Some doctors and the DEA want to limit opioid/opiate prescriptions to 90 days or less

I'm definitely wondering how this will effect buprenorphine. Especially seeing as how it is being trialed for depression (quite successfully) at the moment.
 
Oh and here is a question for everyone and I didn't include it in the above post because I know that for some of you, that post will be too long and you wont read the whole thing.

Would someone who is more familiar with politics and the workings of the government and the world please tell me what it is that we, as common dumbasses (I mean,come on, we aren't doctors, so how freakin intelligent can we be?) can do to make our voices heard in this situation? How can we stop this from rolling down this shit hill even further? I want to know how I can protect my rights (and all of yours) to have pain meds available to me so that I can LIVE a productive, peaceful, non miserable life.

I know someone has some ideas and advice on this...please help.
:(
 
I'm definitely wondering how this will effect buprenorphine. Especially seeing as how it is being trialed for depression (quite successfully) at the moment.

You know I have been wondering the same thing. I guess as long as it is not being prescribed for pain management AND it is considered an "on-label" use then it might still be ok. But who know, it is in the same class of drugs, you can become addicted, some people do abuse it and it has a potential for causing death so quite possibly it may be affected negatively.

I have been wondering too about what someone said regarding opioid replacement therapy. Subs and methadone are narcotics and they do have a potential for abuse but at the same time these are the drugs that the government is TELLING us to take so maybe it will be ok. They are authorizing people (well pretty much demanding it) to take methadone instead of other drugs that might make you feel more euphoria. It is a drug being 'pushed' by the government despite the fact that methadone causes SOOO many deaths. I dont know the exact statistics off the top of my head but I'm pretty sure that there are more deaths caused by methadone (because of the long clearance rates in the body and the long half life) than with most other narcotics.
 
There's no evidence that this petition is gonna actually do anything yet, and there's every reason to believe it won't really cause anything to happen. They already changed the formula of the number one offenders that people were ODing on. It's harder than ever to get a script for pain meds, which sucks, but this whole 90 day thing will never happen. For a minor injury that's healed, they'll cut you off most of the time before 90 days anyway, but it would take a lot more than a petition to cause anything serious to actually come to pass.
 
There's no evidence that this petition is gonna actually do anything yet, and there's every reason to believe it won't really cause anything to happen. They already changed the formula of the number one offenders that people were ODing on. It's harder than ever to get a script for pain meds, which sucks, but this whole 90 day thing will never happen. For a minor injury that's healed, they'll cut you off most of the time before 90 days anyway, but it would take a lot more than a petition to cause anything serious to actually come to pass.

So do you feel that it is jumping the gun to be concerned about these issues? It is already so frustrating to, for whatever reason, (ie doc dies, retires, moves, patient moves, doc no longer wants to prescribe scheduled drugs etc.)to try to find a doc who is willing to treat chronic pain with narcotics. I can say for sure that the DEA has scared the hell out of enough of them that even if the doctor does think its approppriate, they will not prescribe for fear of investigation.

In addition to that, so many doctors have jumped on the bandwagon with all these "reports" of opiates/opioids not being safe for treatment of chronic pain, CPP will become addicted (there is a difference in addiction and tolerance and physical dependence) and stories of rampant and widespread cases of hyperalgesia (when research shows that it is actually very rare for this to happen)and that it is no longer acceptable or standard practice to treat CPP with narcotics. I'm not sure if for many of them it is just an opportunity to wash their hands of it so they don't have to worry about the liability or if they genuinely believe the hype without checking out the actual research. I think it is both that is happening.

I have been a nurse for almost 20 years and I am seeing the attitudes change swiftly. It already sucks that many (not all) doctors are instilled with a "God" complex as part of medical traning. Some are smart enough to not be condescending to patients faces but many feel that way regardless. I'm sure you know that many have no problem letting it be known how they feel. Even when I went to nursing school (and I'm not THAT old) we were pretty much trained to kiss a docs ass, not to question their orders (unless someones life was at stake) and to always show them the respect that they deserved and basically bow down to them. Even if we knew that they were wrong you were supposed to smile and then fix it later.

There is a site that has a forum for doctors and medical school grads who are already practicing to swap advice, stories and other info. For people that are supposed to be smart and professional, a good part of these comments or threads revolve around making fun of patients and having a general condescending attitude towards patients. There is a common theme of patients that ask for narcotics are just wanting drugs and a ""yeah right" attitude regarding complaints of pain. They are also threads such as "Hey everybody, so what's the nicest vehicle you have ever seen a medicaid patient drive?" If you are on a ny benefits and drive a nice car then you must be diverting drugs and selling them. Another is regarding the drug Cymbalta and their commericals. One doc states now whenever he asks a patient about pain, they often say "It hurts to get a hug" (which is a statement on the commerical). The docs comments are, in a nutshell, that the patients are full of shit and idiots because prior to the commercial he never heard anyone say that and now they all say it. The list goes on and some of it might be amusing if the tone was not so disrespectful and condescending to their patients. They forget that whether medicaid or self pay or anywhere in between, these are the people that they are trained to help!

