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  • BDD Moderators: Keif’ Richards

one time hydro refill-acute pain-minimum days before refill?

A

AcutePain

Greenlighter
Joined
Sep 5, 2010
Messages
9
Hi all,

I recently dislocated my knee, upon falling bruised 2 ribs which for those who haven't been through it, hurts like a bitch. After having it popped back in, I received a script for hydrocodone 7.5/ibuprofen 200, qty 50, 1-2 tablets every 4-6 hrs for pain, 1 refill.
Pain supposedly subsides after 2-3 weeks.

I've been on narcotics before after major cranio-facial surgeries, (jaw wired shut 6 months, etc) but that was more of a long term thing, and I kept on a strict regiment so I wouldn't run out before 30 days.
This time, however, the pain is bad enough that I actually take 2 every 4 hours, pretty much around the clock. i.e. when I take my bedtime dose around 11pm, the pain will wake me up at 3:15am ish. I just received the script 7 days ago and am nearly through it. I did the math, and at 2 pills x6 times in a 24 hr period, I should feasibly run out after 4.6 days. I skipped a couple of doses and just tried naproxen, to no pain reducing avail. My Dr. told me to take the pills as needed until pain subsided, giving no indication of how long he considered appropriate before refill.

I know my insurance won't cover this soon after original fill. My question is, if I pay out of pocket on Tuesday, 8 days after original fill, will they allow the refill? If not, worst case scenario, will they squash the refill?

I did UTFSE but most scenarios people discuss are those on long term pain management plans, trying to fill their script intended for 30 days a few days early.
This is an entirely different scenario. I am in fairly serious pain, and I won't be (hopefully) in 20 days when I can (ironically) refill the script with no questions asked.

SO, tldnr sum up, are there circumstances where pharmacies fill early? Just fyi, it is a small mom-pop operation, not CVS or something similar.

Thanks for any advice-sorry if this is either somehow against the rules or (more likely) on the wrong board-Mods, feel free to move to appropriate board.
 
just to clarify-I plan on tapering down with the refill-I'm not naive enough to consider continuing this dosing regimen until running out, and then enduring opiate w/d.
I went through that when my oral surgeon abruptly switched me to Ibu 600 after 4 months of heavy percocet dosing. I was young then (14) and didn't understand the dark side of opiate dependence/withdrawl. I learned real quickly that abruptly stopping these meds after motnhs of use, therapeutic or not, is not a pleasant ordeal.

Also, on the bottle with the refill, there is no indication such as "do not refill before x date)
 
Stims can be tough on a person's heart, something to consider if your overweight. Be careful.
 
I would call your doctor and tell him your situation. Since you have so many injuries im sure he would be willing to aloow the script to be filled early. Not all doctors know exactly how much to prescribe and in this case it looks like he didnt prescribe strong enough medication. You could even say that what he was giving you wasnt working and could possible right you and entirely different script. Maybe that would help with your insurance as well? Or is it on a 30 day plan?
 
I agree with contacting your doctor. Call him, tell him you're in pain and you aren't sure that the dose of the meds he gave you is really all too effective. He can then evaluate if he wants to tell you to fill the script early, try something new, etc. It's not wise to lie to doctors, but telling them the truth is really the best way to get help in this situation. Usually if you don't have a history of abuse, they have no problem at all adjusting things accordingly, or at least in my experience.
 
Thanx for replies guys,

I have to hold off on using my insurance for now anyway. I was laid off recently and just started COBRA. I am fighting to get the 65% reduction in my monthly bill. (An Obama initiative for those laid off/terminated who are already low income.) Until I find out whether my insurance and hr dept. at my old job agree to consider me eligible for this, I have to avoid using insurance at all. If I do have to pay 100% of my cobra premium, I'm just not gonna use it..but once I use it once, they will demand that I pay the premium after 30 days.

SO, tldnr, I can't call the dr., and can't use the insurance anyway. My (non-cobra) insurance ran out Aug. 31st. My Dr. already did me a pretty huge favor slipping me in, as I dislocated my knee on the 30th, called that day and told him I would be coverageless in 2 days, and he got me in I think by seeing me during his lunch break.
 
Call your dr, sounds like to me you're on the wrong medication all together. I am in pain management for long term. I never come up short at the end of the month even if I have to suffer mid month, just so I can keep going. If I get a drug test and I ran out early, I am fucked.

Call your dr and tell him you don't think the medication is not working period. Considering your injuries vicuprofen seems weak anyways. Also explain that you are in a ton of pain and request something stronger and that the pain is so bad at 3 am you wake up in more pain. You do have a right to proper pain management. Good luck!
 
WorldWarMe said:
Where the fuck does this come in?
Click to expand...

Haha I was thinking the same thing but figured since I was asking people a favor to help me out I would let it slide.

