2016 Cdc Guidelines For Prescribing Opioids For Chronic Pain (Page 4)

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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Cynthia,

Medicaid is different in every state. Here is the issue. Years ago when I did my 10,000 suicide pain level patients Ohio changed formulary. First they cut out Duragesic for Medicaid patients, then Oxycontin.

On Medicaid in every state there are exceptions. If so then people on that drug must arrange a new drug or ask their physician to file for the exception and while waiting go on something else, not just die.

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I am so sorry for what you are going through--have you considered Cannabis for the PTSD, seizures, pain and other symptoms?

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To All,

I just gave the CDC my comment. This is it below...

I am a professional nurse who was injured on duty in 1998 I have progressed to Central Pain Syndrome.

First, the overdoses being charted are DUE in WHOLE to those illegally abusing prescribed medications.

Second, true pain patients become opioid tolerant which a trained physician (even a GP) knows, and can adjust safely without negative outcomes. Attempting to dictate a morphine equivalent level is KILLING your legitimate pain patients.

Third, I will likely die in 4 days due to your CDC recommendations. I was injured at work and again have seen the top specialist in America after my PM of 10 years died. I am a P450 ultra rapid opioid metabolizer and labs show this. These CDC recommendations are causing such fear in physicians that those like me who are well deserving of medications are being dumped, discarded like used toilet paper. This is an injustice.

Recommendations should be felony incarceration for anyone abusing prescription medication on the street that is where your overdoses are coming from. One disorder of 50 I have RSD is researched at 88 x worse than end stage cancer.

I can only thank you for killing me and making addicts get compensation for breaking the law. The government has no business telling physicians how to prescribe unless they too are criminals.

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Spyz,

You are sounding like the CDC. Those with real intractable pain require relief with opioids. Marijuana does not kill intractable pain also can increase paranoid, and anxiety. It is a JOKE.

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To All,

Do not be mistaken many physicians suffer intractable pain, as do many professional nurses. However, the physicians have one another to bounce around to. There are several who post on this forum who have stated one doc writes them this drug another
writes him that drug.

For you as a patient that is called doctor shopping; however, they suffer but cover themselves in other ways.

The Hippocratic oath is 'do no harm' and when I die in a few days there will be harm, finality, and for the 10,000 plus IP patients in suicidal pain I referred, handled, and loved since my injury may God bless each one of you...Remember until this political crisis ends stay with whoever is writing for you; they will see what to do and their conscience will dictate their pen when they write your triplicate.

I have now won in Court three times on current issue; no medical care for a year left to rot and die, because my famous had me put aside I lived another year but it was a bad year the entire time in suffering am now bedbound. Now they are going to send me to him and he never got rid of me but they involved both sides separating us. Only he could take someone as bad as me and write for me.

The key now is Duragesic at very high levels since I am an ultra rapid metabolizer has kept me walking and due to what the insurer did I have demanded to be put in a hospital out there if I can make the trip I am almost out of medication and won't make it if they do not move fast so I can go from Duragesic to liquid Methadone the most DIRT CHEAP long acting known to man. In that way no one can control the cost I paid almost $2,000 for 10 patches and yes I am on a 100% medical award for life!

I hope to be here but chances are within this period I will end my life with dignity and self respect not going cold off the level of patch for me which is too low but kept me alive and would knock normals out that is it for me.

Hold tight those of you who have a PM keep your mouth shut and let these doctors come to God. Obama will pass like a fart in the night but America will persist what has happened to us is due to his little dictatorship. He needs two kidney stones pushed into each ureter and then to be told we can give you an aspirin...That is the truth.

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P450, the vast majority of Medicaid Providers won't do the paper work that it requires to support an appeal.

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Fellow sufferers,

I need your prayers now for the true healer that is GOD.

He allowed me to live almost 20 years in intractable pain and identified to physicians who are gifted the P450 DNA that allowed them to treat my pain in 2012 to stabilize.

He allowed me to fight the Attorney General in the state where my WC injury occurred and I WON hands down for ultimately Judicial Law should protect the innocent.

For a year I lived on substandard amount of medication put aside as told by my famous doctor. WC broke us apart and now with 4 days of long acting left I in Texas he in California I have redone my genetic testing, filled out my paperwork and asked the one person for WC who has handled thousands of cases over the years to 'get real and help me get me back to Dr. T before it is too late no one but him could stabilize me' and am willing to go to DIRT CHEAP liquid Methadone for my DNA does not metabolize opioid pills properly they jet out of my body in 10 minutes including long acting.

I have done my best for we are human. The errors made by government must change for ADDICTS who abuse our opioids for pain are addicts they increase the heroin business for to me heroin would not work; Duragesic is 100 x stronger and my brain knows the difference between Duragesic and liquid Oxy solution; I have more then enough of the latter if my brain would accept it as replacement.

It took a genius physician and researcher to see my rare disorders and now that I am Central Pain and my brain is damaged from intractable pain my life will exist if it gets me out to the west coast pronto with pain forevermore. Opioids do not get me high, or kill those like me; they make the pain more tolerable.

I ask for prayers for God will listen to strong voices. My voice is now faint, weak, indiscernible for the PAIN is screaming, howling and demanding I die with dignity not cruelty and take my own life.

Today I ask for your strength, hope, and your prayers. Send them to Dr. T. so he makes this happen.

Thanks...

