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re: Walmart to limit opiod scripts to 7 day supply

Posted on 5/8/18 at 8:09 pm to
Posted by SeeeeK
some where
Member since Sep 2012
30678 posts
Posted on 5/8/18 at 8:09 pm to
Doctors hand this shite out like it's Candy.

Patient hasn't seen the doctor in 8 months, comes in, and gets 2 months of heavy drugs, no questions asked.


Legalized drug dealers
Posted by Ba Ba Boooey
Northshore
Member since May 2010
4729 posts
Posted on 5/8/18 at 8:11 pm to
This is already a state law in Louisiana. Any primary care physician, dentist, orthopedic surgeon, ER physician etc can only write for a 7 day supply of opiates at a time.

The law DOES NOT affect prescriptions written from physicians who are pain management specialists or oncologists. These doctors can continue to write prescriptions for 30 day supplies however if they are Medicare or Medicaid patients, the doctors will need to fill out prior authorization paperwork for the insurance to cover the drugs.
Posted by chRxis
None of your fricking business
Member since Feb 2008
26692 posts
Posted on 5/8/18 at 8:12 pm to
quote:

Walmart knows more than doctors?

pharmacists, where is pertains to drug therapy, typically know more than physicians...

i can't diagnose that growth on your neck, that's for a physician... but i can figure what may be the best course of therapy once it is.... i can then make sure whatever they give you won't interact with your Valtrex or Prezcoxib or whatever...

this is a little of both... covering our arse, as well as trying to curb opioid dependence.... i don't think it will be all that effective, but they are definitely focusing on it...

studies back up the limiting of dosage units/days supply of opiates in acute cases, but still, addicts will find a way, eventually...
Posted by LSU2001
Cut Off, La.
Member since Nov 2007
2388 posts
Posted on 5/8/18 at 8:12 pm to
Yet another reason to not go to walmart for anything. I have been fighting stage 4 rectal cancer for two years. When I first started, I was on extended release morphine for the pain with liquid morphine for the times when the extended release didn't do the trick. After about two weeks on Radiation, the tumor shrank to the point that the pain went away and I was able to get of the morphine completely. About a year after I started the treatment, I became a candidate for Liver surgery and had two liver resections in a six week period. The first removed part of my left lobe and the second removed the entire right lobe. I needed pain meds after this surgery and freaking OTC was useless. After I recovered, I quit taking the pain meds. I now only need pain meds when the pain brought on by chemo becomes overwhelming. Then a dose or two of tramadol fixes it right up.

For all you assholes stateing that we need to toughen up I invite you to walk a mile in my shoes and then get back to me. Not everyone that needs stong pain meds is an addict. Now if the fricking religous right would get off their high horse and allow real medical cannabis then the need for opiods for cancer pain and side effect pain would be lessened. I have taken some edibles from Colorado and it really helped with the side effects and pain but I cannot run to colorado every few weeks to get some cannabis and I am too scared of law enforcement to buy any off the street.

So I do without and rely on mild opioid pain killers occasionally to help me continue with my treatments which will most likely go on for the rest of my live.
Posted by chRxis
None of your fricking business
Member since Feb 2008
26692 posts
Posted on 5/8/18 at 8:15 pm to
quote:

Doctors hand this shite out like it's Candy.

in their defense, they are essentially graded on whether they made the patient happy or not, while under the physician's care...

don't give them what they want, get a bad score come eval time... so like Scruffy said, it's a catch 22... the best remedy to this is education and counseling the patient to let them know the risks associated with these meds BEFORE giving them out....
Posted by golfntiger32
Ohio
Member since Oct 2013
12486 posts
Posted on 5/8/18 at 8:15 pm to
Opiods are a problem cause Addicts shop Drs. There are Drs that give them out like candy and addicts know,which pharmacies to shop just like they shop Drs. I dont see how this will make a dent. Just Walmart doing the liberal thing and taking action in the name of doing something.
Posted by mikelbr
Baton Rouge
Member since Apr 2008
49000 posts
Posted on 5/8/18 at 8:18 pm to
quote:

If a child can transition to Tylenol and Motrin one day post-op, so can every adult out there.


Suck balls, Scruffy. A kid doesn't know what fricking on a percocet and 4 beers feels like. The extra doses are rewards for when we are NOT hurting anymore.
Posted by SSpaniel
Germantown
Member since Feb 2013
29658 posts
Posted on 5/8/18 at 8:20 pm to
quote:

If you’re an adult male and need opiods for kidney stones, you should just go ahead and get a sex change operation.


Yeah... you're a moron.
Posted by Scoop
RIP Scoop
Member since Sep 2005
44583 posts
Posted on 5/8/18 at 8:21 pm to
Heroin dealers rejoice.
Posted by northshorebamaman
Cochise County AZ
Member since Jul 2009
37577 posts
Posted on 5/8/18 at 8:23 pm to
quote:

There are Drs that give them out like candy

Wish I could find one of these. It's like squeezing water from a rock to get anything stronger than ibuprofen in my experience.
Posted by chRxis
None of your fricking business
Member since Feb 2008
26692 posts
Posted on 5/8/18 at 8:28 pm to
quote:

LSU2001

i'm sorry you are dealing with that, but this is NOT about chronic pain meds... we are talking about ACUTE pain prescriptions.... like from ER's, after hours clinics, dentists, etc....

this new limit will NOT affect long term, pain clinic prescriptions....

quote:

