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    Old 02-29-2008, 03:36 PM   #1
    chrisandylino
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    Angry alert on my name at pharmacies??

    No I am suppose to take Celebrex and Prozac and Lortab. Then the Ambien to sleep. Has anyone ever had an alert put on them at their pharmacy? I have a doctor that I dont see anymore who is concerned about the meds I am on and has put an alert on my name at pharmacies. What does that mean? He is very old fashioned and against using meds, but I am still in alot of pain due to my TMJ in the jaw. I have a new doc who seems to think that I need surgery and trying to get me into see a specialist. He put me on the Lortab while I am waiting. I told my old specialist that I needed to find someone else that can help me, and he said that he was concerned about pain meds and was going to put an alert on my name. What does that mean? I am so upset! Can he do that just because he doesnt agree? I am so embarrassed. Can I even show my face at the pharmacy? I am not selling or misusing my meds, but what will they think of me? I want to cry, I am so upset. Anyone know what this means?

    Last edited by chrisandylino; 02-29-2008 at 04:08 PM.

     
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    Old 02-29-2008, 06:10 PM   #2
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    Red face Alert At Pharmacy Means Nothing!!!

    So I called my pharmacy, walgreens, and asked what it means to have an alert on your name. My old doc doesnt agree with my new doc and is being WAY dramatic!! He said he was going to put an alert on my name. I was really upset. The pharmacy just said that it means that they have to double check everything! no big deal. That doctor makes me so mad! How dare him judge me. I dont have insurance, so I paid $300 to see him. If I were a junkie, I wouldnt bother to pay that to see a specialist for my jaw pain. I am trying not to be upset. I am just so glad that I have found a new doc that is nice and compassionate. Ugh!! How often can you call for a refill without for meds without looking like an addict? I've read t the post on "living in pain" just so you dont look desperate. I feel like I should try this so I dont have any problems in the future. If I get 30 Lortab and I take about 5-6 a day, then they dont last very long. But with this new doc, I dont want to give him any reason to feel cautious about. I guess I need to cut back on my meds alittle and ration them out so they last longer. Ugh!! any thoughts anyone?

     
    Old 02-29-2008, 06:38 PM   #3
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    Re: alert on my name at pharmacies??

    I've never heard of this before, but that doesn't mean it doesn't exist. I guess you learn something every day. Sounds like a crabby old Doc.

    If it were me, I'd try to find a pharmacist who looks understanding/approachable and explain your entire situation in PRIVATE and see if he/she has any recommendations and exactly what the situation means.

    If you dont' mind, please rpt back so the rest of us can learn.

    Good luck.

     
    Old 02-29-2008, 07:22 PM   #4
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    Re: Alert At Pharmacy Means Nothing!!!

    Quote:
    Originally Posted by chrisandylino View Post
    How often can you call for a refill without for meds without looking like an addict? I've read t the post on "living in pain" just so you dont look desperate. I feel like I should try this so I dont have any problems in the future. If I get 30 Lortab and I take about 5-6 a day, then they dont last very long.

    Now to answer your questions. Well, I guess that I am a little bit confused. Why would the doctor only prescribe 30 Lortabs at a time? What exactly does it say on the RX on the bottle. Does it say take up to 6/day? Does it say you have refills? Are you talking about calling the doctor to get refills or are you talking about calling the pharmacy to request your refill be filled? You MUST and I repeat MUST follow the doctors instructions or you will be cut off very quickly. If you do not follow the doctor's instructions, then you will end up looking like an addict and will probably be cut off not only with your meds but with the doctor's office as well. You must be compliant especially when it comes to narcotic medications. If you are taking more meds than you are supposed to or taking them more often than you are supposed, then this could start you on the road to becoming an addict. I guess we need some more clarification on the rx and what the doctor's orders are before we can really answer all of your questions.

    Brian

    Last edited by M08; 02-29-2008 at 07:34 PM.

     
    Old 02-29-2008, 09:20 PM   #5
    chrisandylino
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    Re: Alert At Pharmacy Means Nothing!!!

    okay, this is a new doctor, so he prescribed me 30 Lortab at 7.5mgs as needed. He didnt ask me how many I take. He just said, "lets see how long this lasts you." then I call and pick up a prescription for a refill. They do not call it in. I just got in Tues and I still have some, but am trying to ration them out cuz I dont want to call too soon. On the bottle it just says 1-2 tablets every 4 hours as needed. Which is what I do. I take 2 in the morn, cuz thats when Im in the most pain, then 1 every 4 hours after that. so, 7 am, 12pm, 4 pm, 8pm. about 5-6 a day. Is that too much? I stopped taking the ambien at night thanx to all the responses I got on the subject. I now take a valium, only 2mgs, before bed. That seems to help. Plus, I read.
    The pharmacists seemed to not think it was a big deal. I called and she said that it just means that they have to double check everything. I guess check your doc and refills and what not. It just makes me look shady and I dont like that. anyway, thank you, I hope this answers your questions.

