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    Old 02-03-2006, 11:03 AM   #1
    sunshine123
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    Natural muscle relaxer/pain management Dr.

    Hi everyone: I suffer with several different types of pain and need some relief. I take a 0.25 mg. Xanax and a 10 mg. Flexeril before bed to relax my TMJ and help me sleep. Sometimes, I have to take one for anxiety during the day, especially when driving. I also have Vulvodynia and arthritis to contend with. Anyway, I had my physical last week with my Internist and b/c he now has to fill out the Xanax RX on a form that the DEA gets a copy of, he only wrote out the RX for one Xanax a day and that's only for 6 months. So, I have to decide if I need it more before bed or during the day when I'm suffering from anxiety. It's ridiculous. Does anyone know of a natural muscle relaxer to take or how I find a compassionate Dr. to address all the disorders I have? I'll gladly take something natural if it will really work. Thanks.

     
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    Old 02-03-2006, 11:19 AM   #2
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    Re: Natural muscle relaxer/pain management Dr.

    Hi Sunshine, I know that valarian root and kava are both natural anti-anxiety / muscle relaxers, but if you haven't had a lot of experience with using herbal remedies, I recommend you check everything with your doctor before you start taking it, some herbal remedies are very strong and can have a reaction if mixed with prescription medication. Did you mean you take xanex when you ride in a car or drive? I haven't had much experience with xanex, but I would NOT be able to drive on it! I hope you can find some relief, maybe you can change doctors, or go back and make it clear to yours that one pill a day is not sufficient for you. Either way, I cannot stress enough, don't underestimate how strong some of these herbal medications can be and double check interactions to protect yourself from harm. maybe someone else has more ideas for you. good luck and let us know how its going! Your Friend, Fabby

     
    Old 02-03-2006, 11:25 AM   #3
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    Re: Natural muscle relaxer/pain management Dr.

    I have heard that "Calms Forte" works like a natural valium. It says it is: Homeopathic Relief of Nervous Tension and Insomnia. My friend used to take it and she said it worked for her.

    I also like tension tamer tea. It tastes like mint. (I'm not much of a tea drinker either.) They also have "sleepy time" tea that really helps at bedtime. I think that one is spearmint.

    Good luck!
    Drew

    EDIT: I wanted to add that I go to a psychiatrist and she handles my anti-depressant and anti-anxiety meds. I take Klonopin for anxiety and it works well for me. Maybe another doctor would feel more comfortable prescribing what you need. (FYI: If you have a contract you need to let them know what doctor is prescribing what.)

    Last edited by Drewtn; 02-03-2006 at 11:32 AM.

     
    Old 02-03-2006, 11:35 AM   #4
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    Re: Natural muscle relaxer/pain management Dr.

    Hi guys: Thanks for the recommendations. Xanax at 0.25 mgs. doesn't cause problems for me when driving. I've developed driver's anxiety and sometimes need to take one. I'm going to try to not take it and see what happens. BTW, I had heard that Kava is bad for the liver, so I haven't taken it. I have tried Valerian and was overwhelmed by the odor. There's nothing quite like it. lol.

     
    Old 02-03-2006, 12:00 PM   #5
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    Re: Natural muscle relaxer/pain management Dr.

    Hey Sunshine: I'm not sure what your doctor is telling you about a special RX form that DEA gets a copy of is quite correct. Either that or my doc is not doing things right. I get 90 Klonopin a month with five refills and it's just written on a regular prescription form and is good for six months. Same with my Methadone, which I get 540 a month. Xanax and Klonopin are both Schedule IV meds and I don't think they need to be written any differently than any other medication. The only thing I can think of, is that it might be a state thing. I know California has laws requiring Schedule II meds to be written in triplicate. Could that be it? If so, it wouldn't involve the DEA.

    Last edited by Rrector; 02-20-2006 at 09:41 AM.

     
    Old 02-03-2006, 01:02 PM   #6
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    Re: Natural muscle relaxer/pain management Dr.

