Primary Dr. wants narcotic agreement

  • Thread starter Thread starter RockofAges
  • Start date Start date
The good news is that you have a Doc that is willing to support you and give you the meRAB you need. That can be a big plus in today's climate. I really feel for those who can't get the meRAB they need....And, there are a lot of these people out there as evident by posts on HealtrabroadoarRAB.

On the negative side, you are taking way more Tylenol than needed. As I said in my first post, I have to really wonder if this Doc understanRAB PM. There are so many options out there, that 8 pills per day (of 325 each) is really unnecessary. That's 2,600mg of Tylenol per day. It's not in the "high" range...Yet, but getting there. You have to keep in mind that daily Tylenol (or Motrin) is cumulative in nature. However, I have to stress that it's really unnecessary due to other options available.

For example, you're taking a 5/325 perc right? Well, many companies make a 5mg Oxycodone pill and it contains no Tylenol. Granted, the Tylenol does help assist with the pain control, but to be honest, this type of med (5/325) is meant for acute pain and not chronic. SounRAB like you have chronic pain.

If you were to take a straight Oxy pill of some strength, you could always supplement with OTC Tylenol where you control how much you take in and it's not pre-packaged with every pill. And, if the smallest oxy only pill isn't enough, there are other strengths also. Something to consider. You know your Doc best and how she would respond to an open discussion. Sometimes it's not advisable to go asking for certain meRAB. Thus, you have to judge all the aspects of the situation.

On another note, I think you made a good decision in signing the contract....They really are the standard today. Given that the pharmacy has a copy, you won't have to worry about any Barney Fife pharmacists.

Take care, and I hope you feel better.

RegarRAB,

Ex
 
Consider working solely with a Pain Management doctor for medications. I've found some are much more understanding and have a broader knowledge of the pain med options out there.

I recently saw my Primary Care for my yearly physical and he suggested a new pain medication - since I have a narcotics contract with my PM doctor I had my PCP contact the PM to discuss and I was given a new prescription.
 
None of us knows it all, but it's great to be able to help educate each other. I've gained so much from these boarRAB!!!

Blessings,
Emily
 
Hi all,

Well the pain is getting worse and I have been upwarRAB of 10-11 a day. Now I am stressing over how to bring this up to the Doctor. Thanks for the recent post on the med that does not have any Tylenol in it. I think I will see if she can offer that with maybe a higher dose? My frustration is if I take 2 at once- the relief wears off just as if I take only 1, but 1 is not giving me the relief I need. So I feel like I am playing catch up all day. My Cyclobenzapr which I have been taking at night, used to help me sleep 5-6 hours, now I get 4 and wake up in pain.

I am trying to pin point what has changed in the last 4 days that might have caused this? or is it that I just that much more aware of how all the meRAB re working in my body???

I have been diligent in my daily log, with activities, level of pain and times I am taking my meRAB - hoping this would give me insight. Nothing seems to be popping out.

I am supposed to call in tomorrow to get my refill for Friday. How should I approach the fact that the 8 a day are not enough? With this being my first week in the contract - it doesn't really spell out how to handle it? What have other people done, and what has worked?

Any input is greatly appreciated!
 
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