Pharmacies usually will not tell anyone over- the- phone which controlled substances they have in stock, or the count that they stock.
Your MD, however, can speak with the pharmacist to check on these things before writing you your Rx.
The pain med not being as effective anymore, are five years, sounds as if you have grown tolerant. Please discuss this with your MD, as he/ she will be familiar with this normal physiological phenomenon.
There are more- than- a- few med options that your MD and you should discuss.
If you're not being treated by a pain management specialist, this is also something that you can discuss with your treating MD.
The re- scheduling of hydrocodone will make Norco, and other hydro.- containing meds in the same category as the other opiate meds.
Nothing else will change.
Your MD will, indeed, need to see you every- three months, as with any of the other schedule II meds.
Whether your MD will wish to see you every month or every- three months is at your MD's discretion, not related to the change of scheduling from a sch III to a sch II.
Many MDs will want to see their patient shortly are prescribing a new pain med,mor changing the dose. This is also at the MD's discretion.
This isn't a law or research study, but just an opinion as a pain management patient and a long- time RN:
Many times, it isn't the best option to go to an MD and tell him/ her the med that you want, unless asked what worked well for you in the past.
Better results may be met by answering the MD's questions about you and your pain history and the MD can then discuss medication, and other treatment, options.
I was born with vertebral- spine problems, too.
In my case, I had surgery when I was really young, and a second corrective surgery as teenager, plus the bracing.
Please stay away from chiropractors. They aren't prepared, educated , or able to manage these kind of problems.
They can do more harm than good.
With your background, you really should be evaluated by an orthopedist. A good doctor will give you options. No one wants to have surgery if there are other options.
If surgical correction is the only viable option, please consider this: surgery will mean some short term pain. Leaving an orthopedic vertebral problem can lead to spinal cord, or spinal nerve problems, which can be long term pain and damage.
Sometime, the only option is long- term pain versus short- term pain.
Please let me know what you're thinking.
If your spine is stable, maybe there are options to help you cope with the pain that don't included surgery.
Going to a chiropractor can only make your situation worse.
As Annette introduced into this discussion, it is insurance companies that have instituted the 200 mg/day of morphine or synthetic opiate bio- equivalent to 200 morphine .
It has nothing to do with the Managed Care Act ( the correct name for "Obamacare"), nor the DEA, or FDA.
If an MD doesn't comply with the insurance company regulations, the insurance company can opt out of it's contract with the MD.
Anyway, the 200 med ceiling is concerned with opiates only.
The Neurontin, muscle relaxers, or any other meds that are not opiate, aren't a problem. The dose isn't part of that 200 mg, as they're not opiate meds.
If you take a PRN opiate, or "breakthrough med", the full dosage is added.
For example, if you're prescribed Percocet 5/325 three times a day, as needed. Even if you don't take it every day, or if you take one or two most days, the entire three per day is counted into the 200 mg/ day total.View Thread
If this gentleman, just ONCE, left a patch on and put on another one.
It was a mistake.
Whilst it could have been tragic, he is in no danger now.
The solution seems quite simple:
Have another person present during the patch change.
As I wrote, why did this gentleman go through addiction rehabilitation when he is not an addict?
Something is not okay with the narrative.
Transdermal fentanyl therapy has made many persons- with- pain's living hell a lot less intolerable.
Upon occasion, when my SCS battery has been dead, I have seriously considered having it explanted and using the Duragesic/ fentanyl transdermal (patch) again.
For me, fentanyl was the only med that came close to the pain management of the SCS.
Of course, SCS isn't the right pain management modality for all, but it has been amazing for me, as my pain is 100% neuro- genic.
There is reason for hope that modalities like transdermal delivery and neuro modulation will only become more advanced, offering us, persons living with chronic pain, better and more options to live with some sense of satisfaction in out day-to-day existence.View Thread