Need Help Finding Doctor To Prescribe Either Oxycodone Vicodin Or Methadone 10mg For My Chronic Pain (Page 19)
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I have been suffering from chronic pain for 7 years and have always been on and off pain meds from tylenol 3 to 90mg methadone at the worst of any ever taken. I decided to dose down & get off of methadone as I did not care for the "clinic" enviroment per say as I was using more for pain then for addicition. I found a dr that prescribed me the pain meds for breakthrough pain and the pill form of methadone 10mg was what I chose but now he is gone as he lost his license which sucks for me because NO ONE will give me anything, not even the methadone unless I go back to the stupid clinc and I so don't want that... DOES ANYONE KNOW OF A DR. that would prescribe anything or just something to get me through life with less pain? I am in the twin cities of Minnesota and I will drive if need be.

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147

! do recall QUOTAS giving us trouble with amphetamines used for tx of ADD/ADHD, Narcolepsy and tx of Refractory Depressive Episodes.but not fir a while.Given the needs, patients with sometimes disabling psych disorders and chronic pain should be able to get their meds. NYS TREATS benzodiazepines as if they were C-II drugs, but the DEA doesn't. That's why you'll never see anything but a fleeting bento shortage. Thanks for refreshing my memory!

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146

Thanks for thinking outside the box. I don't think I've ever done it, but I can see Valum fir muscle spasm and, say, 0.5-1.0mg of Xanax TID for anxiety. The Valium dose could be raised to cover the anxiety, but Valium can be very sedating and SEEMS to be more prone to abuse than "average" dose Xanax. Thanes also for the feeling of collegiality I notice whenever to respond to one of my posts. You must be one helluva Healthcare Provider!

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145

You're right, but for shrinks, the starting dose of Xanax is usually 0.5mg (1/2 milligram). I have prescribed 2mg QID for patients manifesting all the signs and symptoms of Panic Attack Disorder right in front of me. That's a tough call that only an experienced shrink can make. In my administrative job, I've often had to ask, "WHY VALIUM AND TRANXENE?" Sadly,b sometimes the Residents don't know they're in the same family and think of Valium primarily as a muscle relaxant. Mayne it's my journalism background, knowing that it would take 2 weeks for my staff to forward records, but I've developed a series of form letters "built" around different disorders. They're on Word templates so I can add: "It appears this patient has a paradoxical reaction to barbiturates, so please do not prescribe, even in small quantities such has the present in Donnatal or Fiorinal." I tend to agree that there's no strong PCP-ptient relationship clear. You covered for me very admirably, my dear!

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144

Dr. Joey I am waiting for a post to clear Valium is the ONLY smooth muscle relaxer;none of the others are. Watch BL he/she is a troll and causes much trouble all around. Regardless of drug class think about it and you know I am a published researcher and professional nurse; a progressive PM might write say 5 mg. Valium for muscle spasms, and continue a regular dosage of Xanax for Panic Disorder.

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143

BL is wrong again. In California pharmacies are restricted and certain pharmacies fill opioids only and shut down when out of supply. Further they are allowed to order from only one wholesaler.

BL has a habit of intimidating pain patients as well as degrading and appearing to be a know it all. Dr. Joey is a physician, I am a professional nurse and published researcher, also a regulatory expert. This is horse manure. I also use a pharmacy in Philadelphia who has access to three or four wholesalers; if I require brand it is gotten within the day and shipped to me overnight.

Odumma has caused shortages on many items not just medications to drive the cost of them sky high. That is all there is to that line of fecal product.

BL go take a flying leap will you..

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142

CeeCee Valium is a smooth muscle relaxer and Xanax is not. A progressive pain management specialist will treat your pain properly; MOST pain clients suffer due to too low dosing--chronic pain requires a long acting (LA) medication and BT (short acting medication) to treat chronic pain. You will in some cases and some disorders such as my systemic RSD now called CRPS lose REMS sleep permanently so even when on ultra high dosing as I am a P450 DNA metabolizer greater than an hour of sleep is a luxury.

Xanax will offset anxiety related to untreated pain. With the FDA 120 mg. morphine equivalent IF you find a good pain specialist attend to his/her orders and do not leave. Fill medications given and do not try the old fashioned hit me when it hurts chronic pain causes high cortisol levels which can if you progress as dangerously as I have to adrenal failure. In short the body remains in fight or flight response setting you up for a MI or CVA secondarily (lay person language heart attack and stroke).

Methadone was discovered under Hitler; Germany had a shortage of poppy plants which are used to create opioids. One of his high paid scientists is responsible for a drug that today is PENNIES or the cheapest long acting medication on the market and VIES with my normal brand needed Duragesic (pills do not work for P450 metabolizers we are done with the positive effect within 15 minutes) the highest price medication and BOTH are the worst withdrawal known to mankind.

