Who prescribes your pain med's? My rhumey

Discussion in 'Fibromyalgia Main Forum' started by claudiaw, Jul 12, 2006.

  1. claudiaw

    claudiaw New Member

    will not go higher than Lortab, which he finally agve me for my really "bad" day's.Then went on to say I will build up a tolerance for it very fast. Great then what do I do?

    He say's NO WAY will he give me anything stronger, that I will just have to have a few " bad day's".

    His said he doesn't want the DEA knocking down his door.

    It just seem's so unfair that we are all at the mercy of our doctor's own personal feeling's about pain med's.

    Two people with the same amount of pain, going to two different doctor's, get treated complelety different, based on the doc's own fear's and prejudices of pain med's.

    It is very frustrating, I had to "prove" I was not abusing my darvocet by bringing in my full bottle, plus an unused prescript, before he gave me a prescript for Lortab. If I do need something stronger , where do I go? I don't want to look like a drug seeker. It is humiliating, havaing to ask for pain med's, I hate it.


    I'm really tired of all this mess. Maybe I need a different specialist. Who treat's FM better than rhumey's? Interist, endocronologist? I don't know.

    Any suggestion's?

    thanks for letting me vent.;)

    Claudia
    [This Message was Edited on 07/12/2006]
    [This Message was Edited on 07/12/2006]
  2. NyroFan

    NyroFan New Member

    Claudia:

    It is always good to be aboard board with the doctor who prescibes your meds.

    You found a good solution.

    nyrofan
  3. suzetal

    suzetal New Member

    She prescribes my vicodin and oxcycotin .She had no problem with it cause I was in so much pain.

    My husband came to my first one and still does come to all my doctor appointments. He also tells her how things are going.And how the pain meds have made a huge difference along with the nueontrin and cymbalta I'm on.

    The cymbalta is from my shrink and nueontrin from my neurologist.Both of them both asked if my doctor had given pain meds.They told me if she had not they would.

    I am so sorry that your doctor does not seem to support you with pain relief.

    I am blessed that I have a GREAT team of doctors they all work together and share notes to help me as much as they can.

    I have gone from bed ridden to a little bit of my life back.I'm not cured have to pace myself always .I do what I can when I can.

    I don't know were I saw it but there is something about doctors having to treat your pain.They need to make every attempt to make you pain free.

    Ill try to find it .If I do I will post it.

    Good luck to you.And I pray the lortabs will help you.

    For Every Day A New Dawn Will Come..........Sue
  4. StephieBee

    StephieBee New Member

    I noticed you were from New England...Im a New Englander also. Your team of doctors seem wonderful. Would you mind sharing their names and what state they are located in? I am having such an aweful time right now, and I need an understanding doc. I would greatly appreciate any help you could give me.

    Thanks,
    Stephanie
  5. claudiaw

    claudiaw New Member

    as someone else posted ( sorry forgot the name:) I too am curious how you have all those doctor's working together.

    I can't drive so I ahve to have someone take me to my appt.'s, so the less driving around the better.

    My Rhuemy just doesn't want to have to answer to the DEA, if you prescrib narcotics, you have to fill out paperwork and I guess they watch you to make sure you are not just writing script's. It is ironic , that some doctor's do just that. How they get away with it, I don't know.

    The reason I stick with him is, he took good notes that helped me win my disability case. plus I hear every few years you need an update by your doc to give to SS stateing you still can't work.

    the people who are not abusing pain med's can't get them, those that do abuse pain med's go to doctor "feel good: who will prescib anything. I guess he feel's he has tried to help my pain the best he can, I don't know.

    The whole thing has me depressed and frustrated.

    I have tried AD'S and Lyrica, neurontin, etc., but can't take them. muscle relaxer's and pain med's wrok best for me.

    I just hope I never need anything stronger than Lortab, cause I'm out of luck.

    Funny thing is, I'm a health food and supplement fanantic and never took anything stronger than advil. And now I ahve to prove I'm not abusing my med's. If they only knew how much I HATE to take med's at all.

    Anyway, thanks for the reply.:) I'm glad you are being taken care of. When we are in pain, it seem's the humane thing to do.

