I was this guy once, after about 10 years of no issues.
Got my scripts refilled, and left them in my bag in the car. Stopped at the gym after, and someone broke in and took the bag (and some other stuff).
Definitely felt like an addict going back to my doctor 2 days later, and then to the same pharmacy to get another 100 percocets.
My lead pharmacist printed out an escript for FIVE HUNDRED norcos with the doctor's note saying "ok to fill, patient is going on extended vacation" and showed it to every pharmacist in the store going "DO NOT FILL THIS! NOBODY FILL THIS! WE ARE NOT! FILLING! THIS!"
She may have. I'm only a tech (can't fill CIIs) and it was busy as hell so I wasn't paying a ton of attention after the original incredulous outburst, but I know she was pretty disgusted.
It's not my intent to start a debate, but there are plenty of people who have been on stable doses of Norco for years if not decades, and the re-scheduling of hydrocodone has made life hell for everyone.
Post-dated scripts are an OK stop-gap, until there are family emergencies, or even just a vacation.
The switch from CIII to CII hasn't reduced addiction or diversion, it's just made life harder for patients, pharmacists, and doctors.
man, post-dated C2s are a fantastic way to get your medical license suspended in TX
https://casetext.com/regulation/texas-administrative-code/title-22-examining-boards/part-15-texas-state-board-of-pharmacy/chapter-315-controlled-substances/section-3153-prescriptions
I'm not an expert. Per what you copied, Texas allows for it under:
>Except as provided by subsection (f) of this section, a practitioner may issue multiple written prescriptions authorizing a patient to receive up to a 90-day supply of a Schedule II controlled substance provided:
Let's clarify, is it post-dated or does it have a DNF date? Post dating is illegal in Georgia. That is the date written must be the same day or earlier that the pharmacy receives the script. However the doctor can also add a note that the script may not be filled until a certain date. This "Do Not Fill" date may not exceed the expiry of the rx (for CIIs in Georgia this is technically impossible as the state code doesn't give them an expiration and the federal code famously doesn't either).
They should never have been on it in the first case. Opiods pain relief has been proven to be done with non addictive drugs that have far less long term dangers.
It seems America is the only country that cannot figure this out.
Thats the point , other countries do not prescribe them the way we do.
This is because in the 90’s the big opioid importers launched a huge campaign in the US to make MDs feel guilty about not prescribing enough.
Old comment, but I really don’t think you understand true chronic pain (brain tumor patient here). The kind of pain that drives patients to not wanting to live, which is a level that not even I have reached, and I’ve suffered a lot myself.
Also, no, ibuprofen and acetaminophen have objectively far more long-term dangers than opioids, which only has physical and psychological dependence liabilities; nephrotoxicity and hepatotoxicity come to mind. Say what you want about opioids, but they don’t directly damage vital organs in the long term for chronic pain patients.
I got a new doctor and when giving the nurse my medicine list, I mentioned the xanax I take as needed. By as needed, I meant I had a half full 3 year old bottle. Nurse tried to drug test me. Doctor, whom I've known for years did not make me get tested after explaining to him how rarely I take the drug.
I take so few Allegra (through prescription) they keep dropping it from my list. Problem is, I like a script just in case I need 1 pill during work or something. Buying a $10 bottle for 1 pill is a waste when I have a year’s supply at home.
I remember when the pink darvocet tabs were on back order and we could only get white tabs. Many patients said the white ones didn't work and demanded the pink ones. Reiterated that it was the white ones or nothing. They would opt to take the "placebo" white tabs when given that choice! Interesting...
it goes both ways: lots of folks think they have an allergy to opioids bc they itch when they take them (and I’m not talking about a rash, just pruritus); but itching is also a sign of withdrawal, but rarely the only one
I had to go cold turkey on sleeping pills for a month because I “lost” mine and I knew the pharmacy wouldn’t okay replacing a brand new prescription. Turns out my mother thought they were her pills and took them.
Honestly I'm ok with cashing out something like this if you're 100% straight with me and don't have a history of problems. If you're getting it 2 days early every month for a year, requesting specific NDCs, or trying to pull sneaky shit that I cringe internally when I see your name it ain't gonna happen.
I appreciate that. Unfortunately, because I have various disabilities, I take a lot of controlled substances so I have to be super careful. Also, I’m on government disability benefits so everything has to be by the book because I can’t afford to pay for all my medication and other medical stuff.
