Dental opioids in the UK/Ireland?

[matt<3ketamine]

Pricing varies, but you’d see change from £200. That would include a private consultation, an outline of treatment plus any prescription that would be required.

Would it affect my subutex script? Or my disability benefits?

 

[LoginNotSecure]

Private doesn't have to interact with state unless you request it. Various exemption rules are there of course. Harm to you/minors/others has to be flagged, duty of care etc.

 

[kaosisallwesee]

I think you’ll find that statement is also your personal opinion. GP’s are governed by UK guidelines, but these guidelines can and do vary from region to region.

For example, if you live in a region that has a reported high number of people seen/(ab)using xyz drug, then the local health authority will issue a blanket statement to actively reduce the number of prescriptions written for xyz drug.

Of course if you’re unhappy with the outcome, your alternative is to always go private.

While I agree in theory, in practice and my experience GPs can be very lacking in on-hand knowledge and even seem uneducated in some vital areas. I'm not saying they're uneducated, just that some maybe out of date with their info and even careless with their treatment. I've seen dangerous drug combinations, careless prescribing, misdiagnosis of basic illness. all sort of bad practice.
A good example:
When I was 15 I went to my family GP practice with pretty bad tonsillitis. I'd had tonsillitis every year, usually multiple times a year, since the age of 5. For some reason they always refused to remove them, I'm sure they had their reasons. I had a very high temperature, which always cause me to develop a rash. The doctor I saw was new to me, but he was an older man so I assume experienced. He asked about my allergies and told him I'd responded badly in the past to every beta lactam antibiotic I'd tried and had a particularly bad reaction to doxycycline a few year prior. He asked me if I was sexually active, I was truthful in my answer and said no, I'd never had any sexual contact with anyone. He pushed the question a few more times, and got the same answer. At this point in life I'd had tonsillitis so many times that I knew the required treatment, erythromycin or clarithromycin. He prescribed oxytetracycline, held my mum back for a private chat and told her I had chlamydia.... No tests, hardly even a physical exam, just looked at my rash, looked at my throat and that was it. That evening I had uncontrollable vomiting and my temperature rocketed. Ended up in A and E, got taken off the tetracycline immediately and switched to erythromycin asap.
I love the NHS and the majority of its doctors do a good job, but the quality of doctor varies so much.

 

[LoginNotSecure]

Strange, I’d give neither of those for tonsillitis.

In your shoes I would have asked for a second opinion, had not one been readily available/forth coming, I’d have asked for an inquiry into the surgery and the surgeries commander in chief.

Being overworked isn’t an excuse for poor workmanship. No matter your field. From factory worker to end of life caregiver. Give it your all or stay at home. Hold everyone accountable.

 

[TargetX]

I would love to go private but worried it'd affect my subutex script, also is it not quite dear

@LoginNotSecure can correct me if I'm wrong, but I doubt any Doctor, private or not, would prescribe you anything in a vacuum, that is, without seeing your medical history. The risks of an interaction, an allergy or the risk of addiction and abuse would be too high. It would be irresponsible IMO. Not to say that it doesn't happen, I'm sure it does, but look what happened with the online prescribing and sale of DHC, pregabalin, zopiclone etc without checking medical records. People got hurt, and they shut it down, no more prescribing without checking with your GP and getting medical records. I can't see the difference a face to face would give over online that would preclude getting records

 

[Nightraver]

Even as disabled I'm always fighting a battle to keep my oxycodone prescription. I got raised to oxy from morphine by pain clinic. But trying to keel it even when in chronic pain is a nightmare. Battle with the docs all the time .