    Claudia

    By the way I live in nashville, Tn. The law's may be different here. We are about 20 yrs. behind the rest of the country and outside the U.S.:)
    No offense to other southerner's. Just my observation's as a Californian.:)

    [This Message was Edited on 07/12/2006]
    [This Message was Edited on 07/12/2006]
  6. suzetal

    suzetal New Member

    I am in Rhode Island.

    My GP is at Northwest Heath center.Dr. Gievetti
    Dr Whallen Srhink.Lincoln RI
    Dr. Anna Korinara.Cumberland RI
    Dr. Catalozie.Cumberland RI

    I am pretty far from you though.If you need anything else let me know.

    Maybe my doctors can recomend some in your area maybe worth a shot. I can ask at my next appointments.

    Sue
  7. claudiaw

    claudiaw New Member

    I have thought of that, but I went to a pain center, and all they would give me was darvocet and muscle relaxer and P.T.

    He said he did not prescribe aything stronger because of addiction. So I am afraid of going through that again with another pain center.

    I'm afraid word will get out and they will not wanrt to treat me, thinking I'm just a "drug seeker".

    I just don't have the emotional strenght anymore to keep being treaetd this way. I'm burnt out.

    Thanks for the advice, maybe I will try again sometime in the fututre, and just hope for the best for now.

    claudia
  8. fmfranklin

    fmfranklin New Member

    Keep trying. One pain center will be totally different from another one. I finally found a neurologist/pain specialist that works wonders for me. Prescribes methadone monthly and can with no problem because he specializes in both pain and neurology, also good for the migraines I get. I use to have to get nerve blocks, but not recently. I also went to two pain centers for epidurals, psychotherapy, etc. Now I just see my Dr. I was burned out, too. I praise my Doc with saving my life. I could not live like that any longer.
  9. fmfranklin

    fmfranklin New Member

    Please find a pain specialist that can help you with long lasting pain relief. Mine prescribes methadone, also muscle relaxants, to be taken when I am at my worst. He also gives me antidepressants, which helps keep my seratonin up, which also helps with pain. He told me in the beginning that it may take some time to get the right meds and dosages right, but that we would keep trying until we got it. We did. Thank God!!
  10. PVLady

    PVLady New Member

    Many of us here faced the same problem, to find a doctor who is knowledgable and comfortable with prescribing pain meds and knows how to deal with issues of tolerance or whatever.

    I go to a excellent pain specialist who treats many fibro patients as well as chronic pain patients. I asked him what he did when the patients develop a "tolerance". He explained he takes them off the opiates for a short time with a drug called "Subutex" that prevents any withdrawals - also it treats pain. After a short time, he re-starts them on the opiates and they get relief at a much lower dosage.

    Doctors must be specially licensed to prescribe Subutex because it is also used by addiction doctors.

    When people truly have pain, there is a need for opiates and doctors should be knowledgable about treating pain - sadly many are not. Also, they don't seem to care.

    My mom had severe degenerative disc disease. My same pain doctor had her on several pain meds and as a combination it really helped her. I mean, rather than taking a larger amount of one drug, she was on smaller doses of several meds.

    FYI she was on Lortabs and Darvocetts for breakthrough pain. Also Lidoderm pain patches which my mom said really helped. Also Neurontin and a small amount of Prednisone daily.

    If I were you, I say keep on looking for a doctor who will care about your pain and work with you. It is all "trial and error" for everyone. Treating people in pain is very tedious for a doctor and it seems many doctors just don't want to bother. But, I do believe there are doctors out there who do care.

    Don't give up or get discouraged. It is not your fault you have pain and it is just too bad we have such a hard time getting help.

    Some people here will say they can get by with no pain meds, etc. and use supplements only. I am happy for them but they need to understand that is not the case for everyone.

    My doctor says he believes in giving you the best quality of life even if that means you are on opiates. Again, he is very careful and compassionate. He actually has patients come from other states to see him. I can see why.
  11. gidgetsmom

    gidgetsmom New Member

    So sorry you're having such a hard time!! I seen that you were in Nashville.
    I am in Cadiz, Kentucky. There is a pain center in Paducah that you might want to try. Without them, I wouldn't be able to go to work!! I go in every three months, usually get nerve blocks and trigger point injections in my neck. They also do the medications. You do have to sign a "narcotics contract" and they're pretty strict, but it's worth it.
  12. StephieBee

    StephieBee New Member

    You are a doll! I really appreciate it. IF they are as good as you say, I wouldnt mind driving. I will definatly give a call to see if they could recommend.

