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Opioids If You Could Choose, Opana Or Oxycontin.

Akom, i was NOT trying to be a dick. Im trying to fucking help you man. Look your 20 and you have a career. You need to learn how to space out all your meds, and how to make a script last! The fact that your doc is only in on thursday is ridiculous, and should ask him to have another doctor sign for your scripts when there due. My dad does this and it works fine for him. He has 4 or so disks bulged and is 50, but you might be able to still manage.

Theres no need to call names, im trying to help you. Copping off the street is not the way to go. Your young!! Stick with what is prescribed, even if it takes a few days of pain to figure out how to dose correctly.

My dad, at the HEIGHT of his pain, now on a forced taper took an 80 three times a day, have you tried this?! If it works well tell your doctor thats what you need!!

My 2 cents (:
 
FoulPlay: A Dr. will prescribe what a Dr. wants to prescribe.": Uh, not at all. Suyre, if you are an uneducated patient he or she certainly will prescribe anything they want to. Analgesia (treatment of pain) is a highly variable issue. Oxycontin is a brandname (one that apparently used far and wide indpendantly of its trademarked usage). The actual substance is oxycodone. Opana is a brandname for oxymorphone. Oxycodone is related to oxymorphone as codeine is to morphine. Indeed, Opana and Oxycontin are much more similar in terms of analgesia.

As such, DR.s usually want to have patient input and know what works more effectively.

Other than that, it could be a situation like my won where my MD writes whatever I tell him and as such I need to know answers like the OP's. I am balessed in having more than general knowledge about most opiates/opioids but the OP is like most and sought advice. It is not a HR issue really but it also does not violate BL rules. People have the option on whether or not to offer the poster advice. I really do not know why people take the time to be nasty to someone when they have not broken any rules. If a person is angered, etc., they probably be better off ignoring the thread.

As for it being "better to talk to medical pros and not junkies," yes on issues regarding analgesia and treatment in general but NEVER for proactivity. Drs. can get away with alot but if they know factually that you aim to abuse a medication (psychoativity is deemed abuse) then by law and by most ethical guidelines they are compelled to intervene up to and including curtailing your access.

One can be circumspect but I would think that this site and forum is the perfect place for this type of question, although I myself would classify it as Drug Culture, etc. but since Mods have deemed it to be OD I do not see why others should be sweating it.
 
I said "A doctor is going to prescribe what they decide to prescribe". Not what they want to prescribe. Theres nothing wrong with being educated. A person should know as much as they can when taking medications such as these. But when you come onto a site like this and ask everyone "oh gee, I want to get as high as humanly possible off the drugs my doctor is giving me" I see a huge problem with that.

If a doctor wants a patients input, how is getting a bunch of bluelighters (no offense to anyone, btw) opinions about it going to factor in ?

In the origional post he states "I'm talking in terms of abuse, high, and overall pain management" (direct quote). In other words, I read that as saying "Will Opana be easy to abuse/will it get me high/and then will it help with my pain. It apears to me that his pain management is the least of the concerns in that quote, would you disagree ?

People that are put on narcotics for pain are put on it for just that. Pain Management. Not to nod out. If the OP needs them to help manage his pain, then cool. Thats what doctors are for (or one of the reasons) and I sincerely hope he gets the treatment he needs.

My mom has been on narcotics for 10+ years now because some asshole decided to drive drunk and hit our car, tearing up her spine. It kills me to see her not get the adequate pain relief she deserves, because theres people out there that don't know how to read directions on a bottle. It's quite hard to find a pain specialist where I'm from because of all the abuse. Doctors are hesitant to give the ones that deserve the medications what they need because of this, and I know it's not just a local problem.

So yeah, I got a little problem with people abusing their prescriptions. Am I wrong to feel that way ?
 
"Chumpo," how clever. Anyway, how have I forced you to acquire your pain meds (opiates) from the street?

I didn't read your post, it was far too long, but I skimmed through it and I'm a good speed reader.

And by the way, I have bulging discs between T7-L1 and L1-L2 (I think its those discs; I don't think about that much), and I take tramadol for it (and it works).

So how have I fucked anything up for you? Can I get an answer to this?

Also, the only reason I posted in here in the first place was to tell you that its best to talk to medical professionals about things like this, not junkies. If you're asking junkies, its going to seem (and lean towards) which produces a better high and not which will be better for your pain. As you can tell, a lot of people are saying things like "opana gets me WAY higher than oxy," which shouldn't be of any help to you. Another good option would be a pain management forum; you could get a lot of help from them.