Methadone also now has been found to literally enter your bones and the half life in the liver makes a proper removal of the drug up to a year if overseen by a specialist who is humane. Duragesic has the first bad hit on day 3 when you are going down by say 25 mcg/hour on day 10 day 3 is a piece of cake the rebound is 100 x worse making you wish you never heard of the medication and asking next "when can I find a gun and finish this off?" Methadone depending on dosage and duration must be done slowly a cold turkey attempt for either of the two will definitely lead to at least a heart attack and mental anguish that will plague you likely for life.

Most physicians do not know all the side effects of these medications. Many and many still do believe you can replace one for the other without withdrawal which is wrong; if you are taking any LA medication for over two weeks your brain will recognize that drug and nothing else you are given replaces this drug imprint.

They have found as stated Methadone enters the bone where there is no blood supply or oxygen for regeneration and healing. Therefore, it as a poison sits there while you are attempting to get off of it.

Hope that helps.

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141

comments, DrJoey is correct. If you're the pain is from muscle spasms you may be able to get Valium, although it is doubtful. You may be able to get Xanax. But you won't be able to get both. Just because you have medical records showing you were prescribed it before doesn't mean you will find another Dr to prescribe it.

DrJoey, this time of year it can be difficult to find some Schedule II meds. The pharmaceutical companies are given a certain amount at the beginning of the year
The amounts that are given are published in the Federal Register each year and their is a comment period.

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140

It is good we have a physician here .
The key is to have a relationship with your PCP. 2 mg of Xanax would knock me out. That is very strong. The dosage starts with 1/4 mg I believe, so I doubt any physician would write a prescription for something that strong. Have you talked to your doctor about your insomnia? It sounds like you are getting pain medication if he or she gives you Tramadol. Doctors do not want to prescribe pain medication and benzos too. It can be dangerous.

I was prescribed 5 mg of Valium for sleep but I only took it when I had lost more than one night's sleep. The script lasted many months for 60 pills. The generic is reasonable. My physician knows me well and I have complete blood panels done yearly. My doctor does not like Ambien. I know he does a good job with all of his patients. I agree that there is not a reputable physician that will prescribe two benzos. Also elderly people are more at risk for over dosing. mostly by accident.

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139

Hi Joey, I don't even care if the DEA reads this, but is there any way I could get a script (purchase) for Xanax 2mg here in Chicago without paying thru the nose? Please let me know 'cause the fact is this is the ONLY med that allows me to sleep 2-4 hours due to the horrendous back pain (I have TONS of documentation concerning my back dating back years and years, I'm 65 and can't get relief 'cause pain drs. only want to prescribe crap like tramadol & such!); I wish I could get real pain relief but with the X I can at least get some sleep sometimes.

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138

You expect a licensed physician to write for XANAX and VALIUM, both benzodiazepines? Not going to happen. As a shrink and Exec. Director of Psychiatry for two very large hospitals that are now under "one umbrella," I know I get a greater leeway in prescribing Controlled Substances than even most of my fellow shrinks. There's no reason to prescribe Valium and Xanax. NONE. Therapeutically equivalent DIAZEPAM (Valium) is just about impossible to find, so we decided just not to have it in our pharmacy in the ORAL dosage form. Injectable generic Valium is somewhat different. Why are you taking PHENERGAN (Promethazine, which can enhance analgesics, but with TWO benzodiazepines, could also cause dizziness, lack of coordination, etc)? ONE doc is/was writing for ALL this stuff? How much alprazolam (generic for Xanax) to do take? How much diazepam (Valium)? How much of what strength of Lortab (another HYDRO-APAP mixture)? Specialist in Pain Control rarely prescribe amphetamines, btw? I FREEY ADMIT THAT YOU MAY HAVE VALID AND NECESSARY REASONS FOR NEEDING ALL THESE MEDS — dosage may be a factor — but you're going to have to bring something other than your sweet self to the doctor's office or clinic. Over the years, I've developed letters of referral for patients who are moving to an area where I don't know the local docs. It includes MY vitae and a letter stating that "This will introduce MRS. LUCILLE BATES, who has been my patient for that last five years. " Always good to get an Internist, Family Practitioner, etc., first. My letter invite the readers to call or fax anytime and (I guess as a parting gift), I make sure MY departing patient's records oare on their way within 2-3 weeks. I've seen some pretty strange "cocktails" turn the trick on both pain and psych disorders, so I don't dismiss out of hand as "addictive or drug-seeking behavior" a pt's telling me he takes several drugs of diverse natures. I heard a Master Social Worker under my supervision describe one of my patients as engaging in "typical dope-fiending behavior." I had an addiction problem, too, while in undergraduate. I got help from some friends I developed by covering health and medicine for our huge college newspaper 50K circulation in 1975). Not once did I hear anything derogatory spoken about me and I even read my chart. I fired that social worker because she violated one of our primary rules — "to treat patients always with the dignity and respect they warrant as fellow humans".

