I Have Been Taking Hydrocodone 10 And My Doctor Just Changed Me To Acetaminophen Codeine 3 (Page 2) (Top voted first)

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.

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4.0 GPA requires good grammar at least. Professionals don't use slang.

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Probably because Vicodin is now a Schedule II Controlled Substance — a real overreaction, I believe. There was nothing to stop the DEA from making it a Schedule IIA drug, say, with a refill limit of ONE. Some states prohibits docs without special training in Pain Med from prescribing some Schedule II narcotics. I'm a shrink with a PhD in Pharmacology as well as my MD and psych sub-specialties. They tend to give us a wide berth. The first time I saw Vicodin (there was only one strength 5mg/500mg) my god friend and family interest (with more degrees after his name than a thermometer) that VICODIN was named such because each MILLIGRAM is SIX (VI) as potent as COD. Thus Vicodin 5mg = 30mg of Cod, or a Tylenol #3. But Yelnol E3 will not provide the analgesic of VICODIN ES (7.5mg/300mg) or VICODIN-HP (10mg/300mg). Ditto for Lorcet, Norco, etc. I wrote for Vicodin for my Mom's migraines because codeine upsets her stomach. She only needed the basic 5mg/500g tab. Hope this helps! If the codeine doesn't upset your stomach, there's aways APAPl or Empracet #4 (1 gr or 60mg of codeine).

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Look them up yourself. You don't need a medical,dental license to access Controlled Substances regs. I have a buddy who has been an Anesthesiologist for 30-something years. If I never need a patient treated and I'm doubtful of the regs, HE'LL write the scripts. Besides, in my states, shrinks, especially with PhDs in Pharmacology are given a wide berth. I never bothered to look this crap up. I have too much real work to do.

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DrJoey, the reason I asked for the references is because often pcps will tell their patients that they can't prescribe pain meds because it is a new law, which isn't true. Unfortunately, many people believe what they are told, especially by a Dr and they won't take the time and energy to check it out themselves. I have researched a number of states and so far I haven't found one where a Dr must be a pain management Dr to write pain Med prescriptions. It is the choice of each individual Dr what they do and don't write prescriptions for.

Personally, I find it strange that you have prescriptive authority but don't know the laws in your own state. I also find it strange that another Dr puts his career and license on the line for anyone, friend or not. The federal regs are clear regarding Schedule II pain meds. The Dr that writes the rx must see the patient and have a Dr patient relationship with them.

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That wasn't the case in NJ 10 or so years ago. And we have Exception Codes for C-II Amphetamines and Ritalin for ADD/ADHD or Nacolpesy; for Xanax for Panic Attack Disorder w/ or w/o Agoraphobia. We can write for 90 day supplies in each instance. There's an opiod exception I don't deal with that except for having signed off as Chief of Psychiatry that one of my pt's conditions and painful and terminal. The Attending Doc handles the paperwork. Doesn't happen very often in psychiatry, but when I'm covered for my Distinguished College, the Chief of Neurology, I have had to review files and sign off.

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DrJoey, Schedule II pain meds for non.terminal related pain can be written for 90 days at a time, 3-30 day rxs. Although few drs chose to write them that way. The federal laws and most state laws governing Schedule II pain meds are different than those governing other Schedule II meds, like ADHD meds. The Dr doesn't have to see you.at least every 90 days for ADHD meds.

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Not if there's a legitimate and provable diagnosis. I wrote for Klonopin 2mg after our Mom passed. She's a former New York County Office of the District Attorney Bureau Chief (Sex Crimes). She's been my patient. She called an ADA she used to supervise who now is the Chief of the Narcotics Bureau. His reaction: "It's all legal. You think the DEA is worried about 120 Klonopins, hon? Your brother's a legit MD, at the very least and if you've been his patient, no one can stop you from accessing the medical care you need. You want me to have one of my boys and girls pull up cites that reaffirm my statement?" She said, of course not. My sister-in-law has been my patient, too — and she's NOT a "blood relative", btw. Actually what my sister said is that if there IS such a law, it's unconstitutional (she's a Con Scholar) because it violates at least. the Equal Protection clause. Although I think if anyone ever challenged that law that dispenses with physician-patient-pharmacist privilege makes it to the High Court, conservatives and liberals both will vote it down — and when the High court rules, that's the law of the land. I NEVER had a a script challenged except for the occasional new patient when the pharmacist didn't know me either; that's just due diligence. It's not difficult to write a script and although you could get into Ft. Knox more easily than to my script pads, accidents happen.

