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  • AADD Moderators: swilow | Vagabond696

Can Doctors issue a repeat script for controlled drugs?

ilikeacid

ilikeacid

Bluelighter
Joined
Mar 30, 2006
Messages
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I recently hurt myself pretty badly and stayed in hospital for a few days on Oxys and other powerful pain killers.

When I left they gave me one script of 5mg Oxycodone and told me that if I needed more to go to my local GP because he was not willing to hand out repeats due to the fact that all oxys are controlled substances.

I ended up seeing my doctor 2 days later to get another script - because I'm in constant severe pain it was no trouble scoring a 10mg oxynorm script.

I was just curious to see if doctors ever give repeat scripts for 'Controlled' pharms, or is this something that is illegal for them to do??
 
Yes, repeats can be given for controlled substances, however, you have to meet the criteria(s) for approved authority (I honestly can't be arsed typing them out now though). They probably wanted your GP to assess you and decide the best course of action for medium/long-term use.

In other words: if you genuinely need it, they'll give it you.
 
^^^^ What they said, plus I think they have to make a phone call to authorise it whilst your in the doctors room.
 
OXYCODONE
CAUTION:
The risk of drug dependence is high.
Restricted benefit
Severe disabling pain not responding to non-narcotic analgesics.
NOTE:
Authorities for increased maximum quantities and/or repeats will be granted only for:
(i) severe disabling pain associated with proven malignant neoplasia; or
(ii) chronic severe disabling pain not responding to non-narcotic analgesics where the total
duration of narcotic analgesic treatment is less than 12 months; or
(iii) first application for treatment beyond 12 months of chronic severe disabling pain not
responding to non-narcotic analgesics where the patient's pain management has been
reviewed through consultation by the patient with another medical practitioner, and
the clinical need for continuing narcotic analgesic treatment has been confirmed. The
date of the consultation must be no more than 3 months prior to the application for a
PBS authority. The full name of the medical practitioner consulted and the date of
consultation are to be provided at the time of application; or
(iv) subsequent application for treatment of chronic severe disabling pain not responding to
non-narcotic analgesics where a PBS authority prescription for treatment beyond 12
months has previously been issued for this patient.
2481N Suppository 30 mg 12 .. .. 37.43 30.70 Proladone PL
NERVOUS SYSTEM —cont.
Code
Name, Restriction,
Manner of administration and form
Max.
Qty
No.of
Rpts
Premium
Dispensed
Price
for Max.Qty
$
Maximum
Recordable
Value for
Safety Net
$
Proprietary Name
and Manufacturer
316
OXYCODONE HYDROCHLORIDE
CAUTION:
The risk of drug dependence is high.
Restricted benefit
Severe disabling pain not responding to non-narcotic analgesics.
NOTE:
Authorities for increased maximum quantities and/or repeats will be granted only for:
(i) severe disabling pain associated with proven malignant neoplasia; or
(ii) chronic severe disabling pain not responding to non-narcotic analgesics where the total
duration of narcotic analgesic treatment is less than 12 months; or
(iii) first application for treatment beyond 12 months of chronic severe disabling pain not
responding to non-narcotic analgesics where the patient's pain management has been
reviewed through consultation by the patient with another medical practitioner, and
the clinical need for continuing narcotic analgesic treatment has been confirmed. The
date of the consultation must be no more than 3 months prior to the application for a
PBS authority. The full name of the medical practitioner consulted and the date of
consultation are to be provided at the time of application; or
(iv) subsequent application for treatment of chronic severe disabling pain not responding to
non-narcotic analgesics where a PBS authority prescription for treatment beyond 12
months has previously been issued for this patient.
2622B Tablet 5 mg 20 .. .. 10.90 11.89 Endone SI