Now if the fricking religious right would get off their high horse and allow real medical cannabis then the need for opiods for cancer pain and side effect pain would be lessened.


agree 100%, but good luck with that...

actually looked into, and seriously considered, applying to the Board for a medical marijuana pharmacy.... but the restrictions and hoops you had to jump through, along with the very short time frame to secure the permit were just too ridiculous...

quote:

So I do without and rely on mild opioid pain killers occasionally to help me continue with my treatments which will most likely go on for the rest of my live.

and it's for people with conditions like yours that these medications are intended for... though i would have you on a longer acting base pain med, with short acting pain meds for breakthrough/severe pain as needed...
This post was edited on 5/8/18 at 8:31 pm
Posted by AA77
Member since Jan 2016
3833 posts
Posted on 5/8/18 at 8:29 pm to
No they aren’t, they practice pharmacy which is a different discipline then medicine.
Posted by SSpaniel
Germantown
Member since Feb 2013
29658 posts
Posted on 5/8/18 at 8:37 pm to
quote:

Doctors hand this shite out like it's Candy.



This is true. About 5 years ago, I went to the doctor for my annual. Slept wrong the night before, woke up with a crick in my neck. Couldn't turn my head. He asked me what was wrong. Told him. He said I sprained my neck, gave me a script for 42 percocet and I think 42 Soma. I took 1 percocet... the rest are still in my medicine cabinet. I ain't touching that. It was too good.

Thing is, I was just wondering what I could do to ease up my neck. Next thing I know, he's whipping out his prescription pad.

And I used to get bad bronchitis... that was good for 180 ml of Tussionex at a time. I can definitely see how people could get addicted to the stuff. But it seems to me that it's a false thing. I don't see how you could maintain the feeling, or why you'd want to, because it's not real, if that makes any sense.
Posted by LSU2001
Cut Off, La.
Member since Nov 2007
2388 posts
Posted on 5/8/18 at 8:38 pm to
Thanks for the understanding reply. The thing is that I can go for weeks without any pain and then get a treatment and get hit with severe abdominal pain. That's why I am not on a long acting pain med. Most of the time, I don't need anything for pain, but it hits in a most unpredictable manner.
Posted by chRxis
None of your fricking business
Member since Feb 2008
26692 posts
Posted on 5/8/18 at 8:53 pm to
quote:

The thing is that I can go for weeks without any pain and then get a treatment and get hit with severe abdominal pain.

ahh... gotcha...

if you don't mind me asking, where are you located?
Posted by chRxis
None of your fricking business
Member since Feb 2008
26692 posts
Posted on 5/8/18 at 8:57 pm to
quote:

I don't see how you could maintain the feeling, or why you'd want to, because it's not real, if that makes any sense.

that euphoric feeling is what essentially you are looking to achieve, early on... as you continue taking more of the drug to get that high, you become dependent, physically on the drug, as your new "normal" is taking a certain amount of that drug....

the physical dependence, and wanting to avoid withdrawals, is what drives the person to continue to take the drug, and to do so at all cost... that's is what would then be known as addiction... to then actively seek out the drug to feed the dependence, at any cost, that's addiction... that's different than dependence...
Posted by SSpaniel
Germantown
Member since Feb 2013
29658 posts
Posted on 5/8/18 at 9:03 pm to
quote:

withdrawals


That's the thing. From what I understand, they are worse that the Euphoria. As in, not worth it. Seems like you'd "know the other side" and want to avoid it... not by putting it off, but rather by not doing what makes it happen in the first place.

Addiction is a heck of a thing though.
Posted by LSU2001
Cut Off, La.
Member since Nov 2007
2388 posts
Posted on 5/8/18 at 9:04 pm to
I live in Cut Off and have my treatments at Thibodaux regional under the direction of MD Anderson
Posted by chRxis
None of your fricking business
Member since Feb 2008
26692 posts
Posted on 5/8/18 at 9:10 pm to
quote:

From what I understand, they are worse that the Euphoria

it is..... first hand experience on both sides of this issue.... its 3-5 days of wanting to die...

quote:

Seems like you'd "know the other side" and want to avoid it...


of course, when you start down this road of drug abuse, you aren't thinking about 2-3 months down the road when you are going to be physically dependent, then have to go through withdrawals... but once you run out of your DOC, then shite gets real... and that's when you get depraved and desperate and do what you gotta do to avoid the withdrawals... in the end, you aren't using to get "high", you use to get to "normal" or your baseline, and to avoid withdrawals... period

quote:

rather by not doing what makes it happen in the first place.

that's stating the obvious, but again, that's not what you are thinking about when you first start... you think just the "here and there" use won't lead to daily use, or what not... but eventually, as you continue to chase the "high", it leads to the physical, or for some drugs, the psychological dependence....

quote:

Addiction is a heck of a thing though.

it is... it sucks... it can be beat, but it takes a person that is willing to change, along with a lot of support to help make that change, and then a strong mind to continue with a program of change... you don't need Jesus, or Allah, or Suboxone, or anything like that... you need to be willing and committed to change... that's it....
Posted by chRxis
None of your fricking business
Member since Feb 2008
26692 posts
Posted on 5/8/18 at 9:12 pm to
quote:

Cut Off

no shite, huh? played many a Biddy Basketball tourneys, along with Jr High and HS games down there...

i'm from Raceland...

quote:

Thibodaux regional

great hospital....

quote:

MD Anderson

great cancer programs...
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