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  • BDD Moderators: Keif’ Richards | negrogesic

My doctor is evil and has prescribed me the following

CrazyEngineer said:
Jesus tap-dancing Christ... So your doctor is either a moron, getting kickbacks from drug companies, so used to writing scripts on demand for fakers and pill poppers that he's totally forgotten how do to responsible polypharmacy, or (as you suggested) evil. If you can replace him with someone saner I would advise that you do so posthaste
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Amen! As I read through this thread I couldn't help but shake my head. If I were to recognize I had addictions I did not want in my life and my doctor continued to prescribe without hesitation, thus increasing my addictions, I'd be pissed. OP - What exactly would it take for you to fire this doctor and take efforts to replace him with one who has your interests at heart? I mean, he could die - then what would you do? He could get the DEA up his butt and shut him down - then what would you do? See my point? Take the first step before you're forced to due to matters OUT of your control. Make matters be under your control! Otherwise, deal with it and don't ask for advice on sites like this. Sorry for being so blunt but....you do get the point, right?
 
Keif' Richards said:
I had a Psych APRN prescribe me citalopram (Selexa) while I was on Methadone. This combination carries a double-black box warning as both drugs can contribute to cardiological complications, specifically, prolonging of the heart's QT interval. Do I hate her? No, but I do believe that she has no business prescribing anyone medicine.
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I had no idea that an SSRI could have serious complications with an opiate like that.

So if citalopram and Methaodone are contraindicated than what about a combo like Escitalopram (Lexapro) and Oxycodone?

That's an SSRI and an opiate and I've already combined them several times without complications.

(Edit: Actually it was prozac I combined several times with Oxycodone and Vicodin so does that combo come with the same contraindications?
 
Yeah, but most psych meds also carry a black box warning saying that they can cause sudden death. The QT interval adjustment is rare - I'm happy to be corrected, but I don't think there have actually been enough cases of medically induced QT interval prolongation for there to be accurate data on whether the risk is cumulative.
 
Mysterie said:
@^ 99% sure it doesn't
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The FDA is by no means infallible, but I trust them more than forum conjecture. And you're right, there probably isn't going to be a complication, especially for someone fairly young and with a strong, healthy heart. Even a "1%" chance as you've put it is not worth your heart failing or otherwise being damaged.
 
I just know there's been heaps of people on this forum who would have taken both drugs and nobody ever brought up a contraindication for opiates (not a maintenance opiate) and anti-depressants. Correct me if I'm wrong.

I trust my own intuition over any medical bureaucracy
 
Mysterie said:
I just know there's been heaps of people on this forum who would have taken both drugs and nobody ever brought up a contraindication for opiates (not a maintenance opiate) and anti-depressants. Correct me if I'm wrong.

I trust my own intuition over any medical bureaucracy
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I have to admit that that's a smart statement. I'm not saying hoards of junkies will be dead by tomorrow morning, I'm just saying multiple MD's of mine brought it up as a contraindication, as did the insert provided by my pharmacy (Kinney Drugs). Both have the potential to negatively impact your heart's QT interval. Whether this was discovered in mice, rats, or humans is beyond me. I am far from an expert on the subject, so I have no real authority to back any of these claims, it's all just hearsay. That said Mysterie, I understand and can appreciate your opinion.

To try to answer a previous question. Escitalopram is just one half of the molecule citalopram. Allegedly, many of the side effects of citalopram are mitigated by the use of just one isomer. According to my MD, among the side-effects avoided are the exacerbation of QT intervals. Again, this could all be complete bullshit, its coming from the mouth of doctors, who often would rather have any answer rather than no answer in order to maintain their air of intellectual superiority. Not all docs follow this profile, but, then again, many do.

And, I believe these claims of a safer drug could all just be a front put forth by the pharmaceutical industry in an attempt to throw a new label on what is essentially the same drug and sell it for literally ten times the price when compared to generic citalopram. I see no appreciable difference in effect between the two drugs. An example of evergreening as it's called.
 
I am prescribed hydrocodone and morphine, I prescribe to my self when those are gone after the first 6 or 7 days any kind of opioid or opiate type drug I can find.

First I agree you should go see another Dr. and see what he/she thinks, that DON'T mean you have to take that Dr. advise, Second if you want to get off some of the drugs you should start with the duplicate drugs, what I mean is you can probably stop one of the benzos completely because the other bezo drug should prevent any W/D problem the same with the other duplicate drugs your taking. At least that's how it is with me I could stop taking either one of my scripts and not suffer any W/D synptoms because the other would take care of that, I think you get my drift of what I'm saying.

All of what I or anyone here said or says is just a waste of keystrokes if your not serious about getting off some of the drugs. 1st. thin though if your serious is to go see another DR.
 
