Do all your doctors always know all drugs you've been prescribed?

[ions]

I didn't @ or reply to your statement. Just stating what I know for the aussies in the crowd.
It's like saying, some people say cucumbers taste better pickled.
Maybe it's verbal diarrhea. You tell me. @VerbalTruist

 

[VerbalTruist]

I didn't @ or reply to your statement. Just stating what I know for the aussies in the crowd.
It's like saying, some people say cucumbers taste better pickled.
Maybe it's verbal diarrhea. You tell me. @VerbalTruist

I’m familiar with verbal diarrhea. Sometimes I start typing and the next thing I know I’m talking about how I used to cover myself in cooking oil and use my school hallway like a slip-n-slide. Dunno where it comes from.

 

[lonelyDude]

me too I cant help doing that I have to reread everything multiple times and still I fuck it up.

 

[ions]

Diarrhea runs in the family.
It's that shit eating grin on your face.
Don't shit where you eat.

These could be in an updated version of poor richard's almanac.
A doctor may recommend Immodium for the diarrhea. Unless it's worm related. Then a dewormer. These are OTC.

 

[darvocet21]

So, I'm not sure if this is the best sub-forum for this, so if a mod feels it should be moved to a different one then feel free.

This is going to be kind of a long, convoluted post, so be warned, you'll need to read a lot to understand it LOL...

I don't really use all that many substances these days, but I like to be able to on occasion.

I have anxiety and depression, so I'm prescribed Prozac and Klonopin which I take daily, and I'm also prescribed Naltrexone at 50mg which I take most days so that I can control my own ability to drink or take Kratom. The thing is, I love alcohol and Kratom, but like most, I don't have perfect self-control with how often I use them, and I prefer to be sober most of the time, so a couple years ago I got a prescription for Naltrexone, but I will NEVER let ANY doctor know that I have EVER used Kratom, for very obvious reasons...

Now if I don't want to be able to take Kratom or drink, all I need to do is take Naltrexone and I can't enjoy either, but if I want to drink or take Kratom, all I need to do is stop taking my Naltrexone for 3 days and it's out of my system and I can enjoy myself, so I do this sometimes. The only thing I have to be sure of is that I have no kratom left in my system before I go back to taking my Naltrexone or it could cause precipitated withdrawal.

However, a while back I became very interested in Ultra Low Dose Naltrexone which is entirely different from full dose naltrexone because if used properly it COMPLETELY eliminates most opioid withdrawal, including kratom, and is also good for pain and anxiety and depression.

I found a facebook group that helps people find doctors for ULDN/LDN, and I'd like to get some, because whenever I do decide to use Kratom for more than a few days I will get really annoying WD for about 3 days where I'm just EXHAUSTED and can't stop sleeping, so I can't get any work done or do anything for those 3 days.

But the thing is, I'm already a bit worried that if I was ever injured again (and I've had multiple injuries from martial arts so it could happen again) that I might need opioids again and be denied them by a doctor if they incorrectly thought I was on the Naltrexone for opioid addiction rather than alcohol. I can only hope that if that ever happens I can tell my psychiatrist and he'll be willing to vouch that even though I take Naltrexone for alcohol that I have no opioid problem and still be able to get those for an injury, and I also take Klonopin which is a scheduled substance, so I must be careful what I tell doctors.

So all of this makes me even more reluctant to seek out Ultra Low Dose Naltrexone which I'd really like to have on hand.

This facebook site hooks you up with doctors you can talk to who will prescribe ULDN and pharmacies that will fill it, and I'd like to do that, but I'm worried about either my psychiatrist or primary physician finding out that I got this prescribed for me.

I think one or both might be quite confused as to why I'd have prescriptions for BOTH full dose AND Ultra Low Dose Naltrexone, and I worry about hypothetical situations where I could get cut off from my Klonopin and/or full dose naltrexone, or denied a pain medication if ever injured, if my doctors thought I was some kind of serious opioid addict.



