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re: Louisiana has more opiod prescriptions than people

Posted on 10/7/16 at 11:47 am to
Posted by Five0
Member since Dec 2009
11354 posts
Posted on 10/7/16 at 11:47 am to
quote:

Realistically what can be done to address this?



You start by going after these people rather than the end users.

Dr. Feelgood Frauds
Posted by RoyalBaby
South Central
Member since Jul 2013
2256 posts
Posted on 10/7/16 at 11:51 am to
quote:

trying to shite concrete bricks


You know it's bad when you start seeing commercials for prescriptions that help with opiod induced shite bricks. LINK

quote:

Two drug makers are ignoring a demand from Vermont Governor Peter Shumlin to yank a television ad that he believes is a “shameful attempt” to exploit the opioid crisis.


quote:

As far as Shumlin is concerned, the ad is “poorly timed,” given the “irrational exuberance” with which opioids are sometimes prescribed. “Now is the time to change that, not attempt to further normalize long-term opiate use by advertising a drug to help people take even more opiates during the most watched sporting event of the year,” he wrote the companies

Posted by tidalmouse
Whatsamotta U.
Member since Jan 2009
30706 posts
Posted on 10/7/16 at 11:58 am to
After Surgery and 3 days in the Hospital,I went to a Rehab Facility about 500 yds from my house.

I couldn't do the PT the 1st morning so they took back to my Room and the PT went to the Director of Nurses and lodged a complaint because I had told her the Nurse had been 90 minutes late the night before with my Dilaudid and I'd been playing "catch-up" with my pain ever since.The DON came to my room.I wouldn't give a name or a shift.

Then they raised it to 4 mg of Dilaudid x 6 a day.They were following me around with pills.

Before switching to the Dilaudid right before Surgery I'd been taking 180 mg of Morphine a day.

I'm very happy that I'm not taking those meds anymore.I could hear myself breathing.Wheezing.

That Doctor was shut down 3 months ago.
This post was edited on 10/7/16 at 12:04 pm
Posted by St Augustine
The Pauper of the Surf
Member since Mar 2006
64142 posts
Posted on 10/7/16 at 12:51 pm to
quote:

Alabama the most at 1.2. Another championship they can claim.



Print the shirts
Posted by eScott
Member since Oct 2008
11376 posts
Posted on 10/7/16 at 12:56 pm to
I know a girl that was getting 120 Roxys, 90 percocets, and 90 oxytocins every month. Ridiculous. Snorted her way through them in two weeks.
Posted by Mindenfan
Minden
Member since Sep 2006
4786 posts
Posted on 10/7/16 at 1:20 pm to
Xanax is a bad drug!
Posted by TheCaterpillar
Member since Jan 2004
76774 posts
Posted on 10/7/16 at 1:57 pm to
quote:

Realistically what can be done to address this?



Train new docs to not over prescribe this shite.

They give it for headaches at pain clinics.
Posted by tWatsonTiger
Member since Nov 2015
432 posts
Posted on 10/8/16 at 12:04 am to
Glad that you're better!
Posted by Titus Pullo
MTDGA
Member since Feb 2011
28567 posts
Posted on 10/8/16 at 12:40 am to
quote:

1 for lorcet, and 1 for hydrocodone


Realize these are the same thing?

Lorcet was just a brand name for hydro/APAP.

And the Percocet you mentioned is also basically the same thing. Just Oxy/APAP instead of hydro/APAP. So the doc wrote you two identical things and one that's basically the same in one visit eh?


This post was edited on 10/8/16 at 12:53 am
Posted by Titus Pullo
MTDGA
Member since Feb 2011
28567 posts
Posted on 10/8/16 at 12:45 am to
quote:

Urgent cares and walk in clinics aren't legally allowed to prescribe opiates, benzos, adderall, or any controlled substance


Some will in AL, but they are pretty much cutting this out. Tramadol is about as strong as they go at most.

I don't kbow about Adderall though.

But I still think Royal Baby is FOS.
Posted by Titus Pullo
MTDGA
Member since Feb 2011
28567 posts
Posted on 10/8/16 at 12:47 am to
Sorry about calling you a liar/FOS. Sounds like you were just confused.

Which is a good thing.
Posted by Titus Pullo
MTDGA
Member since Feb 2011
28567 posts
Posted on 10/8/16 at 12:57 am to
quote:

know a girl that was getting 120 Roxys, 90 percocets, and 90 oxytocins every month. Ridiculous. Snorted her way through them in two weeks.