Same here Iv had a constant battle with my doctor to keep my ox prescription even though the pain clinic he sent me to agree with me

 

[matt<3ketamine]

@LoginNotSecure can correct me if I'm wrong, but I doubt any Doctor, private or not, would prescribe you anything in a vacuum, that is, without seeing your medical history. The risks of an interaction, an allergy or the risk of addiction and abuse would be too high. It would be irresponsible IMO. Not to say that it doesn't happen, I'm sure it does, but look what happened with the online prescribing and sale of DHC, pregabalin, zopiclone etc without checking medical records. People got hurt, and they shut it down, no more prescribing without checking with your GP and getting medical records. I can't see the difference a face to face would give over online that would preclude getting records

This is also a worry of mine, because I had a problem with them but now only take 10mg a day, when I brought it up if it was a possibility to get it for my anxiety (after a mugging and seeing someone get stabbed) and sleep and was basically laughed away, then tried to peddle me mirtazepine which I am very against, after seeing what other antidepressants have done and @Flower Fairy also having a he'll of a time getting off it, so I might give it a try but would my record of past abuse be used against me @LoginNotSecure ? Because I'd love nothing more than to just be on a real script of diazepam for my legit reason, I fucked myself over earlier in life with it that I can't even bring it up to the doc without being laughed away in a "oooo you junkies crack me up with your asking for legitimate help" wouldn't even help me with a taper fs

 

[LoginNotSecure]

You can ask (and usually receive, within reason) most prescription only medication when going private if you have a genuine need for it. A lot of red tape is circumvented when going private as you haven’t got community guidelines to guide you in your remit of prescribing.

Your medical history may/will be requested prior to being given a prescription, but even in such circumstances, you’ll likely leave with a short term script to tide you over until records were received.

If you can afford it, I’d always recommend to go private, but as with most things, just because you pay doesn’t mean you’re getting a better service.

 

[kaosisallwesee]

Strange, I’d give neither of those for tonsillitis.

In your shoes I would have asked for a second opinion, had not one been readily available/forth coming, I’d have asked for an inquiry into the surgery and the surgeries commander in chief.

Being overworked isn’t an excuse for poor workmanship. No matter your field. From factory worker to end of life caregiver. Give it your all or stay at home. Hold everyone accountable.

What would you give, just out of interest? As stated, I've had allergic reactions to all the common beta-lactams, and from the look of it the same is true for tetracyclines, just so you have all the info I can give. Erythromycin has been every doctors go to antibiotic when penicillin type drugs aren't an option ime. Would be interesting to see your opinion.
And at the time I was 15, my mum believed the old man with a wall of medical degrees etc... over her stoner teenage son and I didn't find out until after my severe reaction that I'd been lied to, when I over heard nurses talking in hospital.
After posting my experience I actually looked into the surgery in question to see if anyone else experienced similarly poor treatment, and its was shutdown several years ago after the senior GP was involved in several malpractice cases (quite possible the doctor I saw)

 

[Wilson Wilson]

The NHS have gotten way stricter with opiates recently it seems. I've heard rumbles that GPs have recently been given a bit of a bollocking over opiate prescribing. I wouldn't be surprised given how I was recently treated following very painful surgical recovery. All I asked for was something stronger than bloody co-codamol and my NHS GP who used to happily hand out opiates when necessary fobbed me off with a single box of DHC. Tbh I used cannabis for pain relief during most of this because it was better than getting effectively fuck all off the doctors. Tbh if they just gave a proper dose of 240mg DHC I'd have been fine on that, no need for more powerful opiates.

And my GP gave me a lecture about how opiates are addictive and they're worried about me being an addict. Where did this come from? That same GP was happy to script me 240mg DHC just last year and on other occasions before that. I even once had a repeat script for the shit and asked to be taken off it when I didn't need it anymore. Yet when I had severe post-surgical pain and needed it temporarily, suddenly I'm an addict and can piss off. Fuck sense does that make? So clearly something has happened in that time, either with their perception of me or stricter rules from NICE/GMC/MHRA/whoever.

Now I'm considering forking out for a private GP for any future health issues and seeing how that goes. But my insurance only covers a video GP service which means they're not allowed to script CDs. So I need to fork out of pocket. But if I do I can head off to Harley Street and within reason get whatever the bloody hell I want, I know this from experience with private specialists.

Sorry for the rant but it got to me, I was in agony and was getting accused of being an addict out of the blue from a GP who was happy to dish out opiates previously for less severe pain and I never took the piss with it.