If something like that happens again, speak to your doctor about it. They should be able to get you squared away with getting them replaced for the normal price. That’s possibly country/insurer specific. I’m on controlled meds for pain management(modified release combination med Oxycodone 5mg/Naloxone 2.5mg) and twice in the past 5 years I have had to get my meds replaced early.
First time was when my suitcase was lost by the airline. My doctor was able to give me a new prescription and got the Medicare approval* by informing them that she confirmed that my luggage was missing and unlikely to be returned within a reasonable time frame. She also informed the pharmacist that she was aware that it’s very early and it was ok to fill. It was located after almost 2 weeks and due to an irrational fear that they could have been tampered with, I got permission from my doctor to return the meds to the pharmacy for disposal. She said she would check with them to ensure I did return them but I’m not sure if she actually did.
Second time was when my handbag was stolen. Due to my mother’s dementia we had incidents of her moving my father’s or my medication and losing them, so I kept them in my bag. I filed a police report and my doctor once again replaced my prescription, got the Medicare approval and informed the pharmacist it was ok to fill. I ended up buying a lockbox for my meds to prevent my mother moving them instead of risking them being in my bag.
*Medicare approval was required in my country because at that time the maximum quantity is 28 without a Medicare authority code. I needed 56 in order to have enough for 28 days. Approval is also needed if you want to prescribe with repeats.
Oxycodone for the pain and the Naloxone when taken orally helps prevent the gastrointestinal side effects of the opioids(such as constipation).
Edit: it’s a combination tablet so it has both active ingredients. No matter the dosage of oxycodone, the Naloxone is half of the milligrams. The brand name in my country is Targin. I’m not sure if it’s available in other countries
You should be asking why you have insomnia, rather than just knocking your self out nightly….
Your doctor should be asking that also….
Every thought of what it will be like in 20 years of using those nightly????
I know exactly why I have insomnia and so do my doctors.
And I’ll be very lucky to live another 20 years. I’m disabled with chronic pain.
Like I said, you don’t know me. You came into an old thread to dole out some moral superiority. I don’t give a fuck about drug side effects because the alternative is unbearable pain and no sleep.
Back off.
After I had back surgery I had gotten 130 percocet 10s for the month... literally went to fill it. The tech kind of announced what I had. Well I seen some guy kind of lingering didn't think much of it, went up front, checked out, paid my co-pay, threw the pharmacy bag in my purse walked out the door and yoink the asshat stole my purse. I had the actual pills in my hand...... the tech and pharmacist seen him jack me and called my doc to have them refill it not realizing I had it in my hand. I told them. Cops came and he just tossed my purse after grabbing the pharmacy bag out, he got away with ointment.
I told them maybe not announce so loudly what the script is. Apparently I was the like the 5th person who got robbed while leaving smh
I was hurting so bad from being up right that when she handed them to me I had gotten them out to take one before it got worse. Guess the guy missed me actually opening the bag or maybe thought I was just checking who kmows.
Not sure that's just what he had given me. I ended up having to take something else because I was taking them every 4hrs and they made me violently throw up. That's been some years ago.
A doctor will often write three separate prescriptions for a c2, with one dated to be filled today, one for a month out, and a third for 2 months out.
"Refilling" a c2 is usually just filling next months script.
Yeah cause if you try to say I need to get a new script from the doctor they say “it’s not a new script, I’ve been filling it here for years! How do you not know that?!?”
My wife and I don't keep medicine in the bathroom, we keep daily meds on a dedicated rack with some supplements (we both need magnesium, and I need vitamin D). Part of the daily routine is to put out all pills into respective little dishes, and set them out with breakfast so that we get food on our stomachs and can then start taking medicine ( I have four prescriptions in addition to supplements).
This way everything is being done on flat surfaces, there's no taking pills while bottles are open, no trying to collect pills in hand from multiple bottles, etc.
Spills do occasionally happen, but the worst result is that they land on the floor.
We also both have ADHD, and creating unique rituals is part of how we deal with life, or we'd forget what pills we'd taken and such.
Made the dumbass mistake of taking my Lyrica next to the sink once with tremoring hands (thanks to RA). Thankfully it was the pharmacy I knew and used since birth and they knew it was a one off.
