how can he do this??? - Pain Management Message Board

lostsoul15204 · 07-15-2003, 05:16 PM

I can't believe what happened today, I went for my monthly visit to my PM doc where I have been peeing in the cup for analysis and he said that the only thing they find is my methadone. Next he say's "why should I write you for dilaudid(my BT med) if you're not taking it,you could be selling it or somthing"I was so ****ed!!!!! SO he refused to write my breakthrough med and the klonipin that he was givivg me for sleep .And just when I thought it couldn't get any worse, He cut my methadone by 30 pills a month and will cut that by 30 pills next month,I don't understand why the dilaudid and klonipin didn't show up because I'm taking it as prescribed!!!!The only thing I can attribute this to is that there is another doc in thier practice that I had trouble with about a year ago,and that one cut me off of 75mg of methadone saying i was a drug seeker after I went through a intensive outpatient program for cronic pain that he ran.(my work comp insurance company made me attend that)That the two of them got together and that old doc gave me a bad rap is all I can think of,and if that is the case than that is pretty &%$#_up.I still can't believe it. All I can do is call his office when I'm out of my BT meds and complain daily and see what happens Thanks for letting me vent!!!!! Rick

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Rick

oceanview88 · 07-15-2003, 06:56 PM

Hey Rick, dilaudid has a very short half life, 2-3 hours, If you did not take a dilaudid yesterday it would not show in your system today, If you took it early yeaterday it still may not show today.If you ran out a few days ago , nothing again.

It does seem this doc is back peddling, It seems that if you able to use less dilaudid then your base dose is working. With a decrease in meth I would bet that your dilaudid intake increases, but without the pills you will be out by the end of the month and once again test negative for Hydromorph. Your in a loose loose situation. Perhaps pointing this out at some point may help resolve the problem.

DCcing Klonopin abruptly could land you in the emergency room after a seizure, How long and what dose were you taking. Klonopin has a very long half life 30+ hours, that should have been positive if you had taken any in the last 4-5 days.

Because of the long half life it's a little forgiving, you could skip a dose but IF your PM isn't going to prescribe it go to your GP or ask for a psych referrel. You can't just stop a benzo cold turkey without risk of harm. Good luck, Ocean