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Why Hydrocodone/Vicodin is so popular in North America??

I’m still being prescribed 60mg of oxycodone daily by my pain doc and I’m in the US. I also enjoy IV hydromorphone about 3 times/year due to chronic kidney stones. I get the Oxys for both stones and daily headaches that are brought on by looking at computer screens and reading combined with terrible eyesight that can only be corrected to 20/70 vision. My stones are never going to go away in my case, so I don’t know if I will ever have to face being cut off by my pain doc. If he does cut me off I will absolutely request subs. My primary care doctor has already approached me about starting subs recently. For now, I’m really happy to enjoy my Oxys.
 
For now, I’m really happy to enjoy my Oxys.
Hi Bella. Does your pain management there drug test you as part of a requirement and what are your feelings about that.

I would gladly give up thc if necessary. I just would smoke lightly right after appointments and would smoke responsibly like that.

It helped tremendously to have the best of the both worlds.

I have chronic pain but debilitating arthritis radiating from wrist joints now and sciatica and shoulder pain when I work.

However I really need to work and I love to get up and do things too as well as getting things done. I don't want to end up a hoarder and I love . . . . clean clear pathways.

Also, do they expect a P.C. doctor to give you a referral to P.M. Because my pc's now just want to drain my insurance with do this do this do this and that and of course the insurance pays it all.

I have been through physical therapy all kinds and I am done going around in a million circles just need some pain medication now because pain management left the area but now is an extra hour drive. I did a zoom appointment one time however I still had to get to an office to do it.

I don't know what the herd is going through now for pain management but can it really be denied now here in the land of free americans.

I mean I hear we have to hoard toilet paper now too. ☹ thanx.

Where did you go to nursing school. you sound awesome. it's not an issue. just trying to be friendly as usual.
 
Hi Bella.
Hi Hylight💋, I thought it’d be better to answer your questions this way, so I don’t miss anything.

Does your pain management there drug test you as part of a requirement and what are your feelings about that.

Yes. I get tested every 3 months, they want to make sure you are honest about the other drugs you are taking and they want to make sure you have the pain drug(s) you are prescribed in your system, i.e., you’re not selling them instead.
I understand why they do this, but it makes things difficult. I’d like to go back on benzos and the pain doc is all about getting people on opiates not to take benzos due to the risks of respiratory problems. So unfortunately, I have turned to alcohol (tequila shots) for my anxiety, which may be worse.


I would gladly give up thc if necessary. I just would smoke lightly right after appointments and would smoke responsibly like that.

I think most CA pain docs are good with THC since it’s legal. And actually I was taking benzos, too, when I started seeing the pain doc. I just screwed myself over when I stopped taking them. He now thinks I’m fine without them.

It helped tremendously to have the best of the both worlds.

Indeed, Hylight 💯%

I have chronic pain but debilitating arthritis radiating from wrist joints now and sciatica and shoulder pain when I work.

I don’t know how many patients are at the office with arthritis. I know there are a shit ton of people with back pain and some people like me with chronic daily headaches. Also lots of people with different long term pain as the result of accidents or traumatic events (fights, sports injuries, abuse).

However I really need to work and I love to get up and do things too as well as getting things done. I don't want to end up a hoarder and I love . . . . clean clear pathways.

The goal of pain management is to bring you to a point so that you can live a normal, functional life.

Also, do they expect a P.C. doctor to give you a referral to P.M. Because my pc's now just want to drain my insurance with do this do this do this and that and of course the insurance pays it all.

I was referred to the pain management service through my neurologist. I had been getting Vicodin from them for more than 10 years. They were tightening down on their opiate prescribing practices and that’s how I was referred to pain management in 2013 or so.

I wonder if you should/could request a referral to a rheumatologist for your arthritis pain? I think I would start with that as it would help you to have documentation that you’ve seen specialists prior to seeing pain management. Plus you would likely get further, in terms of alleviating your arthritis-related pain, than where you are now, with your PC.

Is the sciatica and/or shoulder a pain that’s not related to arthritis? Are you getting any treatment or medication(s) for those now? That might be the kind of thing that you might be able to see pain management for now.


I have been through physical therapy all kinds and I am done going around in a million circles just need some pain medication now because pain management left the area but now is an extra hour drive. I did a zoom appointment one time however I still had to get to an office to do it.

You may be able to go see a pain doctor on your own (paying out of pocket) and tell them about your pain and your inability to get help. Some pain management services only see patients that are referred by a doctor (thank you opiate crisis). Be aware that you may be asked for copies of your medical records, documenting whatever pain issues you are having.

I don't know what the herd is going through now for pain management but can it really be denied now here in the land of free americans.

I mean I hear we have to hoard toilet paper now too. ☹ thanx.

They aren’t making things easy for us. There are paths we have to follow now, too, thanks to the whole opiate fiasco, and access to a pain clinic isn’t as easy as it should be.
I can find toilet paper, but I still cannot find Clorox Wipes! I’m going to check on Amazon today!


Where did you go to nursing school. you sound awesome. it's not an issue. just trying to be friendly as usual.

I got my RN @ City College in San Diego. I was able to get it in less than 2 years time because I had a BS in Microbiology from UCSD already.
Thanks for that, Hylight! 🦢
You are always friendly Hylight ❤️ !
 
Adderalls easy to get in America

Benzos more difficult

Opiates annoyingly difficult
Where as in the UK we can't get adderall at all, benzos other than diazepam and occasionally nitrazepam dont really exist, and the only opiates 99% of patients get prescribed are codeine or tramadol. You might get a few Oxy or some oramorph if you're a cancer patient/terminally ill, but we can't get hydrocodone it doesn't exist in our nhs system as far as I know. Neither does Alprazolam, only privately.
 