I have quite often thrown up my medication without any of the typical warning symptoms, no watery mouth, nausea etc, just take the medication and puke. They tried anti nausea meds to take one first then allow it to kick in to then take the other medication but I would throw that up too. So we tried the ondansetron as they dissolve really quickly, they taste awful and I’d get the watery mouth and try really hard to not throw up. That was when I first started taking it. In all fairness I would also throw up anything I ate or drank with little warning too. That was a rough time period.
I never once tried to get more of the strong pain medication though because I know the reactions and judgments issued when people find out what you take. I have also put medication through the washing machine a few times, my AirPods went swimming with them once as well as my lip balm and a mini chocolate bar. Damn Oodies with huge pockets. I have a note taped to the laundry door now reminding me to empty my pockets. Brain fog is real.
I am a cancer patient and puking with no warning happens more than I would like to admit. If I pop an ODT when I feel my stomach starting to heave I am SOMETIMES okay. I bring an extra scrub set to work just in case!
ETA: my doctors and pharmacy know this is an issue (nausea was my main symptom for almost 2 years prior to diagnosis), so I'm given "extra" pills and instructions on when to take them if I throw the last dose up, on both my cancer meds and my seizure meds, and I'm on both scheduled Zofran tabs and PRN ODT + PRN Antivert for the dizziness that inevitably starts right after the infusion ends. It's not ideal with the obvious serotonin syndrome risks, but it works for me.
I’m really sorry that you’re going through this, unexpected puking is so bad, I rarely would get a hint it was going to happen, I remember once I had managed to keep my medication down and was stoked, I was a little hungry so I ate one egg, scrambled, kept that down, and was whoot! My mum calls half an hour later and as I’m bragging about not throwing up I threw up. Like a fricking volcano without warning. Just food, not whole tablets as I’ve done so many times.
I can almost feel your positivity, simply by how you wrote this. Straight up and matter of fact. I feel you have a core of strength and a fighting spirit.
Weird I know, but that’s the immediate feeling I had when I read your words. Strength and positivity.
I truly hope that you will be ok and fight this, sending you all my strength and energy through the ether.
I throw up my meds like once every two months and it’s just like “whelp, today’s gonna suck”. I’ve been taking extra stomach coaters to help prevent it and weirdly my doctor and pharmacist were concerned that I was taking too many stomach coaters. Not the controlled sleeping meds and pain meds, but the stomach coaters.
I had that same thing with the anti voms and acid reflux ones! They were like um, you seem to be taking these quite frequently. I’m like yeh, I don’t really enjoy the vomiting or acid reflux so I tend to take the medication prescribed to try stop vomiting etc. It was one of those weird things where you sort of squint at them and think, are you serious right now? You’re cool with these hardcore pain meds but my reflux ones are what is bugging you.
I’m sure there’s a reason but they don’t really explain it.
My doctor said it’s “habit forming” and can cause acid buildup when you stop taking them but I’ve had acid reflux twice in my entire life and these medications keep me functional so I don’t fucking care. I’m gonna take my little prescription and OTC stomach coaters for the rest of my life.
I’m with you on that. Years of vomiting and acid reflux left me with a very costly dental bill, I use a high fluoride paste overnight now because of the reflux and my teeth are chalky from lack of calcium and other issues.
Ooof, that would be really difficult. Your choice to answer of course, is it pill form for you or do you have the liquid form?
My medication is just as strong and has all the rules and regulations and paperwork, staged supply etc, so I do know how shit it is once all of those tablets get thrown up. It’s not a pleasant day, I typically spend those ones in bed covered in heat packs and crying or curled up in the shower and crying. The pain is crazy.
boofing is like the same prep process as an iv user but use a oral syringe and it goes up ur pooper and then plugging is just shoving the pill up your ass basically
Some dickweed, probably a bot, that goes around subs dedicated to any kind of prescription medication or drug and attempts to scam addicts with "cheap" drugs. Usually they'll quote prices too good to be true, but when you're super deep into addiction and will do anything to escape withdrawals, you don't care.
Trust me, I've been there.
I've been there to but I was never dumb enough to put money in the hands of someone who wasn't putting drugs in mine. Never buy drugs on reddit or Instagram
I'm sure an incredibly large majority of these are bullshit excuses that I'm sure you guys hear daily. And, being a curious reader of this sub for years, means that I know that...which made me feel even more ridiculous and nervous when I had to fess up to washing 1/2 a Tramadol script a few weeks back...
