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  • EADD Moderators: Pissed_and_messed | Shinji Ikari

(UK) can you get opioid replacement without them telling your doctor?

ChemicallyEnhanced

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Joined
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I'm sick of the stress of getting extra opioids and going through withdrawals etc. I'd want to go on buprenorphine as have been on methadone before and it's just not for me.
But I don't want my doctor to know because I don't want him stopping my Dihydrocodeine prescription (I have legit chronic pain).
I'm 90% you CAN, but I wanted to be totally sure?
 
Only if you go private. And even then you would need to go private without insurance, because insurance requires a referral letter from your GP. So you'd need to be paying a private doctor out of pocket. You'd be looking at bills of a few hundred quid to see them for 30 minutes.

From what I've heard though, private addiction clinics are happy to script any opiate within reason e.g. a bottle of Oramorph if that's what sits with you best, they don't limit themselves to methadone or buprenorphine. But if you're doing this "off the books" to hide from the NHS you also need to pay full price for all scripts, not the subsidised NHS rate of £8.80 or £9 or whatever it is now. It'd be the same even if you used insurance, private healthcare insurance in the UK covers consultations but it does not cover the cost of outpatient medication.

But if you have documented chronic pain couldn't you have a discussion with your doctor about increasing your dihydrocodeine script instead? If you want more legit opioids without being marked an addict that seems the way to go, no?

If you are currently on the regular 30mg's you can ask to be put on a higher dose of DHC Continus which goes up to 120mg and GP's can script two of those a day. If nothing else they're very good at covering withdrawals all day even from oxy. Had to lean on them for that myself just recently.

Not difficult to get either at least not in my experience because it's still only DHC and it's time release which GP's prefer.
 
Would using bupe cause a horrific withdrawl syndrome if you have DHC in your system?

Ye Gods you are braver than I am, my stomach just flipped at the memory of taking subby when I wasn't fully into a rattle.
Nutmeg what?.............
 
Would using bupe cause a horrific withdrawl syndrome if you have DHC in your system?

Ye Gods you are braver than I am, my stomach just flipped at the memory of taking subby when I wasn't fully into a rattle.
Nutmeg what?.............

I thought that, but this woman I "know" gets high on a combo of Bupe and Oxymorphone
 
I think he's sick of the cycle of running out and having to reup so he wants a legit supply. Which ain't hard to do with an understanding GP in my experience.

Yeah, this.
Also, I *can't* really buy drugs as a condition of moving back in with my parents (after being homeless) was that my dad controls my money. I can sell shit for cash and use that for stuff I really want, but the whole point of getting on Subutex is to get it a) for free and b) every day so to end all the worry and hassle.
 
Only if you go private. And even then you would need to go private without insurance, because insurance requires a referral letter from your GP. So you'd need to be paying a private doctor out of pocket. You'd be looking at bills of a few hundred quid to see them for 30 minutes.

From what I've heard though, private addiction clinics are happy to script any opiate within reason e.g. a bottle of Oramorph if that's what sits with you best, they don't limit themselves to methadone or buprenorphine. But if you're doing this "off the books" to hide from the NHS you also need to pay full price for all scripts, not the subsidised NHS rate of £8.80 or £9 or whatever it is now. It'd be the same even if you used insurance, private healthcare insurance in the UK covers consultations but it does not cover the cost of outpatient medication.

But if you have documented chronic pain couldn't you have a discussion with your doctor about increasing your dihydrocodeine script instead? If you want more legit opioids without being marked an addict that seems the way to go, no?

If you are currently on the regular 30mg's you can ask to be put on a higher dose of DHC Continus which goes up to 120mg and GP's can script two of those a day. If nothing else they're very good at covering withdrawals all day even from oxy. Had to lean on them for that myself just recently.

Not difficult to get either at least not in my experience because it's still only DHC and it's time release which GP's prefer.

The charity in my city that refers you (and the methadone/subutex place themselves) promise you don't have to tell your GP and that they won't. I'm just dubious.
To be fair, a few months ago my GP asked me "are you still on Methadone?" - I haven't been on it in over 3 years, so maybe they DON'T tell. He knows I went on Methadone but that's because he's the one who referred me initially.
 
The charity in my city that refers you (and the methadone/subutex place themselves) promise you don't have to tell your GP and that they won't. I'm just dubious.
To be fair, a few months ago my GP asked me "are you still on Methadone?" - I haven't been on it in over 3 years, so maybe they DON'T tell. He knows I went on Methadone but that's because he's the one who referred me initially.

That's interesting. Sounds like they're separate from the NHS then? It does work different in different areas. Any drugs services run by the NHS will put the info on your record but if it's an independently run charity they may very well not tell your GP.
 
That's interesting. Sounds like they're separate from the NHS then? It does work different in different areas. Any drugs services run by the NHS will put the info on your record but if it's an independently run charity they may very well not tell your GP.

Yes, they are separate from the NHS as they're an addictions charity. I'm gonna go see them and just ask. Can't do any harm, I guess. If I ask them BEFORE I give them my name or anything there's no risk.
 
I went through one of the NHS drug clinics and they also promised me it wouldn't go on my records - that was the only reason I agreed to go on methadone. It took quite a while for me to realise they'd lied through their teeth...

Yeah I'd think any prescription you get for anything, unless you pay for private clinics, would go on your medical record since everything is so centralised these days. It's all on one big database. You can check it out on Patient Access and you will get a list of all your current and past prescriptions. I can't imagine methadone or buprenorphine would magically be exempt from this.

Private docs are the only way to be sure, they still physically write scripts on bits of paper.
 
