Opioids PAIN CLINIC - IMPORTANT QUESTIONS ~ would like anyone going to one to answer these please

[Painful One]

but i wasn't aware they drug test @Painful One yeah that is one test i'm guaranteed not to pass for the foreseeable future think id be able to challenge them to a game of tic tac toe and make a bet that if i win that for future tests they have to give the all clear to anyone with anything at or below whats in my blood on any given day?

Pain clinics or it seems, being prescribed opiates consistently, requires a pain contract now. That is where you agree to be drug tested at anytime, bring in pill bottles for a count at anytime and other such nonsense. Otherwise, you don’t get prescribed.
sign or no deal.

I have managed to never have a drug test or any of that other shit yet though.

You just have to find the right place and be appropriate.

I wish they would take your tic tac toe deal, that would save all of us! Lol!!

 

[Nicomorphinist]

A lot of the above advice is sound, and useful for the short and intermediate term in all likelihood.

Of course the best strategy, caeteris paribus, is to get a general practitioner, internal medicine doctor and/or a specialist in the field involving the source of the problem (orthopaedist, podiatrist, neurosurgeon for spine issues, oncologist, gastrointestinal tract expert and so on) and have him or her do the narcotic prescriptions as the pain clinics are a lightning rod for persecution and trouble made by the arseholes who run things over there . . .

There is a lot of sound and fury about "doctor shopping" which in my estimation is simply being an informed and choosy consumer who has certain special needs that need to be met -- just do not fill any prescriptions you happen to wangle out of doctors who do not make the cut, as the prescription monitoring databases do not just empower corrupt pharmacists and doctors but are also set up to prevent doctor shopping, which is your right as a patient and as a customer. If you get a prescription during your search that looks yummy, wait until you have a doctor who will work, before you sign any patient contract, get the prescription filled via mail order if at all possible. You may want to make the initial appointment about some other complaint and then, if they appear to be with it and humane, reveal that you have a chronic pain matter which could be having an effect on it -- insomnia, GI disturbances, headaches, muscle spasm, depression, and others all fit the bill.

 

[Nicomorphinist]

Why are you being drug tested anyway?

Patients usually sign a contract stating that they will not divert or misuse narcotics and get them only from the doctor in question and often one other doctor who is available at other times, and also specify a walk-in clinic and/or Emergency Department. This contract has, for CYA purposes, a stipulation that the patient will submit to drugs testing periodically to monitor compliance by showing if there are unapproved controlled substances in the body, or if there is no narcotic in the body, indicating that the patient may have sold or bartered the prescriptions.

Unfortunately, some states are getting into the act and mandating this. Usually it is one test every 5-12 months, with a common thing being having people with a telephone number, patient number, Social Security or national insurance number, or date of birth ending in a given digit to come in during the month so as to have everybody tested every 3, 5, 10 months or whatever; other testing is done for cause, like being intoxicated on something not prescribed or whatever. My doctor in the US did as little as she could get away with respect to this as she knew I was on the narcotics for almost 50 years at that point and never had problems and was never in an addiction type situation . . . so with her patients she would do a urinalysis drugs test with usually a full one to three months heads up (even though she knew that I did not add clandestinely marketed pharmaceuticals, smack, C-Jam or the like, to my regimen or synthesise something myself . . . it was more civil disobedience and her belief that surprising someone with something like that is simply dishonourable. There is a note in my file that will test positive for noscapine, codeine, papaverine, and other alkaloids and she is aware of this and it comes from homeopathic, Ayurvedic, or traditional medicines -- the lab folks usually stopped at the presumptive positive for opiates and that was that; the only reason they go further in any case is a blood and urine test that looks for everything as an adjunct to the endocrine panel and similar tests I get with my annual physical . . . for example, they want to make sure that any of my prescribed medications are not piling up in my system unless that was the idea, and also that the MS-Contin was doing its job without my having shat out a big part of the dose and so on.

