Need Help Finding Doctor To Prescribe Either Oxycodone Vicodin Or Methadone 10mg For My Chronic Pain (Page 8)

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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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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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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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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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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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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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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! 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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For the records, I don't doubt your medical training, experience or your intelligence for a minute. Never did.

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LET ME JUMP IN HERE....Ultram (tramadol) was vastly overprescribed before it was a Schedule IV Controlled Substance. If we look at Darvon products as a guide, nothing will change. (Not an exact analogy; Darvon NEVER worked well and was hepatotoxic in the bargain.) I was doing some reading on Ultram hen it came out. ("I was hooked on OXY, doc. Can I take THIS for my migraines?). I learned that Ultram was (among other things) a SELECTIVE SEROTONIN REUPTAKE INHIBITOR that, when coupled with other SNRIs or SNRIs could lead to SEROTONIN SYNDROME. That can kill you. I checked with some pain specialists and orthopedists and they confirmed that most Ultram patients probably too more than directed because of the euphoria and the "it's only an "RX ONLY" y drug; I can get more phoned in if necess WE dded bold-faced "DO YOU NOW TAKE ULTRAM (TRAMADOL and few Euro names)? WHO PRESCRIBES IT? WHAT IS YOUR TOTAL DAILY DOSE?" :please tell your shrinks if you're taking Ultram, Ultracet, Tramadol, etc.WE CAN work around it if you really need it without danger to you.

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...this is quite interesting...I have (what I think are 2 very good doctors) and because of my medical history this is what they prescribefor me, and they both are in agreement it is okay: norco 10mg every 4 hours for horrible back pain), remeron (anti-depressant-lowest dosage, one @ night), xanax 2mg @ night (otherwise I could not sleep, least of all FALL asleep!), Klonopin 0.5mg @ night to help with the sleep, ativan 1mg. I'm 65, I suffered all my life w/ anxiety & panic attacks (I don't get them now!!!) and I sleep like a baby, and for the first time in my life I not only sleep well but have a slight happy-type warm buzz and have the most beautiful dreams! Everybody in America should sleep like I do! I wake up refreshed, feeling happy, starved because the remeron, which is truly the FIRST-EVER happy anti-depressant I have ever been on after trying: Prozac, S***ty Trazodone, Lexapro and a multitude of others, all prescribed because of my major, & I mean major depression, makes me HUNGRY like a son of a b****! If you look up the literature (and I do TONS of research on all my 'maladies' and the medicine I take (sounds so much better when one calls it 'medicine', doesn't it, instead of dope or drugs...anyway, the remeron gives me the munchies and unlike marijuana (I used to smoke mountains but don't anymore, the stuff today makes me way too paranoid, it's too strong!) it EVEN makes the food, even not-so-appetizing food taste like manna from heaven, like nectar from the gods! I tell you, it is, next to what they used to call MDA the "miracle drug of America" the NEW miracle drug of America! Every doctor worth his salt ( no pun intended) should prescribe remeron to his/her anorexic patients! Then in the morning I take: another norco 10mg, Atenolopl 50mg (blood-pressure & angina), Plavix75 (blood thinner, the best out there), a Paxil 10mg for depression, another Ativan 1mg, an aspirin 81mg. and I can tell you I am MYSELF again, have not felt like this since I was 18-21 yrs. old! I am diagnosed with: chronic, majod deppresion, major anxiety disorder, what I call 'aggressive' CAD (coronary artery disease and I say aggressive because I am totally allergic to statins, the Lipitors and the Crestors and all the others that remove plaque from one's hardened arteries-I take one tiny Crestor 5mg and in 15 minutes go into a fetal position all cramped up and my muscles ache and go into unbelievable painful contractions and, well, basically, can't even get out of bed - it is by far the first and worse negative side effect of statins, 15 to 20% of the people that try it experience this! Therefore, I have to depend on diet & exercise. Even though I have never had a heart attack, it is hereditary, my whole family of origin has died of it at pretty early ages, I'm the only one left, I'm not married, no children, have 8 (eight!!!) frickin'g coronary stents, the first 4 placed in my right coronary artery in 2006 and the last one on August 6th of this year (2015). I have been miserable w/ the heart crap, I destroyed two discs in 1982 when I was 32 lifting weights, had a laminectomy a year later, in '83 when I was 33 and had been miserable with that crap since, and with this most recent (numero 8) stent my cardiologist suggested cardiac rehab which I had never done and I've been doing so now since the stent was placed, and it's only been weeks since and I'm having the time of my life!! He introduced me to a lady psychiatrist who put me on those meds, and he put me on a couple others I mentioned, and I'm in a nursing home doing the rehab and I feel like a million bucks! I finally plan on getting off SSDisability, which I've been on for 5 years because of the stents and the fact I couldn't walk three blocks without getting angina attacks and having to do 2-3 nitroglycerins and masn, life is beautiful!!!

