Need Help Finding Doctor To Prescribe Either Oxycodone Vicodin Or Methadone 10mg For My Chronic Pain (Page 9) (Top voted first)

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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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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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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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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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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I noticed a few errors in res & Regs," but with NYS's being such a madhouse of conflicting stuff, there are meds I'm not sureI CAN write for. I cut her some slack because she is a layperson.

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That should have been "rules and regs." I don't think I'm faster than my high-end iMAC keyboard/; it might her my not being a "touch-typist". Apologies to all! - Dr Joey

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JUST TELL ME WHAT TO DO, my dear.. I always said a GOOD RN or NP was worth his/her weight in diamonds ("and that's because NPs WERE RNs first!") I don't know if that's still the case; they're may be BS/RN-MSN/NP programs at some schools, like the commanded MD/PhD programs...whch I am proud NOT to have been graduated from. THOSE PhDs only bastardize the degree.) You're one of the best

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Unless it's regulatory info I've known for years, I always check. Come top think of it, he stated I cannot prescribe Controlled Substances for my (immediate?) family. Legally, I no longer than prescribe CSs for MYSELF. I refilled my Mom's and Dad's HTN scripts for years and diagnosed and treated my sister's migraine syndrome (lower case b/c I don't recall the full Ddx and the RX was Percocet 7.5/325 for pain and (brand) Valium 5-10mg q6-8h for anxiety and muscle relaxation.) Never so much as a phone call from ANY of the pharmacists I've been treating my parents and sister for a little more than 20 years.

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Jassy we will see you on your next handle if I remain as of now your personas are driving more then a few pain clients here insane. Several who have my private information are disgusted by your condescending attitude; typically shown by an addict who has been let go of from several PM's.

Joey gave my permission for you to have my email at the rate I am dealing with several emergencies and I must present pro se I may not be here much longer. I would like to learn more about you as you are much like myself.

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Joey left permission for you to contact.

For some reason they are clearing my bon voyage to TROLL persona.

May be without and "out" due to my recent WIN in comp court but no panel and no money in the meantime my SSDI for the work injury is denied by some local pumpkin whereas usually I am analyzed by the hub in Philadelphia.

So see you on the other side bro.

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And how do you know people of leaving because of P'450s attitude and conduct? Speaking of sources of knowledge, where did you earn grad degrees in Pharmacology or any medical-related field? don't hide my pedigree — MD, Columbia; PhD, Yale and assorted residencies and fellows.

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