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Old 12-18-2009, 06:35 AM   #1
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when are you flagged for too much narcotic use

when are you flagged for too much narcotic use

 
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Old 12-18-2009, 08:24 AM   #2
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Re: when are you flagged for too much narcotic use

We could use more info...

 
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Old 12-18-2009, 10:29 AM   #3
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Re: when are you flagged for too much narcotic use

I suffer from severe migraines....I have (2) young children and I have to function, I don't have the luxury of turning off the lights and laying down. My doctor who is wonderful has been prescribing me hydrocodone 500/MG 30/per month....I have been on that regimen for about 3 years. It's the only thing that works...My doctor suggested that I see a neurologist to make sure nothing more serious or sinister was going on. The neurologist said that he thought the dosage was too low and increased and prescribed 20/month...meanwhile, my GP was automatically still prescribing the 30 / lower dosage per month. I noticed that once I started taking the higher dosage, the headaches were gone and I was able to function...no "euphoric" highs that are described, just felt like I could function and handle all the things that a stay at home mom does. I have noticed that my tolerance has gone up and it's taken (2) of the 500/MG to handle the migraines. Okay, I'm rambling...to make a long story short my GP office called and said that I am getting controlled medication from (2) doctors and I can only get that from one! This is the first I've ever heard of something like this. I'm assuming my neurologist's office called my GP's office?????? Any ideas on what I should do? I'm afraid both will but me off and I'll be miserable. Or did the pharmacy flag me and call my GP? I haven't heard from Neurologists office?

Any advise??????

 
Old 12-18-2009, 10:49 AM   #4
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Re: when are you flagged for too much narcotic use

I'm assuming the pharmacy flagged you for getting prescriptions from both doctors. I have severe daily migraines too, but even the strongest opiates never even touch the pain. I usually have to resort to the triptains to abort the migraine headaches.

I have no idea if you will be blacklisted for this or not. If you are, it will be very hard for you in the future to get any controlled substances. You should of known not to get prescriptions from both doctors. It's common sense and it may even be illegal to do what you've been doing.

Using both prescriptions would be taking too much, which would be very hard on your liver with the tylenol content.

You will have to make the appointment with the GP and see what he says. Be honest and tell him that the previous dose does not work anymore. Good luck.

 
Old 12-18-2009, 10:59 AM   #5
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Re: when are you flagged for too much narcotic use

I am guessing your pharmacy called your primary doc and to see why two docs are ordering the same med in different doses...and apparently want you to get your prescriptions from one doc rather than the two. Your primary would of gotten the written report from the specialist of what his recommendations are so now your primary needs to now be the one to do the ordering. In the good ole days no one cared who ordered what but now with soooo much scrutiny from the government everyone seems hyper-vigilant on just every facet of our lives. In the olden days what the doctor ordered is what you got but now the government has put the pharmacists on notice to get involved and I have had many go-arounds with pharmacists because I feel my care/meds are between my doctor and myself and I should never have to explain to a pharmacist why or why not I take this or that....some feel it is their right to know more than what it required. I expect them to dispense the meds and not to ask me anything personal.

 
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Old 12-18-2009, 11:25 AM   #6
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Re: when are you flagged for too much narcotic use

I would tell your PCP that your Nuerologist gave you the "extra" to increase you to 50 a month. You should have told him as soon as you got the script so that HE would give you the 50 a month. Also, you need a dose that doesn't have as muvh Tylenol in them since you ARE taking so much.

 
Old 12-18-2009, 11:42 AM   #7
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Re: when are you flagged for too much narcotic use

UNBELIEVEABLE....guess I'm just very naive...didn't even realize I was doing anything wrong....just following doctors orders and trying to live life! I'm going to try and schedule an appointment with my PCP and clear this all up...I feel like a criminal now! Geez, who'd of thought! I thought my medical records were confidential...how can pharmacies be sharing my medication info when I have to sign 10 pieces of paper for one doctor to get another doctors lab work on me????!!!!!

INSANITY!!!!!!

 
Old 12-18-2009, 12:11 PM   #8
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Re: when are you flagged for too much narcotic use

The doctors will see this as doctor shopping. You really should of been honest and upfront with the Neuro and said that you are getting scripts from your GP or both. I know you didn't know, but you do know now what the right thing is to do from now on. Tell both your Neuro and GP that you didn't know this was wrong. Hopefully they will work with you. They have to watch their backs themselves, so they don't lose their license.

