psytaco
Bluelighter
^ ha speaking of which - apparently the commonwealth bank atm's were giving out free money a few days ago. wish I would of known about. could use some free dosh
-
-
AADD Moderators: Tronica
chemist gave me too many valiums... risky? on PBS
- Thread starter stuyvesant
- Start date
belarki
Bluelight Crew
^ and those who took advantage of this are now liable for a huge fine and possible jail time:
http://www.dailytelegraph.com.au/ne...h-spits-out-cash/story-e6freuzi-1226014416936
http://www.dailytelegraph.com.au/ne...h-spits-out-cash/story-e6freuzi-1226014416936
Mr Blonde
Bluelighter
No authorization? Is it a private script or something? If you are getting it under the PBS it should still need to be authorized though this just means the doctor putting an authority number on the script and the pharmacist typing it into the computer.
Although I can't get the PBS up at the moment so I could be wrong on this.
Jabberwocky
Frumious Bandersnatch
20 x 20 of oxy is only 10 days supply of the drug oxy, it's never needed to be authorised in my experiences either. it's when you're getting 30 days+ they will call up for an authorisation number and type it in on their computer, print the script and let you be on your way.
Mr Blonde
Bluelighter
^ Maybe with that amount it's a streamlined authority, that is there is no need to call up and get an authority approval number. The doctor just puts one on there with the computer.
Fucking PBS website is always down at nights, maybe the government is trying to save money by shutting it down outside of business hours.![:\](https://bluelight.org/xf/BL_Images/Orig_Emoji/wrygrin.gif "wry grin :\")
Fucking PBS website is always down at nights, maybe the government is trying to save money by shutting it down outside of business hours.
Jabberwocky
Frumious Bandersnatch
i just looked on the medicare site and yeah seems certain amounts of the different medications are dealt like that.
streamlined authority
streamlined authority
Mr. Squiggle!
Bluelighter
- Joined
- Aug 31, 2010
- Messages
- 354
Nah Dude.
Streamlined Authorities don't exist when it comes down to opioids. It's either, Restricted Benefit (Oxy 80mg x 20), or Authority Required (Oxy 80mg x 60 with repeats for cancer patients).
And to the OP, no way dude. Medicare couldn't give a fuckless about S4 drugs. What they're looking for are the S8 drug doctor shoppers.
50 Valium LOL. I eat that for breakfast. Albeit, not a very pleasant brekky!
Streamlined Authorities don't exist when it comes down to opioids. It's either, Restricted Benefit (Oxy 80mg x 20), or Authority Required (Oxy 80mg x 60 with repeats for cancer patients).
And to the OP, no way dude. Medicare couldn't give a fuckless about S4 drugs. What they're looking for are the S8 drug doctor shoppers.
50 Valium LOL. I eat that for breakfast. Albeit, not a very pleasant brekky!
Well in the context of my GP not calling up for an authority number and telling me (after consulting his software) "I don't need an authority for this (the box of 20 X 20mg) so you can have this for supplementary/breakthrough pain" when I first got one 2-3 months after as I only recently went from 60 x 40mg + 60 X 20mg per month to 60 x 80mg and then getting the 20mgs when needed.
Since moving to down here, it's been PBS but before that, it was always private (for like 4 years) and even back then, a different GP I had said the same thing, I don't need an authority (over phone) for the 20 X 20mg oxys.
schedule 4 stock counts are always out, so no those Valium will not be missed. only about 1 in 30 scripts have a quantity less than the standard box size and so its common for pharmacist to make mistakes in this scenario
A pharmacist with good practice and method will politely call you after they check all dispensed scripts at the end of the day and notice the mistake. They would be very stupid to be aware of the mistake and leave it unfixed.
Most accept they aren't magical and immune to human error and will correct their mistakes if found. As a damage control measure they will, the shame of calling up a customer is not as great as being responsible for the customers hospitalization or even worse death.
Actual example, for Oxazepam 30mg, Directions on script: .5 n
Instead of writing half at night, a slip of the finger missing the decimal key may cause "five at night" to be written. This is obviously a significant screw up but trust me it happens. Despite all the checking and rechecking mistakes occasionally make it through the procedures
As a more relevant however hypothetical example, lets say your doctor writes you a script for a weeks worth diazepam. He then prescribes digoxin a month later for your hypothetical heart condition. He may quite rightly assume you have used those 15 valium to treat the symptoms you were experiencing weeks ago. That is, there is no active amount of diazepam at the time he prescribes digoxin.
