I Have Been Taking Hydrocodone 10 And My Doctor Just Changed Me To Acetaminophen Codeine 3 (Page 3) (Top voted first)

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I have been taking Hydrocodone 10 since March for RSD the doctor changed me this week to Acetaminophen/cod3. The doctor said that the law made it where he can not give the hydrocodone any more. I want to know if they are the same? I was told they are the same. I'm scared to take it because I have sleep apnea and a real sensitivity to codone. I get breathing problems and rashes. Not sure what to do at this point. I can not take most opioid drugs.

98 Replies (5 Pages)

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26

Sorry, not even close. If you've never taken a pain pill, Tylenol 3 will work...maybe. It's way better than Tramadol, however. He could have least gone down to the 7.5 or 5mg hydro. Ask him about it. Tell him the Tylenol 3 are having no effect at all.

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27

But you can get the 325 with the 7.5 hydro's. I was on the 10 for a while, but he only prescribed 120 instead of 180 and I need 180 to get through a month. I don't remember the acetaminophen level in my 10's, but because of my liver we have to watch it so I think you might be able to get the 10's in 325. Personally I'd rather make the trip once a month to my doctors office to pick up a prescription than get Tylenol 3's with 5 refills, but this make be a doctor's rather harsh decision to avoid addiction. IMO, that too much of a drop too fast. I'd call him and tell him it just ain't working.

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28

So you saying no1 has proved malpractice by obtaining medical records what are you saying are you saying a doctor saying that 30mg of codeine is equal to 10mg of hydrocodone is a mistake no no no he know it wasn't equal anybody with the internet can look that up thats one of the first things i learned in pharmacology school in 2010 who knows why he lied maybe it was because he was being careful because of potential allergies but why lie about it thats a deliberate lie are you saying he made a boo boo a mistake what if he did the mistake the other way around and the patient od's if the doctor wanted to reduce dose or be couscous for allergies then just tell the patient dont lie. It can be dangerous for patients and doctor thats like my doctor telling me that 90mg of oxicodone is the same as 90mg of ir morphine its not its about half the strength and it will couse unnecessary side effects iv had freinds kill themselves becouse of this s*** veterns peaple i care about iv had freinds resort to self medicating with street opioids then become homless and loose everything screw that doctor's mistake or lie whatever you wana call it it still puts both pataint and doctor at risk your ignorant on the matter your not seeing the whole pic your just arguing on every little thing you can just like someone of your intelligence would

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29

Malpractice can be proven by medical records. But it isn't proven by a patient just because they got their medical records and they don't agree with the medical records and testimony. Even if there is proof because the Dr wrote in the patients medical records he said tylenol 3 is equal to hydrocodone 10/tylenol 325 that doesn't mean what the Dr did was illegal or that it rises to the level of malpractice, because it doesn't. If the patient tried to take a certain amount of tylenol 3 because they thought it equals hydrocodone 10/tylenol 325, that is the patients responsibility, not the drs. Patients are responsible for their actions
They can't blame everything on the and Sue or have them arrested.

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30

It is true what he is telling you about the law, with prescribing pain medication. He can lose his license to practice if he doesn't follow the law. It sounds to me that he is trying his best to help you. People that I know that have been given hydrocodone for years for chronic pain were told no more and referred to pain management clinics.

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33

You can't even spell "people" correctly. Or "grammar"......

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35

Any other obvious facts youd like to state or is that it

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36

That is why the laws have changed about prescribing pain meds, besides the fact of all the deaths from people taking them. So many people are addicted to them. You can't really say one is equal to another because we all are different and respond to them differently.

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39

DrJoey, would you please provide links to the states where their state laws say only a pain.Dr can.prescribe pain meds for.chronic.pain. Or the states statues reference numbers.would be fine

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41

I use the level of discourse called for by the situation at hand. As a clinical professor at a major medical school, I never expected anyone else to do my homwork for me. If you have Lexis/Nexis Access, try it out. And I did have a 4.0 average undergrad and in my PhD program.I'd be lying if I said I sailed through med school with the same ease. My grades were god, but I didn't graduate n the top 10 in my class. Seriously, you're talking about hours pf research. I get paid — ad very well — for my time. Ive been home for the summer because of a bizarre accident in my condo's paring garage. Level f discourse does not necessarily correlate to a person's educational accomplishments or degrees.

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43

I could look them up, but shrinks, especially with as many certs as I do, can pretty much write for anything medically necessary. I don't write very often for opioids anyway, and I have the decades-old informal waiver that allows us to prescribe psych drugs according to our best judgement. If I had a specific question, I'd call our Regional DEA Office.

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44

A patient doesn't have to be seen in order for me or anyone to write a C-II script. That prescriber was from NJ, where the regs always have been looser. CS Regulations HAVE THE FORCE OF LAW; they are not laws unto themselves — but that's semantics. Btw, I knew that doc casually; his son was one of my best Residents. WE'VE ALL COVERED FOR COLLEAGUES AND WRITTEN ALL CLASSES OF CONTROLLED DRUGS without consequence. I don't think a 40-year veteran anesthesiologist's one script for Dilaudid and a half-dozen Dialudid-HP Unit of Use Syringes would even be noticed. You have DEA paranoia and I know he did the paperwork for me ass a private patient because he emailed me and asked me to complete some forms - med hx, etc.