Where as in the UK we can't get adderall at all, benzos other than diazepam and occasionally nitrazepam dont really exist, and the only opiates 99% of patients get prescribed are codeine or tramadol. You might get a few Oxy or some oramorph if you're a cancer patient/terminally ill, but we can't get hydrocodone it doesn't exist in our nhs system as far as I know. Neither does Alprazolam, only privately.

The same in Chile. We don't have Adderall but there's Samexid (Lisdexamfetamine), which I don't know if it's better or worse. A 2015 study showed that 4 million boxes of benzos were sold that year (out of a population of 18 million) and not counting the benzos that are sold on the black market. I guess that's a lot. I have never heard of anyone using oxycodone or fentanyl patches, and the most commonly used opioids are also tramadol and codeine / paracetamol. Hydrocodone doesn't exist here too. Although lately tapentadol is gaining some ground. In other South American countries I don't know what it will be like, but I think that's a similar situation.
 
What are doctors currently prescribing there in North America for moderate pain? Please don't tell me they're pescribing SSRIs (duloxetine) hahaha.

Hey hey. I think I might have been too high last week (if that's possible). Kept putting common items down and forgetting where the hell they were. Spent most of my day looking for a wallet or car keys sadly.. But I am a lot better now lol.

So before the quarantine something like hydro/vicodin was a common prescription for those recovering from surgery like a tooth being pulled and etc. Surgeries that are more common and do not involve intense pain levels. Chronic pain patients probably saw similar scripts--maybe even oxycodone (godbless her <3) if they have a trustworthy record and have proven capable of managing such a script. Of course--the more powerful ones were given out to people in need. It's safe to say that the government does monitor prescriptions and how patients manage their use/personal lives. They can flag someone down as an addict at any moment if they see then trying to play games (like attempting to refill a script too soon at a different pharamacy). Things likes that can really mess up someone's lovely painkiller script in a heartbeat.

Post quarantine--the USA government definitely used corona as an excuse to cut back painkiller prescriptions and make them painfully (lol pun-intended) difficult to acquire. People were cut off for seemingly no reason and or moved down to lesser medications. Truth be told, it seems they have been wanting to act on such behavior for some time now. They knew that the epidemic was their fault and wanted to fix it--however they just did not act in the right manner even if their intentions were in the right place of mind.

Suboxone doctors are a godsend. It could be the only way to resolve a large portion of the epidemic and maintain addicts mental health in the process. It's not an easy opioid to abuse considering it's not ultra euphoric in the same way that oxy is. I did not meant to water down a highly complex issue and make it black and white... but I want the US government to really approach this carefully from now on. They must be held accountable for what they've done but also bear responsibility for fixing it in a way that does not further harm real people. People who generate the government so much income. The opiate epidemic statistically costed the government way too much money to even believe. Addicts make the world run well lol. We need them to keep our systems in place.
 
Suboxone doctors are a godsend. It could be the only way to resolve a large portion of the epidemic and maintain addicts mental health in the process. It's not an easy opioid to abuse considering it's not ultra euphoric in the same way that oxy is. I did not meant to water down a highly complex issue and make it black and white... but I want the US government to really approach this carefully from now on. They must be held accountable for what they've done but also bear responsibility for fixing it in a way that does not further harm real people. People who generate the government so much income. The opiate epidemic statistically costed the government way too much money to even believe. Addicts make the world run well lol. We need them to keep our systems in place.

How easy is it to get Suboxone? You can go to a psychiatrist and tell him that you are addicted yo opioids and he will prescribe it or you need to go to a rehab clinic or something like that. Is it cheap or expensive? I guess heroin is still cheaper than that.
 
How easy is it to get Suboxone? You can go to a psychiatrist and tell him that you are addicted yo opioids and he will prescribe it or you need to go to a rehab clinic or something like that. Is it cheap or expensive? I guess heroin is still cheaper than that.

Very easy.. as it should be. There's a reason we have a heroin epidemic and not a suboxone epidemic. Just saying. lol.

You can even get suboxone take-homes from some community clinic type places.
 
Hydrocodone is the kind of opioid you could use to mix drinks instead of strong alcohol, its fairly forgiving in terms of dose response curve and has a nice comeup/peak/comedown, has legs without overstaying its welcome.

This thread has me thinking of it a lot more than I have in a while and I can see vicodin's rise to popularity in the United states with our desire to get really messed up but then be able to come down and drive home and such. Oxy became popular even more so as a cleaner more stimulating alternative that still is able to wear off in time for you to be straight around sober folks. That is assuming you're using opioids as a recreational drug similarly to alcohol. For functioning addicts I'm not really sure, I never was a functioning addict, mostly a binge/fiend/clean cycle for years.

America is a deeply alcoholic culture, as is the UK. Our new loves will likely resemble our old one in some ways. If we don't all die from a progressively escalating second cold war I like to think we'll be able to suss out that it's ok to allow new sorts of drug users into open and accepted use as long as it doesnt involve using needles and bongs in broad daylight around kids lmfao.
 
Adderalls easy to get in America

Benzos more difficult

Opiates annoyingly difficult

Unless you're in the ER w/ a bad case of constipation from taking too much kratom

And then you might get a shot of fentanyl + a shot of Morphine

And an enema from a fine southern nurse

Or so I've been told that's the way to go

Only downfall is the butt prod from the male doctor makes you giggle

I suggest the constipation + ER if you want to score drugs and get an enema

Or so I've been told
I like your style
 
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