New Subutex Laws (Page 8)
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I went to see my doctor this week and he told me that the FDA and the DEA had passed a new law for prescribing Subutex. As of July 1st 2015 Subutex can only be given to pregnant woman or to someone with documentation saying they can't take Suboxone. If you don't have that you will be put on Suboxone.

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What state are u in? I go to the methadone clinic and have to go every single day and I've been dealing with this pain for a while. Got kicked out by my doctor for a dirty U/A and I was looking to get put on subutex so if you could help me out please I would appreciate it.

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Mayb your doc seen an issue as to not giv u boxin...it is a true statment my doc discussed it with me in jan...it will be nationwide by mid year.

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Lets hope doc didnt run into issues with too many meds out there.. In my area they're making them thin out how many patients they can have also...good luck.

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Hi everyone, I'm not going to compare one person's pain to another, everyone is different when it comes to how much pain is tolerant. What is a 6 for one person might be an 8 on a 1-10 scale for another person. It's basically between you and your Dr. to manage it. Pain meds are a great way to have somewhat of a quality of life. I have a friend that went to his Dr. this past week, and he got what he's been taking for quite sometime. No reduction. We see different doctors in the same area. Central Florida. We've been taking the same meds for pain, his Dr. kept him on morphine er 60mg. twice daily and Diludid 8mg for break through. My Dr. on the other hand reduced my morphine from the 60 mg.tabs to 30mg. a few months back. So knowing this, it can't be law. I see my Dr. Tuesday, and will ask for an adjustment. Keep my diludid the same, 1-8mg. four times daily. I just want the morph's back where they were. I just can't see why there should be any problem. I know the DEA & FDA monitors pain management doctors
But don't think that is out of their guide lines. I'd really hate to switch doctors, I've been an established patient for a long time. And changing could be risky. Plus they do a real good job in the front office, if my appointment is 9:30am. I'm usually out of their by 10:00, go to my pharmacy, and home before noon.

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ROSEY: Go on suboxone.com/treatment-plan/find-a-doctor, put in what state you are interested in, call one of the doctors in that area and ask them.

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I'd say being a man is admitting you have a problem and seeking help, don't listen to that guys bull s***. He ain't been through it or he would have more compassion for all people going through tough times. A real man also DONT KICK A MAN WHEN HE'S DOWN AND TRYING TO GET BACK UP. For an answer for you, I just got put on subutex and I wanted suboxone so I don't know if the law is true or not.

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Is the laws just for certain states I heard Kentucky and Tennessee can prescribe subutex How do I find that out Thanks hun

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Tim, the drs that have been over prescribing are cutting their patients meds. It doesn't matter what you're taking them for or if you haven't failed any drug panels. The drs have to cut the meds lower so there is at least a little room to maybe increase them at a later date. The CDC has come out with a proposed Guideline for 2016 to decrease it to 90 mg. We should know later on this year if that will go into effect. The Guidelines aren't laws, but the drs are going by them.

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Several years ago, I was seeing another pm Dr. He actually had me on 100mg. morphine er. three times daily plus diludid 5 times daily. Needless to say, I was able to build up a surplus. They ended up closing him down for over prescribing. So when I started seeing this Dr. 60mg. wasn't a problem. But now 30mg. Come on!

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I don't think I'm over the limit that Dr's guide line. At 30mg. morphine er. twice daily plus diludid 4 times daily. I'm just wanting to go back to the 60mg. morphine. They can leave my diludid where its at. I don't think that's asking to much. I was taking the 60mg. for years. So not only do I have a tollarnce, I just want to get my life back. I'm kinda worried that if I keep asking for an increase, it might look like drug seeking behavior. I've been seeing the same Dr. for a long time. Never had a neg. UA. never missed a visit etc. What's a person to do?

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MARY: The withdrawals from all opioids are pretty similar. Methadone, oxys, subutex etc. The differences are just duration and intensity. But the usual: pain, cramps, restlessness/insomnia, diarrhea, nausea....just generally feeling HORRIBLE. With methadone and suboxone, the main withdrawals come on a little slower and last a little longer. But if you are familiar with the withdrawal symptoms of opioids in general, then you already know.

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Lizzie, few drs prescribe opiates and benzos any longer. Drs know that they can't continue to increse pain meds past a certain point. A lot of pain drs are telling their patients that they have to do what they can do to keep their pain managable. Things like keeping your weight down, seeing a pain psychologist, altering your life style, etc. Tim's dr isn't goiing to increase his pain meds and it is highly doubtful that he could find another dr that will either. If he was still exceeding the 120 mg daily limit, it is highly doubtful he could even find a dr that would take him as a patient.

