Discussions that mention dilaudid

Pain Management board


Sorry to hear about all the mess...

This is what I am aware of with our current doctor/patient/drug situation...

Any practitioner that works in pain management, surgery, or oncology are able to prescribe Schedule I, II, and III medications, i.e.; oxycontin, methadone, kadian, duragesic, etc...

I used to get very upset when some of my old doctors told me "I cannot keep prescribing you these medications because I have been 'red-flagged' by the DEA"...

A "red-flag" from the DEA sounds REAL SCARY, right? Actually, the DEA red-flags people ALL THE TIME!! As a chronic pain patient who has been using those narcotic and Scheduled meds, YOU ARE RED-FLAGGED!! I know this because I have SEEN my record red-flagged in a DEA communication report to my pain clinics. This is basically how it works...if you take a Scheduled prescription for longer than 3 months and/or if you CHANGE narcotic prescriptions, the DEA AUTOMATICALLY red-flags you in their system. But this is the thing...it happens so often to so many people...should you have to constantly worry about that??

What is worse...a doctor should NEVER give you the "DEA" excuse (that is my lil terminology ;)...these doctors that have licenses to prescribe Scheduled meds are PROTECTED by the LAW...that means they are under the actual protection of who?? THE DEA.

As a prescribing doc (pain manage)...you are responsible to 2 parties when you prescribe these Scheduled meds; 1)the patient...if a patient is in pain...the doc HAS to treat it...and...2)the DEA and any other law enforcement agencies...the doc MUST NOT OVERPRESCRIBE or prescribe in poor-faith.

If your doctor was prescribing you TOO MUCH Scheduled narcotics or prescribing under the wrong circumstances...that would be a reason for them to worry about the legal logistics...but only then!!

I have been under Scheduled and other pain med treatment for 3 years...vicodin, oxycodone, morphine sulph, kadian, duragesic, dilaudid, methadone...gapabentin (neurontin), tryleptal, wellbutrin, cymbalta, ritalin, lunesta, restoril, lyrica...ETC...

It seems to me that you might be OVERPRESCRIBED...however, I am not saying that in the thought that your doc is doing the wrong thing, on the contrary; I think your "brain-fog" problem could easily be related to the Duragesic 25mcg/hr patch...especially in combo with two of your other meds...the Topomax and the Klonopin...both have extremely poor interaction with the patch...

Another problem...are you aware that the FDA put a FULL RECALL out on ALL Duragesic and Sandoz (fentanyl) 25mcg/hr patches back in FEBRUARY of 2004?? What is worse...they just released a SECOND recall of the EXACT SAME patches two months ago (Feb 08)...

The recall applied ONLY to the 25mcg/hr patches...all patches with exp dates prior to October 2009 (10/2009) are within the recall request. The recall was made because of a HIGH number of extreme side-effects, deaths, comas, and organ damage. The reason for the recall specifically...the patches have poor seals...they leak out of the edges...the gel releases in larger and more dangerous amounts. Have you ever had rashes around the edge of your patch?? Have you ever had to rip the patch off because of an oncoming black-out, nausea, or incoherence?? MOST IMPORTANT...check your exp dates on the box...is your doctor prescribing recalled patches?? If so, you have to ask them WHY, if they even knew about the recall, and find out why the hell the pharmacy is even prescribing those patches...

I am sorry about you having to read all of this!! I just really care about these things and I hate to hear about other people going through all of this mess!!

So, that great term you used..."brain-fog"...that is more than likely a poor interaction between the patch, Klon, and Topo...OR MAYBE??...the patches are from the recall batches???

I am on an amazingly great pain-management regiment right now after many combos of the aforementioned drugs I had to take...

Lyrica (300mg 2/daily), Methadone (10mg up to 8/daily..avg 3-4), Wellbutrin (anti-depressant used for pain...works well 150mg/daily), Ritalin (Yes, for pain!! 5mg 9/daily...also works great to counteract the "brain-fog"!!), and Lunesta for sleep...

The Lyrica is Pfizer's high quality replacement for Neurontin...and trust me when I tell you it is MUCH better and MUCH safer. The Neurontin used to scare me from the extreme side-effects...the Lyrica side-effects are not even noticeable anymore (first 1-2 weeks was minor). The Methadone has been the most successful narcotic painkiller I have ever used...I have an appetite, I can maintain weight (rather than the extreme loss from previous drugs), and I do not pass out randomnly!!

I could go on and on about this stuff, however, I hope that gives you all something to chew on for a bit!!

REMOVED

Also, I have an IPG implant (SCS/PNS implant) that has done wonders for my pain...ask if you would like to know more, ok?

-Dave