REC73
01-13-2004, 02:27 AM
Has anyone heard of any other kind of opiate lollipop other than atiq?
I had an appt. with my PM doc today about switching my breakthrough med. because the 30mgs. of MSIR just didn't seem to be cutting it. So as i was leaving the nurse handed me this red lollipop in a clear little bag and told me to try it and see if i thought it helped my breakthrough pain any. I asked her what it was and she hurridly said something about it having percocet and ativan in it. She was in a hurry busy with other patients so i didn't ask her anymore questions about it but i can't find anything about any other kinds of lollipops other than the atiq.
Man does it taste awful too! It's suppose to be cherry but it just tastes like i'm licking a red pill LOL :) Seems to be helping fairly well with the pain though.
Thanks for your replies back
I had an appt. with my PM doc today about switching my breakthrough med. because the 30mgs. of MSIR just didn't seem to be cutting it. So as i was leaving the nurse handed me this red lollipop in a clear little bag and told me to try it and see if i thought it helped my breakthrough pain any. I asked her what it was and she hurridly said something about it having percocet and ativan in it. She was in a hurry busy with other patients so i didn't ask her anymore questions about it but i can't find anything about any other kinds of lollipops other than the atiq.
Man does it taste awful too! It's suppose to be cherry but it just tastes like i'm licking a red pill LOL :) Seems to be helping fairly well with the pain though.
Thanks for your replies back
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Shoreline
01-13-2004, 01:09 PM
Hey Rec, A nurse passing out compounded class 11 meds , compounded for another patient has got to break all kinds of DEA laws. Personally I wouldn't put anything into my body without knowing exactly what it was and the concentration.
This link explains the pitfalls of compounding meds or duplicating meds already in existance. It also goes over regulations for labeling and dispensing medication. All kinds of laws and regs were trampled when the nurse gave you that pop. It really is kind of scarry. The dose difference between MSIR and the weakest Aqtiq pop is about 6 fold. I wonder what ensured the nurse that you were tolerant enough to give a sample of Actiq too or whatever happened to be in that compounded pop. Did she write the compounding instructions to know you were not allergic to any of the components useed?. If it was actiq, the stick is labeled with Cephelons trade name and the pops strength, the wrapper is labeled, the container is labeled etc.
A compounded pop, is designed for a specific person with specific tolerance, not to be dispensed to all that may possibly benefit. Sounds like these may have been compounded for someone else and returned to the DR for some reason. The patient that the pop was compounded for ceratinly has different needs and different tolerance and medication exposure than yourself.
It could have been anything and I wouldn't be comfortable just trying something because a nurse gave it to me without the docs knowledge.
If it has oxycodone in it, it's a class 2 med regardless if it's compounded or a brand product.How many mgs of Oxy and ativan did it contain? The new manufacturer of the Actiq pops is cephelon , she has overstepped her her own abilities to dispense medication even if she was a NP. They still operate under the strict supervision of a DR with a valid DEA #.
Dispensing a med compounded for another individual is no diferent than you sharing your meds with your wife. She had no right to do this, she couldn't even explain what it was so how would she know that the meds in that pop wouldn't have a serrious adverse reaction to your meds or to a patient with your unique tolerance.
As far as I know there are no other Comercially made pop formulations but like I said a compounding pharmacy could make any sort of pop they wanted.
This is an interesting link that warns a pharamcy about compounding Fentanyl pops for individual patients and explains all the laws the pharmacist is breaking by doing so. First and foremost. Actiq is FDA aproved for cancer patients only. Yes meds are used for off label purposes but who knows what was in that pop. I think I would talk to the doc about that pop. A NP's behavior while practicing under a PM docs licence can get the doc in trouble just as quickly as a patient selling the meds the doc prescribes.
http://www.fda.gov/foi/warning_letters/g4057d.htm
Good luck, Shore
This link explains the pitfalls of compounding meds or duplicating meds already in existance. It also goes over regulations for labeling and dispensing medication. All kinds of laws and regs were trampled when the nurse gave you that pop. It really is kind of scarry. The dose difference between MSIR and the weakest Aqtiq pop is about 6 fold. I wonder what ensured the nurse that you were tolerant enough to give a sample of Actiq too or whatever happened to be in that compounded pop. Did she write the compounding instructions to know you were not allergic to any of the components useed?. If it was actiq, the stick is labeled with Cephelons trade name and the pops strength, the wrapper is labeled, the container is labeled etc.