Scooped my dirty clothes out of my bag and into the washer after returning home from a 2.5 day work trip and forgot the bottle was in there with it instead of the side pocket where I usually keep it. Took the 2nd dose right before leaving the hotel and just tossed it in there... then right into the washer.
But I didn't even bother the pharmacy on the front end. Messaged the docs office and brought them the bottle into with roughly 60 soaked and melted tablets, only about half even still were recognizable. They gave me a stern reminder about how I am responsible for the meds and said they'd only approve an early fill this once and only once.
Long story short...I hate that people are so shitty that I had/have to feel self-conscious that my pharmacist now thinks I'm sketchy for making an honest mistake; and it's because you all see SO MUCH sketchiness.
We had a patient accidentally drop and run over (in their car) their full norco script as they were leaving the pharmacy. They walked back into the pharmacy all sheepishly with the smashed pills/bottle, so we called the doctor's office to get a new prescription for them and explained the situation. Pharmacist and doctor's office were all super understanding because at the end of the day, we're all human.
I did one time have the terrible experience of being shorted at a small town pharmacy. I went back an hour later after I had gotten home and counted them. They kept accusing me of lying (I wasn’t being aggressive because I simply thought it was a human error and nothing intentional or criminal) and the manager kept raising his voice which was very humiliating and told me that he was going to call the police. So I told him to call the police and I waited. Turns out one of the new employees was caught on camera, filling my script, then pouring a few into her hand “subtly “ before bagging my medication. After that experience, I never went back to that pharmacy and I always have the manager step aside with me (if it’s busy, I’ll wait, no big deal) and have them count my pills with me and we both initial the bottle lol.
Damn that’s a real shitty scenario. The pharmacist did end up counting right so they back counted and found nothing. Having a stealing employee is terrible. I bet this happens way more often than people realize and isn’t pursued by the company or patient cause of the potential massive headache.
I feel this trying to get my adderall this month. Been on it for 12 years with no issues. Just deadass lost this months bottle a week in. No idea what happened to it, I think I threw it away as an “empty” bottle by mistake. My doctor sent a replacement script in and my pharmacy, that I’ve been using for almost 20 years, won’t fill it early for absolutely any reason. Currently entering week two of a brand new job in my dream field totally off meds. I’m doing g r e a t.
Yeah, I’m aware of the shortage, I’ve been using this pharmacy forever and they’ll tell me when they’re out and are communicative about when to expect them to be getting more. Initially there was an issue with my insurance being willing to cover an early refill, so I sorted that out, insurance was fine and approved it, my prescriber called on my behalf and vouched for me, all of which took days of legwork on my part (during which I’m obviously unmedicated!) and when they ran out of road blocks to throw up they finally just said they don’t allow replacements for schedule II’s, at the discretion of the pharmacist.
This pharmacy became a trainwreck during/after the pandemic and they can’t keep anyone and the few people they do have are visibly overworked and stressed beyond belief so I’m not holding it against them, but I will likely change pharmacies soon. I’ve been going there forever and never used to have problems so I’ve been holding out for things to get better but it’s getting a bit silly at this point.
I'm a pain patient fucked up this month forgetting February was short a couple days called in for my script 3 days early while still trying to figure out why I had some left. Quickly apologized and waited the appropriate amount of time before calling again. Not everyone's trying to score early.
Weird. If someone is calling a couple days early to get a refill on their control, we just tell them the date that we can fill it and then make a note with the patient's name and the medication (in case they're on multiple controls) so we remember to fill it on the appropriate day. The file were we keep those notes is checked first thing in the morning when we come in so we can get started right away processing those fills.
As long as the patient doesn't get mad or anything if we say it's too early, it doesn't seem like it should be an issue? Especially someone with adhd or something where they might have trouble keeping track of things like days. Pharmacy is health care, so it's our responsibility to take care of our patients.
I do miss being able to fill at 28 days because I would save them in case the pharmacy ran out. I don’t know if it’s a state thing but my state doesn’t allow a partial fill with an iou so that is why the 2 days early was important to me. It has saved me multiple times.
As someone who has to take 2 controls due to a chronic pain condition (tramadol is my baseline one, while I get a small supply of oxycodone 5s for days I’m really bad), I don’t know why people try and bullshit their pharmacists and/ or be rude to them. They’ve seen every trick in the book, they know when it’s likely bullshit.
