2016 Cdc Guidelines For Prescribing Opioids For Chronic Pain (Page 5)
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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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I was on 3 20 MG oxymorphone for 7 Years due to fact they only last 8 hours then changed to 2 30 MG oxymorphone cause nurse was going by strict 12 hour when they had to change my doctor and 4 10 MG percocet when I lost my job same doctor took away oxymorphone completely and put me on morphine that kills me and took away 1 percocet. Saying they know I need amount I have taken for years without having to increase because it worked but tenncare says 120 max no matter what.. being in Tennessee as well our rules/restrictions should be same.

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Jenny, each dr is different. Just because the recommended max is 120 mg doesn't mean that a dr is going to prescribe that high of a dose if they don't believe it is needed. You also may want to look and see if TennCare imposed new restrictions After the date that your pcp prescribed the 120 mg. It is common for drs to say that they can't prescribe certain meds because of Medicaid. Also, there are communications between state medicaid programs and health plans that the public doesn't have access to.

There are several factors that govern what a dr prescribes-
1) A drs professional opinion of what the patient needs.
2) Federal and State Laws
3) Other restrictions and limitations that are imposed by the patient's insurance.

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Thanks Dana. I said the same thing. So sick of the addicts manipulating Dr's so they can get their fix

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C Lilly, u r one of the reason that the cdc n others think that the people like myself that truly r in pain has to suffer. No one wants to be on meds n no one wants to hurt. The med only takes away 60 percentage of the pain if that. So plz stop u All have done enough damage! Thanks.

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BTW I need your doctor sounds like I am getting killed with mine.

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I was on opana for over 10 years and changed to oxymorphone after then made opana plastic that gave me heartburn also oxymorphone was significantly cheaper. This doctor refuses to give me anything else even though the side affects are bad I did not have side effects with oxymorphone or opana until plastic was added. They refuse to increase fast actor dose in lieu of ineffective long actors not sure wth they are thinking they have me on 3 10mg percocet and right now since kadian not stocked nothing. I brought in form for patient assistance for opana they refused to look at it.. they don't care sadly if a primary allowed to fill up to 120mg why am I At a pain specialist if they won't go over?

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Jenny I'm on TennCare and got opana...I requested generic Oxymorphone Hydrochloride I think, the generic works like the original blend without any abuse deterrents. Yes doctor needed a prior authorization but if latex is poison to you, you should be okay. They did switch me to Fentany at 50 mcg every 48 hrs, along with oxycodone 30mg, 120 per month. The patch is great for steady release and no more hi's and lows. I do tend to forget about it but that affords me a few extra every month to tuck away for emergencies. If they insist putting you on the patch try cutting the glue edge off and using your own tape (whichever you can tolerate) just don't cut too close in or med will seep out.

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Robert R. Previously known as Robert Raper; wow, your reply to BL's apology really shows another side of you. I think it's amazing that with all our different doctors, conditions and medications we are all still basically going through the same thing. We're all hurting and due to the recent guideline changes, have no idea what may befall us next. Thank you for mentioning the Burpee Seeds. I have been looking for the papaver somniferum for some time now and haven't had much luck. I found some a few years ago and planted them. LOL They got about as big as a dime before aphids got to them. I have found some organic at Walmart and they are a beautiful silvery blue which indicates they haven't been washed as thoroughly as others and have retained a bit of their um, active substance. I sprinkle them along with hemp seeds on anything he'll stick too and I do believe they help. I'm afraid that due to lack of sunshine where I live, poppies won't thrive like they should. I do have relatives in Europe where they grow in everybody's backyard. Unfortunately they need them as much as I do. I've heard that's what grows on our highway's median strips. I'll find out next Spring. I wonder if doctors realized that if their questionnaires were anonymous, the answers would be different? I wonder if they then tallied them up, would they prescribe differently or do they really all just not give a damn about us?

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Lily that's an excessive amount. Is it safe to say you was going to a pill mill. There's nothing that can justify needing that many narcotics.

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Lily, just because your previous dr gave you certain meds in certain doses does Not mean that any other dr will prescribe you the same thing, even with a copy of your medical records.

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Lily, you need to get a copy of your medical records from your previous dr. Be sure and check with your new pain dr and see if they have gotten them already. You won't find a dr that will prescribe you those meds and at those doses. You will have to go to extended release pain meds.

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#65 there is no way I'd be able to afford 2k a month. I am on fentanyl myself and its $187 per month without insurance here in Oklahoma

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#65. I don't know what pharmacy you use however if you use the generic version fentanyl it is way cheaper. $2000 sounds awfully ridiculous

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Lily I don't think you'll be able to to find a pain management doctor these days that would even consider writing for that much IR oxycodone aka Roxicodone 15mg & 30mg unless you're terminal, plus morphine on top of it.
Roxicodone is the big abuse drug since Oxycontin was reformulated and doctors are fully aware of it. It doesn't mean you're personally abusing it, but doctors are extremely paranoid about prescribing a big number of pills like you were getting. It's not the amount in mgs you're getting, it's the total number of pills.
Most doctors if they're going to give you that amount in mgs would have most of it in ER/CR pills not IR pills.
I wish you luck in finding a pain management doctor that will work with you on your current chronic pain situation.

