Please Help Oxycodone Pain Contract Questions (Page 2)

Im new to this whole thing and i just desperatly need some advice. Im sorry if i ramble in this post im just really upset right now :(

Im 26yrs old and currently on a pain contract. I have taken 4- 20mg oxycodone a day for 5 years due to a severe car accident I had. I will try to make my story as short as possible. I would appreciate any help any one can give me:

Yesterday I went in to get my meds refilled, I was 8 days early which is 32 pills for me. I dont know what happend. I just know their gone so im assuming they were stolen . This is not the first time this has happend. About 2 months ago some one stole 6 pills from me (which i believe was my husband as he has done this to me many times) And i told my dr what happend and he still filled script with the strict warning that if my meds were stolen again hed have to dismiss me because it is my responsibility to keep them safe. After that 1st episode I bought a RX locker from walgreens that i keep in my purse wich is on me at all times, even when I use the restroom. Well so yesterday when i went in i was terrified to tell him that i was short again. I was trying to work my way up to it by telling him that i had been in more pain this month than normal (which i actually was) Hoping that if i just told him i had to take more for my pain that it would be better than saying they were stolen since he had already warned me about that. Well he never even checked to see if i was due and just wrote my script. I was so elated since itd been 8 hours since i had my last pill and was already starting to feel the withdrawls that i just accepted the script without saying anything. On my way out i asked if i could change pharmacys because i was worried that my normal one would hassel me since they knew i had just filled on the fourth, And that was the start to a disaster.

I dropped off my script at the new pharmacy and after waiting 40 minutes they told me that they couldnt fill it because my insurance said i already had filled this month. I told them i always pay cash when im early (which i always have) And they told me: If you can afford to pay cash for your opiate but not the others than maybe we should call the company and have them do a review because you can obviously afford your own care. I couldnt beilieve they said that! I didnt know that i was doing something wrong but i guess i was :( I told them that my doc said to call them if there was a problem, which they replied that it was there decision wether they even wanted to call the dr or not and they have the right to refuse service to anyone. I was so upset that i was being treated like that but keep in mind i was already in withdrawal and im sure i did probably look like an addict. After a very heated conversation i was able to get my script back and just take it back to my normal pharmacy. But by that time they had called that pharmacy and told them about me coming there. Well they ended up filling my prescription but only for 20!! And they wrote me a note on my prescription bag that said " your doctor said to fill only 20 and to make an appointment asap!

I am so scared right now i dont know what to do! I feel like he is going to dismiss me now. Why else would he make me come back in when i was just there yesterday and only fill me 20 instead of my normal months worth. And on top of that he is the only Pain management doc within 350 miles of me. I live in a remote part of alaska :( Not only am i scared to death of having to deal with my pain without meds But if i was only out of pills for 8 hours yesterday and started getting that sick then i dont even want to imagine what will happen if he just stops them. Im just so upset because I did not go over my limit and i do not abuse my meds, SO the only thing i can think of is that my combination code was cracked while i was sleeping :(

So I guess my questions are:

1. If he dismisses me will he atleast step me down off them or do they usually just cut you off cold turkey?

2. Does anyone have any ideas on what i can say to him when i go in on thursday to try and prevent this from happening? Any ideas would help

3. Do you think his intentions are to dismiss me? Ive seen alot of people say when they were dismissed that they were notified immediatly. So Im not sure what to think. I feel like he is because why else call me right back in? But then again he did fill that 20. I know it would only be speculation but id really like to hear what people think.

4. How long do the withdrawals for oxycodone last? and how severe are they?

Im sorry for all the questions Im just unbelievably stressed right and i feel like im goin out of my mind. I have a 10 yr old and a 6yr old at home and my husband lost his job so i am the only source of income for the house and i just cant imagine having to miss work right now due to withdrawaling not to mention i just dont know if im mentally strong enough to do that right now. Im in a crappy place in my life right now and i feel like my meds are the only thing keeping me sane. I just dont know what to do. Please help

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he can do that but it is cruel and mean, you can ask if he could please wean you off the medication so you don't feel withdrawal and he may do that.