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137

Nickknac I disagree with you. I am on Norco 10 mg and I have never felt like taking a pill unless I am in pain. I have a script that says I can take three a day. I usually realize it is seven hours since the last pill because of pain. I never take more and I always have some left when I see my physician. My mri's and my x rays show that I do indeed need these pills. I tried all alternatives such as epidurals and therapy and water therapy. I do not like it when chronic pain patients are all lumped into one category as druggies.

I was a migraine patients for 20 years and I was given percodan and Demerol inj's. I did not get addicted. When my migraines ceased I was not on any opiates. It is not correct to say everyone will get addicted. Most of us know we must be cautious and we use our medication wisely.

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136

We have a real shortage of therapeutically equivalent AMPHETAMINES in the North East (e.g., = to Dexedrine, Dextrostat, etc.), I have prescribed the generic ADDERALL 30MG IR (manufactured by Sandoz by way of EON Pharma) along with Xanax Sandor Klonopin for tx-resistant Depressive Disorders. Sill, it would be unusual to see these two scripts from the same doc, unless he's a shrink OR the pt. was on opiates of sufficient strength to require an amphetamine to keep your patient awake and functional.

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135

Couldn't have been better said if you had two MDs and two PhDs. GREAT RESPONSE!

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134

Actually, you can't take NSAIDs because of the very real risk of INTERNAL BLEEDING. I'm a doctor, but I'm on Coumadin following the resectioning of my Aortic Arch, the repair of an 8.6mL Ascending Aortic Aneurysm (very, very high risk; one BP spike caused by climbing several flights of stairs can kill; this happened to the husband of one of my profs). This is something you do not screw with. I'm well-known for "eyeballing" the doses of even the strongest psych drugs and doing it well, but I wouldn't try it with Coumadin unless I had the present INR. I had my heart surgery in 1995. I've had pain (sometimes chronic) issues since. I can taken Vicodin (but don't because enough to get rid of the pain usually makes my GI tract declare war on the rest of my body); Tylenol #4, Percocet (5/325, 5/325 and 10/325), Dialudid and Oxycontin.

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133

...again, uh? I'm 65, disabled as of 4 yrs. ago, have 8 coronary stents, can''t take anti-inflammatories due to blood-thinning properties (I'm on Plavix75mg., Atenolol50mg. and aspirin)...don't need a stroke. Allergic to statins, muscle cramps.

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132

How would an online pill mill know what CS Schedule tramadol is listed in? Tramadol (Ultram) is now a Schedule IV Controlled Substance in most, if not all, of the United States.

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131

Your best bet is to look for an internal med Doc, or a pain clinic.Also those people at the clinic are all there because they started their addictions with pain pills, however, those folks will know who all the doctors who write are .Just so you know even if you take them as prescribed you will beCome addicted to them. I suggest that if you do get a script take them only when needed. TRUST! ME you do not want to kick methadone!! Or any opiate for that matter. Call around to different doctor's and just be honest tell them you have chronic pain and can't live anymore without help the nurse will usually tell you right away if he's a writer or not.

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130

Iron Pain
That hasn't been my experience at all. Most clinics require 6 months clean before granting weekend take home meds. After that, you'll receive one additional take home bottle for every three months clean, until you reach the one day per week schedule. In certain states, that's the max. In others, you can work your way up to a once a month schedule (going to the clinic one day per month and receiving take homes for the rest of the month). The best advice I can give anyone engaging in this process is to KEEP YOUR MOUTH SHUT ! As tempting as it may be, you'll hurt yourself sharing your "status" with fellow clients. Clinics don't want the majority of their client population making once-a-month visits. Their staffs need employment and they need state funding, right ?

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129

I am looking for a doctor in or near Maryland Who might prescribe pain medication to treat my severe chronic bilateral neuropathy. It reaches from my knees through my feet This is a result of rhabdomylosis for 2 years I have been treated with Lyrica , Neurontin and Cymbalta. I also have a neurostimulator implanted in my back. None of these treatments has been sucessful Please help If possible

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128

I seriously doubt you will find a pain Dr to rx Adderral or xanex. Pain drs only treat your pain. You will need to one or more drs to get all of the prescriptions you mentioned. You also may find it difficult to find a Dr to rx you xanex if you're taking pain meds. Most drs have stopped prescribing xanex and pain meds. And since Adderral can cause anxiety, getting the xanex and Adderrl together may not be something a Dr will do for you. You will need copies of your medical records from your previous drs to prove you have diagnostic tests that prove you need pain meds as well as the other meds. Although that is no guarantee that you will be able to get the same meds again.

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