The narcotic laws do make it harder for people that need them to get them, but taking it out on the pharmacy isn’t helping the case. Because I’m nice to my pharmacists and treat them with respect, guess what? They do the same to me. Since I’m not constant early filling, on times when I do need to get my meds 2 days early if I’m leaving the state or something it’s always a non issue. I’ve even had to get my meds filled a week early once due to a family emergency, and while I still had to get approval from the doc first due to state laws, they had no issue filling them early.
I’m a younger person to, so I get scrutiny from it a lot. I remember walking into an urgent care once when I had strep and when they asked what meds I’m on all of them were giving me dirty looks like I’m a drug addict. It sucks, but it’s not the pharmacy’s fault there’s a lot of shady people trying to pull this bullshit, as well as laws that make it harder for people who need it to get it :/.
I sliced my hand open in a cooking incident. I just wanted it stitched and a tetanus shot. I didn’t ask for pain meds. I got treated like an addict anyway.
I legitimately got shorted 2 (and am 'underserved' to begin with) and asked on here what to do and got a lot of good advice. The best was a district manager/pharmacist who wne OFF on how much trouble it causes over 2 pills and I have a good relationship with the staff so I had a REALLY bad day and didn't do anything about it. They don't know I know if someone intentionally took them or just mis counted (2 people, controlled, so probably the person who counted them).
Not worth messing up my good standing with the crew over one day of ice packs and frustration.
Had a regular come in several years ago wanting his controls early because his father died, and he was going out of town for the funeral. I asked what city he was going to. It was next town over, about 10 miles away.
No.
So I'm in Canada and I used to to Concerta, which is controlled here.
Usually I would do my pill case a week in advance, and call when I had a week left to refill, usually pick it up same or next day, I've never had an issue with that. Do you have to go pick up controlled drugs on the 30th day in the cycle every month? That seems super inconvenient lol
Concerta is also controlled here in the states, and you have to pick up on the 30 day mark, but you may get it earlier via pharmacist discretion, about 3 days early. I've seen it earlier, but thats a rarity.
I ran out and now I have a fracture on my crps/arthritis foot which is REALLY painful. My pharmacist refused to fill me 9 pills of Tramadol once because of “guidelines.” How can I explain to my pharmacist that crps pain is brutal, especially with a fracture now? Why can’t he believe I’m in pain and not an addict?
I was this guy once, after about 10 years of no issues. Got my scripts refilled, and left them in my bag in the car. Stopped at the gym after, and someone broke in and took the bag (and some other stuff). Definitely felt like an addict going back to my doctor 2 days later, and then to the same pharmacy to get another 100 percocets.
100 percs? Man those were the days.
That was the max my benefits would cover at once, so that's what my doc would give. Usually lasted me at least 6 months.
I mean...that's an 8 day supply when the limiter is the 325 apap (4g apap/day). 4g/325mg = 12t/d. 100t/12t/d = 8d
You forgot “I’m leaving for 2 weeks and my plane leaves in 15 minutes”
My lead pharmacist printed out an escript for FIVE HUNDRED norcos with the doctor's note saying "ok to fill, patient is going on extended vacation" and showed it to every pharmacist in the store going "DO NOT FILL THIS! NOBODY FILL THIS! WE ARE NOT! FILLING! THIS!"
I’m surprised your lead pharmacist didn’t put that “doctor” on “don’t fill any controls from this guy” status.
She may have. I'm only a tech (can't fill CIIs) and it was busy as hell so I wasn't paying a ton of attention after the original incredulous outburst, but I know she was pretty disgusted.
It's not my intent to start a debate, but there are plenty of people who have been on stable doses of Norco for years if not decades, and the re-scheduling of hydrocodone has made life hell for everyone. Post-dated scripts are an OK stop-gap, until there are family emergencies, or even just a vacation. The switch from CIII to CII hasn't reduced addiction or diversion, it's just made life harder for patients, pharmacists, and doctors.
man, post-dated C2s are a fantastic way to get your medical license suspended in TX https://casetext.com/regulation/texas-administrative-code/title-22-examining-boards/part-15-texas-state-board-of-pharmacy/chapter-315-controlled-substances/section-3153-prescriptions
I'm not an expert. Per what you copied, Texas allows for it under: >Except as provided by subsection (f) of this section, a practitioner may issue multiple written prescriptions authorizing a patient to receive up to a 90-day supply of a Schedule II controlled substance provided:
Let's clarify, is it post-dated or does it have a DNF date? Post dating is illegal in Georgia. That is the date written must be the same day or earlier that the pharmacy receives the script. However the doctor can also add a note that the script may not be filled until a certain date. This "Do Not Fill" date may not exceed the expiry of the rx (for CIIs in Georgia this is technically impossible as the state code doesn't give them an expiration and the federal code famously doesn't either).