Meanwhile my girlfriend's dad who is a registered morphine addict on his medical record is scripted 500ml bottles of Oramorph every month from his GP on the NHS.

Different CCG so there's some postcode lottery going on, but still, NHS is happy to do that but not give me a proper dose of DHC for a week or two after agonising surgery... wtf?

Anyway expect nothing stronger than co-codamol or co-dydramol off the NHS. You might get a box of DHC if you're lucky. NHS doesn't give a shit about patients in pain unless you win the postcode lottery or you have cancer. Otherwise you might as well be a mental health patient. No fucks given.

 

[LoginNotSecure]

What would you give, just out of interest?

Cefixime I find works wonders for people who regularly get tonsillitis, in your case I'd try Temocillin.

 

[kaosisallwesee]

Cefixime I find works wonders for people who regularly get tonsillitis, in your case I'd try Temocillin.

I'm not sure if you were referring to my case specifically or just in general. But why give another beta lactam/close relative when allergic reactions have frequently presented themselves in the past with extremely similar drugs? Erythromycin works, why introduce another possible bad reaction? This is the kind of thing I mean, based on opinion and preference rather than the best treatment for that specific patient.
As Wilson has pointed out, this logic is especially common when it comes to pain and pain management. It currently feels like even weaker opioids are off the table for anything but severe pain. Its like they've already made the decision they're not going to prescribe them before seeing the patient, and even if it would make the patients life far less painful they're reluctant to prescribe anything, maybe a low dose of codeine (even that is getting rarer from what I've heard). Instead people are told to get by on paracetamol and ibuprofen. While I agree that its an extremely underrated and effective combination for mild to moderate pain, its not suitable for treating the moderate to severe pain its often recommended for.
I'm in pain daily, but put off going to my GP as I know the routine and really cant be bothered with feeling like I'm trying to convince someone I'm not lying about chronic pain. When they couldn't find a cure for my issue they threw codeine at it until I spent years and years on the max dosage. All of a sudden I needed to come off my pain medication. There was no attempt to reopen the case as it were, to try and find a cure or alternative treatment, just that I had to stop taking codeine. They reduced it down from 240mg per day to 120mg, then the following week to 60mg and then tried dropping to 30mg. When asked what to do about being in near constant pain I was told it was something I'd likely just have to live with. The whole situation gave me pretty bad depression and severe insomnia which, surprise surprise, they wouldn't prescribe anything for. At this point I'd had enough and fucked them off altogether resorting to otc preparations before eventually quitting. There was no care for what I would do once off opiates, they literally didn't give a fuck. Eventually I found the right strain of cannabis that alleviated a lot of my aches and pains. I currently I use ~3 g of heavy indica a day to manage my knee/hip pain, although before I was made redundant it was more like 1-2 g a night after work.

 

[kaosisallwesee]

I'm kinda in the see situation except I live in orlando florida and I'm having all my teeth removed im gonna be under general anastesia (unconscious) the dentist said the surgery will take between an hour and a half to 2 hours n called it major surgery the doctor is gonna havta peel back the gums inorder to be able to extract the tooth (as the tooth barley comes above the gum)

When I had my 4 impacted I was prescribed hydro 5 or 7.5mg

What do yall think id be prescribed

He also said he'd give me a two week work excuse longer if needed so I'm assuming I'll get 2 pills a day for 2 weeks (n yes I know no one knows for sure just looking for opinions)

I'm hoping for at least perk 10s am o wishing for to much

You realise this is European and African drug discussion, and you're asking about what your dentist might give you in Florida? Not only does no one but your dentist know that, but 90% of UK dentists//GPs wouldn't even know what a percocet or hydro was. You'd get codeine, if anything.

 

[pinkpapaver]

All this talk of pain meds and nhs restrictions on it , go private is making me more sure that the systems are getting tiered out , people are going private I d say right now . There was a quick news but yday in reducing g pain px on nhs , of course they thee paracetamol in but it was about opioids clearly . That’s the message , pull mills are coming , start saving . Seeing nhs maternity services going on at villa park , a lot of outsourcing weirds and rebrand signage etc !