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Old 05-11-2004, 02:19 PM   #1
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Questions regarding Pharmacy "Gods"

I am addressing this with all of you because I need help/suggestions as to what exactly are my rights as a HUMAN BEING. First, I know I am an addict and my judgement is clouded and biased because of that, first and formost. This has been a trying time for me and somewhat a large roller coaster ride that I seem to constantly be on. I don't know how I can explain all this to you kind folks without confusing you, so please bear with me and I promise not to take anything said back to me the wrong way. Okay, it all started with me doc shopping. The first time I was caught the doc was very nice to me. When his nurse confronted me with it I was so embarrased and so humbled by her words I just said how sorry I was for doing it and I apologized profusely to her. Well, when I got home there was a message on my machine from her saying my Doc and her wanted to help me get off these meds and he was willing to do it slow. Well, ofcourse that was fine with me because I was in NO way ready to stop, I just kept on using him right along with the other ones that had not been notified. She told me it was the pharmacy that called their attention to it. Okay--fast forward--its now 8 months and I have still been Doc shopping...about a month or so ago I posted my first post when I was busted again for Doc shopping, this time the Doc was in no way shape or form concerned about me, he was ****** (as he should of been)...so I was forced to come to terms with withdrawals for like a week. See, I use 6 docs. So I've been slowly getting caught this month with them all. The last episode went a little like this, I went in, begged and pleaded for some vics and he gave in and wrote me a script for 30....went to the pharmacy that I always use with this doc and they filled it, no questions. Those ran out and then I went to another Doc and told him I lost my pills...I know, I know, that was weak but it worked. I went to the pharmacy to get them filled and thats when it blowed. He came around and said, he knew about the script I had just filled earlier that week and he called my doc. I apologized (once again humiliated) and left....went to another Doc later on and got a script but went to a totally NEW pharm. out of town and had them filled. I apologize for this being so long. OkaY, we are getting close to the end. I go to my last Doc last week, but prior to going to him, I asked to see my file to see if there was any documentation in it regarding him being notified of what I was doing and there was nothing in it. So, I go in to see him and he came in and read me a letter that he dictated that referenced all of my activity in the past weeks. (Pharmacy) So, he says, Im gonna send you to a pain specialist so you can get yourself help, he was like, if you are having this much pain and you need all this medication you need to see a Pain Management Doc. His nurse made me the appt. and I told her to ask the Doc if he would be willing to give me some meds to last me till I saw the Pain Doc. She did and she said what Pharmacy do we need to call it in to, I told her...I thought well, he already knows about me, its not like I got anything to loose right? Well, I get to the pharm. and jerk says you need to call the Docs office. So I did, well, yep, you guessed it, she said you just had 30 filled friday and its just Tues. I was like, yeah and what part of this don't you understand?? I am ADDICTED to this things!! So, here is my question...How did the pharmacy know of my activity? I don't use insurance....so how did this happen? Yall know I was using around 4 to 5 pharmacies. Some big chains and the others mom and pop stores. So is it tied directily to my social or what? Any help would be great, again I apologize for this book I have wrote. By the way, Im to go the PM doc in the morning and I don't see how he will help me since he will know of my past actions. Thanks SS

 
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Old 05-11-2004, 02:42 PM   #2
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Re: Questions regarding Pharmacy "Gods"

Scheduled drug presciptions are logged directly into the DEA computer, and each pharmacy has a terminal for the data input. I believe it is based on your SS number, however they can cross match with name, address, doctor, specific drug, etc. When the DEA data base indicates usage above prescribed levels, it triggers all kinds of problems. And yes, if you try to give them a fake SS number and get caught (friend of mine tried this stunt), you will have big problems with the DEA. They are now cracking down on internet pharmacies, and can track site orders via email address. I hope this is a big wake up call for you.

 
Old 05-11-2004, 02:48 PM   #3
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Re: Questions regarding Pharmacy "Gods"

I have wondered about that. I have a relative that has or had a script out for Lortab 10, Endocet, and Tylox at the same time at the same pharmacy. The pharmacy did question her as to why she had so many scripts and she replied that she and her doctor were trying to find something that would releive her pain and they filled it. Recently, she just had another script filled for Tylox at a pharmacy across the street from the pharmacy where all these others were filled. How has that been allowed- because they are mostly (except one) by the same doctor?

