2014 New Pain Medication Laws Dictating To Doctors That They Cannot Prescribe Anything Equivalent 120 Mg Of Morphine Or Higher A Day Per Patient (Page 21)

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I was told Friday by my Pain Management Doctor at my monthly appointment that the DEA was implementing a new law dictating to doctors on how much pain medication they could prescribe per patient per day. It could be equal to no more than 120 mg of Morphine per day per patient and they had to comply within 3 months for all of their patients. I am trying to find out as much information on this as possible. I don't know if my Pain Management Doctor is stating fact or if he is just running scared and if he is stating fact, I don't know if this is federal or state (Alabama) mandated. I spoke directly with the Southeastern division of the DEA in Atlanta this morning and they are not aware of any law of this nature coming into effect and I also contacted another pain clinic locally that has never heard of it either. So I have been trying to reach my Pain Management Clinic and get a copy of the law itself so I will know if it's federal or state and if it is an actual law or just a state regulation and if it's even true but so far no one has called me back so I thought I'd try my luck here and see if anyone has heard of this. This really has me bothered. It looks like either way, true or not, to get adequate pain care I am at least going to have to move out of state if not the entire country. I will ask my questions about that in a different post. But if this is in any way true, and it seems my pain doctor is going to be going by these guidelines whether it is or is not true, it is going to cut my pain meds by almost half. I am on 120 mg of Oxycodone and 8 mg of Dilaudid per day which I was told equals 212 mg of Morphine per day. And before someone decides to tell me that I don't need that much pain medication, I will go ahead and say to you, you don't know me, you don't know what conditions I have that cause me Daily Severe Chronic Pain and other Daily Severe Pain to warrant that much medication, you don't know my tolerance for pain meds, I do NOT take any pain medication to feel high, I ONLY take pain medication to relieve some of the pain as what I am on doesn't even relieve all of my pain, I do NOT drink, I do NOT do street drugs, I see my doctor every 28 days just as I am supposed to, I take my medication as prescribed and the way I am supposed to take it except when I had extreme oral surgery a month ago and I did have to break up my tablets for about a week but they were put on my tongue and NOT up my nose and they were IR tablets so I was fine doing that as I had checked with my pharmacist prior, and you don't feel what I feel or see me lying in bed 24/7 crying from the pain because it is so excruciating and unrelenting so please before anyone starts telling me that I don't need that much pain medicine just stop now before you even start. Those of you that have to live with daily pain will surely understand where I am coming from being this defensive as I'm sure you know you are treated as a drug addict by most doctors even. Thanks in advance for any help with my question.

725 Replies (37 Pages)

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401

I don't know your laws. I AGREE WITH YOU 100%. I have been a nurse for almost 2 decades and what they are doing to true patients is unforgivable... A junky will find what they want. Its not our fault. If a person will have proper treatment chronic will make anyone addicted to there meds... That's not a junky!!!! Common sense. Good luck. I will pray for you and all like you....

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402

JW, You've brought an enlightened point of view to this thread. Very nicely said!

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403

Loratidine will cause false readings I have read.

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404

jamie, Methadone Clinics do not treat chronic pain patients for their pain. They treat patients for their drug addiction. If someone has gone to a Methadone Clinic, they aren't going to be able to find a dr that will manage their pain with opiates.

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405

up in Ny they take old people that are addicted at their late stage in life. 80 years old. At that point it is chronic pain and not to be clean. treat the pain , one way or another. that was years ago and they most likely changed. so my info might be a bit ols and outdated.

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406

jamie, Methadone Clinics have never treated patients for chronic pain. The dosages of Methadone for chronic pain and the dosages for Medication Assisted Treatment of opiate addicts are not the same. Someone may have told you that, but it is not accurate. When someone is older, it is even more important that they be treated with the correct doses of medications for specific health conditions because of other health problems and other medications they are taking.

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407

BL me thinks you're not even a chronic pain patient! So it's better for me to have extended release which trashed thyroid and adrenals because Lisa Loo sells her pills? Not my problem! I know diabetics but I still eat chocolate. Perhaps we shouldn't be allowed any candy since some kids might eat it and go haywire for a few hours. At every four hours that keeps a steady stream of opies in blood... Read The Opiate Cure by Robert Cochran MD

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408

BL you speak as if pain management is a pain free utopia where doctors actually care about people and have compassion for their pain. At my age I only receive 50% oxycodone of what I am prescribed, my thyroid med knock off another 20% so really I'm only getting 30% of my oxy, if doctors took that into consideration--I would get 8-10 oxy, a dose high enough to solve every medical condition I have including depression oxy has Thebaine which INCREASES T levels, so basically I was just getting a trickle of oxy--how do they expect a patient to remain compliant when they're not even receiving all the benefits of their med to begin with?