That comment wasn't directed towards you, it was only directed towards the people getting pain meds just to get high and making it harder for people that really need them.

So I apologize for putting you in the category.

Sorry.

Anyway I was just pissed that whoever that was, acted like I was full of shit just because I don't talk about my injuries. HE assumed that I was just a drug addict.

Like I assumed that you were.

But it's fucking hard for me, while people with nothing wrong with them go to straight doctors and get bottles and bottles of meds for "back pain" or what ever bullshit they make up.

While I get all these tests and bring them with me when asked and they basically tell me to walk it off and take advil.
 
Right on. We're cool.

I too am pissed off at how the system has been ruined by drug seekers (I'm pissed off by a lot of things, actually). I hope things work themselves out and whatever type of pain you have is treated adequately in the future.
 
Need I say more ?

Yeah actually that would be cool. Cause I have a reason to get pain medication prescribed to me, I pay for it, and when the pharmacy gives them to me they become mine. So I can take how ever many the fuck I want.


I never said I didn't abuse them or that I wasn't addicted so your post makes no sense. what' new?

But guess what? If the DEA went to my doctors office and asked to see my records for why I was being RX'd the med's I am. I'd be fine.Would you?


Right on. We're cool.

I too am pissed off at how the system has been ruined by drug seekers (I'm pissed off by a lot of things, actually). I hope things work themselves out and whatever type of pain you have is treated adequately in the future.

Yeah, I'm sorry. It wasn't personal. The last couple weeks haven't been too chill so I've been edgy.


It sucks, but I also feel bad for addicts that got addicted to pain killers after an injury that healed and can no longer get them. Because I blame a lot of pain killer addiction on circumstances.

I PROBABLY wouldn't have gotten addicted to opiates if I never got hurt. But I did, so dwelling on the past doesn't help.

But I can imagine a doctor RXing tons of opiates after surgeries and injuries to older adults and then they get addicted and the doc doesn't want to treat them anymore.

It's a double edged sword, I'm pissed at the fact that a lot of people have fucked up the system really bad but at the same time I feel for the people like the ones I mentioned.

I don't however feel bad for the kid stealing his moms vics or buying painkillers and then getting addicted because they had more of a choice than you or I.

They've taken advantage of a good thing and the rest of us have to pay for it. Cause frankly it doesn't effect them nearly as much as us.

But I do feel I have the right to take my meds that are RX'd to me how I see fit.

They say PRN or as needed on the bottles right? Well I needed to take more cause my tolerance went up.

They've made it into a totally fucked up thing, there's crooked doctors which are hard to find, then there are the rest who won't RX shit then there's the occasional caring doctor that believes people and tries to treat them and ends up getting his license revoked because of the aforementioned assholes.

But damn I sure would have liked to see that Dr. Bass guy that was all over the news for a while, even if he was crooked. The small amount of people he probably helped a lot that were legit got fucked over too.

I hate that you can't ask for sources on here, other sites let it happen.
but it would be a godsend to find a doctor feelgood lol

Anyway yes the system is twisted beyond repair and the doctors are all so sketched/strict/suspicious it's sick.

I can't even tell you how many times I got treated like a drug seeker. If I don't bring my pictures(X-rays, MRI's) to the appointment I get treated like shit. Doctors should get their licenses removed for that. It's horrible and then they actually make you feel like one which is even worse cause you start to believe it.

I mean just cause almost all the doctors out there are pussies means we have to suffer?


I guess so


Akomplice
 
Yeah actually that would be cool. Cause I have a reason to get pain medication prescribed to me, I pay for it, and when the pharmacy gives them to me they become mine. So I can take how ever many the fuck I want.


I never said I didn't abuse them or that I wasn't addicted so your post makes no sense. what' new?
If thats what you believe and thats how you roll, you're part of the problem you're bitching about. People who abuse their meds, like you, are fucking up the system.
 
If thats what you believe and thats how you roll, you're part of the problem you're bitching about. People who abuse their meds, like you, are fucking up the system.


How so?
In theory that makes sense but in reality it doesn't matter if I make my meds last a month or 2 weeks. Either way I'm not going to get another RX or try to get another RX till that supply is supposed to be up.