The doctor knows the two medications effect each other but believes there will be not interaction since you were only dispensed 15 not 50!. I have complicated the example but my point is, be honest with your doctor they know their shit
A pharmacist with good practice and method will politely call you after they check all dispensed scripts at the end of the day and notice the mistake. They would be very stupid to be aware of the mistake and leave it unfixed.
Most accept they aren't magical and immune to human error and will correct their mistakes if found. As a damage control measure they will, the shame of calling up a customer is not as great as being responsible for the customers hospitalization or even worse death.
Actual example, for Oxazepam 30mg, Directions on script: .5 n
Instead of writing half at night, a slip of the finger missing the decimal key may cause "five at night" to be written. This is obviously a significant screw up but trust me it happens. Despite all the checking and rechecking mistakes occasionally make it through the procedures
As a more relevant however hypothetical example, lets say your doctor writes you a script for a weeks worth diazepam. He then prescribes digoxin a month later for your hypothetical heart condition. He may quite rightly assume you have used those 15 valium to treat the symptoms you were experiencing weeks ago. That is, there is no active amount of diazepam at the time he prescribes digoxin.
The doctor knows the two medications effect each other but believes there will be not interaction since you were only dispensed 15 not 50!. I have complicated the example but my point is, be honest with your doctor they know their shit
Mr Blonde
Bluelighter
Looks what I was wrong, it's not an authority required script after all, just a restricted benefit one. That's where I was confused, and I couldn't get the PBS up to clear my confusion.
Looks what I was wrong, it's not an authority required script after all, just a restricted benefit one. That's where I was confused, and I couldn't get the PBS up to clear my confusion.
No worries there mate, experience can sometimes help with knowledge of certain drug (practices) when you (have to) visit a GP (and/or hospital) every 1-3 weeks on average in the past 5 years for whatever reason/s. Funny thing about S8 drugs, the first GP I saw with regards to my injury post hospital stay I had never seen as I hardly ever 'needed' a GP visit and I had been living where I was for less than a year when I had my injury happen so I wasn't acquainted with the local GPs.
*If you see the acronym 'OC' and don't get it, it simply means OxyContin*
The guy ended up doing some naughties. He prescribed me _LOTS_ of oxycontin for my [real, not imagined or fake to get drugs] pain. I was having like 500-600mg of oxycontin daily for about 4-5 months shortly beforel I went back in hospital for surgery to see why I was 'so bad'. He was 'busted' for dishing out all that OC without authority and then told me "I can't prescribe oxycontin again now" and kind of said "ever", can't recall if he actually said it or just implied it, I was in truckloads of pain off and on back then whilst visiting the GP so some memories are hazy of what happened.
I had invasive surgery to see why I was f**ked up with pain and 100% no movement of my (upper) arm as I had no obvious injury on the outside, just a fractured wrist that had healed up that happened at the same time of my nerve damage. I needed strong pain meds again after the hospital stay as the tramal was not helping too much, I was ok before the surgery but having had been "entered" into my neck from the surgery, stuff was sore and 'bad' again. Lots of stuff I could go on about the various things that was wrong but I won't LOL
Anyway, the GP told me he wouldn't prescribe OC for me no matter how bad I was, I guess he either couldn't be bothered to apply for a s8 permit to dish out OC for me and/or he was told by some government/medical agency he was a bad boy for dishing out all that OC to me without authority, since I've read GPs can dish out OC for 4 months before permit for long term pain people (I thought it was 4 weeks, I could be wrong though) on here so that fits in with the time frame of him dishing out LOTS AND LOTS of OC then stopping it completely since not having a permit. He also seemed pissed as when I asked about drugs and my pain. Luckily the rehab centre I was in for my pain (injury rehab, not drug rehab heh) was prescribing me the OC, albeit 'just' 20mg tablets and told me to find a GP with a permit sooner than later.