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John, UR additude towards a seriously, legitimately, concerned and appropriately panicked pain patient is concerning and seems to be truelly lacking in compassion. My physical health, as well as mental health is very serious, and requires treatment with a laundry list of medications and pain treatments from 4 wonderful, compassionate, dedicated and very professional doctors. I have been a chronic pain patient needing narcotic pain treatment off and on for over 13yrs. I have learned a lot about treating MY pain thru this. The most relevant thing I've learned is that my bodies response to some meds is very different then the designed purpose. Originally, I thought this was due to my diagnosis of Bi-polar causing me to have an altered brain chemistry but, thru increasedresearchI'm learning that anyone has the potential to have different medication response. That said, my comments about my treatment can not be taken as advice for others, only info for others about options that I've had certain results from. So, how is it that U feel justified in judging someone else's wthdrwl response as being a sign of addication, weakness, or some INAPPRORPRIATE medication use
R U a pain patient? From UR attitude; I don't think so? Or R U some kind of educated pain treatment specialist? Regardless, neither gives U the ability to know how ANYONE feels. Anyone who thinks because they are educated, a doctor, addiction specialist, or an addict in recovery(the worse), you still can't know another person's pain level, need for pain medication and the strength needed to make their pain managable. I am not a stuped person. I take my health very seriously and I am very proactive in the choices I make in my treatment. I am the patient and ultimately I pay the price for what goes in my body. I have numerous books on drugs, and also took a class on the physiology and pharmacology of psychoactive drugs, and fortunatly so, as 3 seperate times I've had doctors prescribe me meds that had counterindications to other meds, all which where creating eventual fatal effects. Doctor didn't catch it, pharmacy didn't catch it. I did because, I had felt sick, looked in a drug reference, and saved my own life. I consider my doctor and I to be a team. This requires my having a doctor that has respect for me as the patient, and considers my input as valid and important and to be considered when making treatment choices. I also prepare for medication crisis by taking the smallest amount of medication that I can get by on, and build up a reserve by snapping meds in have. This has saved me from me ever running out. I also us walgrens, and verify the generic I need, and that that have enough for the fill. Also, at my request, my profile includes that only I can pick-up scripts, and that I am always to be I.D.ed. No actavis oxys, I've found endocet the best for me. Check meds before leaving. Back to that wthdrwl comment, at one point in the past I was receiving oxys 10/325, 4 a day, I would go into severe wthdrwl(run for the Bthrm) every 31/2 hrs. My Dr at the time added tramadol 2, 50mgs 6x day and now, I don't have wthdrwls for 12 hrs, and can go 6hrs before needing the oxy. Research has shown that repeated wthdrwls extremly fatique the bodies stress reaction systems, making it very hard to deal with normal stress. I am so, distressed to read about these horrible issues that pain patients R having to face. How can beurocrats or anyone who has not experienced pain so bad that they just want to end it all, understand how important it is to our functioning on all levels to trust that we will at least be able receive our medication regularly. Good luck to all.
I pray that God brings U a compasionate doctor who listens to UR suffering and is willing to prescribe the medication appropriate to UR pain. Regards, Mar

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Mar the problem is many of these opiate drugs give a mild euphoria / high (whatever you want to call it) to many people that contributes significantly to withdrawal symptoms. Nobody deserves to be in pain and everyone should be given adequate pain relief, but if part of the problem is the euphoria they give, that is a problem that needs addressing. The fact remains these drugs have side effects which make them so desirable to any junkie willing to get hold of them. Many pharmacies won;t even stock oxycodone because they get robbed as soon as someone knows they have it in stock. I am well aware of these issues personally. For example, I take lorazepam for anxiety, and because it is abused by some people my doctor is reluctant to give me the quantity I need to have adequate relief. So I AM well aware of the issues surrounding medications which are potentially abused. The simple fact is times are getting tougher for doctors, and the days of handing out loads of pills will soon be a thing of the past. In many countries it already is. This means patients are suffering more and more.

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I use to be in a methadone clinic and it doesn't matter how low the dose is, it will still come up as an opiate unless its been longer than about 5 days. Unfortunately you'll probably have to start back over on waiting for your take homes. That was what happened to me unless your counselor can work some magic. Good luck and stay strong.

