I am new to this site. I live in Ocean County NJ. I have been going to pain management for five years. I currently drive 76 miles to get tomy pain management doc. Please help. I need someone within 20 miles either way..any way really who will write for oxycodone...brand name or generic...and who might even take my insurance. Can anyone help
Your best chance of finding a new PM doctor who takes your insurance is to either check your insurance website for participating providers in your area or to call their main number ( should be on the card somewhere) and ask for a referral or a list of names to be sent to you.
As to them prescribing oxycodone specifically, almost all PM doctors want to make their own assessment of a patient's condition and then determine which meds they feel will work best for them, even if you have been taking a specific med for some time previously.
I think your going to have a hard time, I live in NNJ, and I went to 7 PM Dr's, 6 of them wouldn't not prescribe any opioids, and the 7th one wanted to put me on a Bupe patch, which would of been no good for me as I was already coming in with a opioid tolerance of about 120mgs of Oxycodone a day. I had to go to NY to find a DR, finally I found one though.
If your willing to travel to Manhattan I can give you my DR's name, It would take 30days for an appointment however.
Multiple Sclerosis, Herniated Discs (T7,8,9,10,11,12-With cord compression) 2005 Rotator Cuff Surgery & again in 2008, re-torn in 2011. Neuropathic pain in both legs bilaterally
Last edited by HaZeX; 07-24-2012 at 12:05 PM.
The Following User Says Thank You to HaZeX For This Useful Post: Backpain123 (10-09-2012)
Hi haZex, I work in manhattan an have been having a hard time trying to find a pm doc who will prescribe me 3omg oxy which I was getting from my doctor in Massachusetts. I would truly appreciate it if you could forward me your docs name. I have 2 ruptured discs and sciatica. Please help me out..thank you.
Again, your best bet is to check your insurance companies website for a list of partcipating providers in the area. If you work in Manhattan, there are hundred's of pm practices in the area, and you can narrow down the list by checking your insurance website.
Almost all pm doctors are going to want to use long acting medications rather than 30 mg of short acting, especially given the REMS protocal in place now.
And the arguement that only the IR meds work is not going to wash anymore for many reasons.
If you have your medical records , then getting an appointment with a new PM doctor shouldn't be that difficult. Did you recently move to the city or the area around the city?
Just don't expect that a new PM doctor is going to continue a medication regimine that your previous doctor gave you. Most will not do that, and expect new patients to pass a urine screen on the first visit, and subsequent visits, and most do not give out prescriptions on the first visit. I hope that you have MRI's , CT scans or other test results that document your medical issues so that you can bring those to the first visit.
Dear backhurtz, would you mind explaining REMS protocol to me. Dont know what that is. I was on 2 long acting opiods, fentanyl patch & avinza, for 12 yrs. My dr left & with effort found new PM dr. He said i HAD to have 1 long acting & 1 short acting opioid medication. Hence, fentanyl & msir. In TX, he said 2 long acting & 0 short would red flag him or me. ?x$@??? I would like to understand as i hate the msir. Makes me nauseous,drugged. Avinza never did. But, cant have it. Thanks
Sure, REMS is also known as the Risk Evaluation Migatation Strategy proposed by the FDA to help doctors and pharmacists measure the risk versus benefit ratio for certain medications. It provides guidelines of a sort to prescribers and pharmacists to compare and contrast benefits of medications versus the risks of it. In our case, it has to do with the benefits - improved functional ability, and increased activity levels using our medications versus the risk of overdose or addiction.
There is far more to it than that, but that is the simplified version of what it is supposed to be. Basically, it is considered safer for a chronic pain patient to be put on a single long acting opiate and then adding a short acting opiate for breakthrough pain. It suggests things to watch for in a patient, no multiple providers, one pharmacy to make tracking easier, urine testing, etc to assure compliance on the patients part. 30 day visits to ensure no abherrant behaviors, taking more than prescribed, no shortage of medication, random pill counts, etc..
If the one long acting is not working well, would it be possible for your pm to switch you back to the other and then leave your breakthrough meds alone? I would discuss that option with him and see if that works better for you...or you may need a dosage adjustment.
Good luck telling a Dr what to write you...if it worked like that we would just go to pharmacies after Googling what we think will work...and well, that is a silly idea. You would be better off telling them problems you had with other medications or that in the past you responded well to x medication.
Backhurtz: that makes sense about REM. I was referred to a PM and told they were recently audited. I asked a NP at the PM if this was true and if I should worry about them being shut down since I was just starting going. She told me the DEA had issues with them RXing 2 short acting opioids to a patient, and that it is necessary to use 1 short acting and 1 long acting medication as to not raise any red flags. Other places in town were shut down but luckily my PM was diligent about document ion and trying alternative treatments unlike pill mills that get shut down quickly. With it being so difficult to get proper medication for pain I worry that people seeking a certain drug, and clinics willing to comply, are the reason for such stringent guidelines.
Oh the exact things i have been doing for years! Okay. The new dr requires urine drug screens but i have been the model patient with my meds for years! Same dr, pharmacy, not early on refills, brought my meds to every visit even though he never checked them. So, maybe i do need to go back to avinza. Thank you for explaining. Seems with all the FDA prop proposals etc REMS is a great voice of advocacy for those of us that require long term non malignant opioid pain trratment. Thank you for explaining! I guess i knew about it but DIDNT @ the same time! All the drs that help us seem to be getting scared! Lol. And thanks again. I hope you do better as well with your pain.