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409

Spyz i totally agree with all of what u say in your posts n even though im not in your position it must suck..i do agree that protocol sucks..i do believe there is a dr. out there for everyone..the one post where u say that u dont just want to be on the couch i get but..as for a lot like myself that is the position im in i barely get out i have had RSD since my accident in 1993 and it seemed to get better in 2011 now im back to the very beginning of everything..just started with new doc im on 30 mg of msir 4 × a day n oxycodone 10/325 4 × a day n valium since ive been withthis new guy for a month..my hopes r he will look at all my records n meds will get better..he is by far a doc who cares n listens n took me on even with all the bs going on with all other docs..I hope u get thru your situation..i dont know u but u r in my thoughts..i h8 being on the couch too but have no choice til meds get changed to protocol..hope for the best n settle for now
Alwayzz
Billy

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410

BL I hope this doc works out for you in in tween docs since I stopped taking the patch-it went against protocol--I went to ER to get help for restless leg or body (the thrashing from withdrawal) and even the little girl in triage said, "oh you're not spose to be on that if you can't do hormone replacement" I couldn't believe a young triage gal knew more than 'pain docs'--I hope this doc works out for you-Tues I'll have all my records sent to hopefully my new doc-take care Billy

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411

Spyz, you're not going to be pain free. We have to adjust our lifestyles to the things that we can do now. It is not fair, but we also have to adjust to not being able to do the things that we did before chronic severe pain. If you don't like the way that your pain management dr is treating you, you can change drs. We may know our bodies better than our dr does, but we don't have the education and training that our dr does. We only see one aspect and our dr is able to see the whole picture.

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412

BL see the whole picture? If that were true I would have never lost any doctor! They see the other medications I'm on and if I know what false readings will show, why don't they? I have a stack of safe prescribing certificates, they take the same test and thats it, they know nothing about opiates and their effects on us. Addiction is what they study not opiates. I've been researching them for over forty years and used them for 10 before that. I actually have other doctors asking me why don't I sue? They knew I was menapausal--I begged to not go on the patch due to my hot flashes--they saw by my meds that there isn't any hormone replace therapy so NONE of them should have ever put me or any other female in same condition on any extended release opiates. Period

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413

I believe the overdose epidemic of opioids is from true abusers. Not those of us that desperately need it to half way function in daily routines. I was prescribed morphine for 4 years. Dr died. Now was taken cold turkey. All I do is sit and hurt. Oxycodone doesn't manage chronic pain alone.

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414

To my knowledge this is a policy recommending primary care physicians to not prescribe any medication per day that would equal more than 120 of morphine. I read this was decided upon by the CDC and that these GUIDELINES were not going to pain management clinics. I see my primary due to severe financial stresses that would make me unable to see a specialist. I just borrowed enough to give myself a year to attempt to have my two main pain problems possibly dealt with without the high doses of opioids I take presently-then discovered my supplemental plan has a legal 6 mon. pre-existing clause. Every day I live in fear of being cut off-my Dr. decreased me for 2 mon. I was suicidal. The overreach of the gov't. just gets more and more insane. I was recently in my Dr.'s office when this grandiose condescending fool was thrilled with what the gov't. is doing due to the severe increase of abuse; overdoses and the increase in illicit drug use. Of course it is sad and a terrible tragedy when young people O.D.-however as I say ad nauseum that severe chronic pain pt.'s are the collateral damage in the gov't.'s attempts to control drug use. When Prince appeared to have died last week due to an O.D.; as upset and sad as I was; part of me was thinking-oh God-it's going to get worse. In a website called Clinical Pain Advisor I actually read I.V. acetominophen was going to be tried!!! I kid you not. I believe I wrote about this on this site but possibly under a different forum. I swing between severe anger and a strong desire to try to change things I find myself becoming apathetic. It's all so tiring to be constantly worried that my severe pain could possibly be much worse. As you all know this affects every area of your life. Today I'm just tired of dealing with all the negativity in my life I only wish someone writing laws, policies, guidelines or whatever would feel like me for a month. Sorry-always write too much.