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BL I have the referral to az pain clinic. But like I sd b4 I was getting 120 of 30mg oxyz, 150 of 15mg oxyz, 60 morphine 30mg. My pcp gave the referral w/o records so I got no pain meds next appt 2 wks away nd the way they're talk I won't get any then either. I just don't know what to do no er or urgent will even look at giving me anything becuz I'm on pain management uuuuugh!!!! HELP ME PLZ

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Tenncare decided it would rather waste money and only pay for name brand Morphine (Kadian) still not able to receive pharmacies tell me that manufacturer is on backorder and governor Haslam knew this before he passed the bill to change it. 1 the name brand cost is 400 if not more a month and tenncare doesn't reimburse so some pharmacies won't carry it and ones that will eat cost can't get it. So they took away all long access to long actors and Dr won't increase strength of fast actor which I said rather just take then deal with bs stress. The Jerks also trying to force embeda as alternative however after researching thus med was recalled at least 4 times the last year before taken off market and now rushed back in... also pharmacies are not carrying either they can shove it will not be experiment for the pretend war on drugs.. sadly a few years ago there were calls to dismantle DEA guess we are the excuse they are using to make themselves relevant to i****s again =/ they along with state boards of health and state government worked to change policy and so little they could keep rotating blame to confuse people.. it's all their faults they are all equally culpable. Obamacare the hell that it is gave them opening for corruption. Easy for them the under educated public following like sheep. Even reading the advocate groups trying to help they fold and don't see past they ok'ed adding to list but did not see that that meant they added with ok.. but took away everything else. They successfully just took away all long acting meds and left me with 3 10mg percocet. They say fentynal patches however reading that not an option especially when tenncare doesn't ok many strengths. So too low or too high. I'm allergic to latex. No thank you.

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P54 post 65 was spot on I wish I could help you but I can't help myself. I do hope the people who have put Cronic Pain patients in this terrible state we find our selfs the Males I like the kidney stones and No Precedures at all when I was a young man I had stones 3 of them I did not have insurance young family to provide for I Sucked it Up I can still Rember Passing them in a uranial they sounded like BBs and it HURT LIKE HELL I Pray For You and All Of My Fellow Cronic Pain Patients if you can Grow Something that May Help I Do Not Judge I Spent my life trying to be a good Productive AMERICAN I'm now going to take care to do the small things I can to See A Future where I can Thrive I suggest the same for All in A Like Mind. Peace and Less Pain To ALL.

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Cynthia, have you seen a Pain Management Dr ? I'm confused about you being on Medicaid in Florida. Are you still on Medicaid ? Do you still live in Florida ? Just because a dr orders diagnostic tests doesn't mean that you have to agree to them. Regular Medicaid pays so little that usually the only hospitals that will take it are teaching/public hospitals in the state your Medicaid is from.

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Robert R. , Thank You For Your Service !

You weren't rude. It was my mistake and I'm glad you mentioned it so I could explain. If I could, I would go back and correct it but MedsChat doesn't have an edit feature. Copy & Paste is where you take your mouse and highlight words that you want to put some places else. Then you take your mouse and put it where you want to paste the words and click your mouse again.

Robert, If I read your Post #38 in this thread, you were taking Opana. Is Opana the medication that the insurance company wouldn't pay for ? I am assuming it is because it is a Brand Name and there won't be any generics for a long time due to the patent that the pharmaceutical company has on Opana. The insurance company refued to pay for the Opana because it is brand and it is so expensive. Your dr may have been able to do a Prior Authorization on it and your insurance company would have paid for it. I am also assuming that your dr is lazy and didn't want to do the paperwork that was needed for you to get the Opana. Fioricet with Codeine is a very old drug, it is cheap and it is a Schedule III. So it makes no sense that your insurance company wouldn't pay for it. Have you thought about looking for another dr and trying to see if they will do the Prior Authorization ? You may want to get a copy of your medical records from this dr and read them. United Healthcare is bad about denying medications and other things as well.

How close are you to 65 ? The reason I'm asking is because Medicare is Good insurance. Although you do have to do your research when you get a Medicare Prescription Part D Plan and be sure that you get a good plan. I have put a link below that may help you when you get ready to chose your Medicare Prescription Part D Plan and make other decisions about your Medicare.

Don't put yourself down because you don't have the type of education that you would like to have had. Not everyone can do the type of work that you did. If someone doesn't have the God Given Ability to do that type of work, all the education in the world won't help them do it.

State Health Insurance Assistance Programs (SHIPs)-
https:/­/­www.medicare.gov/­Contacts/­#resources/­ships

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When i finally made it to UM,John Hopkins they thought if was perfect candidit for Nano surger yBut after beingon medicaid for before i got United Health care when they gave me blood test which they had touse Utlra sound machine to even get blood becuse thieving murdering medicad would not even give me antinausua med. I was told i had chronic radiation poising from FL.medicaid giving me uneceary cat scans n mris over n over again. They said my immune systmem was so comprimised i could never have any more surgery not even non evasive. I was told i should be quaranted pain relief at end of life theyre nothing more that can be done. Well now i cant even get primary to look at my med. records n forced back on medicaide i cant even get potasuim pills to help me take care of my self.What little life i had left is nothing but pain falling down more weakness.,told im going to have a stroke my BP so high becusse of pain . Murder is Murder I dont care what kind of label gun speacilaist have shoved up theri ass. I want Dr.s Back

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