. They Are Plentiful. I watch the local News. never been there don't want to ever go Either. I think we need to Expand Medical MARIJUANA. IT WILL HELP IF YOU GET THE RIGHT STRAIN. I HAVE THE BEGINNING OF EMPASENA. I know my spelling stinks sorry, but if you read you understand what I mean. I'm Not Going to be pushed anymore than I have been. I'm sorry our Governent got in the DR business. that's what makes me mad and if the Great State of Georgia will include Chronic pain to be able to have MEDICAL MARIJUANA I WOULD NOT NEED THERE OPIATES OR DR'S. I KNOW WHEN I NEED A SPINAL PROCEDURE IN DEC I WENT TO TAMPA FLA TO A PLACE CALLED LASER Spine Center. I had a lower back and a neck operation. I sold my coin collection to pay for it and I lived in a 8 or 9 pain all the time. I'm in a 2 all the time now but any exertion and I pay Dearly. But I Am A Man and I can't let my wife of 42yrs lift things too heavy for her. she has RA and is a tough little Woman. like I said its QUALITY OF LIFE. I DO NOT WANT TO EXIST. IM GOING TO THRIVE. STAY POSITIVE. DO NOT LET THE SITUATION YOU FIND YOURSELF IN GET YOU DOWN AND PLEASE DO NOT TAKE YOUR LIFE TO EASE YOUR PAIN. I BURIED MY LITTLE BROTHER IN 92, the DAY BEFORE MY BIRTHDAY. YOU WILL BREAK THE HEARTS OF THE PEOPLE WHO LOVE YOU AND I HOPE WE ALL CAN SAY WE HAVE LOVED ONES SO IT REALLY ISNT JUST US. ITS ALL OF THIS AND MORE. IF YOU THINK NO ONE CARES I CARE FOR ALL WHO ARE THE LAST OF THERE FAMILY. IM THE LAST OF MY LITTLE FAMILY WHEN I NURSED MY MOTHER THRU CANCER. I HAVE BEEN ALONE EXCEPT FOR MY WIFE WHO'S MY BEST FRIEND AND CONFIDENT I HAVE TOLD HER THINGS ABOUT ME THAT SCARE ME. She ALWAYS understands and is supportive. I hope some of what i have shared can help You. IF YOU ARE ALONE I CARE FOR YOU AND YOU ARE NEVER ALONE. I HAVE SEEN SOME THINGS IN LIFE THAT HAVE HURT IN AN EMOTIONAL WAY AND I CAN TELL YOU EVERY THING HAPPENS FOR A REASON. WE JUST DONT SEE IT YET. HAVE FAITH IN GOD and tomorrow and keep on Keeping On.
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Robert Raper Says:
I Rember my old friend my original DR in Rustburg Dr Stephen Thompson who passed away after a long courageous battle with ThroatCancer he was and in my mind Will ALLWAYS be what a Good DR Should be a person who could truly tell if you were in pain. He would have helped me and not abandoned me and anyother Cronic pain patient he had in practice I do not belive he would have stopes takeing new patients I say this because the last few times I saw DR Thompson I could tell my Friend Was In Great Pain hisself I Asked Why Do You Not Enjoy The Time Left My Dear Friend told me that was what kept him going was helping His Patients. They do not make DRS like him anymore I'm very sorry for that and it's very hard when you have had a First Rate DR but I say again that the DEA has NO BUISNESS IN A DOCTORS OFFICE I DO NOT WANT TO BREAK THE LAW BUT IM going to do what I have to do to have as good a life as I can I'm not judeing anyone we have been put in a Bad Situation We Have To Deal With Daily We Are All Stuck In Wore Out Body's and if I could I'd quite happily let the good ole folks who think they know what is going on with our situation trade places I'd never let Them Out Of My Body if you Could trade places And I'd Give Them There First Bottle Of Tylenol. I Wish You All Good Luck With Your Drs And Your meds GOD Bless You All.
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Spyz Says:
In the book, The Opiate Cure by Dr Robert Cochran, he states: "patients do not trust their doctors. We treat them only to our level of comfort and not theirs. With pill counts and U/A's we make the patients lie to us. They have to find multiple doctors and buy off the streets. We make them do that. Could it be that we could solve abuse by prescribing MORE generously? Look up Dr Robert Cochran. He was a good pain doc here in Nashville. Unfortunately he was forced to resign since he listened to his patients and actually helped them. When I was looking for a pain doc, a school administrator gave me his info and I found he quit the previous month. He has a couple books out about opiates--he knows what they are able to do-in a good way.