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Hey Bill
You need to read what the Dear Doctor said again!
His big brother who is a cardiologist; has a wife who gets migraines so he sent her to an Anesthesiologist FRIEND .. I do not see how you got anything out of that which gave you the idea that The Dear Doctor or any Doctor for that matter, treated a family member at all muchless treated them with any type of medication!

HOOKED ON PHONICS! :)

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DrJoey, knowing the right people can prevent a lot of.troubles that everyday people that don't have these contacts go through. The medical boards don't turn their heads like they use to.

Have a safe Labor Day!

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Thank you, Patty!

The first line of that oath I tok close 30 years ago is" "Primum non nicer," which means "first, do not harm." To allow a patient I know to writhe in anguish because her own husband couldn't prescribe the opioids she needed. He was a legit patient of his practice and a legit private patient in my private practice. A patient does't have to PASY to establish the P/P relationship.

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That's why my sister graduated from Tulane, but REFUSED to go to Tulane Law. According to her, the law is even crazier.

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Jan, please post the link to that version of the oath. People need to realize that the Hippocratic Oath is not the same as an oath that you take in court not to lie.

Oaths for Physicians – Necessary Protection or Elaborate Hoax?- ncbi.nlm.nih.gov/pmc/articles/PMC1925028

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Keep d e a out of prescription laws.what the he'll do they think they are?Nazi controlling.doctors don't treat patients government does

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In what situation does lying to the patient good? If I'm lucid, and of sound mind I want the truth. I'd consider lying to the patient as malpractice. Even withholding info is deceit, which is lying at it core.

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Let me rephrase your doctor can write cll script for 1 mounth and if deemed nessasary the patient can call in for the prescription at witch time the doctor can electronicly write the script but the paitaint has to physically see doctor every 3 mounths so has to see doctor 1 time physically then can call in next 2 prescriptions and then has to see doctor again physically but yes they vary rarely do this know ecsept in the va hospitals witch i know is vary commom becouse of over crowding and becouse i work with alot of veterns

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My wording must be off becouse that is what iv been saying your just saying in a different way just so you can argue the paeple dont need to know the lagistics like the whole aprroved software thing uhhhh ya you might think if a doctor writes an electronic scrip for a cll substance off course they need aproved software iv got the laws what do i need to copy and paste it im shur you bl would find somthing to argue about then to

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Its illeagle to lie to a paitaint in most cases and alot of patients are know recording thare visits to the doctor and some patients have abtained medical records to prove the doctor lied in court lieing about pain meds moght not seen like a big deal but if the paitaint were to lie about narcotic pain meds or lie about having history of nacotic abuse to get narcotics in most states its a fellony now thare are some exsclutions like if a paitaint gets in car accident and is on the verge of death and lets say the paitaints father died in the car accident the doctor might take it upon himself to lie and say his father made it in fear of overwhelming the patient even then thares been cases of peaple sueing for that so if a doctor wants to lie he can just like you can lie as a patient dosent make it leagle tho these laws will become ever more stcrict as time goes on alot of patients are recording thare visits just for this purpose

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Ya your right, they can write 3 months worth of cll substances but cannot write them onto one prescription. It has to be separate like 3, 30 day scripts or 9, 10 day scripts or whatever the doctor deems nessasary for the patient. All i was saying is that they cannot write 90 days of cll substance on one prescription, and maybe that clarifies it a bit but know where way off subject and s*** so im done.

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A case wont go to court until the medical records have been read. So saying a Dr lied in court but the patient knows the Dr lied because they got their medical records males no sense. In court they go on evidence and proof. What someone says isn't evidence unless it is backed up in cases like this.

In some states it is against the law to record someone without their knowledge.

Contrary to popular belief, drs don't know it all and they do make mistakes. There is a world of difference in something being a mistake and it being illegal.

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Im not talking about this case perticularly just in genneral

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