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Misc [Rx Drug Addicts] Do you think your pharmacist can tell?

ChemicallyEnhanced

Bluelighter
Joined
Apr 29, 2018
Messages
11,449
Location
UK
Like, I pick up my Morphine script every 14 days...today being that day :D, in an hour when they open....but, I'm ALWAYS in withdrawal to some degree when I go, usually moderate or severe...and I feel like they MUST notice I'm very pale and shaky and sweaty EVERY TIME? And I don't wanna be like "Sorry, I have the flu" [as I wipe sweat off my face and try to stop my nose leaking]...like how often can one have the flu?
Or do they probably think I'm just a disgusting chud who is perpetually snotty and sweaty and gross for no reason?
 
I would bet they think nothing of you and your script. At worst they think you’ve gamed the system and are on the lookout for any signs of diversion. At best, they think you’re a nice fellow with an unfortunate pain problem. But the likely explanation is that they don’t think of you at all.
 
practical worst case is likely to be they evaluate you and report back to your prescriber, if they're not asking you then you're under the radar, save a dose for collection day if you're that worried?

they shouldn't withhold though, needs to be a clinical decision I think.

there's also other real reasons why you might be in withdrawal, missed a dose, need to talk to your prescriber about increasing dosage, dependence on morphine.

I guess the question then is if they ask/or should you offer up, that you're using other opiods if you are, hmm depends on your prescriber I guess, how sympathetic are they to helping managing your withdrawal overall?
 
Of course pharmacists can tell. Some are annoying about it others can be even better than the doctor.

I would get my 300mg morphine 400mg pregab 30mg diazepam/day to that pharmacy in the middle of that rough area. It was secured scripts and machine controlled stocks as all my drugs where listed as actual drugs. She noticed I went down on the diazepam when waiting for the machine to sort the meds. She congratulated me saying it's great that I am on the good path. Almost left a tear. Then scored some cocaine and got the needles to shoot all of that.

I've had pharmacist that would snitch, others that wouldnt deliver scripts for some reasons. But they all know what it's all about
 
They’re probably more worried about the guy that’s back for the third time this week trying to fill another script of pain meds from a third different dentist

If you haven’t already been calling for two days trying to get it filled earlier then I wouldn’t sweat it…no pun intended
 
The suboxone is a dead tip off, yes ... Had to leave walgreens but I made a giant fool out of the pharmacist as he very curtly and quite loud "You don't like the service go get your FUCKING DRUGS SOMEWHERE ELSE" and this dude puts some heat on the bag with the bottles in it bounces it off the counter, I step out of the way....it hits and older gentleman in the stomach, mid 60s early 70s. I excuse myself pick them up off the floor -- Dude just looks stunned at what happened "Customer service aint what it use to be" and walks on. True story


On the other hand

Of course pharmacists can tell. Some are annoying about it others can be even better than the doctor.

I've had pharmacist that would snitch, others that wouldnt deliver scripts for some reasons. But they all know what it's all about

No your pharmacist cannot tell and if they can that is 100% on you. These people are human pez dispensers with busy jobs and lives of they own, inspecting each customer will drive away business and they are smart enough to know that in most cases.

1. Dont call in early or make a scene at the counter
2. Dress decent
3. Dont show up visibly fucked up or in w/d's.
4. Don't take any shit
 
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do they probably think I'm just a disgusting chud who is perpetually snotty and sweaty and gross for no reason?

I don't know but that is roughly how I view them.

Story time and most of ya'll prolly heard this one but when I was first scripted temazepam some snot nosed disgusting chud of a pharm tech decided that 3 30's in a night was an unheard of dosage and all but accused me of forging the script. (Had no valid or legal reason not to) --- Doctor reamed his pez dispensing ass and told him that is absolutely not his position -- his position is to verify the script and fill it; give any information that I ask.... Not override the doctor and accuse me of a felony --- I tried so hard to get them to directly accuse me of forging it but there is CLEARLY an SOP on how to handle that. THAT FUCK LOST HIS JOB.