     
    Old 02-29-2008, 10:03 PM   #6
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    Re: alert on my name at pharmacies??

    Maybe the Doc just wants to keep a close eye on you for some explainable reason.....I can see how you feel the way you do though.

    When he said "let's see how long this lasts you" I think he's genuinely trying to see how much pain you're in and how long it will last. The directions on the bottle are "general recommendations" for taking the med....1-2 (no more) ever 4 hours, which is the standard terminology. So, technically, you can take up to about 6-8 per day. If your burn through them too fast, your Doc will probably increase your meds to either a higher dose, or a stronger med. You have to remember that almost all Docs start patients out at the lowest medically accepted rate and go from there, unless of course, there is some prior history.

    Rationing your meds may be a double edge sword....You don't want to go too fast because you don't want to appear that your pill popping and/or get cut off, but at the same time, you have legitimate pain and should be honest with your Doc.

    My suggestion would be to take them only when necessary and then consult with your Doc and be honest about your pain. If you feel they aren't working, or that you have to ration to get through the week, be honest. Good Docs have compassion for those with legitimate pain. Keep a journal....It will show the Doc you're serious. Also, you may learn something yourself from the journal that is slipping by.

    Good luck and I hope things work out for you.

    X

     
    Old 02-29-2008, 10:04 PM   #7
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    Re: alert on my name at pharmacies??

    You can take up to 8 tabs a day safely(you can't take more than that because of the Tylenol that each tablet also contains)...take what you need and if you need more than that to stop the pain then let your new doc know so he can order you the next higher dosage to cover the pain...Just don't suffer with pain because you don't have to...you obviously have a more informed doctor at this point so don't feel like you shouldn't get the necessary care you need at this point. You can't get better if you are in pain so be honest. Forget about that first doctor you went to ...I am sure someone is going to sue his fanny off one of these days and he will stop this nonsense of threatening a patient...And that is pretty much what he did. He obviously didn't like that you were going elsewhere so he decided he was going to make your life miserable...he also wasn't a good doctor anyway. Don't worry about the pharmacist. They are there to make money and they don't want to cause any stress on patients just because this doctor was an idiot...you are probably not the only patient he has done this to so the pharmacists are use to stuff like that....they know which doctors do what. Just focus on your current doctor and don't give it a second thought. Good luck.

     
    Old 03-01-2008, 02:06 PM   #8
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    Talking Re: alert on my name at pharmacies??

    Thank you all. That was very encouraging AND very inforamtive. I will give my doc a call on Monday and talk to him. That was a good idea to keep a journal of when I take my meds. That was a good idea. It will show me not misusing them. But now I have nothing for this evening or for tomorrow. I will have to wait till Mon. I guess, I'll live. That other doctor still makes me so mad. I am so happy to have a place like this where I can pose my questions and comments and get the answers I need. so thank you everyone for taking the time

     
    Old 03-01-2008, 03:53 PM   #9
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    Re: alert on my name at pharmacies??

    Hi!
    Can this old doc really do this to you? I agree that you should focus on your new doc, and not let it bother you, but I would be livid. I wonder how many more ppl hes done that to. That would be worth looking into, but thats just me.
    Ha, ha, I tell you to forget about it, but then...

    What an old f*rt. Its like hes trying to keep you from getting ANY help.

    Let us know what happens!
    xoxoxoxox,
    IZZY'SMOM

     
    Old 03-02-2008, 04:31 AM   #10
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    Re: alert on my name at pharmacies??

    Hi Chrissy, Just a clarifiaction so you don't find yourself in a bad situation. The way your meds are prescribed are very open to interpretation. When a medication is filled the pharamcist calculates a days supply, meaning the number of days that script should last and this number of days is submitted to your insurance and placed in the computer.

    1-2 tablets every 4-6 hours could be calculated anywhere from 1 tablet every 6 hours meaning 4 a day which would make 30 pills a 7 day supply down to 2 tablets every 4 hours or 8-12 pils a day making the script a 3 or 4 days supply. The day supply is on the bottle or the the leaflet that comes with the prescription bag and requesting early refills is one of the things a pharamcist looks for if an alert or red flag has been placed in your file.