    Thanks again.
    Stephanie
  13. butterfly83

    butterfly83 New Member

    I switched from rheummys to a pain management doctor and its been MUCH more helpful. My rheummy let me try maybe one or two meds that aren't even pain meds to 'help my pain' and when they didn't work it was kind of just like.. oh well tough luck there.
    But a P.M. doctor has been much more helpful in trying to find a way to actually MANAGE the pain.

    good luck
  14. claudiaw

    claudiaw New Member

    to my question.

    I guess I will once again be on a quest for another doctor.

    I'm nit sure which pain clinic to try next. The one I went to that didn't want to use opiates because of possible addiction, is suppose to be the best clinic for pain care and FM treatment. They didn't even dx me with FM, my GP did!

    I'm tired of being a guinea pig.

    Kentucky is a possibility, but making appt.'s is a challlange. But I might try it.

    Thank's again for the help, I appreciate it.:)

    Claudia
  15. rachel432

    rachel432 New Member

    my primary doctor takes care of my pain meds. i find it very disturbing though that i keep seeing people writing that their dr's won't give them meds based on what the dea will do.. the government is't who is treating us. the dea is not in charge of our medical care yet they dictate how our pain is controlled or not. it just seems so wrong! our dr's need to be free to treat us as they see fit without fear of punishment. we need to put our heads together to try to find a way to correct this horrible wrong so we can be treated correctly and compassionatly without our dr's being harrassed!
    rachel
  16. natrlvr2

    natrlvr2 New Member

    My rhuemy prescribed my Vicodin back in 1997.When my insurance changed I could no longer see him.Then my PP(primary physician did).Years later two a day(low dose to begin with)was not cutting it,I went through hell trying to get the dose upped.I found a pain dr. and she told my PP to allow me 3 a day. 3 day did helped a tiny bit but I needed less acetaminphen and more narcotic,but I could not go back to my pain dr. she went somewhere else.Then I went through hell again trying to find a dr. to help me.Most pain drs. are worthless.
    I am now back to my original rheumy who first prescribed my Vicodin.But I am playing 'the game' again. I will have to try everything else before I get what I need.He gave me a sleeping pill so I don;t wake up from pain.I need a pain pill before bed,nota sleeping pill.I am in severe pain all day just not in the middle of the night.
    Besides I am a single mom,I cannot be knocked out with a sleepign pill in the middle of the night,what if I need to wake up for my kid?
  17. rosemarie

    rosemarie Member

    AS I see a pain Doctor I have to see him every month as requried by fedreal law as long as I take narcoitc meds.
    So he is the one and only doctor who prescribes my pain meds and any thing the could be addictive.So I get my MSConitn thorugh my Xanax all through him and I have to go to ONE pharmacy too. That was I can't be accused of Doctor shopping or pharmacy shopping as well.

    MY GP turned all different shades of RED and Blue when I aksed him if he would prescribe some pain pills for me nothing like the MSContin and he said NO WAY let your pain doc to it . I don't want to have to go through all that paper work that he has to do all the time. And I don't like being respondsicble for my patients who take narcoitc pain pills.

    I don't like seeing the doctor every month but that are his rules and If I want to see him I have to follow his rules all the way.

    Take care,
    Rosemarie
  18. dragon06

    dragon06 New Member

    My GP prescribes all of my medications. She doesn't have a problem with it. The only restriction I have is that I have to see her in person for a renew of my Percocet script because our state requires that.

    I have no problem getting vicodin from her either. She knows I don't abuse cause I usually have left over when I go to my next appointment or I have just run out and I don't make appointments just for pills.
  19. claudiaw

    claudiaw New Member

    I completely agree. That is so unfair.

    we are at the mercy of who we see and their own personal opion's or fear's dictate how we are treated or not.

    Thanks for your comment,

    Claudia
  20. claudiaw

    claudiaw New Member

    So sorry you have to go through this mess too.

    It isn't enough we have to deal with this pain, but get jerked around too.

    And the doctor's say to work on being stress free. They are the cause of most of my stress!

    Best to you I hope you get the treatment you need,

    Claudia