• 🇳🇿 🇲🇲 🇯🇵 🇨🇳 🇦🇺 🇦🇶 🇮🇳
    Australian & Asian
    Drug Discussion

    Welcome Guest!
    Posting Rules Bluelight Rules
  • AADD Moderators: Tronica

Q. re. oxycontin prescriptions

Status
Not open for further replies.
U

username231

Greenlighter
Joined
Apr 11, 2012
Messages
1
Hi all,

a FOAF is prescribed 20mg oxycontin to deal with muscle pains they experience as side effects from other medications that are being used to treat a chronic blood condition. FOAF is soon expecting to increase their other medication and is hoping to convince their GP to increase their oxycontin dosage from 20mg to 40mg.

The question is as follows: Are there any medicare/PBS red flags that would be raised due to this increased dosage? Does Australia have any laws/standards that apply to oxycontin prescriptions? For instance are 40mg prescriptions restricted to particular medical conditions? FOAF does not have a terminal condition. FOAF has chronic myeloid leukemia, which looks dangerous on paper, but is neither terminal nor requires traditional cancer treatment (e.g. there is no radiotherapy involved). Would having 40mg prescribed for this condition cause any problems? I know that medicare/PBS sometimes have special requirements for prescribing specific medications. For instance zofran treatment is only advised by medicare for chemotherapy. Is there a similar issue with 40mg oxycontin, especially where prescribed on a continuous basis? And/or would 40mg oxycontin for chronic myeloid leukemia potentialy cause any problems for FOAF for any reasons?

Thanks all.
Happiness and satisfaction.
 
I'm not 100% clear on what you're asking. What kind of problems do you mean? If a doctor prescribes it, it'll be legitimate. If it's not listed as a treatment for that condition, the doctor may still decide to prescribe it off label, but then you may need to pay more for it.
 
Yeah, I don't know what you're asking either. Are certain synthetic opiates restricted to particular medical conditions? Yes and no, it's at the doctors discretion as to whether their patient is in enough pain to warrant the prescription for said drug. Even if it was in the wrong, the doctor would be the one getting a visit from the police, not you (or your "FOAF")
I don't see much point in this being left open footscrazy, but do as you wish.
 
When I first had my injury in 2006, my then GP was prescribing up to 600mg a day OxyContin for me for months without bothering to get an authority which he was supposed to, I think after the first month. It took 5 or so months before he got in trouble (I think anyway) as at one consultation he just said I should stop taking it and acted sorta weird about it.

Luckily I was due for a somewhat major op and had the hospital prescribe oxy post op. I then saw my GPs locum who understood pain, prescribed me a more manageable dose an got an authority for ongoing, so I started seeing him as my standard GP. So, moral is, it will take more to raise flags unless the GP or chemist alerts the powers that be.
 
brighton said:
^ are you serious? 600mg of oxy a day!!??

and whats a FOAF? Is it similar to a loaf?
Click to expand...

Yeah, had the green 80s daily like they were lollies. I either have an enzyme deficiency or something as most if not opioids either don't work for me or in a very diminished effect. First times I ever had an opoid was morphine time release machine post (major) ops age 18 and early 20s. It simply had no effect even pushing the button every minute so I was at full dose until a nurse came in and told me off for screaming non stop (from pain since the morphine was literally doing squat all for me).

First time I had the oxys, I was moving up to approx double my daily dose every 2 to 4 days as it was doing stuff all after a couple days of the same dose for my nerve damage hence being on stupid amounts. I got seriously asked if I had been or a current smack or any opioid addict due to its apparent low effect on me. Never had smack before or other opioids besides my hospital experiences, luckily I guess as it would be costing me a packet load even initially having it if it affects me the way morphine and oxys do.

Recently moved to jurnista, one a day dose of Hydromorphone as the local hospital was concerned over my high doses of OxyContin, even though it is a third of what I was having in 06. I'm having 40 mg daily which is just helping with the comfort regarding pain, plus daily tramal 400mg and lyrica doses for pain. The doc I saw during the week at the pain clinic said 40mg is a huge dose and I'm like ugh, it's just helping me, not as effective as oxys were but the comfortable range for pain management lasts probably double the time per day. I mentioned the low effect of opioids citing the morphine hospital experiences and the doc just basically blew me off.

It's pretty hard to get medical professionals to take it in that I'm not bullshitting when I'm telling them about the drug levels I have vs the pain management they give. I asked if I could get blood plasma drug levels measured post daily dose consumption and get told Victoria doesn't do that kind of study / research but a couple doctors in adelaide do (platypus from here??). Literally doesn't seem to care that his so called huge doses for me might not actually be those levels I am actually absorbing, side effects like constipation etc simply doesn't happen for me, you'd think the experiences I have could add up that I don't exhibit the usual effects from typical dose levels of the meds I am prescribed... duh
 
^ Shit mate, that sucks. I have known people to have seemingly higher natural tolerances to opiods than others, but what you've been through/still going through sounds tough. It's hard enough getting pain medication prescribed at all, let alone at doses as high as you need. I hope you've found another doctor who understands your pain, that's pretty much the key. Finding a doctor who has the time to listen to and understand their patients. Unfortunately they're rare, especially when it comes to opiods.
 
username231 said:
Hi all,

a FOAF is prescribed 20mg oxycontin to deal with muscle pains they experience as side effects from other medications that are being used to treat a chronic blood condition. FOAF is soon expecting to increase their other medication and is hoping to convince their GP to increase their oxycontin dosage from 20mg to 40mg.