    Hi Director: It might be a Ca. thing or that my Dr. is an uncaring jerk. The prescription pad he used for the Xanax is different than the one for my Vytorin. We have to get our long-term RX's through Medco mail order. Whenever I've gotten a Xanax RX from him, it's only a 6 month supply. I wish I could find a caring, competent Dr. out here!!! Thanks for your post.

     
    Old 02-03-2006, 01:35 PM   #7
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    Re: Natural muscle relaxer/pain management Dr.

    Hi Sunshine: I take it you are in California then. I'm in WA and we don't have the script thing here. My Klonopin (and my wife's Xanax) both come on the same script pad as do my Methadone prescriptions. The only difference being my Meth is a Schedule II, so I can only get a month's supply at a time, unless I use a mail order Pharmacy. We have Medco also, but have the choice what we fill through them and what we fill locally. We get all our maitenance meds by mail order. Blood pressure, Nexium, etc. It works out cheaper that way. The scripts are the same, but the doctor writes it for 90 days supply with three refills, giving you a year's worth of medication. I don't think they can write refills on the Schedule II meds though. To be honest with you, I haven't checked on that, I just get my Methadone filled locally, 30 day supply at a time, with a $15 co-pay.

     
    Old 02-03-2006, 01:41 PM   #8
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    Re: Natural muscle relaxer/pain management Dr.

    Director, yes I'm in Ca. My other meds. such as my cholesterol drug and Mobic when I was still taking it, came from mail order at 90 days + 3 refills, but not for Xanax. Xanax is for 90 days and (1) refill. It's really weird in Ca. where I've always lived, but all my Drs. are the same way. Even when I had knee surgery and was in agony from postop pain, it was a big deal to get Vicodin and that barely helped. My Urologist is weird about pain meds. too. I get kidney stones and asked him for some pain meds. in case I pass the stone. He gave me a RX for 10 pills. How generous of him. We must have really strict laws out here. I don't have warm, fuzzy feelings for any Dr. I've ever had. They're all the same out here!!!!!

     
    Old 02-03-2006, 02:16 PM   #9
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    Re: Natural muscle relaxer/pain management Dr.

    Hey Sunshine: I think it must be your doctors more than the state. I have family that live in Southern CA and I know for a fact they have had Vicodin prescriptions and for a lot more than 10 pills. How they were written (as far as special script, etc.) I don't know, but they must have had 30 or 40 in the RX after a surgery. I mentioned I was on Methadone for pain, I guess my doctor must be much more liberal than your's. I get 540 Meth tabs a month and you have trouble getting 10 Vicodins.

    As far as your Xanax and getting a 90 supply with one refill, they must be on a six month schedule. We have the same thing here, but the six month rule only applies to Schedule II and III, I think. Others are good for a year.

     
    Old 02-03-2006, 03:16 PM   #10
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    Re: Natural muscle relaxer/pain management Dr.

    Hey sunshine!

    I live in Iowa. I'm on 80mg/day of OxyContin and 30mg/day of percocet for BT pain. I only get a month's script at a time. The law here in Iowa is tougher than some states. I also take xanex and get 30 for the month, so basically one a day. For sleep I have been on ambien but this Monday I see my PM doc and he's going to switch me to ambien cr which I am really excited about.

    Nice to meet you by the way.


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    Old 02-04-2006, 05:59 AM   #11
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    Re: Natural muscle relaxer/pain management Dr.

    My valium Rxs are usually written to take two to three times per day if needed and with three refills.no problems at all with THAT one.cannot say the same about the CIIs though but that is sorta universal.maybe its time to seek out a new doc??just a thought.Marcia
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    Old 02-05-2006, 02:55 PM   #12
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    Re: Natural muscle relaxer/pain management Dr.

    I understand what you are going through as far as medicines to help sleep AND help the TMJ (which is usually made worse during the night from restless sleep, teeth grinding, etc).

    The Valarium (sp?) tea does help me sleep, and Celestial Seasonings has that "sleepy time" tea someone else mentioned with the Valarium root in it (so you don't have to worry about going to a health food store and getting it, crushing it up, etc).