Again, all the same thing. She might have gotten OxyContin for extended relief and either Roxy or Percs for breakthrough, but I doubt both.

And she wasn't snorting Percs. Or the OxyContin unless it was a few years ago before they changed the formula and made them tamper resistant. If she was snorting OxyContin now she would have a nose/sinuses full of wax.

But no doubt she was probably snorting the hell out of the Roxys.
Posted by WeeWee
Member since Aug 2012
40091 posts
Posted on 10/8/16 at 1:36 am to
quote:

How is that even possible


Patient X goes to Dr. X and gets a prescription for opiods, then 2 days later goes to Dr. Y and gets another prescription for opiods, and then 3 days later shows up at the ER wanting a prescription for opiods.
Posted by Carolina_Girl
South Cackalacky
Member since Apr 2012
23973 posts
Posted on 10/8/16 at 8:30 am to
quote:

There is no national database for doctors to refer to in terms of medical history per patient SSN. Use a different pharmacy for each Rx and it's invisible.


There are 49 states that have databases for narcotics. Like you mentioned, some states are limited in seeing Rx obtained at different pharmacies. Here in SC, we have a database called SCRIPTS (South Carolina Reporting & Identification Prescription Tracking System) and we are able to obtain all Rx obtained by a person no matter what pharmacy they filled it at not only in SC, but GA and NC as well. Additionally, we have access to all other state databases but the majority of those do not track every single controlled drug filled.

There are some problems with the sharing program between SC/GA/NC, though. Only controlled Rxs above category 1 are tracked. Methadone clinics, long term care/hospice and meds given in a drs office are not tracked which, imo, is perfectly acceptable. The snags come from not tracking supplies of up to 72 hrs worth of controlled meds given "to go" from ERs. I consider this a snag bc it is possible for someone to hospital hop from one to another in one city before moving onto the next city and hitting all of those hospitals, etc until they have obtained a significant amt of opiates/benzos. Otherwise our tracking is pretty stringent and thorough compared to most other states.
Posted by jmarto1
Houma, LA/ Las Vegas, NV
Member since Mar 2008
33870 posts
Posted on 10/8/16 at 9:46 am to
And we wonder why heroin is on the rise
Posted by Jcorye1
Tom Brady = GoAT
Member since Dec 2007
71347 posts
Posted on 10/8/16 at 9:53 am to
I'm lucky I was young when I had my major surgery. They gave me lortab for 60 days, but my parents made sure to flush a ton down the toilet. I only did 30 days or so and was craving more.
Posted by Bestbank Tiger
Premium Member
Member since Jan 2005
70917 posts
Posted on 10/8/16 at 10:00 am to
quote:

Louisiana is one of eight states that has more opioid prescriptions than it has residents. The state has the sixth highest prescription-per-capita rate at 1.03 pain-killer prescriptions written per Louisiana resident in 2015.


How long does one prescription last? That could be a factor. If a patient receives one prescription a month, that's 12 per year. Only 9% of the population would need to do that to go over 1 per resident.

Louisiana might also have people coming in from neighboring states to obtain or fill prescriptions.
Posted by Thurber
NWLA
Member since Aug 2013
15402 posts
Posted on 10/8/16 at 11:30 am to
Posted by HMTVBrian2
Baton Rouge
Member since Sep 2011
5760 posts
Posted on 10/8/16 at 12:32 pm to
quote:

Realistically what can be done to address this?


Make them harder to get, and prescribe non addictive alternatives. Medical marijuana would help a lot of people.

The CDC keeps banning alternatives tho so I think we can all see where the pharmaceutical companies stand on this issue.
Posted by 911Moto
Member since Sep 2013
5491 posts
Posted on 10/8/16 at 3:05 pm to
quote:

How long does one prescription last? That could be a factor. If a patient receives one prescription a month, that's 12 per year. Only 9% of the population would need to do that to go over 1 per resident.


This^^^. People hitting up pill mills are getting a prescription every month. Some are getting 2 different opioids - one longer acting and another for breakthrough pain. The stats as stated skew the reality that a small percentage of the population are actually getting opioid scripts. And Louisiana has had a prescription monitoring program in place for quite a while now. Doctor shopping is not a common practice. Some major Drugstore chains won't even fill certain opioid prescriptions.
The stat really says that more focus has to be put on closing illegitimate pain clinics.
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