Whoever says pharmacology, exercise and eating well don't go together should be pushed off a pier into shark-infested waters by a hungry, pissed-off pit bull. All this is really turning me into a stand-up comedian as I am so happy with my new-found life! Just imagine, here in the nursing home they sent me to see a (sorry...) "pain-management-doctor," some Indonesian lady who claimed she's from India (I, of course, googled the b**** and learned all about her before walking into her office)...reason I needed to go is because of the 6-day a week constant 2-hour daily physical and occupational therapy my back is killing me - I brought my most recent MRI, which, when read by an expert they usually tell me it's a miracle I'm still walking...well, I wanted to get oxycodone10mg for my increased pain (mind you, it's not the achy, dull, throbbing muscle-pain, but rather the fire-burning-get-that-1800degree-steel-arrow-off-my-back-kinda'-pain!!! Well, she very condescendingly read my mri report and said, "What you need is steroid-anti-inflammatory-cortisone inj. into your..." at which point I interjected and said very kindly and softly, "...madam, I have had 3 different pain-specialists do the same, and all 3 times I felt ok for a week or two and then the FIRE-BREATHING DRAGON REARED ITS UGLY HEAD AND MY BACK, MY NERVES, MY MUSCLES ALL AGED 20 YEARS in a matter of weeks and my back has never been the same!!! It has been worse, and the last time was only 2 years ago so no way Jose, we're not going there! Just please be kind enough to prescribe me the oxycodone 10 (not Percocet 10/325 because of the acetaminophen-liver-toxicity crap!) and we'll call it a day! But no, she said, I will give you the inj. take you OFF the Norco 10mg and if you agree to this I will give you 2 MORPHINE PILLS, LOW-DOSAGE one in the morning and one at night!!! See good-pain suffering folks, we all know what she's doing- prescribing meds is a very low-cost transaction whereas an epidureal is a VERY costly-one where she will charge Medicaid & Medicare and my supplemental insurance AND probably even me (out-of-pocket) a zillion dollars!!! So naturally I told her in a very mild and soft voice, "..oh, so now we're like dealer-client on a street corner conducting a transaction...you won't give a piddly script but you will give me MORPHINE and F*** up my back!!! Oh well, sorry to take you all hostages but I truly hope you have enjoyed this true story as much as I have and one last thing folks, RUN TO YOUR NEAREST PSYCH AND ASK FOR REMERON AND A XANAX BAR1!!! YOU WILL NEVER FORGET ME!!!

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BL Has given very accurate information here. I do not see any indication that this person is causing any problems.

We may not be a doctor or a nurse but that does not mean we are ignorant about drugs.

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Never said BL was ceasing problems. Simply asked the questions a well-trained Internist or FP would ask. "I'm taking Valium" could mean "I'm taking GENERIC Valium 5mg BID to 'I'm taking brand-name Valium 10mg QID." You cnn't deal is glittering generalities, especially in psychopharmacology, and expect to yield any meaningful results.

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Thanks for that note about QUOTAS. NYS considers all benzodiazepines Schedule II drugs, but the DEA doesn't. I don't think NYS's destination carriers with it all the restrictions on the Fderal level — it's ONLY a C-IV drug(s), after all.

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P450 Called BL a troll. I was not addressing you.

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Oh, I know, my dear! ¡No problemq!