    I've never tried taking a muscle relaxer to help with my TMJ. I wake up many mornings hardly being able to open my jaw, and I'll have headaches and my neck will hurt so bad. I see a new Dr. on Friday, and I am going to bring up my headaches, so maybe I can get some help then. I'd rather save my xanax for anxiety related problems, instead of taking it to help me sleep (which my dr okayed).

     
    Old 02-06-2006, 10:18 AM   #13
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    Re: Natural muscle relaxer/pain management Dr.

    Sorry this got off topic as far as nautural pain killers and turned into more of of a Q&A about prescription policies. I was recently surprised when my GP wrote me a script for androgel. He wrote the scrippt for 30 packets , one per day with 12 refills. When I picked up the script it was for 30 packets but only had 5 refills on it. I ask about the quantity of refills and thepharmacist explained because it was a controlled rug, Androgel is a C-111 that it's limited to a 6 month supply on a single script, basically 5 refills. I could get a 90 day supply with 1 reflll but there is no cost benefit, just 3 times the copay. I do have other scripts for non controlled drugs like Nitro quik and Metoprolol that are not controlled or classidified but need a prescription to obtain. Thse meds have unlimited refills for up to 2 years. They simply put PRN in the refill section.

    I was curious that Neximum wasn't a controlled drug and I looked it up and it turns ut it's not controlled but also needs a doctors prescription, so the same rules in my state, VA would apply. We use the same prescription pads for all drugs in VA but Class 11 meds like meds used in pain anagement, are non refillable but a 90 day supply can be dispensed at one time with no refills.

    Basically every state sis different when it comes to their prescribing laws, They must confirm to the drug codification act but ststaes can always tigten the reigns and some states do trerat other leser class medications lik e Benzo's and hydrocodone as a class 11 med that requies special scripts, specila reporting and limits on refills.

    It just sounds like you doc isn't comfy prescribing large quantities of Xanax, and in your state Xanax and likely ther Benzodiazapines have tighter contrls than say lesser scheduled drgugs with lwer potential for abuse. If 30 pills simply isn't enough, I would speak to him, He may give you more if you ask, but every doc is different.

    TMJ is tricky, It falls somehwere in between dental and medical, Likely a medical doctor with a dental background like facial reconstruction surgeons may be the beter qualified docs although oral surgeons do TMJ surgery all the time and regualr dntist make bite gaurds and seem to prescribe limited amounts of pain meds for flaire ups. MY wife has TMJ and we thought we found the doc with the perfect credentals, He was a DDS and oral surgeon that went on to become a MD and plastic surgeon that specialized in reconstruction of the face and jaw. He was more than wiling to treat her with lortab and valium throughout the testing process, but once we opted not to have surgery, he referred us back to our dentist who is extremely tigt with medication.

    I underwstand it's extremely painful and some PM docs do manage TMJ pain, but it's such a unique probelem, a MD without any dentistry background really doesn't have the knowledge or dredentials to best treat the problem. ZFinding the right doc is important and comuticating with your doc. IT's kind of unlikely a doc is going to prescribe a benzo for PM if a shrink is prescribing a benzo for anxiety. I understand anxiety and pain are closely linked, but again it's too completely differnt specialties. Finding decent PM just takes finding the right doc, it may take going through a dozen r you may get lucky with an oral surgeon willing to manage TMJ long term and prescribe enough Benzo tomanage both problms.

    My problem s all bower back, but I do see a shrink to keep my sanity and he prescribes Klonopin, a longer lasting version fof Xanax that is also well suited to treat restless leg syndrome caused by the meds my PM doc prescribes. IMy shrink was using Xanax and anti anxiety meds do help with pain, but Xanax is short acting, neds repeated doses to manage anxiety and really dosn't have the properties to treat restless leg. So I described the restless leg syndrome I was having to my shrink, explained my PM doc utried the normal meds to treat it, Requip/Miripex and magnesium, and none had been succesfull. I had asked my PM about Klonopin but he wasn't comfortable prescribing klonopin for restless leg while my shrink prescribed Xanax, so my shrink was happy to help and switched me to Klonopin which manages both problems.

