Fill Morphine Sulfate Prescription

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Tricia Says:


My husband has a history of back pain since 1985. He has had 3 back surgeries, epidural injections and 2 spinal column stimulator implants. His last surgery in 2006 was quite successful. He was on 180 mg of Avinza and percocet for breakthrough pain. He has gradually reduced his medication to 30 mg twice daily of morphine sulphate and has maintained this dosage for 2 years. We have been patients of this primary care group for 25 years. The doctor that we both had been patients of retired, so we now see another MD from the same group. I see a different MD from this group than my husband. The reason being that I do not care for this D.O. that my husband sees. He has been seeing him for approx a year. He had always been given a prescription for a 3 months supply. About 6 months ago the D.O. started to write my husbands morphine sulfate for a month at a time and would given him 3 prescriptions with a notation on each script "do not fill until" with a date for each month. When he went the other day for his 3 month visit he was told he had to see him each month and would be written a prescription for his morphine sulfate each month. This wouldn't be a problem but we do no longer have health insurance and have to pay out of pocket for doctor visits and prescriptions. Is this a normal process or should he start seeing a different doctor altogether? We live in Florida.


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1
Verwon Says:

No, that is completely normal. As a matter of fact, the doctor was breaking the law before by giving him more than one prescription, at a time, and not making him come in for a visit each month.

The way it is supposed to work with these strictly controlled narcotics is you are supposed to see your doctor each month and are supposed to be given no more than a one month's supply of each prescription. They are actually not allowed to give refills or post-dated prescriptions.

Someone most likely complained, either from a pharmacy, or from the government, since all such prescriptions are monitored and the doctor has been warned that they must discontinue such practices, or risk losing their license to practice medicine.


You can learn more Morphine details here.

I'm sorry, I do understand what a burden it is to pay for the appointments and prescriptions. I don't have insurance coverage myself, so I know how expensive it can get.

Have you looked into seeing if there is any type of assistance in Florida that you qualify for?

Even a discount prescription program would help.

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2
Becky Says:

My husband is on morphine and methadone for long term pain due to a work related injury. After getting his prescriptions this morning, he can't get a pharmacy to fill them! Does anyone have a suggestion as to where to go in Lee County, Florida, preferably Cape Coral area.

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3
Thomas Says:
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I still have to see my doctor every 3 months, but I can pick up my prescription every month for a 30 day prescription.

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4
DR TIM Says:

As per usual, Verwon is correct. I might just add that if you are still taking Percocet for breakthrough, you would likely eventually be limited to about 30mgs Percocet per day on top of the 60mgs of morphine.

Dr. Tim

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5
CityguyUSA Says:

Things are only getting worse. I have never been keen on the monthly prescription but then my doctor didn't charge me an office visit to get the script. That's about to change and there's going to be U/A's (which is how they know that you are taking your pills and not selling them on the street) and now I have to provide my pills to the doctor to count before getting a new script. Yes, this is insanity and over-regulation which all began because the US Government didn't want to be caught holding the bag for the cheap opiates on the streets coming back from Afghanistan on a daily basis (that's why it's cheap) and who pats down the military getting off transport planes? No one.

And the next thing that's coming is a reduction in what they are giving you strength wise. I don't remember the exact mg per day but there's a limit that the government doesn't want anyone taking more than.

And finally no bennies with Opioids. I've already had my benzodiazepines taken away and replaced with alternatives as of today because they're suddenly concerned for my health although I've been taking this combination for over 20 years now.

And I'm sure we won't stop until everyone with pain issues is suffering. There's something about giving people that have pain enough relief that they can live normally. There's this weird thinking that if you suffer from pain and the medication that they give you makes you feel like you don't have pain then you must be getting too much.

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Karen Says:

CityguyUSA (# 5) --

I have to take a U/A every now and then to see if I am taking my medication or not taking them and I never know when they will ask for one. Things are getting worse and I noticed that my pain meds don't work like they use to. They are not as strong as they were. I am on Norco 10/325 and also Morphine Sulfate 30 mg 2x a day. If it wasn't for the Morphine the Norco would be like taking nothing. Something needs to change. It has changed for the worse. We who are in pain have to suffer for the ones who abused it.

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7
CityguyUSA Says:
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Thomas (# 3) --

I used to go every 4 months. But that is all changing. We are not even allowed to talk about a splinter in our finger when we go for our 3 month pain appointments. I wonder what's going to happen when I try it.

They seem to think they need separate appointments for some legal reason, he was very insistent about the separate appointments but I'm wondering if they are having financial problems or maybe just bad legal advice or are they're using some other *****s do it yourself document off the internet a boilerplate doc? It's a nine-page document which I have serious problems signing so if there are any legal types here I'm wondering about the enforceability of a document where they are holding your medications hostage - that would seem to me to be duress and should I cross out things that I can't agree with or wait till push comes to shove and sue them in magisterial court and then claim duress although magistrates aren't very bright they may not know how to resolve the situation.

Is it even a contract since the doctor isn't really giving up anything but just doing their job? I have to tell you this is the first time I have been made to feel like a junky. Anyone?