I'm sorry, I know this is a lot to follow, but if anyone understand what I've described so far, here's my question:

If I were to call one of these doctors and have an online visit with him/her, and have one of these pharmacies fill a prescription for ULDN, does that automatically mean that this info would be in a computer database that my primary doctor and/or psychiatrist and/or regular pharmacy would be able to access, so as to know about it even despite my not getting it from them??

I'm hoping not, but I'm not naive, and I can only assume that once a prescription goes into any database, regardless of prescriber or pharmacy, that the info is out there and can easily be accessed by all my doctors, and I'm not comfortable with that, and so I haven't made the call to get ULDN.

Am I wrong?

Is there any possible way that by using a different doctor and different pharmacy that my regular doctors and pharmacy might NOT know that I was also prescribed ULDN??


Again, sorry this is so long, but I'm paranoid about what doctors know, and I'm not taking this risk if it could somehow backfire down the road.

Thanks

It depends on what state you live in California like a lot of states has a system which allows doctors to see all your prescriptions for controlled substances. But I have a question about Naltrexone and a suggestion which you can take or leave but the question is do you feel any kind of dysphoria or anhedonia because the ability of Naltrexone to essentially block your natural endorphins feel good you know hormones whatever they are. As far as a low dose one I don't see how it could possibly alleviate anxiety depression unless it's by the principle of a homeopathic dose that so minuscule that it provokes your body to do an opposite reaction. At any rate I wanted to suggest mirtazapine brand name Remeron which is an atypical older generation antidepressant with fewer side effects as well as a little bit of pleasant sedation which is why it's usually taken at night

 

[Mycophile]

It depends on what state you live in California like a lot of states has a system which allows doctors to see all your prescriptions for controlled substances. But I have a question about Naltrexone and a suggestion which you can take or leave but the question is do you feel any kind of dysphoria or anhedonia because the ability of Naltrexone to essentially block your natural endorphins feel good you know hormones whatever they are. As far as a low dose one I don't see how it could possibly alleviate anxiety depression unless it's by the principle of a homeopathic dose that so minuscule that it provokes your body to do an opposite reaction. At any rate I wanted to suggest mirtazapine brand name Remeron which is an atypical older generation antidepressant with fewer side effects as well as a little bit of pleasant sedation which is why it's usually taken at night

No, I don't get any sort of dysphoria or anhedonia or blocking of endorphins or pleasure from my Naltrexone. No negative side effects whatsoever.

I know that occasionally happens to certain people, but I don't think it happens to most, and has never happened to me. I remember people warning me before trying it saying it would happen, but nope. According to many doctors, and the one who first prescribed it to me, that SHOULDN'T happen, that it's not supposed to work that way.

But Ultra Low Dose Naltrexone is an entirely different beast, and yes, there are quite a few accounts of it being used for anxiety, depression and mood relief, but mostly it's used for pain.

There's all kinds of science out there about how it works, and I don't understand any of it, but I've spoken to people who say they feel like a million bucks on ULDN, both for pain as well as anxiety and depression, that in some way it also seems to work by boosting enorphins and the body's natural opioids.

Naltrexone is a VERY strange drug which behaves ENTIRELY differently at regular dose vs Low dose vs Ultra Low Dose. Most people don't even know anything about it being used at any dose other than full dose (usually 50mg), SOME will know about LOW dose, and even fewer know anything about Ultra Low Dose. Even most doctors don't know about usage of low or ultra low dose naltrexone, and I've talked to doctors about it who were unaware, and heard and read many stories of how hard it can be to get doctors to prescribe them.

But UDLN most definitely potentiates opioids, helps with withdrawal, and also works as a natural pain killer. It may not always work for anxiety and depression, but the studies are promising that it helps SOME people with that.

As for Remeron, I know nothing about it, but already being on prozac and klonopin, i don't really have any desire to be on another prescription medication for now.

