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  • BDD Moderators: Keif’ Richards | negrogesic

Oxycodone Withdrawals

2mg Clonazapam would take away the restlessness in my experience.
I'm on 4mg clonsz atm but also 40mg oxxxshykawdawn xd tbh, u need a bemzo and Lyrica or 2 with 1200 gabspentin stacked throughout all morning to b chill mancccc
 
I live in CA and I’m prescribed 80mg Oxy daily. Please keep in mind that I can only speak for my experience in CA and I’m not familiar with the rules in other US states.

My opiates are managed through a pain management clinic. I understand it’s not easy to get into a pain mgmt practice. One has to be referred to this kind of clinic—you can’t call and make an appointment. In addition, your complete medical records will be perused carefully, and you are subjected to a very complex interview by a pain specialist prior to any decision being made re: whether you are a suitable candidate to receive a script of ANY kind of opiate. You will also sign a pain contract, which states that you will not seek any pain drugs from any other provider. If you do, they will promptly drop you from the pain mgmt. practice. The only exception to this is opiates you are administered while in the hospital. I’m glad this is the case; I average 3 hospital admissions each year, along with kidney stone surgeries.

I was originally started with hydrocodone and I was taking 90 of the 500/325 monthly. This wasn’t adequately controlling my pain. At my next month’s appointment, I was given MS Contin to take in addition to my Hydros. The morphine was supposed to make the pain relief last longer. I would nod hard on that morphine and I was doing this in public and I couldn’t deal with any improprietous appearance that made me look like I was a junkie. At my next month’s appointment, I reported that I really wasn’t doing well with the morphine, though from a recreational standpoint it was enjoyable (of course I didn’t say that). I was given Percocet (Oxycodone APAP) and I was discontinued off the Hydros and morphine. Those Percocets worked for me for several years, but after a few bouts of acute renal failure in 2018 and the insertion of a renal tube for months, and a ureteral catheter which was followed by a surgery to cut out part of my ureter and reattach my ureter to a new place on my bladder, I was given Oxys. I was given 90 20mg Oxys monthly. Then every time I had another kidney stone, my doc would give me an extra 30 pills for that month. About 10 months ago, they saw that I’d been taking 120 of the 20mg Oxys (because I’d had a kidney stone the previous month) and they never bumped me back down to my regular dosage (when I didn’t have a renal stone) of just 90 pills monthly. So now I’m up to 120 pills monthly and I’m always hoping they don’t catch their mistake from months ago.

Another thing to remember about pain management practices is that, at least here, they’re required to do regular urine tests. And at least at my clinic, everything shows up. One month, I’d been taking Cyclobenzaprine (Flexiril) that I’d received from the pain clinic months earlier. However, they’d switched me to Baclofen a few months prior on an as needed basis, as I’d told them the Flexiril wasn’t so effective for me. I took my urine test, and I was given the usual form where I check off all the drugs I’ve taken over the past 3 months. I forgot to mention the Flexiril so at my next appointment, they brought up that I had been switched to Baclofen and I shouldn’t be taking the Flexiril, which showed up in my urine test, unless I wanted to switch back to that drug. Another time, I was very stressed and I took some Diazepam my brother had. My urine test was several days later so I wasn’t worried about the diazepams showing up on the urine test. However, they did and I was lectured about taking other people’s drugs, because all my docs have access to CURES, which is CA’s controlled substances user database, and they can see what one is, and is not prescribed. I read a few years ago that Florida was the last state to enact a state based controlled substances user database and now they are used in every US state.
The other thing about the urine test is that they are checking to see that I have the Oxys in my system. If someone doesn’t test positive for what they are prescribed, they have concerns that perhaps the patient is selling their supply, and Oxys in my dosage are worth a lot these days as they’re hard to find; 2 of them will pay for a mani-pedi.

If you feel you really need Oxys for pain mgmt. purposes, and it’s not an issue of wanting them simply for the enjoyment, I’d gather all your supporting medical records and make sure you don’t include any hint of drug-seeking behavior in your batch of records. I’d then make an appointment with a family or general practitioner and explain that you were being treated with pain mgmt in England, you have all your supporting records and you’d like a referral to a pain management specialist. They may refer you to a different type of specialist, like a rheumatologist or an orthopedist instead. Then it’s up to you to see that specialist and ask them for the referral to pain mgmt.

It isn’t easy, but it can be done, assuming you have records that support the use of Oxy and it’s going to take perseverance on your part. I doubt that you’ll get quite the amount that you’d been getting in the UK.

Lastly, you do not need any $$ to visit an emergency room in the US. You can go in, and a financial counselor will likely meet with you during your ER visit, to see if you qualify for Medicaid or perhaps some other program that would cover your expenses. You cannot be turned away, so go to the ER if you have to.
Damn good post. And exactly right and true. I'm happy to know that you are being treated and that you get some relief. Pain Mgmt. is not as easy as people think and you have outlined the process very well. I's spot on.
 