The doctors do this because there are so many people who abuse and sell their medications who don't even have a problem with pain at all. For my doctor, I have to sign a very strict contract saying I will not sell my medications, nor take anymore that is prescribed. I'm given random drug tests and I have to bring in my medications to every appointment for a possible pill count. They will destroy any unused medications.

The pharmacy is doing their job to protect the doctors. They look out for the ones who are abusing medications and get scripts from several doctors. I really hope the doctor will listen to what you say and continue to treat you for your headaches. I too, have severe chronic migraines everyday with severe neck pain. It's awful.

Too much tylenol can cause liver damage, which could be fatal. Your not suppose to have more the 4,000 grams of tylenol in one day.

 
Old 12-18-2009, 12:35 PM   #9
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Re: when are you flagged for too much narcotic use

Thank you all for enlightening me! I've been going to my PCP for 10 years and feel he knows me very well....we've been through a lot as far as my health goes! I will certainly explain that my intent was not to deceive nor abuse. I'd hate to do anything to discredit or hurt my doctor in anyway...he's one of the most compassionate doctor I have ever met!

Thanks for everyone's help on this matter. Nicole64....I take blood tests every 6 months to check my liver/kidney function...I suffered Peripartum cardiomyopathy with the birth of my first child so my migraine medication is limited....I also suffer from Steven Johnson's syndrome - alergic reaction to sulfa based drugs! I'm even trying a chiropractor to try and get to the route of my migraines!!!! I'll let you know if it works! The ultimate goal would be to be medication free!

 
Old 12-19-2009, 10:58 AM   #10
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Re: when are you flagged for too much narcotic use

sorry for the situation you ended up in. believe me, alot of people just do NOT know what any 'rules' actually are in all this crap becasue no one bothers to tell them. this IS a very different thing tho when one is actually IN an actual pain mangement clinic setting. that is where you REALLY find out all the rules and regs since it is all IN a contract you have to sign.

what i am wondering here tho is if you have ever actually tried ANY of the anti migrane meds like the abortives that kick the flippin headache BEFORE it actually even becomes a full blown migrane? i take midrin since the day i heard about it way back in 1981. this med was the very first actual abortive migrane med that ever hit the market. i suffered like hell for nine long years with 7-10 actual full blown migranes every freaking month starting at age 13 with absolutley nothing to take that worked til midrin came out. that med gave me my life back. do you get the classic form that always starts with the 'aura' first or the sudden onset type which is called the common migrane form? that would matter as far as options.

you just having to be on any meds that contain tylenol when something else that is safer can actually help you just makes much more sense overall. what other meds have you actually tried before the narcotics? trust me, if you do not actually have to take any narcotics to help with any types of pain we can have, the much better off you will be all the way around in the long run. there just are much better options availiable now for true migrane relief that are non narcotic and contain NO lylenol either. marcia
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Old 12-19-2009, 07:05 PM   #11
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Re: when are you flagged for too much narcotic use

Thanks everyone for all your comments...You guys have made me feel so much better about this whole situation! I no longer feel like a criminal and I can move on knowing this was an honest mistake. I have a call into my PCP and I'm going to see if he can be the lead person in my medication - he will be the only one prescribing and will know everything that I take. I'm going to see if I can get buy with the 20 / that the neurologist recommended and take it from there. I was telling my husband about this last night and he was a little surprised himself as he knows my whole situation and knows that I don't abuse, this is from a guy who has never taken anything prescribed and had his first physical in his life this year thanks to my urging.

Feelbad, I've tried every medication you can possibly think of: Axert, Midrin, Fiorinal, Imitrex, maltex (something or other), hormone patches, sinus medication, muscel relaxers, Effexor, naproxen, a bunch more. Most of the typical migraine medication made me feel very jumpy, some made me feel like I couldn't breathe, some made my heart race. I have been doing a headache journal for years and not only do I have the typical migraines with the aura, I also suffer from hormonal and extremely painful sinus headaches. I am trying a chiropractor to see if that helps! I'll try anything at this point. My parents said I've had problems with headaches as a small child. I even looked into possibly doing the sinus surgery but a friend of mine who is a nurse said it's one of the most dangerous surgeries out there since they come so close to your brain! I've talked it over with my family and we all decided forever on medication was better than not being here as a mom for my children!