Sorry,I went off on a tangent! My point is it is the media storm regarding narcotic prescriptions is starting to already affect patients ability to get their meds and I am worried that it is only the beginning and going to get worse. Almost every week across the country you can find some big special write up or series that has something to do with prescription drug abuse, dirty doctors, addiction etc.
 
^ I've accessed such a forum in the past (doctors only). Somehow I stumbled upon it after searching a topic in Google. I was rather upset after reading what each of them had to say regarding "suspicious" patients. I recall one doctor in particular who wrote that he never prescribes anything for pain other than Toradol - the only exception being a cancer patient. Perhaps it's one of the PROP morons. Some very arrogant and ignorant quacks out there. And yeah - many of them love to talk about money - lots of it, and how they want 'this' or just got 'that' and life's great.

Also, about the "God complex" as you refer to it - I've personally had to deal with a few doctors who certainly behaved like they knew me better than I know myself. They would patronize me whenever the opportunity presented itself and in return, I eventually just about lost it. Twice I've had the cops called on me while in a doctor's office, because both times I refused to keep my mouth shut and accept without question what the doctor thought was best for me. I'm not proud about having the pigs on my tail because I hurt another human being, but If I ever see these two asshole quacks again, I'll probably end up in jail for assault, or worse. I think to myself, at least I could give them something to think about - a shattered jaw perhaps. Then they will know what chronic pain might feel like and stop with the contemptuous attitudes. You know, as a patient, as someone who also suffers from moderate-severe (and at times moderately severe) chronic pain, I've always tried to be as patient, respectful, reasonable as can be. Normally I'm not a violent individual - however, like anyone, I have my limits. Assholes keep pushing, eventually I'll say "fuck it" and call my dear old dealer.
 
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It is so scary to be a chronic pain patient and like the above 2 posters have shared their stories of asshole Drs with a GOd complex. I get methadone for pain because my Dr wanted to give me Oxycontin which costs me 4oo bucks a month and I have no insurance. So I had to call the pharmacies around town asking how much such and such would cost... You can imagine the responces I got ranged from downtalking me like I was white gutter trash to saying they did not even carry CII drugs which I know was a crock one even sighed and hung up without even bothering to answer my question...bottom line methadone cost like 8 bucks for 90 pills which is only 30 mg a month. My Dr was reluctant to give me methadone but finally did..and after 3 years of 30 mg a day I asked for an increase...his exact words were :you are in your late 20's what am I suppose to give you in 10 years when 80 mg's a day wont work....herion????" Basically he was telling me since I was 28 I just had to suffer because methadone is the strongest drug there is....blah blah...this was my last visit to him last month and I go back in july and I am trying like hell to get another dr just because I refuse to pay him 150 bucks every 2 months especially since he thinks since I am young I just should accept to live in agony... again I wish this rich ass dr had to live in my shoes just 12 hours with the pain...and being reduced to almost being homeless because I can't get help.If it were not for great friends I would have been homeless years ago..sorry I got off on a tangent but this has been kiiling me!!
 
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@Missmeyet

To answer your question....No, I don't think you're wrong to think that this should be an issue of concern, but I don't think anything hinges on this petition and the signatures of a few dozen doctors. there could be a lot more doctors that signed it, but in the link you provided it only looked like 20 or 30 had signed.

This is definitely becoming a big issue, but the fact that the abuse of prescribed opiates has sky-rocketed over the last decade is undeniable, but the solution certainly isn't punishing everyone by coming it up with legislation that makes it impossible to obtain these medications..

Opiates and opiate dependence is not in and of itself dangerous! Opiates really don't do much damage, if any, to the body and mind and life-threatening complications from withdrawal are extremely rare. Overdose is the number one concern with these drugs, and in most cases, it's nobody's fault but your own if you OD on opiates! There's a lot of other drugs that are far more damaging and create all kinds of health problems that aren't opioids, but because opiates are abused to get high they're considered "evil"!

Opiates don't make people go crazy or become violent, pretty much the opposite. It's not being ale to obtain them that makes people go crazy and break the law. The high from them is something that a lot of people find pleasurable though, and having a huge percentage of the population physically dependent on opiates wouldn't be the best thing.

