Switched From Oxycodone 10mg Pink K56 Pills To Norco (Page 2)

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Does norco 5/325 have the same ingredients as the little pink pill k56 which is oxycodone 10mg? My doctor switched me due to the strength. The k56 pills are stronger he said and i needed a weaker pill to be able to work. So he prescribed me the norco. What i'm saying here is that are they the same, but different doses?

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21

I actually do know the superiority of the BS in Nursing. As for Pain Control, I'm still looking for New York State's rules and regs for C-II Controlled Substances, I have done it, secondary or sometimes as THE psych DDx, but I'm good at playing with the DSM codes.Been successfully in the past.

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22

I'm a CNS "reducer" (forgot the clinical term). I was hospitalized when I was I'm med school — a simple "vein stripping". My doc was a good family friend and a real heavy-hitter among the staff. After 2 x .5mg Halcyon without sleep. He stopped by on his way out and asked if there was anything here could do to make me more comfortable. "Yep, Charlie. 200mg of Seconal or Nembutal IM" He wrote theorizer and caused a real tissy. Called the pharmacy and made sure they had it. The nurses demurred and he said, "Get off your asses and get it and here's MY script to cover it just in case." I need to do some research on your present condition. I promise I won't forget.

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23

Dr. Joey so am I let's say we have a few 295.7's on here do you agree?

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24

Dr. Joey just read your post on the mistake for fill of HC for Oxy that is insanity. Doesn't NY still have those heinous triplicates? Years ago before intractable pain when I lived in Jersey I used to go to Columbia for my migraine's am sure that neuro is not alive these days he was awesome.

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25

People it's much more chemistry then that.

1. HC is now a class 2 due to abuse potential but at best it was a cough suppressant for years found in mundane syrups.
2. HC like codeine turns to a morphine in the bypass liver system of metabolism.
3. HC is NOT better than Oxycodone for pain relief depending on abuse different people might have different opinions.

Drug conversion is tricky and no two conversion charts will attribute for the receptors in the individual brain. This is highly critical and sensitive to one's genetic filter and makeup.

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26

More insane still was the "pharmacist" who disputed thefts with me. I asked him for his State license number. We phased out the triplicates a couple of years ago. I remember the night before this disclose law went into effect, My mentor, sounding exhausted called me and said, "Im too tired to think. you're fully licensed, right? DEA and everything, right? Can you come down here and review patients bento scripts for refills." YES.", If the script was written (and filled) on New Years' Eve, we could authorize up to five refills. 24 HOURS LATER — NO REFILLS... EVER! I told him to take a bit of a nap and I"d be over. This guy took impeccable notes and also he used one of his multi-colored failures to check off the folders of the patients he thought were OK for refills. The Covering Physician statute made it all OK. Fo you believe we had to pay $100.100 scripts. Talk about adding insult to injury.

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27

Dr. Joey well sounds like benefit either way triplicate or not. It's been awhile since I've been seen up there as you can now tell.

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28

Lately, there's been an epidemic of docs NOT permitted their DEA Reg #s to appear. They list their NPI numbers instead. Like I need to memorize another 180-dgibit number!? I lefy me DEA # where it belonged. WE do have seem EXCEPTIONS to the strict opioid rules for patients in chronic pain nmOT expected to be transitory. I'll look up those particulars I learned Pain Control from my buddy, Dr. Bill a dentist (the BEST)-turned-anaesthesiolgist. I helped him complete his assignments because he enrolled in an off-shore program designed for healthcare professionals who are licensed to write for narcotics [i.e., full CS registration] and licensed to cut into people. He might have an idea or two. Wish you were closer. Unofficially, I could have more than a few of my buds look into possible remedies or taking advanateh of our loopholes from Chronic P
ain.

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29

Dr. Joey since my injury in 90's I have referred over 10,000 suicidal intractable pain clients; now yes the NIP number is Odumma's socialist hold on PM specialists; many used to do straight cash pay for overt reasons, did not have hospital affiliations due to their high malpractice costs sending if a patient needed inpatient help to a referral doc in house for example the neurosurgeon or ortho that does surgery anyhow.

I was with Dr. F. Tennant out in California the past 5 years prior 10 years with now deceased pain specialist I am high risk as stated and am ultra rapid opioid metabolizer--meaning I have DNA to show it. Whether or not its the comp carrier that has to pay my medical award 100% for life and who could have settled me with medication annuity a few years back (and warned them the cost of my one brand medication would go sky high with Odumma he has ruined healthcare only in America do we give the BEST due to for profit medicine) etc.

Now due to this situation I am losing my SSDI and cannot work and the high level of medication is not only gone but the insurer chased the big famous guy away in my opinion. Excuse is new California regulations no I believe the insurer did this to kill me I am cheaper DEAD but I am not dying I am going to get over both the SSDI screw up and their screw up (comp) for my life is worth more then theirs after all I could not face our Creator when my time comes if I made a living killing those injured at work living in intractable pain.