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Tim, I have heard PCPs are under pressure to lower narcotic pain meds. Docs do need to revisit narcotic dosages and other drugs like zyprexa, risperdal, and even benzos every 3 months or so, to make sure their patients are stable and not abusing. However, no one knows your pain like you do. I encourage you to have a talk with your pcp. The FDA and DEA do get involved on a grand scale. Good luck to you.

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Tim, The FDA came out with Guidelines a few years ago that state 120 mg Morphine/!20 Morphine Equivalent Daily. It isn't law, but almost all of the drs are going by it now.

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Hi everyone, just wondering if anyone knows if the law is changing on any other schedule 2 meds? My PM Dr. A few months back lowered my dose from 5 8mg. diludid a day and morphine 60mg. twice a day to 4 8mg.diludid, & lowered my morph's from the 60mg. to 30mg. twice daily the same month. I thought that was a pretty big reduction. He told me the FDA & DEA didn't want that much prescribed. He didn't say anything about it being a law. I can get by on 4 diludid a day, but the morph's, I would really feel a lot better back on the 60mg. I keep asking him to put me back on the 60's, he tell's me the FDA doesn't want that, but like I said, never said anything about it being law. I think the law has all the Dr's. scared of loosing their license. I've been going to PM. Dr. since 2002. Before that my PCP had me on lots of percs. I suffer from several conditions, and have been through several surgeries. I pay $200 a month just for the Dr visit every month plus the cost of scripts just to maintain somewhat of a quality of life. Is anybody else experiencing this?

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Mary, if there is a law in your state that says only non pregnant women and those that are allergic to Suboxone with documentation to prove it can be prescribed Subutex, there is nothing that your dr or anyone can do about it. A person doesn't stop being an addict because they have pain. If you were receiving low dose Subutex for the treatment of pain, you could go to any dr. When Subutex is used for the treatment of pain, it is given in a much lower dose than it is given for addiction. Suboxone probably does help with your pain, but that is not why you're being prescribe it.

A dr will not want to treat you for chronic pain because you have a history of drug addiction.

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Hi BL,
When I first started to see my doctor I was a pain pill addict. I was taking 15 to 20 pk's a day. For 2 month's I searched everywhere for help not knowing where to turn. I over heard someone talk about this program we have in our town for people like me struggling etc, I had a heart to heart. Anyway, I went to the program then was referred to my doc. So now, about a year later I'm clean and haven't had one PK!
Now to today...I feel I could stop the subutex and spoke to the dr about but then I would be right back to taking pk's because my pain is real. This medicine does help tremendously with my pain. He said that it will help with pain and good to stay on...also, he knows or may be afraid I would go back to pk's if I stopped the subs. My bottle just tells me how much to take daily..nothing on there for what reason. My doctor is a great doc, I know he is looking out for my best interests. Again, I have spoke to him about the future, and my problems...he said this is a good medician for pain control as well. HONESTLY, if I were to stop, I would be in my bed 80% of the day because I have such bad back pain. I'm not one to live like that. Its a vicious circle I sapose.

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Mary, what does your prescription say it is for? You need to get a copy of your medical records and read them. That way you will know what your dr has written in your medical records. A dr isn't going to prescribe a med that is used to treat drug addiction without the patient telling him that they are addicted to opiates. What is the reason that you started seeing this dr? Surely you know if your told him you were addicted to opiates or if you told him that you have chronic pain? With chronic pain, you would need diagnostic results that show that there is a medical reason for you to be prescribed this med. Although if you have a history of addiction, diagnostic results won't matter.

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Hey, BL. One more question then I will leave ya alone..lol
I know nothing about withdraws with subutex..If I were to stop taking, are they worse then pain meds? Even if I ween down to half a day..if I stop, will I be in bad shape? Do you know? Thanks again for your help and your understanding.
Mary

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I understand what your saying BL...I was taking up to 20 pk's a day off and on for years. Last two years, daily. I'm sure it's for addition, in my mind at this point I would like to think other wise. I know if I wouldn't have this medicine, I would still be using. So, yes..your correct. The Scarry thing is what do I do in a few years? Where do people go because my pain is real and it concerns me. I'm really stupid when it come to all this stuff and the rules, laws etc. But for my future..I'm truly concerned! Thanks BL for all your input.. I probably need to watch whatbi say to my doctor.SOMEWHAT. I'm honest and truthful with him, but ibdont want to jeopardise his practice either.
Mary

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