Yeah, this is nothing excessive. In fact, it is a single days worth of my meds, excluding only a xylometazoline nasal spray and bottle of gaviscon, which of course, can scarcely be partially dispensed, but those are of no consequence, hardly likely to make anybody turn an eyebrow up in curiosity.
There is a CD on one of them, oxy 80s, but not an excessive quantity. two tablets, a single day's worth of that, likewise, enough of my meds just to cover the fact that I needed to switch my due day for my scripts (they are all on a regular basis, bar only some steroids, mometasone, beclometasone, hydrocortisone and occasionally a short course of methylprednisolone, those I just ask my doc for as and when I actually need some more) and also injected prednisone, and injected bupivacaine or lidocaine, but those never goes to a pharmacy, I have my doc do the steroid shots into my joints, sue me, but whilst I can handle IV, IM, SC injections myself confidently and safely enough, I've never myself done an intraarticular injection and see no good reason to either, my GP is one of the most senior in the PCT area, and has many years of experience doing those so I have no need.
Although the regional nerve blockade, that I can do easily enough (I got left with some degree of nerve damage after I had an unsuccessful surgery...didn't fix the problem, and buggered up more things besides, and like many, I find that neuropathic pain is extremely resistant to opioids, to an absolutely insane degree, 2mg of IV fentanyl is quite enough to put me flat on my back, in a state where somebody could hit me in the face with a hammer, and I doubt I would notice at the time...but the only effect on the neuropathy it had, was to make it just a little bit less intolerable)
Shouldn't have to say it, but nobody here should go and try shooting 2mg of fent, I did it, but I didn't push it quickly, and I have, regrettably, a hefty tolerance to opiates, and access to respiratory stimulants at the time (nikethamide, not something I would want to use in any case, given my understanding of its method of action...I think its some sort of GABAa antagonist or inverse agonist selective for the barbiturate site, sounds a lot like bemegride, as it had been made, basically, for no other reason than being incredibly bloody bored, with absolutely nothing better to do, from scraps of otherwise useless rubbish
)
I'm glad to say, that I got my prescriptions. Had to go around and about a bit, as various places didn't have one or other of my meds. No pharmacist or assistant pill gremlin complained, and nobody asked any questions, other than to confirm my name and first line of address, which is reasonable enough, especially from a place that I have almost never picked up prescriptions from. Couldn't get everything on all of the rx slips (I get so many its a bloody nuisance fillingin all the forms, not all of them bluelighter-desirable goodies, lots of stuff like corticosteroids, antihistamines, movicol to go with the oxy to prevent getting...well..nuff said there
), but I don't really worry too much about having to wait a couple of days for a topical NSAID spray, not the end of the world.
Going cold turkey on a mixture of oxy 80s, chlormethiazole, clonidine, tizanidine and buscopan (scopolamine/hyoscine quat. amine salt, for stomach cramps)....that on the other hand would turn very unpleasant and ugly, very quickly)
I don't get it, really, WHY she (the pharmacist being a pain in the..albeit rather tall, leggy and not at all unattractive, for someone not autistic, arse haha) was being like that. Shes always been friendly, helpful and considerate in the past. To the extent that on one of the very, very few times she has ever made a mistake with a prescription I've had, I was left down by a couple of chlormethiazole capsules just because she must have accidentally miscounted them whilst dispensing. I'd gone home, checked everything, and found I was a couple missing.
Went back, and told her what the problem was, and she didn't even check the quantity remaining in the stocks, or any records, just 'here you go, sorry about that', no questions asked. Its no CD, but its quite certainly an abusable pharmaceutical, GABAa agonist with a bloody steep dose-response curve, squirrely as hell interactions with alcohol (I.e couple of drinks, quite a few people end up turning green around the gills and passing out
), and a very barbiturate-like profile, subjectively and objectively speaking. I was being truthful, and had indeed been left down those pills, but I could very easily have taken some, and waved a bottle in front of her, having gone home and come back...she didn't even ask to see the bottle or count them, although I did have it with me in case she did.
All in all, nice lass, never a problem before, always gone out of her way to make sure I get what I need, when I need it.
But all of a sudden, turns round and does that, and furthermore attempts to sabotage my ability to pick up the prescription at the other local pharmacy. The only other local one that I can walk to without my pain levels becoming intolerable, if I have no meds and am picking up a fresh script.