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wanda Says:
My 1rst amendment is shot. I am a 61 y/o in perfect heath except my back is broken, my thighs are broken, ankle compound broke 4 knees 4 surgeries, all because the women's olympic dr in virginia insisted on a cardomed 360 degree total knee replacement non fda approved. The knee goes out to the right and i go down now if I do not feel pain. I do not fall. I have sleep deprived siezures. A friend of the extended family stole my meds. We had the same psychiatrist so he called the pain dr. I had been suicidal my entire life so my right of life liberty and pursuit of happiness if I can't walk I will lay in this condition till I die crying. My youngest girl was killed on 7/9/14. The oldest girl died 12/13/15. So benzo are needed. My tonic. clonic siezures are bad. Lose bowels and urine and I am going to die of a broken heart. Also I have PTSD FROM BEING BEATEN, RAPED, etc. My mother knew 5 years 7-11, then during Katrina we lost 2000 people. No one would help us. Now 2 of my 3 girls died. After my seizure the ems took me. I was a confused person post seizures. You will say anything with withdrawal dementia. That dr.'s diagnosis was suicidal addict, so I fell in the hospital with the mentally ill. I complained about the seroquel. It made me woozie in the am. Staff painted our nails. I went to get a matching shirt. My knee gave out and broke both femurs. I do not want to die. I have 1 girl left and 7 grand babies. They would feel like I do. HELP. BLESS YOU.
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Colette Says:
Amen to that.I've has 25 back surgeries and severe chronic pain.There are days I don't know how much more I can take it.It's been going on for 36 years now.On the correct pain medication I have a functional life.I take pain meds because I have too , not because I want too.
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Ira Says:
I just don't understand how anyone can comment on this drug topic without reading the regulation. I can't find the content of this anywhere, on comments. Where can I find the text of the new guidelines?
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Jenny Says:
CDC main page will be listed opiod guidelines basically they want to cut meds to 120mg combined long and fast actor total amount. And in make medicaid only give kadian or Embeda... if not it your state yet it will be they trick to pass a.bill then they stop coverage of everything else. Now they are going after V.A. and it will be same thing only covers 1 type medicine... next is medicare since they want you to believe it's a benefit not what you paid for all your working life. Then private insurance will follow along to save money.. needs stopped now =/
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BL Says:
Jenny, they want to reduce it to 90 mg, it is already 120 mg according to the FDA Guidelines.
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P450 Says:
To All,
This is for GP and internists. Did anyone look at this? It is not for qualified pain specialists.
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Robert Raper Says:
I agree with you Jenny I have gave up on my last Floricet w CODINE my crummy private insurance One Who Helped Craft OBAMA CARE UNITED HEALTHCARE THEY HAVE THERE OWN PHARMACY SO now they will not fill my Last Pain Script I got let go by my DR 9-8-15 I still think we are being discriminated against WHY DO WE GET SQUEEZED AND NO ONE CARES AT THE LEAST. I GUESS IF YOU ARE NOT WEALTHY ENOUGH WHERE YOU GET EVERYTHING YOU WANT WE ARE NO ONE. THIS COUNTRY GIVES US BUT OUR VOTE AND IM SORRY TO SAY OUR OFFICIALS QUIT CARING ABOUT CHRONIC PAIN PATIENTS I KNOW THE POLITICIANS ALL LIE BUT LETS ALL ASK ABOUT OUR MEDICINES WE NEED FOR A LIFE WORTH LIVING THAT IS A RIGHT I THINK ASK ABOUT MEDICAL MARIJUANA. THE FIORICET THAT THE GREAT FOLKS AT UNITED HEALTHCARE THAT MY INSURANCE WITH THEM WILL NOT PAY THE REP TRIED TO TALK ME INTO A SMALLER AMOUNT OF MEDICATION I SAID NO THEN I WAS TOLD I CAN BUY IT FOR $3,357.82. It's ALL ABOUT THE MONEY and why would a drug that comes from a flower COST SO MUCH? All the $$ and the BUY IT NOW PRICE I LIKE EBAY BUT THIS DOES NOT MAKE SENSE.
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Jenny Says:
Oh wow. They are wanting to kill people off real fast. =/
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Jenny Says:
Qualified pain clinics are not even prescribing more than 120mg in Tennessee is the patient is thrown on medicaid due to income.
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P450 Says:
FDA is not DEA.
Obama is behind 99% of what pain patients are suffering I suggest anyone here with a pain doctor stay with them and hold out as best you can until this situation eases up.
As a professional I know that opioids are the BEST and least adverse for intractable pain and the government has no business telling physicians how to do their job. End of that.
Your 99% of OD's are non prescribed drug abusers. Keep your medication locked and accountable and stay tight through this joke. FDA has no DEA rights and the DEA will not tell a physician how much but how to LEGALLY prescribe if they lack documentation and follow through.