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P450 I had a horrible epidural abcess 27 years ago after a back surgery. It was made even worse by the doctor having me on IV steroids for 10 days making the infection a super bug that took 96 days on IV antibiotics (timentin and claforan) to kill it and even now there's subcutaneous pockets of this infection sitting dormant waiting for oxygen to breathe new life into it.
This infection scarred the dural sac from L4 to S1, the nerve sheaths are pitted and scarred from L4 to S1 and I have a scar pocket the size of two softballs from L4 to S1. I have a multi-lead rechargeable spinal cord stimulator, but I also take well over double the guidelines that the CDC is recommending in oxycodone. My pain management doctor said that he had no intention of lowering my dosages of ER/IR oxycodone and could easily justify it. Granted my condition and it's severity are extremely rare, but it sounds as though you have a severe rare pain condition also.
I don't understand why a legitimate board certified pain management doctor wouldn't treat your pain at the level of medications required to provide a level so you could at least tolerate the pain?
For every good pain management doctor there's 6-7 bad ones and this is right out of my doctors mouth!
It sounds more like you're getting the not so good ones that more than likely have been over prescribing and now their scared.
It makes me sad to read people's tells of suffering when help is available, but once again Odumbo's socialized approach to one size fits all is going to kill alot of people and he could care less.
All of us are an exceptable loss for the failed war on drugs. Everything Odumbo has touched has been an epic failure, but you known he's patting himself on the back again and saying look all the good I've done once again! He actually believes he's the best president of all time, but anyone with an ounce of intelligence knows he's the worst ever!
Who in their right mind would play doctor and have innocent suffering people suffer because of drug abusers? One word, Odumbo!

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The way they have it set up now you have to go into immediate allergic reaction and be hospitalized. Atleast what I keep getting told.

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P450 Sorry but I am as far from the CDC you can get and even view opiates as needed nutrients that should be OTC at Wal mart or the grocery store--I was under the impression the person had already been on opiates and was at the end of options, I'm not crazy about marijuana myself but the one time I smoked with my opiates was the only day I got distracted enough to do only four. I also know all the bs about opiates not helping with nerve pain or fibromyalgia is a lie--they have found that opiates will work, at twice the dose but of course good luck getting it. Oxycodone is the safest medicine there is, limited only by a users tolerance to side effects, if they have any. P450 I'm all for opiates and know that just under 100 years ago they prescribed them, successfully, for at least a dozen reasons other than pain. Sorry for going on like I am but cdc is a bunch of ignorant evil folk who really are clueless about what they are doing. I said all this because it seemed better than just saying, "I know you are but what am I?" LOL

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Jenny, they need proof that the allergic reaction is life threatening and that is the only way to prove it. It is common for a patient to say that they are allergic to a med if the won't want to take it.

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Not everything kills you instantly. If not super allergic but slightly it builds up in system atleast in mine.

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BL,

Did you know I am highly allergic to LATEX and SILICONE.

When you use generic Fentanyl either or BOTH also leech into your bloodstream poisoning the person so allergic. Not only that but there is 43% LESS opioid in all generic drugs.

If the allergic you refer to is me please move on my allergies are all life threatening.

When you infer these things about strangers it usually means to look within BL.

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I just cannot think a DR would do thease things to people who live in pain SHAME ON BARRACK HUSSIAN OBAMA HE COOKED THIS UP AND HAS DESTROYED THIS COUNTRY BUT IF YOU ARE NOT IN PAIN WHO CARES FOR US?

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P450 , I was referring to the rules that Tennessee Medicaid has regarding not being prescribed the two preferred extended release Morphine drugs and being able to get another drug.

Robert Rape, the drug addictions and abuse problems were bad before President Obama was elected and it has gotten worse in the last 8 years. There are a lot of things that go on that the President has nothing to do with. By the way, if you think that the tighter restrictions are due to President Obama alone, you haven't been paying attention to the people that are hoping to be elected President in 2016.

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You know I live in GA and I ALLWAYS thought Jimmy Carter would be the worst But BARACK HUSSIAN OBAMA has Taken that ol guys Crown I'm sorry for ALL PAIN PATIENTS OPTIMA RX KEEPS TELLING ME THAT I CAN GET MY LAST PAIN MEDICANE FILLED THEN THEY SAY MY INSURANCE WONT PAY FOR Floricet w CODINE 30 mg But They Do Cover 50 MG I told them give me the UPGRADE.

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Robert Raper, you will have to get your dr to write another prescription, unless the pharmacist wants to call your dr and explain the situation and see if your dr will do a verbal prescription.

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I need a dr. in charleston west virginia, as my dr. was scrutinized by the FDA for nurse assistant who forged a prescription on him and another dr. in the same practice. Now he is discontinuing opiates for all his patients. I have been treated by him since 2002 -never once failed a U/A but he is cutting me off because he does not want to lose his practice. I had a motorcycle wreck in 1995, had 2 surgeries and pain is unbearable and back has scar tissue and full of arthritis. Help me please!

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elton, you need to call you insurance company and ask what pain management drs in your area take your insurance. Or just start caling pain managment drs. Have you asked your dr for a referal ? You will need a copy of your medical records from your current dr.

Each dr has their own way of doing things. It is doubtful that you will be prescribed what you're currently taking until the new dr has seen you at least a few times. Then the new dr may or may not prescribe you the same thing that your current dr did.

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Hey everyone, I need good doc in phx az that will prescribe oxycodone. My doc is following the New guidelines and refuses to prescribe any oxycodone. I was getting 15 mg and 30 mg each month. I was shot 28 yrs ago and still have bullet in my spine. I'm in terrible pain and had no meds for 2 days. If anyone can help that would be great. thanks

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