They were over-prescribed for awhile and some bad things happened as a result, now they'll be a back-lash for a few years where they're harder to get, but I think it will eventually even out and go back to the way it was 20 years ago. It's all these formulations designed to make the drugs abuse proof, and raises the cost of the medication that pisses me off! If someone wants to snort their oxycodone, that should be their business.
 
I always thought cII drugs were written on a monthly basis w no refills?
This is what most pain doctors do that I've seen anyway. But I have a friend with muscular dystrophy who goes to a neurologist.
What he did was wrote her separate prescriptions for 3 months and this way she only had to see him four times a year.
 
Some people are saying how terrible that is and I'm honestly not so sure about that. 90 days is a good while and chronic pain could be treated through other means if your the type to be posting on bluelight. If I came down with a chronic illness and needed pain relief I wouldn't even touch the opiates too much, I'd just hit up my weed connects and get some good tree and forget all about my pain. Somebody with chronic pain would be better off in the long run with weed, the negative effects are minimal and in my personal opinion the high is just as good and even better than an opiate high. An opiate high to me is just a sedated, very mildly trippy "I don't give a fuck" relaxed state. Weed is like an elixir for the mind, if not abused :) Some folks on here may say that's a huge overstatement, but it really isn't. I can say that with all the substances I have put into my body (morning glories, dxm, mushrooms, lsd, ketamine, amphetamines, opiates, MDAA, 2C-B, 25-INBOME, booze, and maybe other stuff I'm forgetting), I can say that weed is extremely euphoric, an all around awesome experience, and was the original pain reliever used since ancient times. I'm not judging anybody's choice of drugs, just saying that you do not need opiates for pain relief. However, they would have to provide withdrawl meds like methadone or the comedown of 90 days on opiates would be utter shit :o and possibly even dangerous. I know some folks may not agree with the things I'm saying but I was never a big opiate head, I did it a few times (just codeine) and felt something so I can totally understand how a big opiate user would feel very differently about things
 
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Some people are saying how terrible that is and I'm honestly not so sure about that. 90 days is a good while and chronic pain could be treated through other means if your the type to be posting on bluelight. If I came down with a chronic illness and needed pain relief I wouldn't even touch the opiates too much, I'd just hit up my weed connects and get some good tree and forget all about my pain. Somebody with chronic pain would be better off in the long run with weed, the negative effects are minimal and in my personal opinion the high is just as good and even better than an opiate high. An opiate high to me is just a sedated, very mildly trippy "I don't give a fuck" relaxed state. Weed is like an elixir for the mind, if not abused :) Some folks on here may say that's a huge overstatement, but it really isn't. I can say that with all the substances I have put into my body (morning glories, dxm, mushrooms, lsd, ketamine, amphetamines, opiates, MDAA, 2C-B, 25-INBOME, booze, and maybe other stuff I'm forgetting), I can say that weed is extremely euphoric, an all around awesome experience, and was the original pain reliever used since ancient times. I'm not judging anybody's choice of drugs, just saying that you do not need opiates for pain relief. However, they would have to provide withdrawl meds like methadone or the comedown of 90 days on opiates would be utter shit :o and possibly even dangerous. I know some folks may not agree with the things I'm saying but I was never a big opiate head, I did it a few times (just codeine) and felt something so I can totally understand how a big opiate user would feel very differently about things

Try to also consider the fact that everyone experiences psychotropic substances differently.

While weed might feel godly to you, for someone else, smoking weed might provoke a massive panic attack - a potentially terrifying experience.

With regards to opioids, the same rule applies. It makes some of us feel like shit, and it makes others feel great.

Just like marijuana, the opium poppy has been harvested and used for medicinal and recreational purposes for thousands of years (according to ancient writings found in places such as Egypt).

Lastly, if you're basing your opinion of opiates solely from first-hand experience based on the use of codeine products, you should know that codeine is a weak, and poor example of the therapeutic and recreational potential of opiates/opioids in general.
 
Morphine is the gold standard for pain and even if they are trying to make crazy new alternatives with shelfish poison and all sorts of other exotic things, morphine will still be the gold standard. Sure weed may work for some ppls pain, but someone in real chronic pain is probably not going to want some herojuana instead of morphine. But to each their own i suppose.
 