Now of course treat me with respect it is a two way street; LAST THING I WANT is to shitcan a working stiff-- they wanna cut throats let get pezzy, err petty. The actual pharmacist aint going anywhere but your contact with him/her/etc is pretty minimal?
 
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Try erase those thoughts as "noise".

If you have a legit script then any "vibe" you are getting from any Pharmacist would be the "human factor" in my opinion.

Pharmacists have to take an updated version of the Hippocratic Oath named the Pharmacist Pledge/Promise, or similar in different countries.
This might make the above comment about the "human factor" clearer.

You got this, delete the noise if you can, it is a distraction. :cool: oh,,, read below... ;)

OATH / PROMISE OF A PHARMACIST

As a pharmacist, I vow to serve humanity and to support my profession’s ideals and commitments._
I shall be guided in all dimensions of my life by the highest standards of human conduct._
I shall apply the full measure of my knowledge and abilities to supporting the health and well-being of all those I serve._
I shall always place the needs of all those I serve above my personal interests and considerations._
I shall treat all those I serve equally, fairly and with respect, regardless of gender, race, ethnicity, religion, culture or political beliefs._
I shall protect the confidentiality of personal and health information entrusted to me._
I shall maintain my professional knowledge and competence throughout my career._
I shall support the advancement of knowledge and standards of practice in pharmacy._
I shall nurture the preparation of future members of my profession._
I shall use all opportunities to develop collaborative practice with all healthcare professionals in my environment.
In taking this solemn oath / making this promise, I honour those who have supported my development as a pharmacist and commit myself never to act in a manner that is contrary to these vows.


Pharmacist: Signature: Date:



Sorry couldn't resist the bolding.
 
I stumble in hot and pissy in their disinfected perfect air condition,the are so nice and glad I just don't stink,they get some crazy clients in this town.I going to start getting delivery,they can be hot and pissy,crazy after an intense day.
 
I imagine if they scrolled through the last 20 years of my scripts, yeah, they fucking know. If they don't, they need a new line of work. :ROFLMAO:

When you have every major class of drugs in the list, Schedule II through V, spanning from 17 years old to almost 40, it's not a great look. When you've got barbiturates, MAT drugs, multiple high dose benzos at the same time, schedule II stimulants, etc etc, it can't be a great look. Lmfao
It probably looks good that I've only had gabapentin and tramadol as notable drugs for the last 10 years though!


Edit:
OATH / PROMISE OF A PHARMACIST

As a pharmacist, I vow to serve humanity and to support my profession’s ideals and commitments._
I shall be guided in all dimensions of my life by the highest standards of human conduct._
I shall apply the full measure of my knowledge and abilities to supporting the health and well-being of all those I serve._
I shall always place the needs of all those I serve above my personal interests and considerations._
I shall treat all those I serve equally, fairly and with respect, regardless of gender, race, ethnicity, religion, culture or political beliefs._
I shall protect the confidentiality of personal and health information entrusted to me._
I shall maintain my professional knowledge and competence throughout my career._
I shall support the advancement of knowledge and standards of practice in pharmacy._
I shall nurture the preparation of future members of my profession._
I shall use all opportunities to develop collaborative practice with all healthcare professionals in my environment.
In taking this solemn oath / making this promise, I honour those who have supported my development as a pharmacist and commit myself never to act in a manner that is contrary to these vows.
Yeah... about that... except pharmacists these days are absolute CUNTS. They're like the "Karens" of the medical world. Just as bad as ER nurses. I actually had a Wal-Mart Karen PharmD hold my (non-controlled) gabapentin (that I desperately need for my literally broken neck with nerve damage that causes me debilitating cervicogenic headaches) for FOUR DAYS just because she wanted to. I pick up my script when the app texts me and tells me to, which is often several days early. Never been a problem. Well, no text came. So I called and asked when it would be ready and then she put me on blast saying I pick it up 2 to 5 days early every month so she will be holding it until the exact day it should be due. Then she held it for an extra day on top of that. And I had nothing to cover the withdrawals at all. Now, I only take 1800mg/day, and I typically only take it in the evenings as that's when I run into neck issues with sleep, so the w/d wasn't terrible but it also wasn't fun and I did not sleep well for all 4 days. I was so pissed off about that. Even my doctor and his receptionist were putting them on blast three times over. It was completely petty, unnecessary, and put my life at risk. Why? "Just because."
 