 

[Ganjcat]

Patients usually sign a contract stating that they will not divert or misuse narcotics and get them only from the doctor in question and often one other doctor who is available at other times, and also specify a walk-in clinic and/or Emergency Department. This contract has, for CYA purposes, a stipulation that the patient will submit to drugs testing periodically to monitor compliance by showing if there are unapproved controlled substances in the body, or if there is no narcotic in the body, indicating that the patient may have sold or bartered the prescriptions.

Unfortunately, some states are getting into the act and mandating this. Usually it is one test every 5-12 months, with a common thing being having people with a telephone number, patient number, Social Security or national insurance number, or date of birth ending in a given digit to come in during the month so as to have everybody tested every 3, 5, 10 months or whatever; other testing is done for cause, like being intoxicated on something not prescribed or whatever. My doctor in the US did as little as she could get away with respect to this as she knew I was on the narcotics for almost 50 years at that point and never had problems and was never in an addiction type situation . . . so with her patients she would do a urinalysis drugs test with usually a full one to three months heads up (even though she knew that I did not add clandestinely marketed pharmaceuticals, smack, C-Jam or the like, to my regimen or synthesise something myself . . . it was more civil disobedience and her belief that surprising someone with something like that is simply dishonourable. There is a note in my file that will test positive for noscapine, codeine, papaverine, and other alkaloids and she is aware of this and it comes from homeopathic, Ayurvedic, or traditional medicines -- the lab folks usually stopped at the presumptive positive for opiates and that was that; the only reason they go further in any case is a blood and urine test that looks for everything as an adjunct to the endocrine panel and similar tests I get with my annual physical . . . for example, they want to make sure that any of my prescribed medications are not piling up in my system unless that was the idea, and also that the MS-Contin was doing its job without my having shat out a big part of the dose and so on.

Oh is that a yank thing? i have a prescription for regular high tier pain meds and never had to sign anything like that then again im one of a select few who get decent pain medication the rest get fobbed off with paraceatomal or ibuprofen poor bastards

 

[Nicomorphinist]

Oh is that a yank thing? i have a prescription for regular high tier pain meds and never had to sign anything like that then again im one of a select few who get decent pain medication the rest get fobbed off with paraceatomal or ibuprofen poor bastards

It is, though I first heard of it mentioned at a workshop on palliative care at the Vienna Allgemeine Krankenhaus and U of Vienna . . . I actually suggested such a contract to my general practitioner in the States after hearing about it at the conference, about 20-25 years ago this was, as it gave her political and legal cover and allowed for more margin for manoeuvre for the doctor, the pharmacist and myself . . .the notarised contract and supporting documentation were there on file and had been faxed to the pharmacy examining board and other relevant miscreants, so she had no trouble jacking up my Dilaudid and/or Numorphan and MS Contin dose, then switching the PO Dilaudid to SC/IM/IV Dilaudid HP during the rapid intensification cycles I would get with the back pain . . . I am sure that if I was scripted 1024 of the 8 mg tablets or a six-pack of 50 ml Dilaudid HP phials today that Swat and a bunch of cops would be there at the clinic and try to burn it down with us still in it . . . Christ . . . The thing about which I was most tickled was when I brought back to the US, in my personal use quantities of European medications I brought with me was a box of 8 mg diamorphine tablets - pure fucking smack! And other fun Schedule I things like nicomorphine, dihydromorphine, dextromoramide, ketobemidone, diacetyldihydromorphine, a little bit of dipipanone and so on.

For people in the UK, there is a very real possibility that US firms with their warped and blindered perspective and all that will start to reach two or three of their octopus arms into the National Health Service, above and beyond the enhanced impact that all the yammering about the fake opioid cri$i$ and the racketeering from it spill over to varying degrees to other Anglophone countries . . . I hear hair curling stories from Australia and one or two from New Zealand, then there is the massive spillover of trouble and poison dope into Canada . . . one hears all the time about the level of narcotic consumption in Scotland and I have to wonder what the political situation will do in that case. The impression I have gained from them and the Republic of Ireland (26 Counties) is that their attitude, as is often the case, may be closer to the general Continental view on a lot of this. The British government, as with a number of others, apparently is already getting nudges and pushes and cajolery, and threat for all we know, from the United States about some of this kind of thing.