    It's up to you to look for and know the day supply calculation on the pharamcy bottle or literature. You not only have to follow the prescribing guidelines from the doc but also follow the day supply calucaltion from the pharamcy. Otherwise you may end up at the pharamcy thinking you have done nothing wrong by following those very loose instructions but the pharmacy and or insurance may refuse to refill due to the day supply calculation.

    If they calcaulte 30 pills as a 7 day supply, refilling early will send up a red flag and you may be denied a refill or told you have to wait untill day X. This will justify to the pharamcist the reason the doc placed the warning if you are asking for early refills based on that day supply calculation. If you feel your pharamcist is miscalculating the day supply, then you need to have your doc be very clear in his prescribing instructions and not leave it to a pharamcist to interpret.

    Just a heads up to always know the days supply each script was calcuated as and to abide by that calcuation or have it clarified by your doc if the pharamcist is being ultra conservative in his calculation of days supply. Even the nice doc doesn't want weekend and after hour calls from a pharcmist saying his patients are askiing for early refills. The pharamcist also has the ability to report a doc for not demanding his patients stick to the prescribing instructions and those reports are taken very seriously. There are plenty of over zealous pharmies out there that enjoy or see it as thier duty to report docs that don't demand compliance from their patients.

    Good luck, Dave

     
    Old 03-02-2008, 05:07 AM   #11
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    Re: alert on my name at pharmacies??

    Wow! Learn something new all the time. I had no idea they could put an alert on your name.

    I would be furious if I did nothing -- talk about defamation of character.

     
    Old 03-02-2008, 05:22 AM   #12
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    Re: alert on my name at pharmacies??

    I would have asked the Dr right than and there what his reason for doing this is and why he is doing it. How come you didn't ask him right than and there? you must have been to scared and shocked to ask him anything. I would have made him re think his decision and gotten him to not have done this. you didn't act quick enough.

    I mean lortab 7.5 is not a strong pain killer and what your using is not a heck of a lot so I would bag this Dr ASAP as he is not going to be a good Dr to help you with your pain managment I can tell you this right off. HE sounds like he might be against opiates so if your looking to stay on this med for awhile he is probably going to give you a constant hard time and monitor you to know end and give you grief with every refill. this is not how I would want to live or be treated. I am sorry your being flagged and watched. How pathetic! ( I am so sorry he is this way)
    I would start looking for a more compassionate Dr as he could make things very difficult for you to refill your meds and give you a bad name as an addict or drug seeker.
    SS

     
    Old 03-02-2008, 06:36 AM   #13
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    Re: alert on my name at pharmacies??

    I think I have to tend to agree with SSlope....I'd ask the Doc some tough, but fair questions (in a professional way). In the meantime, I'd be at least thinking about looking around for a new Doc. There are too many good pain Docs out there for you to see rather than be stressed out over this guy. Remember that overall "stress" can make your pain go to the next level.

    Good luck.

     
    Old 03-02-2008, 05:28 PM   #14
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    Re: alert on my name at pharmacies??

    Hi,

    I am so sorry you are having this trouble. I was on Lortab 7.5's for about 15 years, and at one point my doctor left her group practice, and it was going to be a year until she opened her new practice, So she wrote me 3 months worth and left.

    Well the other doctors in her practice didnt want me, they all had closed practices, so the first month I was out I went to an urgent care.

    The doctor was not sure what to make of me at first, but he called my pharmacy and they faxed him a print out, he said, wow, 90 lortab a month? you take that many?

    I said, hey, thats only 3 a day.. He said oh well thats not too much, it just sounds like more. He wound up giving me the 90 with a refill, which was very nice of him, but I learned then and there its better to tell them exactly how many you are taking per day than per month, seems stupid, but it's true.


    I know a lot of doctors give meds to 'take as needed' but if you feel there is any chance your pain will not resolve itself in a week or so, push for the doctor to tell you exactly how many he would like you to take in a day, then stick to that or call for a new appointment to ask it to be raised.

    HTH, Fabby

     
    Old 03-03-2008, 07:28 AM   #15
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    Re: alert on my name at pharmacies??

    Yes, I was shocked and I didnt know what to say. Then he hung up on me. Instead of treating me like an addict, he should of referred me to someone else if he wasnt able to help me. Which is what I did on my own. I am reeling from it. I keep replaying it over and over in my mind and I would of totally said something about him treating me this way. If he looked at my records at the pharmacy, he would see that I havent been taking them long. I need them to eat so I dont live on a liquid diet. I am trying to put it behind me and move on. I do feel like my character was completely defamated. I cried at the thougth that he saw me like some addict. He treated me awful and I paid him over $300 dollars out of pocket. No insurance!! Ugh! But thank you for the encouragment!!

     
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