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30

Dr. Joey Dr. Tennant did one of his studies when the buccal swab evaluations came out for P450. Structurally the injury blew lumbar and cervical discs-developed systemic RSD now called CRPS within 2 months yep; FM, IBS, CFS, nerve root compression, end stage DDD as of 2000, we have not done the full BAK cage lumbar fusion so there are about 400 other diagnoses.

Although I am now living proof that I do not hold opioids long enough, need them more frequently literally on DNA for this lab does a blue print for the physician and I carry a card in case I am unconscious and some hospital does not realize I need not only my normal pain regimen but if acutely injured or ill also acute treatment closer, higher and more rapidly then others well does not matter.

Why?

Odumma.

Why can't you buy Maalox? Off the shelf now?

Odumma.

Why all physicians must have NIP or insurer won't pay medications?

Odumma.

Why household bleach went off the shelves some years ago?

Odumma.

Wondering whether anyone realizes the "first" is not a minority candidate for President it's the danger of what this man represents to our Constitutional freedom.

Give me liberty what did voters do and say?

Odumma.

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31

Maalox is still OTC in NYS as fair and I know, although my local RPh might just sell it to me OTC because I am a dc and its not a CS. In NYS, under Medicaid, I have to write scripts for plain APAP, OTC multiple vitamins and mineral supplements. I know bleach is available at any grocery store. We can't play with a Sig on the scripts, now, can we? WE can't write husband and wife scripts for oxycodone or Dilaudid as we used to, either. Believe me, I'm NOT Dr. Feelgood, but I wouldn't be much of a shrink (one sub-pec is Psychosomatic Psychiatry). I have a few buddies I can trust to write another script for my patient, but that's now doctor-shopping. My own mentor and shrink received a letter suggesting I might be "exposed" to multiple CSs written by multiple prescribers. He saved it for me and we saw that EVERY script was HIS; it only was Restoril (temazepam) 22.5mg and the deaths were about 30 days apart!

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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32

For a fact? ...Well that's incorrect Norco is Hydrocodone/APAP .... Percocet is an example of brand name oxycodone/apap
I am a CPhT (Certified Pharmacy Technician) I know THIS for a fact...

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33

In medical school, we were taught that neuroleptics can AUGMENT opiates/opiods. There was one drug that I remember — Mepergan (Demerol + Promethazine) — advertised on that basis. Your information, P40, helps explain some of what I've read in the past few years.

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34

How long ago was this? Because any combo pain medications containing more than 325mg of APAP can longer be dispensed, this changed I believe April 2014? Plus the med with 650mg of apap is generic for Vicodin HS and it would (or should) have been specifically requested to dispense that much Tylenol...Mistaking Oxy/APAP 10/325 for Hydro/APAP 10/325, (obviously a mistake that shouldn't happen but..) could be understood ...but 10/650? Percocet is not even available as 10/650 ...not sure but that pharmacy seems to have serious issues with it verification procedures

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35

VICODIN-ES (previously C-III; now C-II) used to be HYDROCODONE 7.5mg/APAP 325mg. Oh, APAP is shorthand for ACETAMINOPHEN which most folks knowbetter as Tylenol. (I only wrote for Tylenol #3 and #4, knowing my patients would get generics.)Now, the APAP (Tylenol) has ben reduced to 300mg. I don't think was REQUIRED, just good PR on the part of the drug companies.

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36

Dr. Joey last post till later what should matter is this.

Generic opioids are FDA allowed to include LESS than up to 47% opioid.

That is why generics are cheaper and less effective.

Also why a patient switched to brand who has been on generic can overdose on the proper amount.

Examples of my medication:
Duragesic brand 100 mcg. is 16.7 mg. Fentanyl
Watson 100 mcg. IS NOT at 10 mg.
Mallinkroft 100 mcg. IS NOT at 11 mg.

Yet Duragesic 75 mcg/hour is HIGHER at 12.8 mg. Fentanyl.

I need a physician fast and also to beat SSA locals to a pulp I'm in serious ****.

Email me Joey when we get your approval perhaps you can refer me to a colleague. I cannot live on this amount I saved (been 7 months without due diligence from comp insurer/employer).

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37

Joey NOW latest research shows that phenergan and other neuroleptics decrease pain relief when combined with opioids.

They used to do combined piggybacks IVP thinking it would reduce nausea and many physicians still so order. Does not work at least for pain.

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38

Joey not brand MAALOX and I've done some research studies when I did my huge pain support groups on utilizing MAALOX, yogurt and gentle walking due to those with intractable pain over time dying of organ failure. It was interesting but with me in current crisis I can not make sense of anything am afraid I might give up this crisis the system is actually taking everything I won without cause.

Cannot buy regular bleach it was changed to concentrate.

Generic MAALOX not the same brand is gone.

It can work miracles!

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39

I"m fine with that How can we do this?

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40

That was an error. The original VICODIN-HP has 660mg of APAP. If it's 600mg now, great. Wen I write for pain meds, I only prescribe Oxycodone/APAP and that isn't very frequently. I have a large staff to supervise and my own private patients to keep me busy; pardon me for not counting milligrams that clinically mean nothing unless the pt has been taking them for 200 or 300 years. "When was that?" How old are you — 12?

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