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the old hypocrite-ic oath
Yeah, judging by how that grizzly old bitch looks, she was probably lit on a cocktail herself. I don't abuse my gabapentin, I never misuse it because I need it desperately, and my doctor has greenlighted me to use as much as I need. Even if I wanted to "abuse" it, it would just be a waste of gabapentin because it doesn't fucking DO anything other than act as a preventative measure for my horrible headaches. It isn't up to HER to hold my legally refillable prescription. Fuck that bitch. I reported her to the company and to the NC Pharmacy Board. Why? "Just because." 🖕

...I will say that after a 4 day break, however, it did work very well. First effects I've felt from that substance in years. Silver lining, I suppose. 😭 :LOL:
 
I know I have a slightly different perspective on issues related to medicine/health than a lot of folks here (after getting clean from dope in 08 I went back to become a public health social worker). During grad school, I worked as a pharmacy tech at both a CVS and then at a community health center clinic pharmacy. I have a ton of respect for the vast amount of knowledge that pharmacists have, and how much they get pigeon holed into being glorified retail workers who are judged mostly on how quickly they can churn out scripts, rather than how much care they put into doing it. Pharmacists are dealing with doctors who won't return calls, patients who want their meds yesterday (even when they're not due until next week), and insurance companies that constantly change their rules and guidelines in ways that lead to people suddenly not having benefits to cover a fill. Pharmacists are experts in how drugs work in the body, what drugs interact with others, and what therapies might work best under different circumstances.

I can't tell you how many times a physician would send a patient to the pharmacy thinking they were getting some pain meds or with the expectation that their meds could be filled right away, only for the pharmacist/techs to have to deal with angry customers screaming at them about something they have no control over. Ever had to deal with a prior authorization? Pharmacists have no control over what insurance companies decide to require extra documentation from the doctors in order to cover, and pharmacists cannot make the prescriber get in touch with your insurance companies any faster, but the only person available to go ape-shit at is... you guessed it... the pharmacist.

Pharmacies actually are a really awesome tool that gets super under used. I just got vaccinated for CoVID and flu yesterday, took me 15 minutes, didn't have to make a doctors appointment or deal with the whole process of going for a visit in a clinic. I was in and out with my vaccines in less time than it takes to get my blood pressure done at a PCP appointment. Pharmacists used to have more freedom to prescribe and dispense certain medications - you used to be able to get things like codeine cough syrup from the drug store just by talking with the pharmacist about your symptoms. Now its a whole doctor's visit to potentially be told to buy some shitty OTC cough medicine that doesn't work nearly as well.

Unfortunately, for folks that get prescribed things like suboxone, or regular pain medications, the pharmacist ends up being someone you have to interact with far more often than most people. It also means that you do encounter the potential for pharmacists who have a lot of stigma about drug users, either from personal beliefs or from the infinite number of shitty experiences they've had when dealing with people who use drugs. I could go on for days recounting how many "I'm going to relapse and kill myself if you don't fill my gabapentin a week early" conversations I've had when I was a tech. We (druggies) aren't always the easiest to deal with.