 

[darvocet21]

No, I don't get any sort of dysphoria or anhedonia or blocking of endorphins or pleasure from my Naltrexone. No negative side effects whatsoever.

I know that occasionally happens to certain people, but I don't think it happens to most, and has never happened to me. I remember people warning me before trying it saying it would happen, but nope. According to many doctors, and the one who first prescribed it to me, that SHOULDN'T happen, that it's not supposed to work that way.

But Ultra Low Dose Naltrexone is an entirely different beast, and yes, there are quite a few accounts of it being used for anxiety, depression and mood relief, but mostly it's used for pain.

There's all kinds of science out there about how it works, and I don't understand any of it, but I've spoken to people who say they feel like a million bucks on ULDN, both for pain as well as anxiety and depression, that in some way it also seems to work by boosting enorphins and the body's natural opioids.

Naltrexone is a VERY strange drug which behaves ENTIRELY differently at regular dose vs Low dose vs Ultra Low Dose. Most people don't even know anything about it being used at any dose other than full dose (usually 50mg), SOME will know about LOW dose, and even fewer know anything about Ultra Low Dose. Even most doctors don't know about usage of low or ultra low dose naltrexone, and I've talked to doctors about it who were unaware, and heard and read many stories of how hard it can be to get doctors to prescribe them.

But UDLN most definitely potentiates opioids, helps with withdrawal, and also works as a natural pain killer. It may not always work for anxiety and depression, but the studies are promising that it helps SOME people with that.

As for Remeron, I know nothing about it, but already being on prozac and klonopin, i don't really have any desire to be on another prescription medication for now.

Thanks for that info I don't really know anything about it but I would hesitate to take it since Kratom is working fine for now. If you decided to take Mirtazapine it would be instead of Prozac, because it has less negative sexual side effects if you're interested your doctor will probably want you to transition from one to the other rather than switching overnight

 

[Mycophile]

Thanks for that info I don't really know anything about it but I would hesitate to take it since Kratom is working fine for now. If you decided to take Mirtazapine it would be instead of Prozac, because it has less negative sexual side effects if you're interested your doctor will probably want you to transition from one to the other rather than switching overnight

You'd hesitate to take what?

I don't take Kratom on any kind of regular basis at all.

I wish I could, but i don't like being dependent, which is why I want the ULDN, but certain other things seem to possibly help w/ WD like Black Seed Oil (not sure yet if it's safe to take with Prozac and seems like it could be risky) and Mucunu Pruriens which seems safer, so I may try those.

But no, my doctor just upper my Prozac, so I'm not trying to switch to a new prescription med.

 

[darvocet21]

You'd hesitate to take what?

I don't take Kratom on any kind of regular basis at all.

I wish I could, but i don't like being dependent, which is why I want the ULDN, but certain other things seem to possibly help w/ WD like Black Seed Oil (not sure yet if it's safe to take with Prozac and seems like it could be risky) and Mucunu Pruriens which seems safer, so I may try those.

But no, my doctor just upper my Prozac, so I'm not trying to switch to a new prescription med.

Naltrexone I wouldn't want to take an antagonist because of my history of opioid dependency

 

[Mycophile]

Naltrexone I wouldn't want to take an antagonist because of my history of opioid dependency

Yeah, I specifically do take it (that's FULL dose Naltrexone) most of the time in order to usually maintain sobriety from drinking and kratom, but then when I feel like it I just stop taking it and have some fun, then start taking it again.

It's basically an "on/off" switch to getting fucked up, so I don't even have to rely on willpower.

I've never really heard of anyone else using it this way, but it works great for me because I get fucked up way less frequently, and yet, I still have the choice to when I want to. My doctor said 3 days and it's out of your system, but someone else said 5. Usually 3 has been sufficient and then I can do what I want again.

 

[darvocet21]

Yeah, I specifically do take it (that's FULL dose Naltrexone) most of the time in order to usually maintain sobriety from drinking and kratom, but then when I feel like it I just stop taking it and have some fun, then start taking it again.