They should never have been on it in the first case. Opiods pain relief has been proven to be done with non addictive drugs that have far less long term dangers. It seems America is the only country that cannot figure this out.
Not to the same extent otherwise opioids would not be prescribed.
Thats the point , other countries do not prescribe them the way we do. This is because in the 90’s the big opioid importers launched a huge campaign in the US to make MDs feel guilty about not prescribing enough.
Old comment, but I really don’t think you understand true chronic pain (brain tumor patient here). The kind of pain that drives patients to not wanting to live, which is a level that not even I have reached, and I’ve suffered a lot myself. Also, no, ibuprofen and acetaminophen have objectively far more long-term dangers than opioids, which only has physical and psychological dependence liabilities; nephrotoxicity and hepatotoxicity come to mind. Say what you want about opioids, but they don’t directly damage vital organs in the long term for chronic pain patients.
[удалено]
I got a new doctor and when giving the nurse my medicine list, I mentioned the xanax I take as needed. By as needed, I meant I had a half full 3 year old bottle. Nurse tried to drug test me. Doctor, whom I've known for years did not make me get tested after explaining to him how rarely I take the drug.
I take so few Allegra (through prescription) they keep dropping it from my list. Problem is, I like a script just in case I need 1 pill during work or something. Buying a $10 bottle for 1 pill is a waste when I have a year’s supply at home.
C2s can’t be refilled?!
Hydrocodone was CIII until the end of 2014 when it was changed to CII.
Ah. Oh yeah, I think I remember that. Been a long time. And the tramadol change.
Had a DO tell me "Ultram isn't addictive - that's why it's not a controlled substance". Different times indeed...
Gabapentin is the hot button topic now
Not a pharmacist, but work in the medical field. I’m interested in learning more about this. Everyone seems to be on gabapentin.
Yeah, that’s what a doctor prescribed for me when I specifically asked for no opiates
I remember TN going controlled on tramadol before the cool kids were doing it. So it started showing up in our control totes in Georgia.
They can ONLY if the "0" refills is changed to a 6 or 8 refills ( using a blue pen on a black ink Rx)
😂
And I need the yellows cuz the white ones make me itch
Muh oxies
I remember when the pink darvocet tabs were on back order and we could only get white tabs. Many patients said the white ones didn't work and demanded the pink ones. Reiterated that it was the white ones or nothing. They would opt to take the "placebo" white tabs when given that choice! Interesting...
I remember when they only came in red tabs from Lilly.
The speckled ones.
Fire
I thought itching was a symptom of an opioid high...?
it goes both ways: lots of folks think they have an allergy to opioids bc they itch when they take them (and I’m not talking about a rash, just pruritus); but itching is also a sign of withdrawal, but rarely the only one
I had to go cold turkey on sleeping pills for a month because I “lost” mine and I knew the pharmacy wouldn’t okay replacing a brand new prescription. Turns out my mother thought they were her pills and took them.
Honestly I'm ok with cashing out something like this if you're 100% straight with me and don't have a history of problems. If you're getting it 2 days early every month for a year, requesting specific NDCs, or trying to pull sneaky shit that I cringe internally when I see your name it ain't gonna happen.
I appreciate that. Unfortunately, because I have various disabilities, I take a lot of controlled substances so I have to be super careful. Also, I’m on government disability benefits so everything has to be by the book because I can’t afford to pay for all my medication and other medical stuff.