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I am a medical assistant, and after being on them for a while, they do not give anyone a euphoria at all!! I don't work anymore because of a botched back surgery, and my Dr was giving 489 10mg methadone, and muscle relaxers, and 60 20mg of oxycontin for night time, also klonopin 60 1 mg 2x;s a day and temazapam 30mg, 30 mg of them 1 a night for sleep. Unless you are taking more then you are supposed to, the contract does say he can drop u with out giving you 1 more at all, And since the DEA and the FDS are working together, it is a lot harder to get meds at all. I thank Michael Jackson, and Anna Nichole, and I am the Biggest fan of Michael's , don't get me wrong But I do think u over took because I take my 2 important meds in my purse if I leave, and I don't believe that your other 1/2 stole them not twice, sorry I just don't, but if so then you would her him in your lock box because I have one too, yes I think your DR is going to drop you and if not. u are 1 lucky girl, also in the contract it state they don't have to help wean you off, but good luck!!

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I am sorry john

But lorazapam is nothing compared to Xanax, or klonopin 2 milligrams, lorazapam is a nothing drug, and people who say they don't stock oxycontin that is an untruth, Walgreens has them in a lock safe, when you turn the dial of how many you may need it takes about a good, 1/2 hr. for the bottle to drop from the lock box, they even carry methadone, I know I used to get them about 3 months ago, and now I go to another pharmacy. and this new pharmacy carry all those drugs, the most drugs fo abuse are klonopin. and oxycontin

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Hey Nicky, I read ur blog and can relate to what youre going thru. I am a 42 yr old male who has all knowledge regarding prescriptions, procedures and the process aspect of the nature. Unfortunately, your doc has already made the descisions to discontinue u as a patient. You have to understand that pharmacies and doctors have a whole lot of risks when prescribing class ll meds and dispensing them so therefore, they will take every measure to protect themselves from being arrested or/and losing their medical license to practice. To answer one of your questions, u stated that u started to feel wdrawls after 8 hours from.ur last dosage. Thats just the tip of the iceberg. The wdrawl symptoms will worsen and peak on ur 3rd day. The level of withdrawls are different, some worse while some maybe tolerable but bottom line, any wdrawls are not fun to deal with especially if ur employed and/or have kids. There are some loopholes that can be to our advantage but u have to know what to do and say. If there isnt another pain mgmt doc in ur area, u should try seeing a internal medicine or perhaps ur physician as they are legally able to prescribe class ll meds. If u have questions, u can reach me at: {edited for privacy}

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I am in Ohio and was on a pain contract. I thought I was out of methadone early and it wasn't in my urine. So they checked and found I had gotten 3 scripts for extras when I had notified them prior to getting them filled and gotten the ok. They called the dentist who prescribed them, and he will not prescribe me pain meds anymore. He cut me off. Neither he nor the dentist had a release of information to each other. Is there any action I can take? Should I do some research on my own? Should I call a lawyer? Also, how does one go about going to a new pain doctor, regarding former records?

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Hi Nicky! I'm so sorry what happened 2 u. I don't think the Dr is going 2 kick u off. I think he just have u enough until u c him or u r due 4 your next script. If he were 2 kick u off, he would have 2 wean u down. Next time, file a police report about how they were stolen. That usually helps, and, it's something u should do, 2 cover yourself. Make sure u count them at the counter, b 4 u leave the pharmacy. And maybe find a good hiding place in the house, in a lock box. Let us know how u make out.

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Mike, you give permission for your drs to talk when you fill out new patient forms. Most people just don't take the time to read the fine print. There is nothing yo can do bout them talking to each other about your care.

When you fill out new patient forms you usually give permission for the new dr to get your medical records from your previous dr. You may want to get a copy of the medical records yourself to read exactly what they say about the extra rx's. You can also take your copy of medical records to your new dr. But, they will still get copies from your dr to ensure that they have all of the records.

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Most States now have a controlled rx website. Now when ever you fill a controlled substance it's gets reported to your states pharmacy board. Usually pain docs, urgent cares and hospitals pull these reports when your chief complaint is pain.

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They are called Prescription Monitoring Programs. Some states have it written into their laws that before a dr writes a rx for a Schedule II oe Schedule III that the dr has to check the database for the last rxs the patients got filled. The info includes but is not limited to your name, address, the name, strength, and quanity of the rx, number of refills if any, the name and address of the dr that wrote it, if you paid with private insurance, medicare, medicaid, cash,

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true nothing u can due because of the DEA and FDA getting together

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Well you should consider yourself lucky then. Here in the UK you get nothing due to risk of dependence, 'abuse' etc. Then the government moan about people being on welfare and using social services / NHS. You can't win.