With legitimate reasons for pain meds, taking them as prescribed or taking them how you want is really only known by yourself. The doctor doesn't know, you don't know and my neighbor doesn't know so as far as they're concerned I'm taking 1 a day. For all they know I've never taken an extra pill in my life, cause I don't try to get refills early cause I don't wanna fuck up what I have.

If the DEA comes and checks the records, it won't be my fault the doctor gets in trouble. Only if there's people like I was talking about earlier coming in scamming meds and faking pain is that doctor going to get in trouble.


So like I said, in theory yes. In reality not at all.

Akomplice
 
Everyone who fucks with their pain management program is a piece of the puzzle and a part of the problem.
On their own, they aren't doing much damage, but as a whole, they are the problem and the reasons doctors act as they do.

Its exactly the same false logic as thinking "my one vote isn't going to make a difference." If everyone thought that, we would be fucked.
 
Akomplice said:
..I have a reason to get pain medication prescribed to me, I pay for it, and when the pharmacy gives them to me they become mine. So I can take how ever many the fuck I want.


I never said I didn't abuse them or that I wasn't addicted so your post makes no sense. what' new?

Akomplice


Err...what you implied was along the lines of a legitimate pain sufferer.

I made the mistake of reading what johanneschimpo wrote and thinking he was bitching over nothing...seems he had a fair point.



Akomplice said:
But guess what? If the DEA went to my doctors office and asked to see my records for why I was being RX'd the med's I am. I'd be fine.Would you?Akomplice

Funnily enough, the vast majority would probably be fucked due to the fact that they were admittedly abusing a script. In your case, I can see a total "oh...fuck pressing any charges' attitude".

Akomplice said:
I PROBABLY wouldn't have gotten addicted to opiates if I never got hurt. But I did, so dwelling on the past doesn't help.

But I can imagine a doctor RXing tons of opiates after surgeries and injuries to older adults and then they get addicted and the doc doesn't want to treat them anymore.

It's a double edged sword, I'm pissed at the fact that a lot of people have fucked up the system really bad but at the same time I feel for the people like the ones I mentioned.Akomplice

Mere words. Like you say - PROBABLY.



Akomplice said:
I don't however feel bad for the kid stealing his moms vics or buying painkillers and then getting addicted because they had more of a choice than you or I.

They've taken advantage of a good thing and the rest of us have to pay for it. Cause frankly it doesn't effect them nearly as much as us.Akomplice

Oh yeah...absolutely.
 
I don't however feel bad for the kid stealing his moms vics or buying painkillers and then getting addicted because they had more of a choice than you or I.

They've taken advantage of a good thing and the rest of us have to pay for it. Cause frankly it doesn't effect them nearly as much as us.
Akomplice


Hahahahaha. Lets see i abuse my parents meds. Yes thats right i said it. I abuse it cause im young and i like to get high.

You don't only buy off the street "cause you need too" You buy off the street cause you take what you have for pain, abuse that too get high, and then go searching when you run out.

The reason you can't get more meds, is because their not only looking out for people just trying to get high. Their also looking out for people WITH chronic pain, who are abusing their meds, and buying more to get high/their fix.

In reality, like JC said,

"Everyone who fucks with their pain management program is a piece of the puzzle and a part of the problem.
On their own, they aren't doing much damage, but as a whole, they are the problem and the reasons doctors act as they do."

YOUR PIECE OF THE PUZZLE TOO! Just because you can't see this, doesn't mean you should go around saying, i cant get my meds cause people like you. Im part of the problem, and you are too. Fucking deal with it bro.
 
Hahahahaha. Lets see i abuse my parents meds. Yes thats right i said it. I abuse it cause im young and i like to get high.

You don't only buy off the street "cause you need too" You buy off the street cause you take what you have for pain, abuse that too get high, and then go searching when you run out.

The reason you can't get more meds, is because their not only looking out for people just trying to get high. Their also looking out for people WITH chronic pain, who are abusing their meds, and buying more to get high/their fix.

In reality, like JC said,

"Everyone who fucks with their pain management program is a piece of the puzzle and a part of the problem.
On their own, they aren't doing much damage, but as a whole, they are the problem and the reasons doctors act as they do."

YOUR PIECE OF THE PUZZLE TOO! Just because you can't see this, doesn't mean you should go around saying, i cant get my meds cause people like you. Im part of the problem, and you are too. Fucking deal with it bro.