M

 
Old 05-11-2004, 03:13 PM   #4
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Re: Questions regarding Pharmacy "Gods"

thanks User and M...so what "level" are you considered using to much? I mean, I know I am, but I am just curious as to exactly HOW this is tracked and at what point are you allowed? Like, what you say User, all the data is entered into the DEA? When the Doc writes you a script the script has his DEA # on it, when the pharmacy fills it, is it logged into the system like that? Did the DEA input a comuptor program nationwide for all the pharmacies no matter what pharm. you use? I really still don't see how this is done and Im not wanting to know how so I can beat the system, because trust me, I don't wanta screw with the Federal boys at ANY level. Yes, it is a wake up call, I still have no idea as to why I ever jumped back into this addiction thing to begin with. You couldnt force feed a benzo down my throat but these pain pills have really got me. I was clean for almost 2 years and a trip to the dang dentist started this all over again. But, I still don't understand how your privacy isnt being comprimized with these holier than thou pharmacists trying to play God. It is just very upsetting to know this. Even my Doc when I called him back said, yes he knew my situation but with the pharmacist taking it upon hisself to tell him his hands were tied. Whats it him (phar.) anyway...he gets his check at the end of the month whether I die or not. Im just ****** at myself and everything at the moment. Mostly myself.

 
Old 05-11-2004, 06:43 PM   #5
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Re: Questions regarding Pharmacy "Gods"

Just had to say I remeber that feeling when a pharm did that to me.WHAT who do you think you are I thaught and was really ****** but also very high and addicded to hydro cough med then tussionex and yes they will find out they share info from pharm to pharm . Boy do you sound like Me when it happened to me but now I can go into that same store and see her and smile and even say hi nice lady.......just for what its worth.....
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Old 05-11-2004, 09:02 PM   #6
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Re: Questions regarding Pharmacy "Gods"

Question? So, if one is ordering from an OP and having the script filled in one state and ordering from a different OP and having that script filled in another state, the DEA knows about this? Is the monitoring done state by state or nationwide?

Thanks for any remarks,
M

 
Old 05-11-2004, 09:12 PM   #7
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Re: Questions regarding Pharmacy "Gods"

Quote:
Originally Posted by SimplyStupid
But, I still don't understand how your privacy isnt being comprimized with these holier than thou pharmacists trying to play God.
They aren't playing god...they are dealing with contolled substances subject to federal drug enforcement laws, and they putting their licenses at risk when they write or fill scheduled narcotics. This applies to both doctors and pharmacists.

 
Old 05-12-2004, 01:05 PM   #8
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Re: Questions regarding Pharmacy "Gods"

Yep, they have to deal with all kinds every day you are so right. I know that I am in NO way shape or Form different than the homeless addict in the gutter but you still havent my questions or the other people that have asked legit questions as well. How is it all tracked. It's obvious they "talk" to each other but where do OUR rights come in to play? I just would like to know the appropriate way things are done, I know what I have done is wrong 100% but I have seen so many pharmacist over my past 20 years of being under this addiction do and say so many different things and one would think no matter what we are HUMAN and we all should act accordingly on some level. I know that they have rules and regs to follow but I would like to know exactly what is the rules. Over on the Pain Management board this poster by the name of Shoreline seems to have his/her information on a lot of things regarding pharmacies and what each state does to comply. I guess I should post my question to him and see if he can help me out. But, I appreciate your comments because I don't take anything personal here at all. I'm a drug addict and I know it, no better no worse. SS~

 
Old 05-13-2004, 06:28 PM   #9
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Re: Questions regarding Pharmacy "Gods"

Quote:
Originally Posted by John 3:16
Question? So, if one is ordering from an OP and having the script filled in one state and ordering from a different OP and having that script filled in another state, the DEA knows about this? Is the monitoring done state by state or nationwide?

Thanks for any remarks,
M
Check this White House press release article out (sorry for the length, but it addresses doctor shopping, multiple pharmacies, and internet pharmacies):

U.S. Drug Prevention, Treatment, Enforcement Agencies Take on "Doctor Shoppers," "Pill Mills"

White House's National Drug Control Strategy Focuses on Prescription Drug Safety

2004 National Drug Control Strategy

Reducing Prescription Drug Abuse Fact Sheet



(Washington) - For the first time, the Bush Administration will carry out a coordinated drug strategy to confront the illegal diversion and abuse of prescription drugs. Today, President Bush's "Drug Czar," John Walters, joined FDA Commissioner Mark McClellan, DEA Administrator Karen Tandy, Surgeon General Dr. Richard Carmona, and Representative Tom Davis to release the President's National Drug Control Strategy, which outlines the extent of prescription drug abuse in the United States and new Federal programs designed to address the problem.

Director Walters said, "The non-medical use of prescription drugs has become an increasingly widespread and serious problem in this country; one that calls for immediate action. The Federal government is embarking on a comprehensive effort to ensure that potentially addictive medications are dispensed and used safely and effectively."