It's basically an "on/off" switch to getting fucked up, so I don't even have to rely on willpower.

I've never really heard of anyone else using it this way, but it works great for me because I get fucked up way less frequently, and yet, I still have the choice to when I want to. My doctor said 3 days and it's out of your system, but someone else said 5. Usually 3 has been sufficient and then I can do what I want again

This is an interesting take by a doctor of reverse tolerance overdose after treatment with Naltrexone.

Buprenorphine Overdose After Naltrexone Treatment

Overdose from buprenorphine caused by inverse tolerance from naltrexone.

www.suboxonetalk.com

 

[Mycophile]

This is an interesting take by a doctor of reverse tolerance overdose after treatment with Naltrexone.

Buprenorphine Overdose After Naltrexone Treatment

Overdose from buprenorphine caused by inverse tolerance from naltrexone.

www.suboxonetalk.com

Yeah, somehow that doesn't surprise me, seeing as even though they operate differently in many ways at different doses, we know for a fact that Ultra Low Dose Naltrexone potentiates opioids and lowers tolerance, which could mean that on that if you took your old dose you might be more likely to overdose.

Now REGULAR dose Naltrexone is much much higher, but not surprising that it could lower tolerance as well.

Me, the only opioids I use are kratom really, unless I was prescribed Oxy or Hydro for an injury as I have been in the past. I did sometimes briefly use some of those left over pills in higher doses than prescribed to have a little fun (around here, who hasn't?) but its worth being wary if I ever were to do that again that I could perhaps be more sensitive to higher doses, though I don't know, because honestly I never have any tolerance to opioids anyway since I'm not an opioid user, but yeah, it could be that I'd have to be more careful to take less regardless.

On Kratom though, no one really overdoses, so I'm not concerned.

I haven't ever noticed kratom having greater effect on me though when I go off Naltrexone to use it. In fact, for some reason when I do, even though I can get good feelings, they aren't quite as good in the "stimulating" sense that I like that it used to be. However, that could be due to strains, so honestly I don't know.

Naltrexone and opioids work very weird together at different doses. It also kills the enjoyment from alcohol, but doesn't completely block it.

 

[darvocet21]

Yeah, somehow that doesn't surprise me, seeing as even though they operate differently in many ways at different doses, we know for a fact that Ultra Low Dose Naltrexone potentiates opioids and lowers tolerance, which could mean that on that if you took your old dose you might be more likely to overdose.

Now REGULAR dose Naltrexone is much much higher, but not surprising that it could lower tolerance as well.

Me, the only opioids I use are kratom really, unless I was prescribed Oxy or Hydro for an injury as I have been in the past. I did sometimes briefly use some of those left over pills in higher doses than prescribed to have a little fun (around here, who hasn't?) but its worth being wary if I ever were to do that again that I could perhaps be more sensitive to higher doses, though I don't know, because honestly I never have any tolerance to opioids anyway since I'm not an opioid user, but yeah, it could be that I'd have to be more careful to take less regardless.

On Kratom though, no one really overdoses, so I'm not concerned.

I haven't ever noticed kratom having greater effect on me though when I go off Naltrexone to use it. In fact, for some reason when I do, even though I can get good feelings, they aren't quite as good in the "stimulating" sense that I like that it used to be. However, that could be due to strains, so honestly I don't know.

Naltrexone and opioids work very weird together at different doses. It also kills the enjoyment from alcohol, but doesn't completely block it.

How much kratom do you take after these periods of abstinence?

 

[Mycophile]

How much kratom do you take after these periods of abstinence?

Usually my doses are about 2.5 grams each, which was about what they were the first time I ever took Kratom. Sometimes I'm not sure if a little less or more would be better though. You know it often depends on strain and other variables possibly etc.

 

[Morbid Sea Cow]

Not sure where you are, but in Canada there is a federal tracking system that doctors can access to view all the controlled drugs you've been prescribed. This, again, is only in place for drugs you've been prescribed that are controlled.