@LoginNotSecure

Could you weigh in on this? Personally I doubt this isn't going to go on your medical records, there's just too much risk. What if you were to get into treatment in one area and then try to get into treatment again in a different area? Surely this is the sort of thing that would go on your record to prevent this kind of doctor shopping, and that before issuing ANY script for bupe, GP records would be checked and updated
ChemicallyEnhanced

Speaking from experience, they don't fuck around when it comes to methadone or bupe and rightly so. Also, you'll be drug tested before treatment and you'll usually need to fail for heroin metabolites specifically, as least in my neck of the woods. Plus you'll be tested during treatment and they'll find it odd you'll fail for codeine/morphine but not 6-MAM.

Lastly, using bupe instead of or in addition to dihydrocodeine is a horrible idea. Bupe is mega potent and will fuck your tolerance right up to the point DHC won't work anymore, even completely disregarding bupes blocking effects. This is a really poor idea, though one I totally understand, I wanted to get on OST to have my cake and eat it, so to speak. That is, as an insurance for when I ran out. It sounds great, but it doesn't work for long, with bupe because it has such a long acting blocking effect and you have to go in everyday and take it supervised bar Sundays means you pretty much can't get high at all, which also means in your case DHC won't work for pain either. It works better with methadone, but only below 60mg and even then you'll need way more gear than you used to use, which in your case would render DHC practically worthless.

I used to lie and put a lot of spin on what I told any medical professional, usually to downplay any issues I was having or because I convinced myself I knew better. All that happens is you don't get treated effectively and you just end up fucking yourself. Be honest with them and more importantly yourself. I'm not having a go because I used to do it myself, but you will save yourself a lot of pain and wasted time if you engage properly with your doc and lay your situation bare. Spinning this web of lies to get yourself into addiction treatment, to take a highly potent opioid under the guise of "pain relief" and avoiding "the stress of getting extra opioids and going through withdrawals" whilst trying to hide this from your GP, your main treatment provider so you can continue to get opioids from him too? It's pretty crazy dude and I am 99% sure they will know the second you get started into it. Then you're out in the cold with your GP and the addictions service, no one trusts you and everyone is pissed off because you weren't serious about either course of treatment. How do you imagine that conversation with your GP will go after he finds out? Do you think he will stick his neck out for you again? You may well lose your DHC script if you get on OST, but you may not, or you may get it back eventually, but only if you are frank and honest.

Hopefully reading this will help you realise that whatever situation you are in is spinning rapidly out of control if you think that this is a solution to your problem. Again, not insulting you, just trying to make you consider the ramifications properly.
 
Personally I doubt this isn't going to go on your medical records, there's just too much risk. What if you were to get into treatment in one area and then try to get into treatment again in a different area? Surely this is the sort of thing that would go on your record to prevent this kind of doctor shopping, and that before issuing ANY script for bupe, GP records would be checked and updated

This is my thoughts too.

Speaking from experience, they don't fuck around when it comes to methadone or bupe and rightly so. Also, you'll be drug tested before treatment and you'll usually need to fail for heroin metabolites specifically, as least in my neck of the woods. Plus you'll be tested during treatment and they'll find it odd you'll fail for codeine/morphine but not 6-MAM.

This seems to depend on local services. There's people in the UK who get put on bupe for codeine addictions. Yes just codeine no other opiates. Dead serious mate.

I agree with your later point that it's a silly idea because bupe is so much more potent than codeine or DHC, but it does happen that someone with a DHC addiction can get put on bupe.

However it will most certainly be on their medical record thereafter. And again to be clear - I am in full agreement it is a terrible idea, it's basically levelling up a light addiction that's pretty easy to taper off to an opioid more potent than heroin which is notoriously the worst one for withdrawals.
 
Terrible idea.bupe is shitty for pain in my opinion.my pain is headaches and bupes shit for headaches codeine is far superior to bupe for headaches.other pain could be different though and u can't use a decent bupe dose and then have dhc as it will block it but a low (3mg or less) dose of bupe in the morning and dhc in the late afternoon will be fine as I find less than 3mg of bupe and a few hours equals no blocking effects but a big dhc dose at night and then bupe the next morning might be a problem if it's still having an effect.taking dhc then bupe will equal shitty feeling.dont do it.overall bad idea.ask your doc for an alternative to dhc or for more of something else as it's not getting you thru.in Australia you can't get on bupe if you're prescribed any other painkillers.they check.
 
Everything has to be documented these days, a lot of clinics (especially private) have switched over to electronic dispensing. Like a huge vending machine that pumps out drugs, instead of crisp and choc bars you get pills and potions. (Saves on medication checking, and error in dispensing of the wrong drug(s)) For sake of clarity and conforming to regulations (and trust me, it's checked under a fine microscope) if a doctor says it's not going on your record (digital or otherwise) they're talking out their rusty starfish. You can get a period of grace, which is usually six months until official reporting has to take place, in the mean time, doesn't mean you can't hit every private prescriber in the area, but depending on your poison, it's an expensive route. I charge £185 plus prescription cost (not the £9 NHS standard) per consultation.

For that, you get 15 minutes of my time.
 
$185 for 15 minutes.That's up there with high class hookers.only they didn't need to go to university for 5years to earn that much
 
I went to a private doctor (£50 per 15 mins) to get two (one NHS) parallel Oxy scripts and it was fine.

I'm super confused about Subutex now. Would it be okay to take alongside DHC or not? Like I mentioned this woman on Intervention who got high by taking both Suboxone and Opana and somebody said that WOULD work. So would Subutex and DHC, or would the Subutex knock the DHC off my receptors?

I sit here again super nauseated, with the super-sweats...so I'm just desperate to get an every day thing so no more weekly withdrawals.

I actually pay £0 for my NHS scripts. I'm on 13 prescription meds and they're fortnightly so I'd be bankrupt otherwise. It'd cost me £252 a month! actually my DHC is weekly so £270 a month.
 
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