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Spyz Says:
There is a link right above your post with the guidelines. Look for the post by Roy, click on the link
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Jaxx Says:
I agree. I had back surgery almost six yrs ago! That failed, they call it failed back surgery syndrome. And I got scar tissue on the nerve on my spine. And my pcp don't want to prescribe percocet that has helped before as long as take as needed!. So bcz of ppl abusing it, is ppl who have the chronic pain 24/7 have to take nsaids. Really they have put me on every nsaid around an a muscle relaxer methocarbamol aka roboxin. I feel very little relief. So now I have to suffer an have a hard time gettn up in the morning. Now my routine has changed to it takes about 4 hrs for me to get out the door with getting ready. I have to take long hot showers. I sit with a hot pk on my back every morning while drinking my coffee. Life now has been miserable since this surgery. Honestly plenty of drs said I would need the surgery by the time I turn 35. Now 41yrs old an I'm out of work, I'm very very depressed, and I always had a very clean house that now I'm so overwhelmed and anxiety is up because I have a hard time moving around. Takes hrs to do my things I did before. No dr seems to want to help. They automatically think we're all addicts because these narcotic medication are all that helps the pain. Ok so I understand they don't want ppl to get immuned. Either way your immuned because we need it. Believe me I don't want to take anything if not needed. I never took tylenol unless I couldn't handle the pain. But really the ones who want to stop prescribing these obviously have not had any type of chronic pain to know what it's like to live with. Anyway what I'm getting at is. There got to be other ways they can prescribe it and monitor the people on it. Or the ones who make it can't they come out with the same medicine but do something with the opiate part of it so that ppl won't get addicted to it.? With everything they can do today with technology there has to be a way where it can help the exact same but not have the addiction part to why it's doing that. And drs are the ones who prescribed these pills to begin with an knowing with the schooling they learned to be a dr knew and know the affects it has on ppl. Must remember some ppl didn't think they would be addicted because it was given by the drs. Anyway. I hope they can do something where the ones like us who have the chronic pain can get something other than nsaids which to me is like eating a tic tac. It does nothing to help the pain subside. And I feel like oh yeah they cared before to do the surgery to get there money. Then when we're like this everyday and I feel like I get treated very wrong. It's not right. And it's not fair to the ppl who really need it and the ones who been taking it and have no problems with it. I need it to help the pain and so I can get things done in my home. No one should have to suffer with chronic pain bcz of this. And I had lower lumbar surgery and 6 screws and 4 rods. Every day I regret having the surgery done. Thinking if I didn't would the pain be more intense then what I'm feeling now or would I be able to bare it. If I knew then what I know now that I have to be like this everyday, would not have had this surgery done. I also have other things going on with pain too. But this is the main one that I need medicine to help it.
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Mark Says:
Jaxx you need to be careful of your NSAID use. There's a mountain of studies which show how long term use of NSAIDs can cause heart attack, stroke and gastrointestinal problems like ulcers. Over 16,500 people die in America from bleeding ulcers caused by NSAID usage and another 100,000+ are hospitalized. These are some of the reasons doctors stopped long term NSAID usage in the past, but because of these new guidelines with opiates they appear to be looking the other way on these NSAID studies. Nothing surprises me anymore on what the government will pull next on the innocent. After all suffering human beings mean less than drug abusers now...
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Cynthia Says:
medicaide in past 6 months has killed 4 of my nieghbors been on same med. 25yrs or more then just cut off.Was not overdose it was inhumane pain could not live with anymore
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BL Says:
Jenny, State Medicaid Programs each have their own list of restriction and limitations in addition to the laws and guidelines. Most, if not all, Medicaid Programs are many more restrictions and limitations than any other insurance, government or private. The proposed CDC Guidelines have nothing to do with how each State Medicaid Program governs their health care.
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Jaxx Says:
Ty Mark. If only the drs could rethink what there prescribing. Ty for your comment.
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P450 Says:
To All,
Most know my story I am an ultra rapid opioid metabolizer and there is a lab test done to support this. I have been with the now most famous pain specialist in California.
In 4 days I will die. Even tapered down to 300 mg morphine equivalent which kept me housebound I am now bedbound. I won in Court against the WC people who were attempting to reduce costs and I require brand Duragesic for long acting have multiple allergies and pills do not work for this DNA we metabolize them before they get to the gut. Liquid Oxy solution 500 mg/5 ml is my short acting.
I won in Court and they chased my famous physician away. Now within days of having nothing I must commit suicide and die with dignity or hope that my famous physician takes me back. Due to cost of Duragesic I have asked to be hospitalized if he gets me in time and put from Duragesic to Methadone which a homeless person could afford.
This is for GP's not specialists. This is all due to the current leadership in Washington and I advise you if you have a PM stay with them; do not change and ride this storm.
Scientific evidence shows that opioids are the safest and best way to handle intractable pain.
God bless
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