See JC and I were having a mature conversation and once again you stick your nose in somebody else's business.
Please try to argue with me, I love arguing with people with low IQ's cause they're so stupid they just echo what intelligent people are saying.

Not just you, I saw some other people up there doing the same. Do you not have minds of your own? Or are you just too lazy to type and it's easier to copy and paste.


See I like arguing civilly but the second it gets derogatory and personal it's no longer worth it.



Everyone who fucks with their pain management program is a piece of the puzzle and a part of the problem.
On their own, they aren't doing much damage, but as a whole, they are the problem and the reasons doctors act as they do.

Its exactly the same false logic as thinking "my one vote isn't going to make a difference." If everyone thought that, we would be fucked.


I agree with the last part for one reason, my vote would directly effect/determine the results of the poll/election. In turn effects every person voting.

Me taking my meds in 2 weeks instead of a month effects no one but me. All it does it change how soon I run out.

You bring up a good point but it's not relevant. A vote in a poll or election directly determines the outcome. I'm sure a couple people like mmmCHRISx will quote you some more and agree, having no clue what you're talking about or even understanding the point you're trying to make.


Now the point I am trying to make is as far as my doctor knows I am an honest, pain patient taking the medication he prescribed as directed.

I don't get pain pills from multiple doctors, I don't have multiple prescriptions at multiple pharmacies under insurance and cash, I don't call my doctor or the pharmacy for refills early, and I don't constantly "lose" my medication etc..

Those are the reasons doctors are so careful/strict. That its textbook drug seeking behavior. So as far as the pharmacy knows I take my medication as directed, same with the DEA.


Something funny came to mind, instead of me being "part of the problem". I'm part of the solution. By appearing as a model chronic pain patient my doctor is going to be a little more apt to prescribe someone else the same medication for the same injuries.

Put it this way a PM doctor has a bunch of "good" patients on opiate pain meds, he trusts them and from what he knows they only take what he gives them, which isn't enough but they just buy "enough medication" off the street or online, so he'll never find out anyway. He will most definitely be more willing to prescribe the next guy that walks in with a legitimate injury narcotic pain medicine because he's seen 20 successful cases treated with narcotics.

Enough is the key word.

Now then there's a doctor who has 20 "fake/lying" patients also but these patients are obviously abusing their medication every chance they get, because he doesn't prescribe enough for them to get high everyday. It's always getting lost or stolen. Buy meds online or on the street. They need early refills cause they're always going out of town. A couple have been caught going to another PM doctor. A couple has multiple prescriptions at different pharmacies that they pay cash for. No matter how many pills they get, it won't be enough.

You get in a car accident and herniate your L4, L5 discs. You also have 2 pinched nerves. You fractured your T6 vert. in another accident and have gotten surgeries on your back for both injuries. You now have a metal plate/rod in your back. You have x-rays and an MRI of both also.

You go to the first doctor, what do you think he's going to be more likely to do? Prescribe you narcotic pain medication that works or tell you to take an NSAID?
A. Past experience has taught him that he can trust CPP's with opiate medications. So he'll most likely go that route.


Now you go to the second doctor, what do you think he'll most likely give you?
Well past experience has taught him that all CPP's are drug seekers. You're not getting anything for a while from this doctor because he has trust issues caused by his current patients.



So see it's weird logic, but it's a fact. I'm most definitely not "part of the problem". Since from what my doctor knows I have never abused my medication, and do not display drug seeking behavior.

Now please don't get me wrong, I fully understand why some CPP's have to result to drug seeking behavior.

But alas there's a difference between what these legit under prescribed CPP's are doing.


Pseudo-Drug-Seeking-Behavior occurs when a legitimate pain patient is under medicated. The "DSB" stops when adequate medication is prescribed.

Drug Seeking Behavior in patients who are only using the medication to get high everyday does not stop after adequate medication is prescribed.

The first set of patients are obviously Pseudo-Drug-Seekers because even though the doctor is under-medicating them, they go buy medication off the street and do not engage in drug seeking behavior like set 2.

The second set of patients will continue to display drug seeking behavior no matter how much medication the doctor prescribes, too much is never enough.



Let's examine which set I fall in to..


So if everyone who went to a pain management doctor behaved like I do, everything would be fine. People would not be under medicated so they would not need to buy meds elsewhere.