Day 9 of w/ds and I still feel so crappy, but I have a Drs appt which I must muster up the energy to get to---only for this would I do anything. I tried to eat a little something more than crackers and everything really even the crackers taste strange-like they're made with rice flour--but sweet things.......no effing way-couldn't believe the taste change. but for good news, my son and I applied for our airline jobs--a lengthy affair--not just sending a CV or resume I mean. They had long assessment tests and other things to fill out -took hrs--but we did it. I hope my 20+ years will get me the job but I want my son to get it more---wish us luck---and me luck today with the drs--Appreciate it guys. p.s.--a lot of the airlines are hiring everywhere--it is the best job you will ever have - great insurance from day 1 and you and you family and fly for free. Also you get buddy passes good for your friends to fly for free-12 a year- I already do fly free from taking an early out but its a great job!
 
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I hope your dr. Appt. Goes well and you get what you need. But In a worst case check out ordering some poppy pods…you didn’t have to wd these last 9 days, might even help your pain…pods have stopped wd from some pretty heavy heroin habits for me. I know it seems kinda silly that you can order morphine online with no script, but it’s a silly world ;)
 
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Lets see how this appt goes--
For sure, I’m hoping you get a good dr. That understands what your going through, I just can’t stress enough how much of a life saver pods can be, I use to look at pods like a stupid novelty when I was doing a lot of heroin and even ordered some at one point and I guess either extracted wrong or didn’t do enough and though it was a pointless waist of money, like I’m sure your thinking right now, and I don’t blame you…but eventually I was desperate enough and gave it another try and was just blown away how you can order morphine in pod form, still almost seems unreal
 
I’m planning on growing my own papaver somniferom here at my house.
Poppies do quite well here; I’m in a climate that hovers between 55-85F throughout all the seasons of the year.
 
I’m planning on growing my own papaver somniferom here at my house.
Poppies do quite well here; I’m in a climate that hovers between 55-85F throughout all the seasons of the year.
Yea I imagine it’s much better to be able to slice a fresh pod and collect the latex rather then extracting dried pods…but who knows, maybe extracting dried pods is better for yield and if processed enough can be just as potent as collected latex…I think pharma companies extract from dried poppy straw ? I’m just comming off a month long binge of about a gram or more heroin a day and 2tsp of my pod extract has me feeling right, 3-4tsp and I’ll catch a little nod ;)
 
I just got back from a 3 hr appt and a hellish cab ride. Boston is effing freezing--I walked blocks trying to find my cabs so I must be feeling better. Anyway,I am so weak and did lose 15 lbs at least so that was good-the weight-loss---we woman always want to get as tiny as possible. She prescribed a small amount of oxys 50 30's--I was stilll thrilled -I intend to be diligent on keeping it down she also prescribed narcan--and prednisone and diazepam. When I went to pick it up the pharmacy said no--it was too large a RX and they were trying to verify my insurance--yes I just got it but ikts there--bottom-line, I have to call my dr back tomorrow and have her write a smaller rx---????? So another night of hell. I intend to stick to the plan this time--I don't think I have a choice if I can get any medicine eventually. First call I make at 0900 to the dr.
 
I just got back from a 3 hr appt and a hellish cab ride. Boston is effing freezing--I walked blocks trying to find my cabs so I must be feeling better. Anyway,I am so weak and did lose 15 lbs at least so that was good-the weight-loss---we woman always want to get as tiny as possible. She prescribed a small amount of oxys 50 30's--I was stilll thrilled -I intend to be diligent on keeping it down she also prescribed narcan--and prednisone and diazepam. When I went to pick it up the pharmacy said no--it was too large a RX and they were trying to verify my insurance--yes I just got it but ikts there--bottom-line, I have to call my dr back tomorrow and have her write a smaller rx---????? So another night of hell. I intend to stick to the plan this time--I don't think I have a choice if I can get any medicine eventually. First call I make at 0900 to the dr.
Wow. I don't think 50 is to much to ask for a pain patient. I was thinking you would get 60. Twice a day dosing with one pill is not unreasonable at all. I am surprised they wrote for a benzo though. Usually they make you pick one or the other and naturally most pick the opioid.

What right does a pharmacist have to tell someone that the Dr. wrote it for too many. I could see it if the script called for 300 pills or something but 50? I would have said give me my scripts as I will go elsewhere. You have no right to question my Dr. as 50 is a perfectly reasonable script.

I hope you can get this all sorted.
 
I am completely with you. If the state won'tt even fill that -and she was giving it for just a 2 week script--then she said I could call and get the next 2 weeks rx online or over the phone..They took so much blood--12 or 14 vials-- and I'm so weak--anyway I hope this gets straightened out today soon!
 
I am completely with you. If the state won'tt even fill that -and she was giving it for just a 2 week script--then she said I could call and get the next 2 weeks rx online or over the phone..They took so much blood--12 or 14 vials-- and I'm so weak--anyway I hope this gets straightened out today soon!
Did you get your script back or does the declining pharmacy still have it? Do you have to go back there to have it filled when they get this sorted? You are new there, correct? Don't you have a choice on which pharmacy you deal with?

Established pain patients have no choice. They have to use the same one over and over. You should still be able to choose. I can understand the pharmacy MAYBE having an issue with your insurance as it was new coverage and maybe the paperwork hadn't cleared yet but to question the script of 50 pills was wrong. Just for that fact alone I would change pharmacies. Hope you are making some progress.