So anyway, I tried a couple doctors with no luck, as in the guys I saw were either too 'dodgy' for me to want to keep going there or it was just a HUUUGE time f**k around getting there, one place was ~1 hour PT to get there, my 'original' GP was 5-10 minute walk from home. So, I ended up going to another GP (the locum for the GP I was originally seeing, it was 'his' medical centre but he took 1-2 weekdays off so the locum was covering him those days) and _WOW_.... What a difference it was having him see me. He actually _cared_ about my condition and everything else, it was awesome. He got a permit, started going to chronic pain info seminars/conferences and whatnot. He took a lot of interest in my injury and was a pleasure to see. The guy was only working 1-2 days a week, aged in his 60s so he was working for pleasure, not cash need/want so to speak.
Sadly, I had to stop seeing him since we moved to Geelong last year due to our families being down here, our daughter's birth meant we were driving to Geelong from Melbourne anywhere from 1-4, sometimes 5 times a week. And my wife took time off work so she could see our daughter in her pre school years, it didn't make that much sense to keep living in Melbourne. Even though it was cheaper for us to live in an AWESOME location (5 min walk to MCG, 5 min walk to yarra river, 10 min walk to melb botanical gardens, 20 mins walk to melb CBD + crown casino, no traffic, no noise really most of the time,. our street was simply a paradise in the city plus the benefits of living inner city), our families down in Geelong pretty much meant we needed to move down there. Babysitters on tap for a start
Ok, that's the last of my off topic stuff in this thread hopefully
Sorry, just needed to have a release. We've been in a GP office + hospital for 6 hours today due to our daughter vomiting and generally being bad, first went to the GP who recommended emergency @ hospital once she started vomiting after having some hydralite frozen popsicle for fluids etc. She did the same at the hospital but 1/2 a day there, she's looking a lot better and hopefully is keeping down the water and little bit of apple we gave her not too long ago, she's sleeping now on a overdue sleep/nap for today. First time we needed hospital for her, still can't say I'm a fan of being in hospital, probably never will be, besides when I get the pethidine whistle (Morphine simply has never worked on me in any dose given to me in any hospital stays, aged from like 6 to over age 30 and never had opiates/opioids before the hospital stays/surgeries for needing morphine)Now time to sit on the couch, put my feet up for a bit. Both of the girls are having catchup naps now, best I get some rest, even if it's 'just' sitting on the couch for a bit.
Mr Blonde
Bluelighter
No problems, whilst I know quite a bit about the system I've never actually been prescribed an S8 and I've only been learning about how it all works for a little while now.
Yeah I figured you meant OxyContin but then thought maybe you were referring to an instant release oxycodone and then was trying to figure out if there were different authority requirements for instant release vs. sustained release... which there wasn't. :D
I hope your daughter is feeling better; visits to the hospital aren't fun. Did they give her a lemonade ice block? That was the only good part about going to the ER when I was young.
The states have varying requirements on when someone in the Dept. Of Health needs to authorize continued use of S8 opioids, and also Medicare has requirements for the PBS. That doctor should have been more responsible with how he was handling the prescriptions, especially since it impacts greatly on his patients who have a need for that medication.
Yeah, the doctor was bloody careless imho. Hence why I left him and would never consider seeing him again even if I moved back to inner city where 'his' medical centre is.
With our daughter, she was given hydralite icyblock (like a zooper dooper basically) twice, once at the GP's office and once in hospital emergency where she proceeded to vomit it all up in about 1/2 hour
She's good today though (so far), woke up normally so we might head of to "Wallington Strawberry fair", Cassie just adores strawberries, literally eats a couple punnets when we go to the fruit + vegie shop(s) down here, at least once a week So we'll make a judgement call over the next 1-2 hours to see if we'll go to the fair depending how she looks + is.
So for now, it's chill time, it'll be good to actually chill instead of be in "emergency mode' because our daughter is vomiting everywhere (literally) in the house... Awwww, just made a nice eye contact with her now and she's looking better than y/day thank goodness.
With our daughter, she was given hydralite icyblock (like a zooper dooper basically) twice, once at the GP's office and once in hospital emergency where she proceeded to vomit it all up in about 1/2 hour
She's good today though (so far), woke up normally so we might head of to "Wallington Strawberry fair", Cassie just adores strawberries, literally eats a couple punnets when we go to the fruit + vegie shop(s) down here, at least once a week So we'll make a judgement call over the next 1-2 hours to see if we'll go to the fair depending how she looks + is.So for now, it's chill time, it'll be good to actually chill instead of be in "emergency mode' because our daughter is vomiting everywhere (literally) in the house... Awwww, just made a nice eye contact with her now and she's looking better than y/day thank goodness.