Two quick stories: Long after I got clean from heroin I struggled with insomnia and ended up on ambien to help manage it. I was rx'd 10mg a day, 30 pills a month. I had figured out at one point that I could fill it typically on day 27 or 28, even on a 30 days supply, and would often fill it a couple of days early and in theory have 2 extra pills/month. This also made it easier for me to take more than I needed sometimes chasing that ambien euphoria. One weekend, I put in a refill and headed over to CVS expecting to get my fill a couple of days early as usual. This night however, the pharmacist called me over and told me that I had to wait until Monday and he wouldn't fill it early. He accurately called me out on having 2-3 day early fills every rx for the last 2 years. I got so heated and started pushing back - I work in public health! I'm in recovery! How dare you! He just looked at me and said - "You might want to talk to your doctor about your reliance on ambien because it seems like it might be becoming an issue for you. I'll fill it Monday, but no sooner". I stormed out, but it did make me realize that he was right - I was filling it early, and expecting the system to enable me to keep doing it indefinitely. This eventually helped me get ready to come off of it and it's been about 2 years now since I regularly took it. That guy did me a favor.

When I worked in pharmacy, we had a lot of people on government assistance and people who were on very expensive HIV medications. This one day we had a guy put in a bunch of prescriptions - like 15 total, many were HIV, HepC, or related. There were also 3 scripts that weren't: Gabapenin, Suboxone, and Clonazepam. This guy's insurance was rejecting the fill because he hadn't recertified his insurance for the year. Some of his meds were refrigerated and we could only hold so much on hand. If he didn't get his meds that day, his meds could go bad before the end of the month and we wouldn't be able to fill the RX. This meant we had to figure out how to get this guy his medication (30,000$ worth IIRC) without insurance covering it. We spent the day dealing with insurance, trying to get coverage, and then eventually getting the clinic to cover the cost while they worked on getting his insurance back online. End of the day comes, we get the meds covered by the clinic, and the guy shows up for his RX. He takes the gaba/subs/clonazepam out, and throws the rest of the meds in the trash in front of us.

The pharmacist I work with bolted out the door, dove into the trash, pulled those meds out and chased the dude down as he was walking out onto the street. We could hear her screaming at him "YOU UNGRATEFUL MOTHER FUCKER YOU HAVE NO IDEA WHAT WE DID TO MAKE SURE YOU GET THIS STUFF SO YOU DON'T FUCKING DIE". She came back in, and got right back to filling scripts.

Pharmacists deal with a lot.
 
I know I have a slightly different perspective on issues related to medicine/health than a lot of folks here (after getting clean from dope in 08 I went back to become a public health social worker). During grad school, I worked as a pharmacy tech at both a CVS and then at a community health center clinic pharmacy. I have a ton of respect for the vast amount of knowledge that pharmacists have, and how much they get pigeon holed into being glorified retail workers who are judged mostly on how quickly they can churn out scripts, rather than how much care they put into doing it. Pharmacists are dealing with doctors who won't return calls, patients who want their meds yesterday (even when they're not due until next week), and insurance companies that constantly change their rules and guidelines in ways that lead to people suddenly not having benefits to cover a fill. Pharmacists are experts in how drugs work in the body, what drugs interact with others, and what therapies might work best under different circumstances.

I can't tell you how many times a physician would send a patient to the pharmacy thinking they were getting some pain meds or with the expectation that their meds could be filled right away, only for the pharmacist/techs to have to deal with angry customers screaming at them about something they have no control over. Ever had to deal with a prior authorization? Pharmacists have no control over what insurance companies decide to require extra documentation from the doctors in order to cover, and pharmacists cannot make the prescriber get in touch with your insurance companies any faster, but the only person available to go ape-shit at is... you guessed it... the pharmacist.

Pharmacies actually are a really awesome tool that gets super under used. I just got vaccinated for CoVID and flu yesterday, took me 15 minutes, didn't have to make a doctors appointment or deal with the whole process of going for a visit in a clinic. I was in and out with my vaccines in less time than it takes to get my blood pressure done at a PCP appointment. Pharmacists used to have more freedom to prescribe and dispense certain medications - you used to be able to get things like codeine cough syrup from the drug store just by talking with the pharmacist about your symptoms. Now its a whole doctor's visit to potentially be told to buy some shitty OTC cough medicine that doesn't work nearly as well.

