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Opioids Safescript

SouthEast24

Greenlighter
Joined
Sep 8, 2024
Messages
5
Hi there. I have a question re safescript. I’m a chronic pain patient and always light up red whenever my doctor checks the safescript website. This might be because I’ve seen other doctors in the past at the same clinic and didn’t know what the “rules” are around that. Likewise I’ve been flagged by a pharmacy as I normally go to a particular one but this time I was near a different one and didn’t know I should stick to the one pharmacy.

So, is there someone that can explain how safescipt works? How do I stop being red listed? My doc still gives me my script but I worry what happens if he’s away or in holiday. I have also asked whether there is a permit I should have and he fobs me off saying there is no permit and if there is, it’s pointless. But again, it would go a long way to making me feel like I’m not drug seeking as you don’t get treated very well at some places when it looks like you’re doctor shopping, even if it was a while ago and always at the same clinic.

I wish I had an outside “source” to help when I’m in pain and I’ve run out before I can get another script but I don’t have any such contacts for opioids so my best bet is trying to understand how safe script and being flagged/ not flagged works as well as whether there is such a thing as a permit which would then sit with me rather than the prescribing doctor and if so, how is it obtained.

Just for more info, I’m also under the care of a pain clinic which endorses the current opioid treatment.

Thank you!
 
Can’t speak to Safescript but I’ll help if I can. Finding ‘outside’ sources is rarely that tough. Depends where you live obviously. I moved to Greenville, SC ~9 months ago and have found absolute ZILCH on the street. It’s the only reason I was finally able to get clean after half a lifetime of opiates.

Is your current med regime insufficient? What exactly is your preference opiate-wise? Because if its. Fent, tar, or methadone, your tolerance will grow by the day.

Where do you live? You should consider the penalties of your town nowadays in ways you didn’t have to til recently. Meaning, there are a number of cities & states who simply won’t prosecute possession charges anymore. Cali, Seattle, Colorado, NY…probably your best bets penalty-wise.

Lastly,, remember that you risk getting kicked out of your pain clinic if they hit you with a random test…or ask you to bring in your pill bottles to count what’s left. That’s a much bigger pain in the ass than getting tossed from a methadone clinic.

Best of luck to you!
 
Where do you live? You should consider the penalties of your town nowadays in ways you didn’t have to til recently. Meaning, there are a number of cities & states who simply won’t prosecute possession charges anymore. Cali, Seattle, Colorado, NY…probably your best bets penalty-wise.

I don't know, man.... moving from Australia to the USA seems a little drastic in this case.
 
Haha, think you’re stuck mate. Give it a shot, let us know how it goes.
 
Can’t speak to Safescript but I’ll help if I can. Finding ‘outside’ sources is rarely that tough. Depends where you live obviously. I moved to Greenville, SC ~9 months ago and have found absolute ZILCH on the street. It’s the only reason I was finally able to get clean after half a lifetime of opiates.

Is your current med regime insufficient? What exactly is your preference opiate-wise? Because if its. Fent, tar, or methadone, your tolerance will grow by the day.

Where do you live? You should consider the penalties of your town nowadays in ways you didn’t have to til recently. Meaning, there are a number of cities & states who simply won’t prosecute possession charges anymore. Cali, Seattle, Colorado, NY…probably your best bets penalty-wise.

Lastly,, remember that you risk getting kicked out of your pain clinic if they hit you with a random test…or ask you to bring in your pill bottles to count what’s left. That’s a much bigger pain in the ass than getting tossed from a methadone clinic.

Best of luck to you!
Thank you, I do appreciate the comment however I’m in Australia and also not in that scene so wouldn’t have a clue where to even start. No, unfortunately in Australia it’s extremely difficult to get help for chronic pain and pain clinics tend to not be very useful. To be honest, the only benefit from mine is that my GP then has support from my pain doctor to be able to prescribe the little they do prescribe.

What I would really like is to have an understanding of how safe-script works in Australia. It’s all well and good to follow the rules but I don’t even know what the rules are. What triggers a red flag? How long does it last? What are the do’s and don’ts?
 
You’re supposed to be getting the scripts from the same doctor and then filled at the same pharmacy every time. Even if you’re getting it from a different doctor at the same practice they don’t like that. BUT the reason your doctor is being dismissive is because if they trust you it’s not a huge problem. They can see a bunch of red and still write a script. But if you suddenly have to start seeing someone else.. that’s when things get more complicated.
 
Thank you, I do appreciate the comment however I’m in Australia and also not in that scene so wouldn’t have a clue where to even start. No, unfortunately in Australia it’s extremely difficult to get help for chronic pain and pain clinics tend to not be very useful. To be honest, the only benefit from mine is that my GP then has support from my pain doctor to be able to prescribe the little they do prescribe.
What state are you in and are you seeing a multi-disciplinary pain team at a major hospital?

Flags generally don't matter much unless you're getting prescriptions more often than usual. Safescript shows information about when scripts were written and by whom. If you go to a clinic, the doctors there are going to be aware that previous scripts were written by other doctors at that clinic. Likewise, if you have both specialists and your GP prescribing, they're going to be aware of one another and not be concerned when multiple prescribers come up in the system.

Your question sounds a little like you're asking how you can avoid being flagged and you often can't. Doctors and pharmacists always have a choice about what to do with the information on Safescript, though, and you're far less likely to encounter a refusal to prescribe or dispense if the things triggering the flags make sense to the person considering them. Using the same pharmacy as much as possible probably helps more than using the same doctor.

You don't mention any pain medications other than opioids. If that's the case, your pain management plan needs review because tolerance is going to be an ongoing issue.
 
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