Recent data indicates that prescription drug abuse, particularly of opioid pain killers, has increased at an alarming rate over the last ten years:

Non-medical use of narcotic pain relievers, tranquilizers, stimulants, and sedatives ranks second (behind marijuana) as a category of illicit drug abuse among adults and youth;
In 2002, 6.2 million Americans were current abusers of prescription drugs;
13.7 percent of youth between the ages of 12 and 17 have abused prescription drugs at least once in their lifetimes; and
Emergency room visits resulting from narcotic pain relievers abuse have increased 163 percent since 1995.
More than 10 million Americans suffer from chronic pain. The Strategy seeks to balance the need for effective pain management therapies with the prevention of misuse, abuse, and diversion of psychotherapeutic drugs.

"Many Americans benefit from the appropriate use of prescription pain killers, but, when abused, they can be as addictive and dangerous as illegal drugs," Health and Human Services Secretary Tommy G. Thompson said. "This new, coordinated Federal initiative will help us stop and prevent prescription drug abuse, and the harm it can cause."

The National Drug Control Strategy brings the efforts of the Food and Drug Administration (FDA), federal substance abuse prevention and treatment agencies, and law enforcement to bear on the factors contributing to rising prescription drug abuse. The Strategy incorporates education of medical professionals and consumers, outreach to businesses involved in Internet commerce, pharmaceutical manufacturers, and pharmacies, as well as increased investigation and enforcement activities. New programs include:

Careful consideration of labeling and commercial promotion of opiate drug products;
Ensuring wider dissemination of education and training on appropriate pain management and opioid treatment procedures for physicians authorized to prescribe controlled substances;
Increasing the number of state Prescription Monitoring Programs, which detect suspicious prescriptions and individuals redeeming prescriptions from multiple physicians ("doctor shopping") to identify abusers; and
Using web crawler/data mining technology to identify, investigate and prosecute "pill mills" - Internet pharmacies that provide controlled substances illegally.
"When used correctly, opioids play a very important role in the management of pain. FDA's job is to maximize the potential benefits that patients receive from these drugs, while, at the same time, minimizing the risks associated with these products," said FDA Commissioner Mark B. McClellan, M.D., Ph.D. "FDA takes its responsibility in meeting this challenge very seriously."

The Drug Enforcement Administration (DEA), in conjunction with the FDA, will implement additional investigative efforts and enforcement actions against the illegal sale, use, or diversion of controlled substances, including those occurring over the Internet. Many of these e-pharmacies are foreign-based and expose the purchaser to potentially counterfeit, contaminated, or adulterated products.

"Criminals who divert legal drugs into the illegal market are no different from a cocaine or heroin dealer peddling poisons on the street corner," said DEA Administrator Karen Tandy. "DEA is aggressively working to put an end to this illicit practice whether it occurs in doctors' offices or cyberspace, and ensure the integrity of our medical system."

Because agencies, organizations, and individuals at the state and local level are uniquely positioned to quickly identify and respond to prescription drug diversion and abuse trends, the Strategy seeks to create and extend collaborative efforts outside of the Federal government.

"Drug abuse, in all its forms, is a societal issue that demands societal solutions," Surgeon General Richard H. Carmona, M.D., M.P.H., F.A.C.S., said. "By engaging health professionals, families, and support groups we can provide assistance to people of all ages and from all walks of life who may be at risk, and help those who have already fallen victim to an addiction recover."

Congress is actively working to address prescription drug diversion, as well. "The many positive trends that Director Walters reported in this year's National Drug Control Strategy demonstrate the difference the office can make when strong and effective leadership combines with sound policy," House Government Reform Committee Chairman Tom Davis said. "I'm particularly pleased that this year's Strategy tackles the difficult issue of prescription drug abuse. I have actively followed this issue, and plan to introduce legislation soon to address the illegal and potentially deadly sale of prescription drugs over the Internet. The Internet creates an easy environment for illegitimate pharmacy sites to bypass traditional regulations and established safeguards. My legislation addresses these issues and makes it difficult for unlawful prescribing to occur."

The President's 2005 budget requests $138 million for diversion control programs. The National Drug Control Strategy seeks to reduce illegal drug use by 10 percent in two years and by 25 percent in five years. To achieve these goals, the Strategy employs a balanced and comprehensive approach of stopping drug use before it starts, healing America's drug users, and disrupting the market for illegal drugs. Since announcing the goals in 2002, national surveys indicate that drug use among youth has decreased 11 percent, confirming the wisdom of a balanced strategy with appropriate emphasis on prevention, treatment, and enforcement.

 
Old 05-15-2004, 06:17 AM   #10
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Re: Questions regarding Pharmacy "Gods"

I know that shoreline, on the pain board has posted some really informative links to FDA sites and such.if you go through some of the threads ,you will find them.He is an absolute walking library of info.Marcia

 
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