Unfortunately, for folks that get prescribed things like suboxone, or regular pain medications, the pharmacist ends up being someone you have to interact with far more often than most people. It also means that you do encounter the potential for pharmacists who have a lot of stigma about drug users, either from personal beliefs or from the infinite number of shitty experiences they've had when dealing with people who use drugs. I could go on for days recounting how many "I'm going to relapse and kill myself if you don't fill my gabapentin a week early" conversations I've had when I was a tech. We (druggies) aren't always the easiest to deal with.

Two quick stories: Long after I got clean from heroin I struggled with insomnia and ended up on ambien to help manage it. I was rx'd 10mg a day, 30 pills a month. I had figured out at one point that I could fill it typically on day 27 or 28, even on a 30 days supply, and would often fill it a couple of days early and in theory have 2 extra pills/month. This also made it easier for me to take more than I needed sometimes chasing that ambien euphoria. One weekend, I put in a refill and headed over to CVS expecting to get my fill a couple of days early as usual. This night however, the pharmacist called me over and told me that I had to wait until Monday and he wouldn't fill it early. He accurately called me out on having 2-3 day early fills every rx for the last 2 years. I got so heated and started pushing back - I work in public health! I'm in recovery! How dare you! He just looked at me and said - "You might want to talk to your doctor about your reliance on ambien because it seems like it might be becoming an issue for you. I'll fill it Monday, but no sooner". I stormed out, but it did make me realize that he was right - I was filling it early, and expecting the system to enable me to keep doing it indefinitely. This eventually helped me get ready to come off of it and it's been about 2 years now since I regularly took it. That guy did me a favor.

When I worked in pharmacy, we had a lot of people on government assistance and people who were on very expensive HIV medications. This one day we had a guy put in a bunch of prescriptions - like 15 total, many were HIV, HepC, or related. There were also 3 scripts that weren't: Gabapenin, Suboxone, and Clonazepam. This guy's insurance was rejecting the fill because he hadn't recertified his insurance for the year. Some of his meds were refrigerated and we could only hold so much on hand. If he didn't get his meds that day, his meds could go bad before the end of the month and we wouldn't be able to fill the RX. This meant we had to figure out how to get this guy his medication (30,000$ worth IIRC) without insurance covering it. We spent the day dealing with insurance, trying to get coverage, and then eventually getting the clinic to cover the cost while they worked on getting his insurance back online. End of the day comes, we get the meds covered by the clinic, and the guy shows up for his RX. He takes the gaba/subs/clonazepam out, and throws the rest of the meds in the trash in front of us.

The pharmacist I work with bolted out the door, dove into the trash, pulled those meds out and chased the dude down as he was walking out onto the street. We could hear her screaming at him "YOU UNGRATEFUL MOTHER FUCKER YOU HAVE NO IDEA WHAT WE DID TO MAKE SURE YOU GET THIS STUFF SO YOU DON'T FUCKING DIE". She came back in, and got right back to filling scripts.

Pharmacists deal with a lot.
Go read r/TalesFromThePharmacy and other medical boards on Reddit. It will make you realize just how shitty of people many, many pharmacists and techs are. Their opinions of their customers is vile, warranted or not. It's disgusting. Now, is Reddit a fair way to judge all pharmacists by? No. But it is a fair way to judge a huge percentage of the population that have certain... views on life... that do not mesh well with most sane people. If you pick up a Suboxone script, you're already judged. Then and there, boom, done.
 
Go read r/TalesFromThePharmacy and other medical boards on Reddit. It will make you realize just how shitty of people many, many pharmacists and techs are. Their opinions of their customers is vile, warranted or not. It's disgusting. Now, is Reddit a fair way to judge all pharmacists by? No. But it is a fair way to judge a huge percentage of the population that have certain... views on life... that do not mesh well with most sane people. If you pick up a Suboxone script, you're already judged. Then and there, boom, done.
I don't doubt it - I've definitely encountered some people that it wouldn't surprise me if they enjoyed the power trip.

I was more just saying that there's two sides to the story, and pharmacists usually don't get a lot of love here.
 
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