Now back to what you said before.

You don't only buy off the street "cause you need too" You buy off the street cause you take what you have for pain, abuse that too get high, and then go searching when you run out.

The reason you can't get more meds, is because their not only looking out for people just trying to get high. Their also looking out for people WITH chronic pain, who are abusing their meds, and buying more to get high/their fix.

LOL what an ignorant comment. Especially coming from someone who I'm guessing is under 18, and has no clue what it's like to be a CCP.

I buy meds on the street and online because I need to, because my doctor doesn't prescribe adequate/enough medication to allieviate my pain as directed. If I double the dose, it takes my pain away and gives me a nice little buzz.

Looking at it from an addicts perspective and not a pain patient. "I only have enough medication to dull the pain for two weeks if I abuse it and double up.
The addict in me says, "why would I do that if I can get high as a kite for a week and as for the rest of the month I'll be fine or figure something out." As any addict will tell you, to a normal person this makes no sense. To an addict it does.

This is just an example, this isn't exactly how it goes but that's basically it.
Okay so I've been dope sick for 2 days, I have 12 norcos left and when I first get them I fully intend to make them last. but since I've been sick "I should take 8 cause I've been in pain/sick for days." So I take 8, well a couple hours later I start thinking like this..

"I only have 4 left, what's 4 gunna do. Is 4 even gunna take away any pain? Probably not. Hey I already took 8, if I take 4 now I'll feel really really good. If I wait till tomorrow, I just wont get sick. I'll still be in pain.

Fuck it I'm gunna take them so I can't feel good now, I'll figure something out tomorrow. No, I shouldn't. I'll get sick and be in more pain like last time. Who cares as long as I feel good right now. So I pop them.


That's just my addict brain, my CPP brain usually wins

The reason you can't get more meds, is because their not only looking out for people just trying to get high. Their also looking out for people WITH chronic pain, who are abusing their meds, and buying more to get high/their fix.

They're only looking for people WITH chronic pain who abuse their meds because all of the ones that do abuse their medication and engage in DSB. If every pain patient just went to one doctor and only got prescriptions from that doctor and only took them to one pharmacy (which is what I do), if all the real CPPs were like this, there would be no problem getting opiate pain meds, not to mention adequate/enough. That's why I can't get enough.

Also because the people who don't need them at all scamming doctors that real patients have to go see afterwards.

Soo I still disagree, respectfully to JC cause you're chill. I'm still laughing at mmmCHRISx


"Hahahahaha. Lets see i abuse my parents meds. Yes thats right i said it. I abuse it cause im young and i like to get high."

lol is that supposed to be cool?

echo echo echo


Lol Peace


Akomplice
 
Err...what you implied was along the lines of a legitimate pain sufferer.

Implied? 2 Herniated discs, pinched nerves from one car accident. then in another I fractured my T6 vert. got surgery on that first got some metal placed in there. Then got surgery on my lower back, which didn't help and I'm probably gunna have to get another one, and then another...




Funnily enough, the vast majority would probably be fucked due to the fact that they were admittedly abusing a script. In your case, I can see a total "oh...fuck pressing any charges' attitude".

I don't know what that means exactly?
I'd press charges? Or be afraid of someone pressing charges?
I don't get what you're trying to say

Why would someone press charges? I just got done explaining that I only have 1 doc, one set of RX's and use one pharm so I'm not doing anything illegal, aside from taking more medication than my doctor said, but no one could prove that.

There's just a barrier between me and some of you guys, hopefully you'll never understand what it's like to be a chronic pain patient in Southern CA, USA.

and luckily none of you will have to go through that at such a young age.

Maybe you'd understand my logic a little more though.

It took me three years to find a doctor to prescribe me something time released/stronger than a CIII for pain.

Now a year and some months later, I'm at the same dose except instead of taking 40's he put me on 80's. My tolerance jumped up sooo long ago, in fact it increased by 6 last feb.

I lowered it a bit, but you do understand the effects of tolerance right? That we can agree on.

When I told him my meds weren't working as well he offered me opana, not a higher dose of oxy. Which brought up this post.

I'm sure being my age and being under his care it wouldn't take a lot for him to drop me as a patient. Which is why I'm so careful, when it comes to other doctors and multiple RX's. I don't.




Mere words. Like you say - PROBABLY.