Anyway, thanks bunches to all who helped me in my quest for answers and I will let you all know what happens next week when I talk to my doctor. I'll also keep you updated on the chiropractor situation.

Kari

 
Old 12-20-2009, 01:11 PM   #12
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Re: when are you flagged for too much narcotic use

I just went through this very situation recently. My PCP prescribed 5/500 mgs of Hydro for a chronic pain condition. He referred me to an Ortho physician who also prescribed the exact same medication. I had refills remaining on the prescription from my PCP and continued to refill them. My Ortho doctor's office called and said he would no longer prescribe them to me because I was getting them from two different doctors. Apparently a pretty big no-no. Like you, I have a great relationship w/ my PCP. And like you, my PCP and Ortho new about each other. You should be fine. Talk to them both and explain honestly the situation and ask which one should be treating you as far as the pain medications. I also suffer from migraines, and have used the Hydro's for my other condition for when I have the headaches, but they do not even touch the pain of my migraines. You may need a different medication made especially for the migraines. My PCP suggested Imitrex (sp?). I know exactly how you feel. You're not a criminal and even though it's wrong to obtain narcotics from different physicians, it was an honest mistake on your part. The people on these boards were very helpful to me when I was going through this. They've given you some great advice. Again, just be honest w/ your doctor and you should be fine. Good luck.

 
Old 03-20-2010, 02:09 AM   #13
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Re: when are you flagged for too much narcotic use

its easy to get flagged i have a pain doctor that was perscribing a very low dose of hydrocodone and ended up in a emergency room for pain they perscribed hydrocodone and i was flagged my pain doctor called me and said they were not refilling my pain meds for that month cause i had gooten the same pain killer from hospital i was just honest with her how much pain im in and she thanked me about being honest and they worked out a better pain management for me they upped my dosage and all is well

 
Old 03-20-2010, 02:17 AM   #14
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Re: when are you flagged for too much narcotic use

Quote:
Originally Posted by katlovesdogs View Post
. Also, you need a dose that doesn't have as muvh Tylenol in them since you ARE taking so much.
These isnt one shred of evidence to support that statement.

What is it with the paranoia about tylenol? 50 x 500mg is about 1/4 of the maximum dose, you could take this every month for the rest of your life without any problem.

Having said that, narcotics are generaly a bad idea in migraine, it is oh so easy to slip into the rebound situation.

If you havent tried Imitrex with/without Advil, you realy should.

Last edited by jonnstar; 03-20-2010 at 02:18 AM.

 
Old 03-20-2010, 05:00 AM   #15
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Re: when are you flagged for too much narcotic use

Although a few people stated that narcotics aren't good for migraines, I will tell you I am on oxycodone, not for migraines, but as a bonus it has helped them. I have been on tons of different migraine meds over many years with no relief. Mine started in kindergarten, they were so severe I was worked up for a possible brain tumor. They have come and gone throughout the years. I will say since starting my oxycodone regimine I have had them but VERY infrequent! And other then a few that literally lasted a week at a time, they are very manageable and mostly short lived. I haven't found any rebound issues either. Perhaps that is because I am on a continual dose of my meds not prn. I hope you get things straigtened out. The pharmacy should have questioned you when you filled it that would have made more sense to me but perhaps if they thought you were doctor shopping this isn't their protocol. I had an issue, many years back, with something similar. It was a BIG flag for doctor shopping (I wasn't) when things like that happened. I had a toothache, severe, and my dentist called in ONE Vicodin until my appointment Monday and the next day I was having issues with doubling over pain with ovarian cysts which I have had surgery for in the past and my gyno called in some meds (same pain med) and boy did it create a problem. Since I had never taken pain meds other than after the birth of my son, I didn't realize that was an issue and I learned very quickly! I was SO upset! I was so worried what would happen and after that any time I needed medicine for pain on a weekend I went to the ER if it was an emergency. I now know why this situation happened. If you were truly unaware hopefully they will understand and you will become very vigilant in the future. Doctors need to protect themselves!

 
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