Thankfully, didn't decide to submit a job application for the gestapo/waffen SS and call every pharmacy in my home city at least. But it still meant I had to go to the neighboring town to get my first dose of the day, I managed to get a lift from my old man down there thankfully, but even then, it really doesn't take much, exertion wise.
I truly dread it, when I have to go into the city center for instance, things haven't always been like this, but since the trochanteric bursitis developed, I stop off every tram stop on the way that possesses a pharmacy in said area, and load up on bottles of pulmo bailly and J.collis brown's, or I just do not go. The alternative is absolute searing agony, and neuropathy-induced feeling similar to what happens when you, as a naiive, innocent child, need a piss in the countryside, and happen to do it on a cattle-deterrant electric shock fence (yes, did that. wasn't much fun
)
For about three days afterwards. Stuck in bed, possibly needing crutches just to walk to the bog or the lab, and in fact, quite unable to take a shite. Not due to the opioids, but simply because muscle movement anywhere near the waist or lower abdomen area puts strain on where the bursitis is. The actual original injury to my knee, where I fell on glass, which went through the gap just below the patella, and left chunks of it embedded into the patellar tendon, that was downright nasty, I had to WALK back home, several miles before I could get help (I did manage to remove the largest of it on the spot, at least, I got out the big fucking great shard that was sticking out (and in)
But that was nowhere near as bad as bursitis...christ. It was for years and years, that my problem was chronic knee pain, with some attendant muscle weakness due to my not being able to exert myself, or bear the same kinds of load as my other, good leg can, until eventually the change in walking gait caused the trochanteric bursitis to develop. Now my knee is just an annoying bitching whining pain in the background, and my problem is my hip, although my knee has got no better, the hip overshadows it. Both piss and moan about being walked on, etc., its just that my hip shouts a lot louder.
I'm hardly asking much from the pharmacy/pharmacist, all I want, is for valid, non-fraudulent, legitimate prescriptions to be taken, and the things written on them to be given to me. That, and for those doing so not to be rude to me.
Weirdest thing is, really, really odd...is that this very same place, has, on many, many occasions, filled without question, double-sized scripts, for two weeks, when I am on a weekly regular one, that is unchanging, save as said, for (cortico)steroids when needed, or the odd thing that might be needed on a one off basis, such as the occasional immodium, packet of APAP, aspirin, or what have you, or like this time, a couple of days worth of sleepers, I had a one time nitrazepam rx also, which she gave me without question.
In the past, I've had those regular scripts done early, not even just days, but got TWO weeks worth, after maybe three days after getting a full refill when due for it. Given to me by my doctor, the same, top-ranking, senior GP in the entire PCT area (maybe not the no.1 top bollock, but may well be, he is certainly one who appears in the local news, fighting for patient rights, and protesting about risks when services are in danger, etc. and he KNOWS what he is doing, thanks to many years of experience running my practice. He is a compassionate, sensible, decent guy, and not at all tightfisted, as everybody here probably knows many docs can be. He on the other hand, does not just hand CDs out like sweeties, I couldn't go in there and walk out with a diamorphine amp, methamphetamine and pentabarb party pack like, but he won't leave a patient to suffer either, out of a fear of giving out dependency-liable drugs, as some are)
I USED to get my prescriptions on a tuesday, every tuesday, the very moment the pharmacy I had the surgery send the prescriptions to (saves making an appointment every single time, and thus risking being unable to obtain a slot, and of course, leaves an appointment that somebody truly in need of seeing him face to face could otherwise have in my place), but now I had them switched to mondays, its just more convenient for me, helps me keep a routine, get everything first thing in a new week, moment they open, and not have to worry for the rest of the week, all sorted.
And this time I had a very specific good reason to change it, that would serve as an 'excuse' to make the change. Not that it is something that needs excusing. Basically an appointment, a very, very short time after the pharmacy opens, actually an appointment I heartily wish I could phone up to, and tell them to fuck off and not bloody bother me again, DHSS 'medical', yuck. Pharmacy opens their doors very, very soon before my interrogation session with the SS totenkopf divisio...err....benefit agency 'doctors', and I would otherwise have been unable to make the journey in time after collecting my meds.
So I told my doc that, and also that I wanted to change my due day to mondays in future. Fine with him he said, and that also he would give me a days worth of all my meds, bar the gaviscon, as I said I had some and wouldn't need more in the day before I'd have got another anyway. Not only that, but he had given me a repeat too. I didn't ask for one, but noticed after leaving, that the days worth he gave me, also came with a repeat too, not a huge one, but again, a repeat for a single days worth of medication.