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Wow! I had a dr. Prescribe me very high levels of opiates for 4 years!...then I get a call he lost his clinic, and to come in and get a months worth of scripts. Called around, found a new pain clinic....the dr. Was LIVID....I was on so high a dosage. ..immediately cut me by a 1/3.then another 1/3 the next month...then left me at that. And I was LUCKY....after me he refused to see anymore of my old dr. Patients. Then he left....had to go through it all again.......that WILL DEFINITELY HAPPEN TO YOU!!! even if he doesn't o.d someone...pharmacists will turn him in. He will not be allowed to continue indefinitely. You must wean yourself while you still have a choice.
 
We're getting a little bit off topic, as the OP's issue was not really in the realm of pain management. It sounded like she just had a rather wily Psychiatrist. Anyhow, I think it's a shame that chronic pain patients are thrust into these over-the-top contracts with no evidence of any wrongdoing on part of the patient. I think it's just like life, you have to give people enough "the inch" and if they take "the mile", the you come down on them with more draconian oversight.
 
holy crap.... some would say thats a drug goldmine... but that's horrible man. i've been thru withdrawals from all of those drugs individually, except the amphetimines, but they were all hell, the most i've been through was benzo/opiates at the same time... wow, you defintiely need a new doctor ASAP. and trust me, if you just explain your situation honestly, and just tell the new doctor you're not some drug seeker, but that it was your old doctor that put you on all these drugs, they will listen. its true, some may be hesitant, but if you call as many doctors as you can, you will find the right one who can help you. i know you can do it!
 
Mycophile said:
I had no idea that an SSRI could have serious complications with an opiate like that.

So if citalopram and Methaodone are contraindicated than what about a combo like Escitalopram (Lexapro) and Oxycodone?

That's an SSRI and an opiate and I've already combined them several times without complications.

(Edit: Actually it was prozac I combined several times with Oxycodone and Vicodin so does that combo come with the same contraindications?
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No , SSRi's are combined with opiates all the time. I have read about that QT interval and i don't know why the websites label it as a dangerous combination. I have yet to see anyone have problems with it.
 
Mycophile said:
Oh my god what complete and utter idiocy.

First of all, he's complaining cause he's addicted to multiple substances at once and can't get off them.

Second, it is NOT a doctor's job to "push drugs on you", it is their job to help keep you healthy phyiscally and mentally which this doctor is NOT doing.

Now, granted, I wish I had access to some of those substances but that's neither here nor there.
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Thank you mycophile and everyone else that understood that it is the polydrug dependence that was the problem, not the lack of knowledge on the medications.
Anyways a month later and after taking in all of your replies, I (op) decided to ask my Dr if we could start a slow taper on the Clonazepam (I figured I'd try to get that dose lowered first because I've experienced some of the most horrendous withdrawal from klonopin.) His response was " I cannot continue to write you prescriptions, you need to find a rehab. "
I almost fainted and pleaded with him to write one more month of my prescriptions so I could get my affairs in order and at least look for another Dr.
"No I will not write anymore antianxiety or anything else for you. You can take benadryl for sleep."
I almost started crying at which point he scribbled something down handed it to me and said "They will give you phone numbers for treatment programs on your way out... Best of luck to you my friend"
He handed me an Rx for 100 .5mg Clonazepam out of my usual 120 and 90 600mg neurontin, them stormed out of the room.
I'm now truly scared. If you guys look at my original post and see what I will be withdrawing from all at the same time then you will see my fear.
Yesterday, I ordered 100 .5mg clonazOLAM (rc benzo) to hopefully buy me time. I don't know what to do about the baclofen, and everything else. I know rehabs in my area treat you for about three days then push you into a nazi-esque / 12hr a day / , one after the other round of group therapy with minimal medical supervision.
So yea, everyone be careful, if your doctor seems to be too fun it's probably something to be careful about
 
Dude, you probably need to check yourself in somewhere if you aren't going to have scripts for your drugs. It can get dangerous. You at least need some outside help if you want to step down off of these drugs slowly, you know, so you don't die. You are on a slew of drugs man and some of those are quite dangerous. Don't start up with the RC benzos and all that crap. Just because they are benzos doesn't mean they are the same or in any way safe. You are playing with fire and very well could make a difficult situation much worse.

You are in a messed up predicament and I fully respect what kind of situation you are in, I've been there myself and am currently untangling a web of drugs for myself, but you have to be careful, almost every one of those drugs can destabilize your nervous system if you taper too fast or drop them cold turkey. You really don't want to experience that. If you mess with your CNS it can take a really, really long time to recover once you do that. Think about the humpty dumpty effect. It's not like other drugs like opiates, where you are sick and it's over. You need to be cognizant of that.

That doctor is a deusche for just leaving you hanging like that. You need medical help. Seriously.
 
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