Omg
Thank You so much for taking time to post this! Its happening now because my Doc has changed the way he is prescribing my oxy for breakthru, I had always got 120 of the 10ml, the last few times its been cut down to 90 instead of 120. Also I use to be able to get refils...FORGET THAT, that's long been change here anyway. It really concerns me, I wish I didn't even have to wear my Fentanyl patch, cuz no days they can just cut us off, thats a fear I try to deal with. The worst pain I had from a cutting edge Pain Clinic was when they took me off of this horrible cocktail that could of killed me at any second. He needed to see where my threshold was so I agreed as this amount of meds blew me up and basically my body began to turn on me. It was a rough ride. All I had was crappie cloindien, I had a few benzos that help. Long story short never in my lifetime have I ever contemplated suicide, to me it was the saddest thing, when someone really has lost all hope. But finally when all meds we being weaned, my pain got so bad, my husband was gone to work, I could not tolerate it anymore. My levels had been reached. I wanted to be gone, my doctor couldn't call anything in until Monday. I begin to literally on the verge and trying to find me a way. My husband got home I was curled up in the bathroom, I was shaking, cold and couldn't focus, see very well. The pain which is manley in my spine gave me the worst migrain and my ears had popped. Anyway we need this pharmaceuticals and I just don't feel real trusting of them. But what choices. Thank goodness I do believe in a loving God. We are in a falling world, man has caused this greif.... We have to know that we know about our relationship with our creators son, that helps me. I keep you all in prayer and Gods knowledge and understanding of what we suffer He suffers also. But we keep our eyes on The King of the new heaven and new earth.
 
I could see TONS of benefit for this, but unfortunately for chronic pain patients this could be the most horrible thing to happen to them.
It's unnecessary to have to limit opiate prescriptions, just train doctors to be more responsible and don't write an oxy script for just any fucking reason
 
do-gooder, out-of touch with reality, i know better than you, save me from myself, ivory tower living scum!

90 days?! So what if i develop a dependence? You can function with a physical opiate addiction a hell of a lot better than you can function with severe chronic pain!

qft!
 
I don't think that there will be a limit to how long a patient can be treated for chronic pain.

First off there is way too much money in pharmaceuticals and pain clinics. It is such a huge part of the economy and pharm companies have a great deal of political power.

Like Perdue for example. They created oxycontin and have managed to keep their patent. As soon as the patent on the orignal oc's ran out they came out with the tamper resistant op's. At the same time the feds said that was the only way to keep oxycontin safe. The next thing purdue has lined up is childrens oxycontin which should extend their patent even further. I am pretty sure after that one runs out they will make those tamper resistant.

Perdue has been able to keep their patent going and prevent generics by manipulating the system.

Pain clinics are also a big business. As far as patients going in every month to get a paper rx now, I would believe its more about money than preventing abuse.

The other thing is the chaos that would ensue if chronic pain patients were to no longer get their medicine. Treatment centers and hospitals would be aboslutly flooded and the demand for heroin would skyrocket. I imagine some people would resort to burglary and knocking over pharmacies. It would be way too big of a can of worms for the government to open unless they want riots and wipespread crime.

I had been a chronic pain patient for about 5 years. I can tell you straight up its a business. You go in for a long time, but your apointment is disgustingly short. They do not count pills or check people for track marks or nasal passages for signs of sniffing pills. If they really cared about preventing abuse checking for track marks and counting pills would be a good start.

The rules are very strict but drug tests are completly on schedule and you know when it will happen. But you do have to go in every month for your refills now and that is a rather new policy.

I have noticed that if a doctor gets in trouble they often switch the medications regardless of how much suffering people go thru. Often times I see pharm reps go in thru the side door if I step out for a smoke. I remember whenever a new drug came out I was forced to try it for a few days and then come back and get my regular prescription later. It happened everytime a new medication or formula came out.

Also most pain doctors right a specific brand on the rx. I do not see how they could be doing this unless they were getting kickbacks from pharm reps. Its a very shady business. Often times people openly discuss drug deals in the lobby. The only real rule is to not get in trouble with your prescription and get caught.

I have recently stopped going to pain clinics and am hoping to get something from a regular doctor instead. I really do not care if it enough to hold my pain anymore as it is way to much of a hassle dealing with pain clinics. So I am willing to take much weaker medications at this point. Also my last clinic had a policy of if a patient is discharged to not even give them a taper off. So that means when you go in for your refill (the day before you are scheduled to run out) you could be left holding nothing but your dick.

So at least in the States this is not going to happen. All the same I really find pain clinics and the people who work their to be straight up evil. I am at the point where I do not want to go there. It puts me in a very tough place because I am not sure if I will be able to do things that I need to in order to just function properly without agonizing pain.

Its not the fear of withdrawals that scares me so much as the fear of living in constant pain. I have already gone throught withdrawals and am no longer phsycially dependent on opiates. I am in a great deal of pain and its not something I want to be in for much longer.

Being a chronic pain patient and having legit pain is one of the worst things that can happen to a person.
 
Being a chronic pain patient and having legit pain is one of the worst things that can happen to a person.

I think I can 1 up you, but I mean no disrespect.

Being a legitimate pain patient (with legit pain) ANG being labelled a drug addict (aka: "drug seeking behaviour" by the medical system) is one of the worst things that can happen to a person.
 
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