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Drjoey, the quotas are for drugs that are Schedule II under federal law
I apologize if I misunderstood what you were saying. I thought you were wondering about a current shortage of amphetamines

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No problem. At the time — about 10? 15? years ago — this quota staff confused even me and a whole bunch of docs. Errors in communication or comprehension happen on either side, all the time. No apologies necessary. I do remember using my USAF contacts to either transport C-II ADD/ADHD drugs or knew buddies who were now drug company high execs and could sell drugs not listed for my area directly to me and I"d transfer them to my pharmacist. My big bro was Gen. Schwartzkof's personal and exclusive cardiologist. "Well, you waned the best," I told him and your boys just don't measure up. (N.B. I do not get along with my brother; I think he's a jerk, but if I ended up in the ER with an MI, his is the FIRST face I'd want to see.) Schwarzkopf needed a Chief of Medical Services and was coming up empty. My bro said "There's NO guarantee Joey will do anything but tell you to go f*** yourself, but if you want THE BEST." This was in the early 1990s and I actually passed the physical (but I took propranolol and 10mg of Dexedrine for necessary pre-medication. I raised a lot of Hell, but S. kept his word & appointed me a Full Colonel. I was doing as much discipline and medicine — and most troops erroneously thought I was the General's personal shrink. That would have been impairing my objectivity unless he came into my office on the verge of a complete Psychotic Break; then the Hippocratic Oath subsumes ALL the other oaths I had taken.

I always fought my own battles, due, and that rank gave me all the authority I needed.Knocked out a couple of unsafe malaria meds, killed or sent back for a "real truth rewrite" on a number of press releases (I realized I supervised THOSE guys, too.)

Regardless of how I felt about the War (in later years — I practically would have enlisted during Desert Storm!), my responsibilities were to the health and safety of yevery to keeping that ancient Oath scared foremost in my mind. I kept requested additional personnel because there was always a Lt. Col or as full (or "Bird") Col. looking to start some s*** with me — pardon my language, but it was almost a locker-room measuring competition. I could hold my own educationally, medically and...enough of that. My bro had done emergency surgery in HIS hospital and saved the Gen'l's life; I HAD the exact same surgery, believe it or not' even though I'm not a cardiothoracic surgeon, but this procedure I had in instant recall"; I have a near eidetic memory and something this traumatic but such a high mortality rate would forever been on "speed dial".I wasn't a cardiothoracic surgeon, bit I WAS qualified to assist and I was smart. I think we set a speed record for this long procedure and I reactivated a couple of reservists who had been on my bro's OR team. They could say "NO" to Doc Tony (bro' name is Anthony,) but they couldn't say "no" to Colonel Joey; I made it a f***** immediate order.The Boss gave me the extra personnel I needed, a higher-budget. the lowest bidder does not offer more therapeutically equivalent drug and, in psychiatry, generics sometimes aren't even close to Therapeutically Equivalent. Gee, I hadn't thought about this is a long while...but we're good, bro! I didn't have "b---s of steel" – I had the Boss's commitment to watching my back. (unless I have orders that really were NUTS and that does happen in the USAF at least). Patients have complex feelings about Asst. Surgeons who help save their lives performing a procedure that has an 80% Mortality Rate.

Editor's note: We do not verify the credentials of our users and nothing stated in our forums is intended to be taken as medical advice.

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I'd give coupons for full psych-neuro workshops to ANYONE who can incorporate an EDIT function on this thing and also to someone who can EDIT the auto-correct insanity going on here! LOL

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I do recall am amhetamine shortage about 10 or 15 years ago, attributed to FDA/DEA quotas. Sure, we can swap stats. It's OK with me.

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P450 I am shocked by your anger. I am not a troll and I have done nothing to cause angst.
I did say that most of us are worried about placing the name of a doctor here. I do not think that anyone here is a troll. JMHO.

I am a member of a web site for chronic pain patients and in ten years I have never experienced such abject hatred.

This is my last post. I came here to offer help if I could and your temper is something I do not need.

Good Luck to all of you here. Dr Joey I think you are just wonderful and you do not need to edit anything.

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