Have Any of You Been Put on a Narcotic Contract by Your Physician

Discussion in 'Fibromyalgia Main Forum' started by catgal, Dec 6, 2002.

  1. catgal

    catgal New Member

    After being on narcotic pain medications for 17 months, my physician put me on a narcotic's contract last month because I had gone to a local doctor for a sinus infection.

    And basically the contract was just full of threats if I did this or did that, and it made me feel like I was a doper or drug seeker. And when I left his office I felt really down about it.

    Have any of you been put on such a contract by your primary physician? If so, how did you feel? I would appreciate any replies as this has really bothered me.
  2. catgal

    catgal New Member

    After being on narcotic pain medications for 17 months, my physician put me on a narcotic's contract last month because I had gone to a local doctor for a sinus infection.

    And basically the contract was just full of threats if I did this or did that, and it made me feel like I was a doper or drug seeker. And when I left his office I felt really down about it.

    Have any of you been put on such a contract by your primary physician? If so, how did you feel? I would appreciate any replies as this has really bothered me.
  3. MaryC

    MaryC New Member

    It has been so long since I signed my narcotics contract that I don't recall the provisions. I do remember they weren't too unreasonable, such as

    1. If doctor thinks patient is showing signs of addiction, he will taper off the narcotic and discontinue it.
    2. He will only refill narcotics prescriptions with an office visit--not by phone calls.
    3. There was a provision about using multiple pharmacies, but I don't remember it.
    4. He is entitled to order a urinalysis if he suspects use of illegal drugs or misuse of the narcotic.

    My doctor believes that narcotics should be provided for patients in chronic pain and that people who truly need them do not become addicted.

    I have not needed narcotics for pain for the last 6 months, so I do not even know if mine is still in effec.
  4. CAgirl

    CAgirl New Member

    I remember a pain specialist I saw for a while had a narcotic medication contract. It basically said you could only get your medication with an appointment. I know what you mean about it making you feel like a doper or drug seeker. I think the doctor is just trying to cover his butt. They are afraid of the DEA. I have had a few doctors treat me as if my narcotic use was unresonable for FM. Needless to say I wasn't their patient for long. Just like you, this treatment really bothered me. Here I was going to them for help and they treated me like my pain wasn't real or bad enough to need narcotics.
    You might want to talk to your doctor about the contract.
  5. Mikie

    Mikie Moderator

    When you see a pain specialist. It basically says a patient will not engage in addictive, drug seeking activities.

    Love, Mikie
  6. Stormy214

    Stormy214 New Member

    I didn't find it to be unreasonable...except the one where i had to agree to release my name and drugs to police, if they presented reasonable evidence that illegal prescription drugs (obtained on the street--that's a BIG problem here)prescribed by their office were found on the street. And I guess it didn't really bother me, because this is such a small community, I understand the situation. I teach half of the kids who HAVE a problem with prescription drugs.
    Peace,
    Stormy
  7. catgal

    catgal New Member

    For 17 months I have been on narcotic medications without a contract, and my physician appeared to respect me and have trust in me--then because I went to a local doctor for a bad sinus infection, my physician got really angry and displeased with me--and then said last month that I had to fill out and sign this contract which was long and basically full of threats.

    He informed me that now through computers they can tract any physician you have seen, any place you have gotten a prescription filled, and copies of such interactions are immedately forwarded to them.

    I don't abuse my medications, and all I got from the local doctor was some antibiotics. But my physician treated me as though I had gone drug seeking and needed to be "forewarned" by putting me on a contract. He was really miffed about it. And, I left his office feeling like a little criminal who had been put on probation.

    Since he hadn't put on a contract for 17 months, this felt more like a disciplinary action to me. And now I feel that my good & long-term relationship with my physician has been seriously jepordized. And this has happened right at a crucial time when I need to get my meds re-evaluated after 17 months and have the 10mg oxycontin increased to 20mgs as the 10mg oxy is no longer effective. I'm afraid now that if I ask him to re-evaluate my medications that he will think I am just trying to get a stronger dose for addiction purposes, and that isn't it at all. My meds should have been re-evaluated after 12 months, but I was extremely reluctant to increase the oxy, but my ability to function, to keep working, and quality of life is going downhill because I am no longer getting adequate coverage on the 10mg oxy. He is a good physician, but strict, and once he gets something in his head--he is not likely to alter his perceptions. I have my next appointment with him this coming Tuesday for my med refill, and I don't know at this point if I should approach him about re-evaluating my meds and upping the oxy dosage--or let it ride for a while and keep going dowhhill. Any suggestions? Thanks for listening. Carol....
  8. JP

    JP New Member

    Hi Catgal...I am aware of contracts and I have not had this experience. I contract with myself around pain medication and I let my doctor know my management plan. I suppose it is a bit like a verbal contract that I designed. I feel really lucky to have had a 12-year professional relationship with my doctor. In these 12 years, I have had the opportunity to be brutally honest with her. I also use several methods for pain control...diet, exercise, hot tub, ice, and more. I am so happy to have gained her trust and she knows that I help myself in many ways regarding pain control. My primary need for pain medication is for my chronic back pain. I am sorry about your experience. I think it is a common one however.

    take care of yourself...jan