    In your case, you describing the use for anxiety and for TMJ plus sleep problems. Valium has a bad re as far as abuse, but Valium wold be the benzo that would manage both muscle spasm and anxiety. Valium and most benzo's are a class 1V medication, and I'm about as mentally stable as I'm going o get and my last KLonopin script was written with 3 refills so I only have to see the shrink 3 tims a year instead of 4.

    I don't know if your doc just isn't hearing your complaint and understanding you have to choose, but he is giving you both a muscle relaxer and a med for sleep, in this case Xanax.Thre isn't a limit in CA on the number of Xanax doses per day that can find, and it being short acting 3-4 times a day is pretty normal.

    Rather than asking your doc to double up on specific meds, taking flexerill and valium or taking another muscle relaxer along with Xanax to help sleep, Valium is a med that will do all 3 jobs. If you aproached in cost effective, rational way to consolidate meds and still manage all the problems you just need enough to manage everything throughout the day, you may have some luck. Instead of taking different pills for sleep, muscle spasm and anxiety, Valium does make sense if the doc is comfortable prescribing Valium. It last longer, your lowering the number of diffferent meds you need and will lkely benefit greater because valium is a much stronger muscle relaxer than flexerill and longer lasting than Xanax and will work for sleep.

    He may or may not be comfortable, but if you aproach it from a sensable pont of veiw, it's a logical choice. You may have luck or you may have to continue to look for a doc willing to manage all your problems or you may do better with a specialist in each field, it's really just trial and error, and your doc complying with your individual state and federal laws regarding dispensing controlled substances, which your doc really doesn't have much control over. IF your state has decided to monitor Benzodiazapines more closely than you would expect for a class 1V drug, therer isn't much your doc can do, but nothing is limiting him prescribing more each day, other than likely concerns about taking two different muscle relaxers at a time or two diffeent anti anxiety or sleep meds at a time. Not that it can't be done, but it does draw more attn to the docs prescribing practices, and some docs won't agree it's kosher to do so. Once again, the med that may work best also has a history of abuse which causes docs to fear prescribing a med that a legit patient truly needs.

    BTW The sleepy time tea I have seen containes camomeale (SP?).

    Take care, Dave

     
    Old 02-06-2006, 01:13 PM   #14
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    Re: Natural muscle relaxer/pain management Dr.

    Hi Sunshine

    Valarian, Scullcap, B6 and Camamile are all great natural relexants. I think Valarian is well worth trying to bear the smell, as it's fast acting and doesn't give a buzz, just gives a feeling of warmness. I remember taking Xanaz some time back and hated it's short achting properties, Klonopin is better for me, as I don't feel a "kick" when I take it, yet it calms my nerve pain very good. I take 1.5mg usually but I'm allowed up to 4 grams a day.

    It's been interesting reading about the length of persciption times, here in the UK I have to get a refil every month, pain is the a~s when you taking 5 different meds for treatment of nerve pain, I need a bloody secrateray to manage my refills, lol.... Still it I don't have to actually see the doctor for it, just drop a "Chit" into the surgery and they process it.

    I've also heard that Valim is going to be withdraw from the UK market soon, too many issues with it that outweight the benefits, apparently!

     
    Old 02-08-2006, 03:57 PM   #15
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    Re: Natural muscle relaxer/pain management Dr.

    Gabe, thanks for the welcome. Last night, I took a Flexeril and a magnesium pill before bed. I woke up in agony with head and neck pain and I know it's b/c I didn't take a Xanax at bedtime. My Dr. is such a pill (so to speak) He doesn't talk to his patients on the phone and the only time you can get an appt. with him is for your annual physical or if you're dying. Maybe I will try one of the teas mentioned, although I'll have to get up at night to pee. lol. Jules, good luck at your Drs. appt. Let me know what he/she prescribed for your pain. Thanks everyone for your input. Sue

     
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