The question is as follows: Are there any medicare/PBS red flags that would be raised due to this increased dosage? Does Australia have any laws/standards that apply to oxycontin prescriptions? For instance are 40mg prescriptions restricted to particular medical conditions? FOAF does not have a terminal condition. FOAF has chronic myeloid leukemia, which looks dangerous on paper, but is neither terminal nor requires traditional cancer treatment (e.g. there is no radiotherapy involved). Would having 40mg prescribed for this condition cause any problems? I know that medicare/PBS sometimes have special requirements for prescribing specific medications. For instance zofran treatment is only advised by medicare for chemotherapy. Is there a similar issue with 40mg oxycontin, especially where prescribed on a continuous basis? And/or would 40mg oxycontin for chronic myeloid leukemia potentialy cause any problems for FOAF for any reasons?

Thanks all.
Happiness and satisfaction.
Click to expand...

Your friend was prescribed 20 mg OxyNorm. If your friend wants to increase their Oxycodone dosage to 40 mg a day, well then, you, sorry, he should think about the risks and all the deaths associated with Oxycodone abuse. Your friend will need to fit the criteria of a person who suffers from "Chronic severe disabling pain not respponding to non-narcotic drugs". Your friend should also seek another therapy, as Oxycodone is likely to cause a physical dependency/psychological dependency/tolerance/abuse of it such as crushing up the pills and snorting them.

Be careful with your friend.
 
Not to mention insuffalation isn't actually a more efficient ROA for Oxycodone just quicker to reach peak plasma concentrations.

I think I get the question and my answer is no, in this case no red flags would be raised (assuming he doesn't doc shop or anything). The only drugs I have witnessed which require somewhat different prescribing authority are Hydromorphone (in some eastern states although I had no trouble aquiring it as a traveler at a doc who'd never seen me before (legit though)), and in a different way bupe and methadone (doc needs to be certified if prescribing it for addiction which doesn't really seem applicable if all truths are told).
 
wazza said:
When I first had my injury in 2006, my then GP was prescribing up to 600mg a day OxyContin for me for months without bothering to get an authority which he was supposed to, I think after the first month. It took 5 or so months before he got in trouble (I think anyway) as at one consultation he just said I should stop taking it and acted sorta weird about it.

Luckily I was due for a somewhat major op and had the hospital prescribe oxy post op. I then saw my GPs locum who understood pain, prescribed me a more manageable dose an got an authority for ongoing, so I started seeing him as my standard GP. So, moral is, it will take more to raise flags unless the GP or chemist alerts the powers that be.
Click to expand...

I dont think ay authrority is needed for one time high doages of oxy or benzos, if the time limits and prescribed dosages are adhered to and if you pay full pirce for your meds. Special authority comes when doctors are asking to add repeat scripts and if you have a health care card they need an authority to continue to get the scripts at the PBS reduced rates and that is when red flags arise and questions are asked, docotor shopping these meds will appear on your record tho, so I am led to believe and then flags arise too :)
 
Oxycondone said:
Not to mention insuffalation isn't actually a more efficient ROA for Oxycodone just quicker to reach peak plasma concentrations.
Click to expand...

My opinion too mate! I even find oxy codones instant release crushed into powders and swallowed with a nice shot, hits harder than snorted oxys, but maybe my biochemistry and body enzymes are different to others :)
 
UserofDrugs said:
Your friend was prescribed 20 mg OxyNorm. If your friend wants to increase their Oxycodone dosage to 40 mg a day, well then, you, sorry, he should think about the risks and all the deaths associated with Oxycodone abuse. Your friend will need to fit the criteria of a person who suffers from "Chronic severe disabling pain not respponding to non-narcotic drugs". Your friend should also seek another therapy, as Oxycodone is likely to cause a physical dependency/psychological dependency/tolerance/abuse of it such as crushing up the pills and snorting them.

Be careful with your friend.
Click to expand...

Jumping the gun much? I think that's more an issue for the person in question and their doctor to discuss, as this is being used for a valid medical condition.

OP: If it is a legitimate script, what's the worry? They won't be interested, and even if they were they would simply call up the doctor to confirm that he did actually increase the dosage. No problems, no worries.
 
Almost sounds like something a bit dodgy is going on.... I think the mods should probably close this, I can't see it going anywhere from here except against HR and into the fraud side of things.
 
Oxycondone said:
Almost sounds like something a bit dodgy is going on.... I think the mods should probably close this, I can't see it going anywhere from here except against HR and into the fraud side of things.
Click to expand...

probably true, the mount of times Ihave thoughtt an talikng a hammer to my pinky for some oxy;s LOL
 
Yeah now that I look back over this thread I agree, plus we haven't heard back from OP. I'm going to close this for now, if OP has any problems PM me so we can discuss.
 
Status
Not open for further replies.
Top