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The future of benzos and opioids in the States

Kyle210

Greenlighter
Joined
Aug 18, 2014
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14
Hello all!

I think if you've talked to doctors now from just 7 years ago, there is a reluctance and paranoia about giving benzo scripts. In fact, my grandmother used to get 30 Xanax and it lasted like 4 months. She asked for a refill and she got 4. I know many doctors who will only prescribe them in small quantities (around 10) and tell folks that that's all they'll get for awhile.

Well my former psychiatrist loved meds. He put me on a regimen saying it was safe. Even after two seizures, he said "you don't wanna get hooked." Uh too late!

I've tried tapering... it's hell. 6 times, 4 under doctors supervision and still 6 seizures. My last two psychiatrists refused to taper.

I moved back to Austin some 2.5 years ago. My PCP took over prescribing. He doesn't mind writing it for me and he won't let me taper but he's been egging me on for a year to see a psychiatrist. Or even a therapist. Something just to give him some protection. He's so paranoid that he writes 7 day scripts. So I have to go every 7 days and pick up a new script.

Now OPIOIDS, my gosh. I remember having a herniated disk and several other problems, going to the doc, he saw the problems, gave me 180 Norco/month with 5 refills

Since then though... I've had to go monthly, get tested each time, and my new pain doc wouldn't give more than 4 a day despite me getting in a brutal wreck where I was in the ICU for 14 days, given 12 Percocet a day and IV Diauloded .6mgs/10 minutes. I broke every bone on my skull, my jaw, right hand, right foot, broke six ribs, my back, my back, my back.

I've got six diagnoses for my back and complex regional pain syndrome, a terrible case of it in my foot. My pain doc wanted me just on 4 Norco and the pain doc before on 4 Percocet. Yet before my wreck a different pain management had no problem giving me oxycodone 20mgs qid and MS Contin 30mgs bid.

What do you think the future holds for these classes of meds? Is it going to be damn near impossible to get opioids in the future, are first time patients going to get Rx NSAIDS instead, what will happen?

And what will happen with benzos? I think the idea of regimens has become something only for very extenuating circumstances which I agree with and if it were always like that, PRN benzos wouldn't be a problem. But what about us who have sadly been on a regimen for six years, unable to get off?

I kind of worry about our wellbeing. As a nurse, I've seen some docs straight up deny patients screaming in pain from narcotics, not even tramadol. My grandmother who takes Xanax PRN is being much more limited. My aunt, who only takes them when traveling to third world countries for vacation, and that's documented, her doc won't give her the 8 Xanax he used to.

I hope we don't become like Europe or nations like Saudi Arabia and UAE, where benzos are banned except for surgeries and Tramadol is the only opioid legal!
 
okay so two things. one) From the past two psychiatrist and one doc i've seen in the last two years benzos have not been an issue for me to get them and continue my regimen. However, every patient is different and the trust level/intention of why the patient wants these meds again are all different so that might be a reason as to why i've never had an issue with benzos at least. I agree an everyday use of benzos should not be the case BUT i guess i'm the "lucky" ones who in two years still to this day need the same dosage i started off with as well as randomly going off cold turkey plenty of times zero withdrawal probably plays a roll but that is an extenuating circumstance as you mentioned. However my intention and the fact that it was what was needed at the time was genuine, and the level of trust was/is secured due to no prior misuse history played a roll as well.

now to mainly answer your question I'm not sure why I feel this way, and its not even me saying this because i want this to be the case its just a feeling i have...I believe in relation to my first point is really how things will continue to play out. I think that most practical/ethical prescribing professionals would never jeopardize someones mental or physical health if it is TRULY needed and therefore, these meds will probably continuing getting prescribed. I do not believe they will be band, whatsoever. Definitely not a whole class of medication at least in the near future. Some doctors can be stubborn and not really treat the patient but rather treat their own comfort zone if that makes sense, which I think is starting to become a very big issue as well and a lot of doctors and professionals, like you, are criticizing the immoral doings of those types of doctors. In the end though, i don't blame a professional for not wanting someone to be on these medications long term, and of course i would never condone a doctor to make a patient go through terrible pain or withdrawal or debilitating anxiety. So I think theres hope of a happy medium. It's very tricky. and I come from a house of doctors, as both my parents are physicians and one thing we spoke about is actually, we only hear about the cases of these meds when things go haywire and the prescribing or lack thereof isn't right. we never hear the stories of the probable millions of patients who still have no issue getting these meds when they need them.
 
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if you think its a bitch to get those two Rx's in the states mate you should see what its like in the UK
 
I worry sometimes what it'll be like if I do get seriously hurt and need opioids. Even when the day comes where I find out I have cancer and the pain is unbearable. "i see you have kidney cancer with excruciating pain. I'm going to give you 800mg of ibuprofen and you'll be feeling as good as new!". But seriously, it's disgusting how people in pain, chronic conditions etc are given medications that can almost be given over the counter.
 
The pendulum swings back and forth. There have been successful malpractice lawsuits for refusing to treat or undertreating pain, these will increase and counteract law enforcement and politicians, and their mouthpiece the CDC, pressuring for undertreatment. It's a general cycle like Blackstones Ratio, how many shall suffer in pain such 1 drug abuser doesn't get high on safer pharmaceuticals instead of street drugs.

I worry sometimes what it'll be like if I do get seriously hurt and need opioids. Even when the day comes where I find out I have cancer and the pain is unbearable. "i see you have kidney cancer with excruciating pain. I'm going to give you 800mg of ibuprofen and you'll be feeling as good as new!". But seriously, it's disgusting how people in pain, chronic conditions etc are given medications that can almost be given over the counter.

I already handle this differently these days. Had to go to the ER for excruciating pain, got the 3rd degree about if I wanted meds or was in withdrawal (track marks have long been too bad to hide with makeup like the old days at the pain doctor). I informed them no, I'll treat my own pain, I just took a bunch of heroin and will take more as soon as I'm discharged. They actually appreciated this honesty and 5 minutes later was sent for a CT and ultrasound to find out what was wrong (kidney stone). This one resident thanked me like 5 times because he was excited about having to take blood from someones foot for the first time.
 
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