 

[BenzoEnthusiast]

NOPE.
They always ask and i tell them, then they usually ask what years etc. Probably because most my record was on paper and because of switching doctors. Im not sure.

 

[Nucynta_80]

In Maryland, they certainly can. If you are being treated by a respectable pain management facility, they most certainly will review your records from time to time, because it would be a huge safety liability for both you and them if they didn’t. Your GP might simply ask you to list them, because they rarely prescribe narcotics, and if they do, perhaps something weak like tramadol for 5 days. Your PM specialist however will prescribe stronger narcotics for periods of more than 1 week, so they **must** keep an eye on your medications to prevent breathing depression. If you see a MMJ recommending doctor, they might also want to be sure their recommendation resulted in you getting off opioids or a decrease in dosing/frequency if that was your reasoning because of over-intoxication risks.

 

[fastandbulbous]

Some doctors don't have a fucking clue about the drugs they're giving out; take away the BNF (British National Formulary) and they're clueless. A friend who's a doctor told me two terms of pharmacology out of a 5 year degree.
Mind you, I've seen doctors go apoplectic when a long haired, scruffy git like me corrects them!

 

[Xorkoth]

It's actually really easy to dose any amount of something if you just use liquid measurement. Take a 50mg pill and dissolve it in a known quantity of liquid. It will dissolve evenly into solution so you know that every milliliter of liquid has the same amount of naltrexone in it. So then it's just about doing simple math. Let's say you used 50mL of liquid, then you'd have 1mg/mL if you dissolved a 50mg pill. Obviously that's way too much, though using a 1mL oral syringe, it typically has 10 0.1mL marks on it, so you could accurately dose 0.1mg = 100 micrograms. But you can increase the amount of liquid. If you increased it by a factor of 10 (500mL of liquid for a 50mg pill), you'd have 100 micrograms per mL, and if you used 0.1mL of liquid for a dose, you'd be taking 10 micrograms per dose. If you raised it by another factor of 10, to 5 liters for a 50mg pill, you'd end up with 1 microgram per 0.1mL, and you could dose with any level of precision.

However, you wouldn't want to use plain water, because it would start to grow bacteria and other microbes after a while. So typically you'd want to make it 20% alcohol. Or you could just use vodka, which is 40%, or half vodka, half water, which would make 20% alcohol, but that would be pretty expensive to use that much alcohol for 5 liters of liquid. Well actually... a handle is 1.75L, and a fifth of vodka is 0.75 liters, so a handle plus a fifth would be 2.5L, which you could combine with 2.5L of water. Which isn't bad, if you use cheap vodka. And to measure the water, you could just fill both containers back up (you'd probably want to use distilled water).

In any case, you could afford to invest in some vodka, because at 1ug per dose, you're getting 50,000 doses from one 50mg pill.

Not sure what sort of container you'd want to use for 5 liters of liquid, though.

You could also make it more concentrated, based on what dose you wanted. If you're looking to take 5 micrograms per dose, instead of 1, you could use 5 times less total liquid, so 1 liter total, which would yield 5 micrograms per 0.1mL. And 10,000 doses from one pill.

 

[Xorkoth]

Some doctors don't have a fucking clue about the drugs they're giving out; take away the BNF (British National Formulary) and they're clueless. A friend who's a doctor told me two terms of pharmacology out of a 5 year degree.
Mind you, I've seen doctors go apoplectic when a long haired, scruffy git like me corrects them!

Can't tell you how many times a doctor has said some false shit to me about drugs or pharmacology, which made it clear a know a lot more about drugs than they do. And I didn't go to medical school, I've just been talking about drugs with really knowledgeable people and doing my own research for close to 20 years.

Many doctors are just prescribing what a book told them to, or even worse, what a pharmaceutical company rep told them to. Some doctors take the time and effort needed to really become knowledgeable. But two terms in medical school does not make someone an expert.