8464L C apsule 5 mg 20 .. .. 10. 90 11. 89 OxyNorm MF
8501K C apsule 10 mg 20 .. .. 13. 88 14. 87 OxyNorm MF
8502L C apsule 20 mg 20 .. .. 18. 40 19. 39 OxyNorm MF
8644Y O ral solution 5 mg per 5 mL,
250 mL
1 .. .. 18.95 19.94 OxyNorm
Liquid
5mg/5mL
MF
~LINE~
Restricted benefit
Chronic severe disabling pain not responding to non-narcotic analgesics.
NOTE:
Authorities for increased maximum quantities and/or repeats will be granted only for:
(i) chronic severe disabling pain associated with proven malignant neoplasia; or
(ii) chronic severe disabling pain not responding to non-narcotic analgesics where the total
duration of narcotic analgesic treatment is less than 12 months; or
(iii) first application for treatment beyond 12 months of chronic severe disabling pain not
responding to non-narcotic analgesics where the patient's pain management has been
reviewed through consultation by the patient with another medical practitioner, and
the clinical need for continuing narcotic analgesic treatment has been confirmed. The
date of the consultation must be no more than 3 months prior to the application for a
PBS authority. The full name of the medical practitioner consulted and the date of
consultation are to be provided at the time of application; or
(iv) subsequent application for treatment of chronic severe disabling pain not responding to
non-narcotic analgesics where a PBS authority prescription for treatment beyond 12
months has previously been issued for this patient.
8681X Tablet 5 mg (controlled release) 20 .. .. 19.39 20.38 OxyContin MF
8385H T ablet 10 mg (controlled
release)
20 .. .. 19.86 20.85 OxyContin MF
continued ?
NERVOUS SYSTEM —cont.
Code
Name, Restriction,
Manner of administration and form
Max.
Qty
No.of
Rpts
Premium
Dispensed
Price
for Max.Qty
$
Maximum
Recordable
Value for
Safety Net
$
Proprietary Name
and Manufacturer
317
OXYCODONE HYDROCHLORIDE—cont.
8386J Tablet 20 mg (controlled
release)
20 .. .. 28.27 29.26 OxyContin MF
8387K T ablet 40 mg (controlled
release)
20 .. .. 43.76 30.70 OxyContin MF
8388L Tablet 80 mg (controlled
release)
20 .. .. 70.43 30.70 OxyContin MF
• Phenylpiperidine derivatives
FENTANYL
CAUTION:
The risk of drug dependence is high.
NOTE:
Durogesic is not recommended in opioid naive patients with non-cancer pain, because of a
high incidence of adverse events in these patients. Patients with cancer pain may be
initiated on the lowest strength patch (12 micrograms per hour).
Restricted benefit
Chronic severe disabling pain not responding to non-narcotic analgesics.
NOTE:
Authorities for increased maximum quantities and/or repeats will be granted only for:
(i) chronic severe disabling pain associated with proven malignant neoplasia; or
(ii) chronic severe disabling pain not responding to non-narcotic analgesics where the total
duration of narcotic analgesic treatment is less than 12 months; or
(iii) first application for treatment beyond 12 months of chronic severe disabling pain not
responding to non-narcotic analgesics where the patient's pain management has been
reviewed through consultation by the patient with another medical practitioner, and
the clinical need for continuing narcotic analgesic treatment has been confirmed. The
date of the consultation must be no more than 3 months prior to the application for a
PBS authority. The full name of the medical practitioner consulted and the date of
consultation are to be provided at the time of application; or
(iv) subsequent application for treatment of chronic severe disabling pain not responding to
non-narcotic analgesics where a PBS authority prescription for treatment beyond 12
months has previously been issued for this patient.
8878G Transdermal patch 2.1 mg
(releasing approximately
12 micrograms per hour)
5 .. .. 44.74 30.70 Durogesic 12 JC
8891Y Transdermal patch 4.2 mg
(releasing approximately
25 micrograms per hour)
5 .. .. 54.12 30.70 Durogesic 25 JC
8892B T ransdermal patch 8.4 mg
(releasing approximately
50 micrograms per hour)
5 .. .. 92.91 30.70 Durogesic 50 JC
8893C Transdermal patch 12.6 mg
(releasing approximately
75 micrograms per hour)
5 .. .. 126.01 30.70 Durogesic 75 JC
8894D Transdermal patch 16.8 mg
(releasing approximately
100 micrograms per hour)
5 .. .. 153.31 30.70 Durogesic 100 JC
 