Suits me. Means that I will indeed end up with one extra days worth, twice. Once for the rx itself, and then my refill.
Due I think, to the combination of being given the day rx AND changing to mondays from tuesdays at the same week. Why the doc also allowed me a refill of that (same quantity, one day of everything), I don't know, I didn't ask him, I didn't notice until I had already left...and besides, if it WAS unintentional, why take the chance he would realize it and ask me for it back
I didn't ask for the refill anyhow, he didn't tell me either, I just got one, to my pleasant surprise
Basically due to all the dates changing, the right hand not telling the left what it is doing, etc. seems like possibly it just lead to me being made entitled to a couple of extras thanks to the confusion all around.
That doesn't stop the prescription being legitimate and legal. And yes, I do 'need' them. Because that means that at least twice this year, I can go on a proper hike. I only got to go mushroom picking a bare couple of times last year, even when I knew there was much good eating there to be harvested, because I just didn't have the mobility to go and take them.
The odd balls-up like this, means when it happens, that I get to choose to DO something, something worthwhile and enjoyable, that needs walking. Otherwise, I don't get that choice. Its fucking easy for a doctor or pharmacist. THEY are not the one who suffers for it when they fuck up. I do. They go home and see their other half, get pissed and fall asleep in front of the TV. I'm the one left curled up in a fucking ball of agony unable to walk much.
THEY make the mistake, *I* do the suffering for it if they do.
I could have gone a full weekend without anticonvulsants, clonidine, and tizanidine, had I been unable to get those legitimate scripts today. In my experience oxycontin (at least, the 80mg greens), pack enough of a dosage that when taking two per day, my usual dosage, morning (or at least, whenever the hell I wake up....which is very rarely actually a morning, I think I'm allergic to those
) and night time or evening, that if I have none on one day, yet have taken my full dose, both orally, the previous, then it tails off slowly enough that the first 12-15 hours or so is tolerable, unpleasant, but tolerable, as theres enough left floating around in me, thanks to taking steps to basify my urine, taking enzyme inhibitors, blocking peripheral opioid receptors in the gut with a mixture of immodium, codeine and morphine via OTC meds, so as to take up potential MOR binding sites peripherally, and allow more oxycodone to actually reach where its wanted most.
But I'll not be able to sleep during that, and be achy and not really in a great mood. Nothing a dose or two of a stimulant won't fix, but much longer than that and all hell breaks loose.
Would have been cold turkey if I'd been unable to get what my GP was generous enough to have given me during the switchover. He was being the kind, compassionate doctor he usually is, and simply making sure, that no matter what happened with the reorganizing, I would indeed have what he gave me, to fall back upon.
(if anyones wondering, why I was at one point, getting 3,4 times the rx I would have normally, and at a fraction of the time between due dates, that was due to SEVERE stomach problems, pain, constant repeated emesis, to the point where my doc understood perfectly and was ok with my having for that time period, used my oxycontin plugged in solution. I couldn't hold down ice cold coke (the beverage) for more than a few minutes without it just exploding back up again, bringing blood with it.
I haven't had it done yet, but I am getting tests done to measure blood levels of lead, copper, zinc, cadmium, tin, silver and mercury. I'm contemplating going back to my doc and asking him to also add on arsenic beryllium and thallium to rule them out. I have little reason to suspect poisoning from the latter two, but if screening is going to be done, I figure it sensible to include anything that I may possibly have been overexposed to, although the chances of exposure to anything more than absolutely fucking miniscule, tiny, microscopic traces of the faintest traces of beryllium, I've only ever come into contact with beryllium in its elemental, metallic state, save for in the distant past, touching beryl gemstone, which of course is not dangerous. As for the metal, little worry there either, always handled using gloves, or tweezers/tongs etc., and never in finely divided form.
Thallium again, incredibly unlikely. Not impossible, but very very unlikely.
So I had to at the time, get refills very early, due to being unable to retain anything. Swallow a pill...and often it would simply shoot back up again.
I want to find out bloody quickly. I'm sick of this....I have long, long, long hair, getting down to around my stomach, that took me ages to grow, and its falling out
![:\](https://bluelight.org/xf/BL_Images/Orig_Emoji/wrygrin.gif "wry grin :\")