A compounded pop, is designed for a specific person with specific tolerance, not to be dispensed to all that may possibly benefit. Sounds like these may have been compounded for someone else and returned to the DR for some reason. The patient that the pop was compounded for ceratinly has different needs and different tolerance and medication exposure than yourself.
It could have been anything and I wouldn't be comfortable just trying something because a nurse gave it to me without the docs knowledge.
If it has oxycodone in it, it's a class 2 med regardless if it's compounded or a brand product.How many mgs of Oxy and ativan did it contain? The new manufacturer of the Actiq pops is cephelon , she has overstepped her her own abilities to dispense medication even if she was a NP. They still operate under the strict supervision of a DR with a valid DEA #.
Dispensing a med compounded for another individual is no diferent than you sharing your meds with your wife. She had no right to do this, she couldn't even explain what it was so how would she know that the meds in that pop wouldn't have a serrious adverse reaction to your meds or to a patient with your unique tolerance.
As far as I know there are no other Comercially made pop formulations but like I said a compounding pharmacy could make any sort of pop they wanted.
This is an interesting link that warns a pharamcy about compounding Fentanyl pops for individual patients and explains all the laws the pharmacist is breaking by doing so. First and foremost. Actiq is FDA aproved for cancer patients only. Yes meds are used for off label purposes but who knows what was in that pop. I think I would talk to the doc about that pop. A NP's behavior while practicing under a PM docs licence can get the doc in trouble just as quickly as a patient selling the meds the doc prescribes.
http://www.fda.gov/foi/warning_letters/g4057d.htm
Good luck, Shore
REC73
01-13-2004, 01:18 PM
Wow! Thanks for the info Shore, i didn't even think about it in that light.
It was one of the nurses i had dealt with many times before so i trusted her judgement. She could tell i was in a lot of pain at the time and i think she was just trying to help but i didn't realize they had so many regulations. She was just so off handed about it that i didn't think it was an atiq pop and when i asked what was in it i figured if that's what it was she would have said. She knows my history as far as meds go and she knows i've been on everything in the book including percocet for a long period of time and oxycontin here recently.
I"m gonna call right now and find out exactly what it was though.......thanks for your insight.
It was one of the nurses i had dealt with many times before so i trusted her judgement. She could tell i was in a lot of pain at the time and i think she was just trying to help but i didn't realize they had so many regulations. She was just so off handed about it that i didn't think it was an atiq pop and when i asked what was in it i figured if that's what it was she would have said. She knows my history as far as meds go and she knows i've been on everything in the book including percocet for a long period of time and oxycontin here recently.
I"m gonna call right now and find out exactly what it was though.......thanks for your insight.
REC73
01-13-2004, 07:21 PM
Shore-
I talked to the nurse about that lollipop and she says there is a company that they go through that makes those lollipops and that there are more than one kind. The one she gave me was 10mg.percocet and 1mg. ativan. She knew it would be fine for me because i'd taken both in the past.
Now as you can see from my most recent post i'm dealing with something else.
Ackkkkkkkkkkk.........does it ever stop? Man i'd give anything just to feel normal again and not hurt.
Ok that's enough pitty party for me :D
I talked to the nurse about that lollipop and she says there is a company that they go through that makes those lollipops and that there are more than one kind. The one she gave me was 10mg.percocet and 1mg. ativan. She knew it would be fine for me because i'd taken both in the past.
Now as you can see from my most recent post i'm dealing with something else.
Ackkkkkkkkkkk.........does it ever stop? Man i'd give anything just to feel normal again and not hurt.
Ok that's enough pitty party for me :D
wirry1422
01-13-2004, 11:25 PM
I have known vaguely about compounding pharmacies, although i have never used their services before. But i was just curious, how can a compounding pharmacy have the legal authority to produce name-brand substances like actiq lillipops or percocet. Wouldn't the pharma companies not want any old pharmacy to be basically stealing their patent or trademark on certain compounds? I was just curious if you knew of the patent issues involved in compounding?
wirry1422
01-14-2004, 12:52 AM
I just now read the link you posted, and it pretty much answered my question, thanks for the info.