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Posted on 12/29/16 at 1:41 am to stuntman
Good. That will allow him a lot more options without putting a hurting on his finances.
Some painkillers like the one Chris mentioned, plans, are pricey compared to things like Dilaudid and morphine that have been around forever and have super cheap generics.
Some painkillers like the one Chris mentioned, plans, are pricey compared to things like Dilaudid and morphine that have been around forever and have super cheap generics.
Posted on 12/29/16 at 2:00 am to stuntman
Pupils arent evidence of an "overdose" at all but I can easily identify opiate eyes. I don't judge because I understand people have pain. People can become tolerant to huge opiate doses that could be fatal to a non-tolerant person. They can function through life unnoticed. If you are concerned about your loved one taking too much/abusing hydromorphone, please don't delay in acting on your concern.
Posted on 12/29/16 at 4:28 am to Titus Pullo
quote:
Dilaudid has a very low oral rate of absorption
^ This. That's not an extremely high dose taken orally. You take that same pill and break it down in a spoon and it turns into another animal. That's why Dilauded pills are so sought after by intravenous drug users.
Posted on 12/29/16 at 6:33 am to Titus Pullo
quote:
They are "outlawing" for lack of a better term, breakthrough meds in AL. You get one painkiller now.
Not quite, you can get 40mg per day of morphine equivalent. Which means 40mg of norco and 1 tramadol per day, or 27.5 mg of percocet and 1 tramadol. But you can't mix Norco and Percocet.
Current Alabama law is horseshite, my dad has trigeminal neuralgia, its nicknamed the suicide disease because of how bad the pain is. Yet his family doctor has had to pull him off of 8 norco a day, all the way down to 4. He can't go to a pain clinic because he doesnt have insurance, and the free(for him) pain clinic at UAB tried to pull him off of opiates cold turkey, even before the laws changed.
The state closed down the only 2 pain clinics in Gadsden on the same weekend. What are people supposed to do? Driving to Bham is a lot of gas and time from there. The state claims they are trying to get a handle on heroin, but all these laws are doing is pushing more people to it.
Posted on 12/29/16 at 7:05 am to stuntman
quote:
He was a pro wrestler
Bet he's got some stories.
This time last year I had just had a Knee replacement and was taking 4 mg of Hydromorphone x 4 a day and MS-Contin 30 mg x 2 a day.
I'm 55.I took a lot of naps.The thing that worried me was that I could hear myself breathing.So could everyone else.
I only take Norco 10 mg now.I thought I might die when I came off of the Hydromorphone.
Best of luck to your Dad.
eta:I'm in Gadsden.I see a Pain Management Doctor on 411 in Rainbow City.4 Norco 10 mg a day.
One of the PMD's closed was the one that was prescribing the Dilaudid to me.I left before She was shut down.When those 2 PMDs were closed,close to 2,000 patients were affected in a really bad way.
This post was edited on 12/29/16 at 7:14 am
Posted on 12/29/16 at 7:52 am to lsuson
quote:
When they only accept cash for certain scripts, you know why. Fear of being audited.
That's the dumbest thing I've read here in quite a while, and that's saying a lot.
Do you think they would get in more trouble for filling a legit script or for not being able to produce paperwork on where a narcotic went?
Posted on 12/29/16 at 8:13 am to lsuson
quote:It's a lot for an opiate naive person, but for someone who's been on opiates for a while, it may not be that much. You also have to take into account that he's talking about oral dilaudid, which is 5 times less potent than the IV form that I'm sure most people are familiar with. 8mg PO dilaudid is equivalent to about 20-30mg of oral oxycodone (depending on cross-tolerance), which are doses I see all the time.
That's a large dose. He needs to be careful and someobe needs to keep an eye his doses so he doesn't accidentally take too many. Like others say it's much stronger than morphine.
I'm not saying it's good to be on opiates long term, but the dose here is not THAT outrageous.
Posted on 12/29/16 at 8:19 am to lsuson
quote:While it may be hard to believe, some patients have pain that does not respond to non-opiate therapies and require long-term opiates to control their pain.
Just because the MD ok's the prescription doesn't mean it's right. You could see 4 other docs and they may not prescribe him anything. Some are too lazy to look at his past prescriptions from other docs. Doesn't make sense if you want to keep your license. Same goes for pharmacists taking the prescriptions. When they only accept cash for certain scripts, you know why. Fear of being audited.
How does the form of payment have anything to do with the pharmacist filling an opiate prescription? If you're saying they sell them for cash under the table and off the books, then that is highly illegal and I doubt a pharmacy would advertise that as their official policy.
Posted on 12/29/16 at 8:23 am to Titus Pullo
quote:This.
The amount of opiates an opiate tolerant person can take is actually pretty staggering compared to guidelines.
I've seen patients in the hospital on 100+ mg of MS Contin TID and 100+ mg of oxycodone as needed chronically. (Not prescribed by me)
Posted on 12/29/16 at 8:36 am to stniaSxuaeG
I was going to mention a fentanyl patch as well and they can last up to 72 hours. Mostly used on cancer patients.
Posted on 12/29/16 at 8:50 am to Scruffy
quote:
Scruffy would base whether a person took too much off of other symptoms.
FIFY
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