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45

Well ive got bad (grammar) and ive always had a 3.8 gpa or higher of any class i took so your wrong. The only time my grades have ever suffered becouse of my grammar is the 12 year's of school you go tru when your a kid. It has never influenced my grades in any college iv been to. so you can keep thinking what you want but the fact is i have a 4.0gpa and i have bad grammar. Pluse i know lots of other peaple that have bad grammar that also have a 4.0 gpa or graduated with 4.0 gpa so im sorry to tell yall this but u wrong. when you have s*** to get done know one cares about grammar they care how good you are how much money your making them. Atleast for the feild im going into; chemistry. If i were a writer or was studying in a feild that grammar matters id care more but im not. if i am required to have proper grammer i can certainly take the time and do it but 99% of the time thare is no time in my work. Pluse anybody with half a brain can figure out what im saying.

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46

You can check Florida's CS regs. My brother is a Cardiothoracic Surgeon/Interventional Cardiologist and he DOES (or DID) write for C-II narcotics. He's SO professional that he asked me to examine his wife and her headache profile and write for whatever I thought I was best. (I have a FL license; truly, any i**** can pass that exam!). In fact, he was a very conservative prescriber, but opted to retire this year at 65. "I have enough money and no more tolerance for bulls***, but I'll keep my license and DEA Registration". Ultimately, I wrote for Tylenol #3 and Valium 2mg. What keeps the bad guys working and selling scripts and pills is "cooking the medical records". I would have to check the Federal Register to see if any of this made it into Federal Law. Suggest you try, too. It's not too hard to get around.

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47

Federal law states as well as individual state laws that a Dr can't write a rx for.a Schedule II meds with seeing the patient at least once every 90.days. A Dr also can't write a Schedule II rx for a patient he has never seen. That said, in some teaching hospitals a Dr with their DEA # and CDS License can write a rx for a pt if the medical professional isn't able to. But those situations are rare. If a Dr has a relationship with the patient they can write a Schedule II rx if they have seen.the patient recently. Although this is rarely done.

If the patients you are talking about are terminal, the laws for chronic pain patients do not apply.

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49

You cannot be issued your own DEA Reg No. unless your first are a full licensed physician. Otherwise, you're using a hospital's license and DEA Reg #. Where in federal law did you find this? It's good practice, for the most part, but I"d like to see the Black Letter Law. (I've been home close to a year in the aftermath of a bizarre accident and I'm much improved, but I may need pain meds ad infinitum; these are arthritic type pains and probably caused by injuries sustained when my hips was dislocated. I'd NEVER expect ANY patient to sacrifice his LIVE on the altar of bureaucractic psychosis and I won't take toxic doses of APAP, as one truly idiotic cardiologist suggested. He thought I was "only" a PhD. I told him otherwise and mentioned I attended better schools than he did, I was unequivocally smarter and for his statement, "I"m not going to be your drug supplier," he will have to answer charges before the Disciplinary Unit of the Office of Professional Conduct. It will cost him 10K to fight this charge, or he could take a License Suspension of about two years. "And if you don't think I have the juice to do it, just try me. He glared at my Crucifix and Miraculous Medal I wore with a quality t-shirt — easier for cards or pulmonologists to work, but this clown NEVER physically examined me and THAT'S another violation. I can't take methylprednisolone or dexamethasone-type drugs p.o. or by any kind of injection because I"m a Type 2 Diabetic; NSAIDs are out because I take Coumadin. We'll find the least potency and most effective drug, regardless of how its scheduled. My orthopedist is perhaps the best in my state and he IS an Orthopedic Surgeon. Whatever we decide will be written for and filled.

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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51

My big bro, who is a cardiologist is Florida, said its on the books, but he's not sure whether it's state law on Pharmacy with the force of law. His wife gets infrequent severe migraine. He had to send her to Anaesthesiogist l friend, along with her medical records and HE wrote for Perococet-10/325.

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52

DrJoey, state laws say a Dr can't prescribe those meds for family members. A.Dr can have their license to write CDS suspended by the state medical.board for a few years if they do.

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57

You, too, buddy. I'm impressed with you medical and medico-legal knowledge, ad your concern. You don't, my mentor asked to hire me for the afternoon of 12/31 or 12/30 to ask if I"d review requests for CONTINUED (i.e. NEW) benzodiazepine scripts. All patients were presently taking bentos. However, on New Year's Day, my crazy state would start treating them as Schedule II drugs. He asked me how old I was. I laughed, told him and he said, "So you're Board-certified; excellent." If I wrote a scripts BEFORE New Year's Day, the refill provision (5 refills within 6 months) would be honored. On 01/01, we'd have a write those Rxs on "triplicate scripts" b;banks, no refills, etc. The Feds NEVER stopped treating bezodiazepines as the Federal CIV Controlled Substances that are actually are. In our discussion during a break (and, regardless of my creds, Charlie occasionally spot checked my work and said, "You're good." I had rejected a few requests because I saw to many midnight refills" needed/ ), e expand the THIS won't stop the bad guy, Joey. You'd never get another doc's patient its and create patients for your practice, falsify an Initial Exam, Dx: Anxiety Disorder (Chronic) and Rx is 10mg every 4 hours OR, better still dispense it yourself. You'd make a great shrink yourself, bud.

Have safe and happy Labor Day, my friend!

Sincerely,

Jory

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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58

DrJoey, each state can.place a Med in a higher schedule than federal has them, if they chose. For example in Louisiana Soma without codiene is a Schedule II, with codiene its still a Schedule III.

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