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CityguyUSA Says:
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Having just read through dome of Verwon's link to Wikipedia on Morphine I found it very interesting that Benzodiazapenes are considered the worst withdrawal to go through. . i was pretty sure that they had withdrawal problems yet I asked my doctor twice and he said I wouldn't have any issues because they were replacing my Lorazepam with Hydroxine, a medication he said help me sleep. Now, I am really concerned as this removal of Benzodiazapines is one of the goals in Pennsylvania for anyone taking Opioid medications is this even safe? There's no talk of weaning just that they don't won't a person taking both.

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9
Roro Says:
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If you do a search for .... cdc opiod perscription guigelines ..... you will find that you are actually fortunate to not be transferred to a centralized pain management organization ..... but anyway b4 making 2many waves i would recomend reading the cdc guidlines as that is what most use to aviod scrutany by dea ...... but hey ? do i no

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Painsurvior Says:
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Verwon (# 1) --

It's not against the law to be given the next script or the month after! I get mine 2 months at a time with a time stamp on it.

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Roro Says:
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Painsurvior (# 10) --

Do search for cdc guidelines for opiod perscribing ...... most follow them if i remember correctly they require monthly face to face .... not doing so could lead to a dea audit

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12
DR TIM Says:

CityguyUSA (# 5) --

These are generic comments for this thread. Standard of Care guidelines now say that pts must be seen monthly to get their opioid refills. Your doctor does not want to see you monthly any more than you want to be seen monthly. Follow ups do not pay his bills. Pain physicians in general don't like being told how to prescribe any more than you like being told how much you can have. We now know that the risk of accidental overdose increases by 400% with both opioids and benzo's being given. Big Brother has decided to reduce your risk. What is the worst withdrawal depends in part on what doses we are talking about, but virtually nobody ever died from a benzo withdrawal. Hydroxyzine will not cover completely withdrawal from a benzo; apples and oranges. Steroids historically are the worst withdrawal by far when chronically taken. The new reality is that doctors are being forced to act when you are non-compliant with opioids, whether you are taking too much or too little and all pain doctors should be doing random drug panels on all pts being given opioids especially. Remember, the only currency you have with your pain doc is your credibility; usually if you burn that you don't get it back. RE: CBD and THC, whether they are legal or not in your state, doctors can't know or control the dose you are receiving and they know that most pts who use THC/CBD for pain relief don't stop taking other pain meds. Finally, I see pt after pt on this website wanting a pain doc who will prescribe opioids and some version of a psych med - benzo, stimulant, etc. Don't do that, just say no. If you want opioids, go to a pain doc; if you want psych meds, go to your PCP or psychiatrist.

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Roro Says:
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DR TIM (# 12) --

In texas you will not get psyc and opiods the state has made it illegal to recieve both ...... according to my pain management group .... only way i found out was they asked if i was recieving any meds from a psychiatrist .... i said no why ....& got prementioned answer

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Painsurvior Says:
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Roro (# 11) --

In Arkansas we can go every two months . Not every state is the same. I asked my pain management dr and I believe they would know the laws better than anyone. She runs a tight ship! So I don't think she'd do anything to trigger an audit. She does all her pain management patients in Arkansas that way. Now she wont do it for her Oklahoma patients. Because the requirements are different. So its state specific.

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Robert a maina Says:
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You're lucky, he's still filling them. He did not have to fill them every three months, for three months, and the way things are they are cutting people off. Count your blessings. Because u don't have insurance, a doctor's not going to say well come see me once a yr I'll give u 12 refills. Doctors' credibility are on the line. You just have to jump through hoops, trying to weed out the jerks that are making a good living at going to the doctor without need and selling those pills to people that are really desperate for a ridiculous cost. Again, feel blessed. I got off morphine and methadone after years of back pain and I got better physically and mentally. After some time I believe they make it worse screwing up your receptors.

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16
DR TIM Says:

CityguyUSA (# 7) --

Everything that you described is normal practice. The times they are a changin'.

Dr. Tim

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Roro Says:
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Painsurvior (# 14) --

Here is a link to the cdc guidelines for opioid prescribing:

cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm

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Robert a maina Says:
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DR TIM (# 16) --

Everything you say is on the money your very educated the only issue I have is a lot of Drs downplay the severity and how ridiculously hard it is to get of benzodiazepines the only luck I've had at all is a long slow taper at a drop of 2.5%-5.0% a week of the starting dose anything faster had me heading for the psych ward,and I believe seizures can occur and in some cases cause death. No disrespect, you are one of the more honest and open Drs I've heard or spoke with. Thank u for your enlightenment.

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CityguyUSA Says:

DR TIM (# 16) --

I'm angry at the doctors for allowing the government to run rough shot over them. It seems that we're becoming a society of weaklings that are running scared from a government we're supposed to control and unless people stops this it will get worse and it won't just be opioids.

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Roro Says:
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CityguyUSA (# 19) --

Yep & it wont just be medical mandates a congressman from ca is trying to itroduce a bill to strike down the 2nd amendment you think the govt is out of control now wait till that happens ..... govt will ride rough shod over every aspect of your lifewhen that happen

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