Just rq on this subject, I have spondylolisthesis (slipped disc and trapped nerve in lower back) and am currently taking valium and Tramal. My doctor will not give me repeats on either of these due to the high dependency and tolerance levels.

Generally with any Opiades, if you are taking them for pain meds, your body will build up a tolerance and the drug will slowly cease working. After 3 courses of say, Tramal, the doctor would probably switch you onto something else and then back again.

This can vary from doctor to doctor im assuming, and a govt auth is required.

For those like me who are allergic to codeine, the choices are few and far between.
 
if it's needed then yes they will

it's common practise to give 6 months of repeats for dexamphetamine
 
The number specified on the PBS website is the maximum number of repeats you are allowed to have to for PBS to subsidize the cost. It does NOT represent the maximum number of repeats allowed.

If you dig through Drugs, Poisons and Controlled Substances Regulation 2006, regulation 26 (3)(h) basically says that doctor can issue as many repeats as they want!

For example: You bring in a script for OXYCODONE (20 tabs) and has 1 repeat, legally your doctor can do this but you're ganna have to pay the full price for both supplies. If you doctor wrote a script for no repeats then you are allowed to use your medicare and healthcare cards for a the lower price. Another thing is so doctors can check on you and you comming back to get another script = more money for them =P
 
Doctors can, but are under no obligation to do so. In my experience, emergency doctors won't, GP's might for acute disorders. The more chronic the problem becomes, the less likely anyone other than pain specialists are to be interested in providing repeat opiate scripts. We're real marks for people who want to score, and tend to overcompensate by under-prescribing for people with genuine needs...
 
Doctors only have to sign the bit of paper, why do they make such a big deal of it?

.. Seriously.
 
stealthtrucker said:
Doctors only have to sign the bit of paper, why do they make such a big deal of it?

.. Seriously.
Click to expand...


Well....they dont exactly want S8s to be going around on the streets, same reason we dont have amphetamines over the counter. Ithe doctor just signs ANYTHING, they'll be under fire from Aust government. They have a code of ethics to follow to keep practicing as a doctor...or its all those years of med school down the drain.
 
And if all doctors did it and half were not brainwashed about drugs, then prohibition would have to end. They can't lock up all the doctors HAHAHA!!

But they are too stupid to realise this. Like ants really. :)
 
stealthtrucker said:
Doctors only have to sign the bit of paper, why do they make such a big deal of it?

.. Seriously.
Click to expand...
that is exactly what my wife’s obgyn says. She had kidney stones when she was pregnant, The urologist gives her 10 vics, and she has ten stone all above 5mm in size and a 36mm stone(record size)in her bladder her uroigst called it the biggest he’d ever seen. My wife’s obgyn called the urologist a ripped a new one right in front of us. He told him “it’s not like you have to go down to the pharmacy and fill it yourself, or pay for it, all you have to do is sign a script? The poor woman is in pain as well as her baby you are putting her baby bat risk. I’m never referring a patient to you ever again you are heartless, you are supposed to heal and help, not cause harm“. The urologist replied I thought she was drug seeking, he told her she has a fucking(exact words) 4 inch stone in her bladder and is 7 months pregnant, and then he hung up, and gave my wife #60 dilaudid 4mg #30ambien with 3 refills and told her if she needed any thing else to call his cell phone. The nicest doc ever. After giving birth (she had 104 stitches inside and out) he gave#60 40mg oxy, and told her his philosophy is to keep his patients pain free he does anything he can to keep his patients out of pain, very caring man. Three weeks after she gave birth she to have her utera(?)stint removed and all ten stones and the super 3.6inch stone with a laser. The asshole urologist partner did it apparently he told his partner my wife’s drug problem and after the 5 hour surgery he left with out checking up on her and wrote a script for #20 vics well they were unable to control her post op pain they gave her 500mcg fentany l5mg diluaded , 20mg morphine, Demerol all iv(this was over a period of 6 hours), and then she was still in pain and stop breathing from an allergic reaction to the Demerol. The postop center was closing in an hour and they gave 200mcg fentanyl and her pain went from a10 to a 7. The nurse realized doing her discharge that she had a script for 20 vicodin, and there was no doctor around. It was 11pm and they where going to keep her overnight(an extra $2000 for us), so I called her obgyn told him the story he said he would drop of a script of #60 80mg oxycontin and #30 8mg dilaudid at Walgreens so we could pick it up on our way home. He drove 1 hour to do so.

My wife said the surgery was 100 times more painful than giving birth NO EPIDRAL OR PAIN MEDS. She bleed for 2 weeks from the surgery . Trust me I was very tempted to “borrow” some meds. After a couple of months when she was far clear from the pain I did indeed help myself. I still fell bad for doing that. To this day she can call when she is in pain and the doc will leave #30 percocet 10/325 at his office no ? ask, and of course she only takes 3 or 4.

[EDIT: Names/details of doctors who will prescribe drugs are a source. Don't post them. hoptis]
 
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With respect, anyone who's had 500mcg and 20mg in a 6 hour period and stops breathing is having a narcotic overdose; if they aren't DEEPLY sedated, they are not really unfamiliar with narcotics, are they?
The role of the medical profession is to save life and relieve suffering- not to help people score. Most of the medications we prescribe can also be used to poison people, albeit depending greatly on dose- "The dose makes the poison." We make adjustments to patient's pain relief if they are regular users, as long as they are honest about their smack / heroin consumption (re: doses etc). Sometimes, we get patients who will be up front about what they use and what they need, and in my experience, they usually get it. Patients who need major surgery should have whatever they need to keep them pain-free and still breathing... More often, users with minor injuries will try to score ridiculous prescriptions that have no basis in reality.
If prescribing was a matter of just signing a piece of paper, stealthtrucker, you'd be able to do it, wouldn't you? I'm not too sure who's more like "stupid ants"- is it the doctors who have been "brainwashed about drugs", or seekers and doctor shoppers who think they can con an illegal prescription out of a professional for recreational purposes, and feel a little bitter when they don't get what they want? I'm too stupid to figure it out...
 