Update on situation:
I'm in for a bit of a ride anyhow, as the mom-pop where I have the refill is closed until Tues. due to Mon. being a holiday. Have 4 total left.
I understand bad planning on my part doesn't constitute an emergency for someone else. I just didn't realize how painful (and prolonged-it doesn't seem to be getting much better, unlike a sprained ankle, which feels better everyday) this injury was going to be-I figured I wouldn't even need the refill when at the Dr.'s office.
 
AcutePain said:
Haha I was thinking the same thing but figured since I was asking people a favor to help me out I would let it slide.

Update on situation:
I'm in for a bit of a ride anyhow, as the mom-pop where I have the refill is closed until Tues. due to Mon. being a holiday. Have 4 total left.
I understand bad planning on my part doesn't constitute an emergency for someone else. I just didn't realize how painful (and prolonged-it doesn't seem to be getting much better, unlike a sprained ankle, which feels better everyday) this injury was going to be-I figured I wouldn't even need the refill when at the Dr.'s office.
Click to expand...

Have you considered going to the ER for a refill? If possible (if there's any near you) just explain your situation to them and they should be more then glad to refill your prescription.
 
Violenza666 said:
Call your dr,

Violenza thanks for reply but as I pointed out I can't call ANY dr./make any co-pays until I figure if my cobra premium is eligible for the 65% reduction. and I certainly can't afford to pay my Dr. out of pocket.

He is a great doc and has always been fairly lenient about scripts, but he never does over the phone consults. If you want to talk to him, it's in the office or not at all.
Click to expand...
 
WWM again, even when I AM using insurance an ER visit is a $50 copay. I can't imagine what it would be out of pocket. But again, thanks for trying. :)
I think I'll just have to bite the bullet, take lotsa Ibu, and take my chances trying to refill out of pocket on Tues. Been told the out of pocket cost is about $65-small price to pay for relief.
 
^Yea,I meant call your dr for an appointment so you can get this sorted out. Not cover everything I posted in the phone call. Just a generazlied "why" you are calling and want an appt! Or tell him this when you can afford an appt and do the out of pocket script refill... though your dr will still be able to tell when you filled that script!
 
Pain slightly better..found old strong NSAID from surgery..should I expect withdrawl?

So,

I basically used up 50 pills of hydro 7.5/ibu 200 in 8 days. I was in lots of pain (dislocated knee/bruised ribs), and using them more for pain management than recreation. (Not to say it wasn't warm and fuzzy, too.)

I just took my last hydro pill around 5 hours ago. I can chance a (very) early refill, but I might be able to get by on this NSAID. (Think it's called diflusinal?)

Anyway, IF I chance the early refill, what are the chances they will just squash my script entirely? The doc put no expectations on how long he expected the pills to last, he just said "here's 50 of these, with one refill, by the time you're done with both those bottles your knee should be felling better." So I'm not too worried about them calling to check with the doctor. But is this EXTREMELY unusual? Again, this is not a month to month pain management script, just a one time thing for an acute injury.

My other choice is to just tough out the pain and wait to fill the script. Based on my usage for the past week or so (2 pills every 4 hours, pretty much 24/7), how bad will my w/d be if I suddenly stop? Will it be so bad it will exacerbate or entirely eclipse my knee pain all together? Or is this a relatively short opiate run which shouldn't produce much w/d? Sorry for my naivete, it's my first time in this position. Thanks for any/all insight in advance.
 
Don't know how that ended up on this post. I was replyin to a poster who was thinking about starting add meds who said he was overweight. WTF. Anyhow, where I live there is an 85% of time past last script rule, that's foe schd II though so I'm sure hydros are different. Every state has their pharmacy laws online, easily found through the dept of comsumer protection.
 
Damn it,

We've already established that the stim guy has no idea what he's talking about.
Anyone with any pertinent info?
 
Flame on. I just provided you with the most useful info you've gotten. Whether you chose to spend the whole five fucking minutes it would take you to look it up, factually as written per your state's statues is entirely up to you. Or you could stop being a bytch and just call your Dr with the pertinent info and get a new script...Welcome to my ignore list.
 
" I just received the script 7 days ago and am nearly through it. I did the math, and at 2 pills x6 times in a 24 hr period, I should feasibly run out after 4.6 days."

There should be no problem refilling this script, actually you should have been able to refill it 5 days later. I don't know about the pharmacy you go to but I worked as a pharm tech for one of the big name drug stores and when we entered the script in the system we had to enter in how many days it would last based on the maximum dosage written by the dr. The insurance should cover it also considering you went longer then you had to before refilling it.
 
Maybe you need to tough it out.

I am about to quit hydro after letting it get way out of hand because of a similar situation to you.

a day or two in between would be good for your system to not adapt so fast
 
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