12 to 14 vials of blood for a simple Dr's appt seems a bit excessive as well. Even when phlebotomists take our blood for extensive testing for disease usually 3 to 4 suffice. Seems like you are having to deal with some crazy stuff.
 
I do have a lot of health issues and they did an ekg too--which I never found the results of. They want xrays asap but I can't take another day like yesterday w/o relief to go get xrays. They have been back and forth with me all morning but nothing yet--\i have a feeling I am in for another day of Hell--I lost so much weight so far-I di force a can of soup down to get energy
.
 
Life sucks---I am getting really down--I was so excited by the appt-I can't keep waiting for these meds--its been since 9am and nothing definitive---she was a great dr, but I haven't heard from her---her secretary has gotten back with me but not resolved at all yet--I fear another day and night of pure Hell--and if anything I feel worse today than yesterday--I'm getting really weak+ still have the w/ds on day 10 - wtf
 
Life sucks---I am getting really down--I was so excited by the appt-I can't keep waiting for these meds--its been since 9am and nothing definitive---she was a great dr, but I haven't heard from her---her secretary has gotten back with me but not resolved at all yet--I fear another day and night of pure Hell--and if anything I feel worse today than yesterday--I'm getting really weak+ still have the w/ds on day 10 - wtf

I think the whole US medical profession is very concerned about oxycodone & OxyContin in particular. The Sacklar family really pushed sales. I've witnessed good doctors shifting patients from oxycodone to oxymorphone (a BAD idea IMO) to levorphanol to god knows what so that inspectors will not decide that oxycodone is being overprescribed.

The truth is, the cheapest & most convenient opioid for quitting is methadone. (linctus) It's also used medically for pain (tablets). Maybe it's worth talking to a pharmacist. it IS in confidence & since you are prescribed oxy, you are breaking no laws. It sounds like you want out and methadone down to 10mg/day and then buprenorphine for 2 weeks is the most successful tactic I know of.

I hope you feel better soon.
 
Never heard back from the dr-supposedly she just has to sign the script and send it over 30 secs tops---so disappointing --After feeling so ill and being there 4 hrs yesterday--so down
 
I just got back from a 3 hr appt and a hellish cab ride. Boston is effing freezing--I walked blocks trying to find my cabs so I must be feeling better. Anyway,I am so weak and did lose 15 lbs at least so that was good-the weight-loss---we woman always want to get as tiny as possible. She prescribed a small amount of oxys 50 30's--I was stilll thrilled -I intend to be diligent on keeping it down she also prescribed narcan--and prednisone and diazepam. When I went to pick it up the pharmacy said no--it was too large a RX and they were trying to verify my insurance--yes I just got it but ikts there--bottom-line, I have to call my dr back tomorrow and have her write a smaller rx---????? So another night of hell. I intend to stick to the plan this time--I don't think I have a choice if I can get any medicine eventually. First call I make at 0900 to the dr.
The refusal of either a pharmacy to fill an opiate script they feel is too large, or an insurance to cover an opiate script for a larger number of pills, or for a longer period of time than what they cover is a common theme, since the advent of the opiate crisis.

I have found that CVS won’t cover any opiate script that’s written for any time period longer than a week. So I’d avoid them entirely. I have great luck with both Walgreens and RiteAid, as they don’t put any time limits on the length of time the pills are prescribed for, again, though, I’m in CA so I may have different results.

My own insurance doesn’t cover more than 60 pills of opiates in 1 month. So I pay for it out of pocket. But I have found a fabulous solution to this. There is a free discount card online called GoodRX. You simply Google it. Put in the dosage in mgs. and the number of pills you were prescribed and then pick a nearby pharmacy you’d like to use. It will compute a price that the pharmacy will charge you. There are slightly different prices at different pharmacies, so look at a few. Then you call the pharmacy you want to use with all the info that you see on the card that is shown on your screen. They’ll ask you for a bin#, a pcn#, an id# and one other number. Then the pharmacy calls you when it’s ready.

My monthly dosage of 120 20mg Oxys ends up costing me just under $15.00! So don’t worry if your insurance doesn’t cover it, it’s just easier to use that GoodRX discount card.
 
Unfortunately, I had them filled at a CVS. The Dr sent the rxs through electronically. I was able to get all 7 of my Rxs for free b/c I have the Mass health for now. (My application is pending with American airlines) I can't do any job w/o some pain relief though--I hope this works out-- I will really try to stick with the exact dosage amt, as I really have no choice. 15mgs every 6 hrs---It will be hard , but w/ds are harder, and I won't go to the streets--I haven't done that since I was 18. I would think that I am opiate free after being clean for 11 days? So it will have to work. I will not go through the w/ds of Hell. God Phosphate pills are gigantic--my electrolyes are bottomed out according to the bloodwork and lots of other unpleasant things.--I wish my son could understand--he kept telling me how unhappy he was with my w/ds--I guess he just wanted me to take 15+ ibuprofen a day which would certainly play havoc with my liver---this is all I can do right now and I can't keep suffering.
 
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