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lol.

I say 'Like Ants' because doctors have the power over politicians but don't seem to realise it. Just as ants out number humans and grasshoppers.

What has been said by many others before me is that doctors should be allowed to write a script for whatever they want. The world should be easier than this. Natural medicines and plants and painkiller drugs should not be hidden or taken from the general population.

Sure there are people (I can imagine) that would come in after oxys and then you would get abused for not writing it out. Those are the dickheads who need to be put in rehab (and remember they are who they are as a result of the current laws and system in one way or another).

But when you get people visiting multiple doctors just to get more than a measily 10mg of valium a day which is all most Drs will prescribe then I wouldn't call that doctor shopping.

Or like when I had a surgery done to me last year and was in severe pain. I got plenty of IV morphine to kill the pain before surgery which was good because I needed it, but only got a 5mg Oxycontin XR script for post op pain which was unbearable. I took the whole 20 packet in one day (first time ever taking an strong opiate).

I had to go to my local GP and finally within 3 minutes of being in there had a 5mg endone script which worked! finally 2 days after leaving hospital!

The woman doctor at the hospital looked at me like I asked her to sell her body to me when I asked for some painkiller tablets. This is the kind of situation that pisses me off. (oh and when I went to get another box of GENUINELY needed oxy I got panadiene forte) so had to live with breakthrough pain for the next month with no real relief.

If a doctor says they are interested in relieving pain - 6/10 times they are lying to you.

AFAIK Doctors are allowed only a certain number of S8 scripts each year too which is ridiculous. How can the government get away with these laws(or is it PBS funded im thinking of?)
 
dont be surprised to get negative responses with rash comments like all doctors are stupid like ants and why dont they sign me narcotic opiate scripts willy nilly

if you explain a situation like above that atleast has some validity
 
Mate, I wasn't surprised one bit to get a response.

That's the entire reason I posted in here in the first place, my friend.


It appears you're the stupid one.

I never said doctors are stupid. Hardly. (though you do get the odd lemon and i've had a few!).

Read my response; if you can't understand what I said in my post then you are stupider than an Ant.

Valid it remains.
 
drplatypus said:
With respect, anyone who's had 500mcg and 20mg in a 6 hour period and stops breathing is having a narcotic overdose; if they aren't DEEPLY sedated, they are not really unfamiliar with narcotics, are they?
The role of the medical profession is to save life and relieve suffering- not to help people score. Most of the medications we prescribe can also be used to poison people, albeit depending greatly on dose- "The dose makes the poison." We make adjustments to patient's pain relief if they are regular users, as long as they are honest about their smack / heroin consumption (re: doses etc). Sometimes, we get patients who will be up front about what they use and what they need, and in my experience, they usually get it. Patients who need major surgery should have whatever they need to keep them pain-free and still breathing... More often, users with minor injuries will try to score ridiculous prescriptions that have no basis in reality.
If prescribing was a matter of just signing a piece of paper, stealthtrucker, you'd be able to do it, wouldn't you? I'm not too sure who's more like "stupid ants"- is it the doctors who have been "brainwashed about drugs", or seekers and doctor shoppers who think they can con an illegal prescription out of a professional for recreational purposes, and feel a little bitter when they don't get what they want? I'm too stupid to figure it out...
Click to expand...


"stop breathing from an allergic reaction to the Demerol" throat closed; have you ever heard of anaphylactic shock ? Please read post more closly. My wife had 10 large kidney stones and a 36mm stone in her bladder, and DO YOU KNOW what happens when a woman is pregnant? There is no where for the organs to go so they are squashed ie the ureter where the stones where were being smashed. She was on 8mg diluadid q4 for 2 months. By the way my brother is a paramedic and routinely gives 200 mcg fentnly to non opiate tolerante people in car accidents where head injury is not present, and then more at the hospital. Oh yea my wife is not a junkie, she is a pharmaceutical researcher.
 
Mmmm... "Have I ever heard of anaphylactic shock?..." Why yes, I have- I've even treated it... Tends to be quickish on onset, doesn't it...? Fair to say quicker than 6 hours? Yup.
The fact that you say she was on dilaudid for 2 month rather proves a tolerance for opiates, wouldn't you say?
As for your brother, well, we have narcan for cowboys like that. If a UK or Australian paramedic gave prehospital opiates like that without medical oversight, they soon be driving buses rather than ambulances...

[EDIT: Yeah, let's not go there. hoptis]
 
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