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You have no idea what you are talking about! If a patient is on a pain contract they have a right to refill their cs prescription when they have used 85% of their prescription. Not, as you say, when due! This right does not guarantee the prescription will be filled though. If you happen to go to the land of ignorant pharmacist otherwise known as Walgreen's or CVS they operate under the illusion that they have intelligent pharmacist. Which is false! It is up to the pharmacist discretion whether they fill or not. They will lie about DEA regulations and many other things to try to lay the blame at someones feet other than their own. The truth is most of the pharmacist have no idea of the truth of the regulations they operate under. And like dummies they spout lies about things they really have no understanding of. Most likely when a pharmacist refuses to fill a prescription it's because they are either ignorant of the regulations or they just pick the regulations they care to adhere to. When a pharmacist says NO, lies are soon to follow.

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Gregory is right, my daughter went to a new Dr because of her other Dr is just a PA she only said they prescribe vicodin, clonopin, an muscle relaxers she got dropped because since the car wreck she always gets migraines know its every day I have taken her to the ER 4 times this week and they helped her, this Dr she saw today gave her Ultram and temazapm and she just got 30 when her DR dropped her, she went to Albertsons and the pharmacist is new, and the people that know her and her situation, always fill what ever this guy said if she wants to buy out the temazapam which is a sleeping pill then he will have to call the police and have her arrested, I couldn't believe it, I told her to get the RX back and not say we are going to a different pharmacy but he gave it back and put in his computer not to fill till the 19th of July took her took her to wall greens and they said nothing and filled it, it is just the pharmacist, he just thought he was a big deal the cops wouldn't do anything it is a legit rx they have to give 1 more months worth of your meds so don't be worried. And like I said when you go tell Dr you are sorry but you are in a lot of pain I have been to pain clinics and they know if you are eating more, then you must hurt don't lie and say they are stolen cuz there not stupid, ask for something stronger that will last longer like oxycontin, or opana, that is a time released morphine, he may do it or she, good luck

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Thanks, marti. I kindof thought that might be the case, but I know I never put the dentist's name down, in fact I changed dentists a year ago. You're probably right, I signed a global release. But the pain doctor also made sure I signed a release for my psychiatrist to discuss the use of Prialt in a pain pump (it's a psych med and like mar, I have bipolar disorder, so my psychiatrist does not want me on it). Why would he do that if he could discuss my medication with my dentist without a specific release? I don't need a pain pump so I'm going to stop going to this pain doctor and like you say, look at my records.

Next question: Do I have any chance of getting in with a new pain doctor? I want to go back on about 1/4 the dose I used to be on (20mg perc a day vs 40mg perc + 20mg meth). I like the ability to think clearly, and am willing to put up with a fair degree of pain for that, but sometimes it's just too bad. I'm holding out hope that this new neurologist I'm going to see in July will give me something without a pain contract, since I'm not needing so much (I have severe neuropathy and some sciatica as well as the back pain).

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Oxycontin has its own panel so if they didn't specifically look for oxycontin then it wont come up. Also perks and vice won't come up as opiates either

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I'm sorry to hear that what you should have done first was to contact your insurance company they would have notified your local pharmacy .but your local pharmacy is only can refill your prescription within 48 hours but your insurance company gives you up to 5 day on filling meds. anyway when that happens then sure ins company will allow you one time a year for those mishaps but if you wanted to cash that shouldn't have bin a problem .the one issue is if your man to keep being missing like that your doctor might be concerned about a child getting a hold of those medications and now you're putting that doctors reputation at risk because pain medication is a real big thing now .anyway for the withdrawals get yourself to the GYM and go to the hot steam room and staying there a 1 hour everyday for 5 days that hot steam will detox you fast but you will need pain meds you must put your pain meds up where no one at all has and kind of access because you're putting your positions reputation on the line the police will visit his office . and then if a child the physician is thinking about 1children get older those Meds . Now you must understand pain meds don't kill pain the help people get from a to b that's why so many people get hooked because they don't understand that and opium give you the filling to wanting more .now if that really is the reason that you are running short my suggestion is when you first get your refills break a few down so that they will last that whole month

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My doctor offered me suboxone for the withdrawals when he cut me cold turkey off 40mg oxy and 20mg meth a day. I never got it.

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