I capitalized that word for a reason, thanks for pointing it out?






Oh yeah...absolutely.


I can't tell if you're being sarcastic or real..


Akomplice
 
Your so funny. You seem to just complain more then you try and find an answer.

I just can't take you seriously. All your threads before this had no hint your a CCP. Going from asking about heroin, then telling us you have chronic pain and are looking/complaining for a reason is just too hard to take in.

1- I am under 18, im 16. I have a tested IQ of 130, pretty low isn't it?

2-Just trying to help you, all you do is complain back, and fight back. I don't think thats how your suppose to respond to advice, is it?

3- I wasn't trying to be cool, saying what i said. I said it to put it in perpesctive. You don't know how i act, or how i abuse meds. BUT now you do, this is why i stated. "I abuse my parents meds."
 
Really?

Your so funny. You seem to just complain more then you try and find an answer.

I just can't take you seriously. All your threads before this had no hint your a CCP. Going from asking about heroin, then telling us you have chronic pain and are looking/complaining for a reason is just too hard to take in.

1- I am under 18, im 16. I have a tested IQ of 130, pretty low isn't it?

2-Just trying to help you, all you do is complain back, and fight back. I don't think thats how your suppose to respond to advice, is it?

3- I wasn't trying to be cool, saying what i said. I said it to put it in perpesctive. You don't know how i act, or how i abuse meds. BUT now you do, this is why i stated. "I abuse my parents meds."

I'd LOOOVE to see that IQ test.

So you shelled out 200-400+ dollars and found a psychiatrist or some other person that's legally allowed to give REAL IQ tests?

The one's online do not count lol

The real one (Stanford Binet, WAIS-III). It's illegal or unethical for anyone now registered to give you a real IQ test.

My psychiatrist gave me two, the ones I mentioned. Although those are the most common there are a ton more.

My IQ is averaged at 145, on the WAIS. Google that little boy.

You could have an IQ of 130, but I doubt you've ever been tested.

Oh also, this october. I paid 20$ and took the MENSA test, got in.


So pleeeease tell me how smart you are. I got my answer, you are the one's that went off topic. Calling me a liar and shit? Would you like me to fax you my medical records loser?

So now that I know that you're REALLY full of shit, what else do you have to say.

The real IQ test had something like 20 parts and took hours, and costed 250 for one and 400 for another.

So show me something.

Lol

Peace(Pissing contest won.)
 
And why would a legit PM doctor RX Oxycontin and Norco to me?


Please read back, all my posts. There's LOTS of talk of my doc RXing me 2 oxy 40s a day then upping me to one 80 every 12 hours..

If I wasn't a CPP, I'd be getting ALOT more than I get from some crooked doctor or something..


I don't get JUST pain pills. I get treated for chronic pain. I know a lot of you think that's just a ton of pills but no.

Steroid injections, electro therapy etc..
 
If I could choose I would choose depending on the doses of either
for instance If I could get 3 oc 80s a day Id take that. but if it was a 40 twice a day or a 20 mg opana twice a day or somethign like that id take the opana HELL yeah unless it was for 90 80s I think id take the opana cause even though I dont think its the best.....I think its way better than oxycontin(i think they are both second rate drugs compared to MS Contin/Fentantyl/methadone and of course Norcos.............Who doesnt love 2 norcos?!?!)
what is the exact conversion does anyone know? like how would 3 OC 30s a day compare to opana 20 twice a day? Im assuming the opana to be much stronger in that scenario but not sure and I dont know how long they last when swallowed. do opana last longer than Oxys or not? cause for me oxys only last 8 hours. MSCONTIN however keeps me good for 12 hours (200 mg 2 X day is my prefered pain management dose, along with 4 norcos because they are GREAT for breakthrough pain even though they may seem weak. I love em over roxis any day
 
if you want to keep a good relationship with your doc, TAKE YOUR SHIT AS PRESCRIBED if its not working talk to your doc and hell up the dose its MUCH better than buying extras off the net pharms.............you apperently dont have a good relationship with your doc if he wont give you what you need.
or do you just not have enough to get HIGH? cause if thats the case fuck off and take your meds as prescribed : ) and be HAPPY TO HAVE THEM some of us can ONLY get like a bottle of hydros a month and I can make them last just fine but I get tons of breakthough pain. so i asked my doc for mscontin. and I got it. that simple
 
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