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415

See if you can get on Methadone. it works the best for hepc pain at least with me. u have to try different types to find the right one that works with your body. but first u have to find an understanding Dr. I would look for old white males that have seen what pain does to people and not some young Dr kid thinking he knows more then u with the pain. i find i have to fight with my new Dr whom is a young female Dr. since she was new to me i had to prove everything again and to bare my soul. we went back and forth and since i had over 7 years of VA records, she didnt have time to read it all. well the next thing i did was give her a picture, which is a thousand words. i took my clothes off and said to her, see what my body looks like and then she realized she really knew nothing on me. well things changed and she put me on Methadone but i wonder if they also will cut me off. Do i need to worry every day? it is not right.

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416

Hey Spyz i found out in order to get my valium increased n my night mexs i have to see a pysych. New doc up'd it a little but not nearly enuff that we know i need..A question i have do u ever get in so much pain that when u take something for it u feel guilty thinking thatbu should have w8'd in case u need it l8er on..its wierd cuz like i said b4 I've been doing this since 1993 n a lot of times i feel like im right back at the scene n time of my accident that caused ny disability with the amputation and all other stuff..i was 23 when i had my accident kids just born n here i am some 23 yrs l8er feeling like i have to wheel n deal to get relief n sometimes the mental is just as bad as the physical part of the disability..K WOW i just kinda went on a little tangent there in my own pity world..sowwy..lol...i just find myself a lot older n not being able to do much..K til next time
Billy

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417

Osteo i totally get where u r coming from unfortunately each OD that happens makes it harder for the 2 out of 6 people who really need meds..I've had RSD/CRPS since my accident in '93 n there was a point around 2008-2012 when with meds the pain was somewhat maintained..that is til last year when all of a sudden it started to feel like it/I did back in 1993 so now its back to the drawing board, the only difference now is my mental status is a lot different/worse than it was back in the beginning of my accident n amputation etc.. Had to get a new doc cuz up til 8 months ago i was living in Virginia n that state u r lucky to get tylenol #3..no eggageration..So i moved back to Cali n got me one doc then he gave me to this doc who actually listens n with all the political bs agreed to take me on knowing that im a little more complicated medicinal wise, but he is one of the few who isn't afraid of doing hi job..He started me put on 30 mg msir 4 × a day.. Oxycodone 10/325 4× a day n valium with seizure meds n night meds..so to start its ko..but uvr right oxy alone isn't gonna help pain alone..sorry i kinda rambled on just thought i would add my thoughts..

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418

Andy you are right!! Most pain docs are in it for the money..my Rheumy can't even prescribe soma anymore since it's a controlled substance--I had disassociative sensations w/hallucination on Neurontin yet opiates cause no side effects and they are controlled--it's about the govt. and the new world order! They know what they doing is causing patients to commit suicides! They know what they are doing is pushing legit pain patients to the streets and subsequently ODing on illicit drugs--it's their way of eliminating the most vulnerable and weakest group of people because we are of no use to them in their scheme of things--death, jail, anything to eliminate a whole group of people.. Think about it...people in pain are the most likely to do whatever it takes to get relief even if illegal. Therefore we are also the group most likely to not conform to the coming global standard of being....

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419

Billy yes it's horrible the anxiety and guilt when we take our meds the way we KNOW they benefit us but could get us in trouble..is that kinda what you said? I know what works for me at a consistent base...6 a day 30mgs oxy is every four hrs IS CONTINUAL PAIN MANAGEMENT an extended release isn't necessary and I have appts in late May and I don't know if I can pretend to be compliant forever--I go through intradose withdrawal every day so I take an extra pill-I then pick a week to not take any and minor withdrawal for a week then I have the right amount of pills to show at pill counts which I thought was for folks on probation!! I don't feel guilty cause from what I've studied and talked to Oxy manufacturers it should be every 4 hrs so I am compliant!!! The doctor is not compliant with safe prescribing! The benefits should outweigh the risks! They just do us like an assembly line. I'm sorry what you are going and never apologize for sharing what you're going through. YOU MATTER!!! YOU ARE A VALUABLE INDIVIDUAL and I appreciate you.

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420

that is ok. we all feel that way at times. i know sometimes i feel useless then i snap out of feeling bad for my self. one thing my mom always said was "there is always someone else that have it worst then you do. a lot worst. then i wake up to my problems and i smile and move on to what i was doing. sometimes it works. othertimes not so much.I am a Vet and i have a easier time of getting relief since most vets are wounds by bullets and bombs and etc so they understand more for us. outside of that i think they give everyone else a bad time of it. sometimes these things dont show with test. soft tissue pain, cant be seen.they never believe the civilian. most likely it is because u are young and should get over it because u will be on it for many years. the Dr think that. truth to it. but u need pain help NOW not later. Dr treated pain and now he sees the future. not fair to u guys that cant get help. u can always try congressman and such

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