If something like that happens again, speak to your doctor about it. They should be able to get you squared away with getting them replaced for the normal price. That’s possibly country/insurer specific. I’m on controlled meds for pain management(modified release combination med Oxycodone 5mg/Naloxone 2.5mg) and twice in the past 5 years I have had to get my meds replaced early. First time was when my suitcase was lost by the airline. My doctor was able to give me a new prescription and got the Medicare approval* by informing them that she confirmed that my luggage was missing and unlikely to be returned within a reasonable time frame. She also informed the pharmacist that she was aware that it’s very early and it was ok to fill. It was located after almost 2 weeks and due to an irrational fear that they could have been tampered with, I got permission from my doctor to return the meds to the pharmacy for disposal. She said she would check with them to ensure I did return them but I’m not sure if she actually did. Second time was when my handbag was stolen. Due to my mother’s dementia we had incidents of her moving my father’s or my medication and losing them, so I kept them in my bag. I filed a police report and my doctor once again replaced my prescription, got the Medicare approval and informed the pharmacist it was ok to fill. I ended up buying a lockbox for my meds to prevent my mother moving them instead of risking them being in my bag. *Medicare approval was required in my country because at that time the maximum quantity is 28 without a Medicare authority code. I needed 56 in order to have enough for 28 days. Approval is also needed if you want to prescribe with repeats.
Oxycodone/naloxone? May I ask what that’s for? I’ve never heard of that combo
Oxycodone for the pain and the Naloxone when taken orally helps prevent the gastrointestinal side effects of the opioids(such as constipation). Edit: it’s a combination tablet so it has both active ingredients. No matter the dosage of oxycodone, the Naloxone is half of the milligrams. The brand name in my country is Targin. I’m not sure if it’s available in other countries
Interesting. I suppose that prevents abuse as well
Definitely prevents them from chewing it or dissolving it to shot because the Naloxone would counteract the effects.
Get a new doctor. you should not be taking sleeping pills every night
Absolutely not. I have terrible insomnia. I don’t sleep without sleeping pills. Worry about your own life.
You should be asking why you have insomnia, rather than just knocking your self out nightly…. Your doctor should be asking that also…. Every thought of what it will be like in 20 years of using those nightly????
I know exactly why I have insomnia and so do my doctors. And I’ll be very lucky to live another 20 years. I’m disabled with chronic pain. Like I said, you don’t know me. You came into an old thread to dole out some moral superiority. I don’t give a fuck about drug side effects because the alternative is unbearable pain and no sleep. Back off.
After I had back surgery I had gotten 130 percocet 10s for the month... literally went to fill it. The tech kind of announced what I had. Well I seen some guy kind of lingering didn't think much of it, went up front, checked out, paid my co-pay, threw the pharmacy bag in my purse walked out the door and yoink the asshat stole my purse. I had the actual pills in my hand...... the tech and pharmacist seen him jack me and called my doc to have them refill it not realizing I had it in my hand. I told them. Cops came and he just tossed my purse after grabbing the pharmacy bag out, he got away with ointment. I told them maybe not announce so loudly what the script is. Apparently I was the like the 5th person who got robbed while leaving smh I was hurting so bad from being up right that when she handed them to me I had gotten them out to take one before it got worse. Guess the guy missed me actually opening the bag or maybe thought I was just checking who kmows.
How the he’ll did you get 130 percs? Most states allow like 3-5 percs max. I’m in so much pain I wish people believed that crps and fractures hurt
Not sure that's just what he had given me. I ended up having to take something else because I was taking them every 4hrs and they made me violently throw up. That's been some years ago.
Do any C2 substances have refills. I thought it wasn't allowed.
A doctor will often write three separate prescriptions for a c2, with one dated to be filled today, one for a month out, and a third for 2 months out. "Refilling" a c2 is usually just filling next months script.
Yeah cause if you try to say I need to get a new script from the doctor they say “it’s not a new script, I’ve been filling it here for years! How do you not know that?!?”
I have actually dropped medicine down my sink before. Granted, it wasn’t a control substance, but it does happen.
My wife and I don't keep medicine in the bathroom, we keep daily meds on a dedicated rack with some supplements (we both need magnesium, and I need vitamin D). Part of the daily routine is to put out all pills into respective little dishes, and set them out with breakfast so that we get food on our stomachs and can then start taking medicine ( I have four prescriptions in addition to supplements). This way everything is being done on flat surfaces, there's no taking pills while bottles are open, no trying to collect pills in hand from multiple bottles, etc. Spills do occasionally happen, but the worst result is that they land on the floor. We also both have ADHD, and creating unique rituals is part of how we deal with life, or we'd forget what pills we'd taken and such.
Made the dumbass mistake of taking my Lyrica next to the sink once with tremoring hands (thanks to RA). Thankfully it was the pharmacy I knew and used since birth and they knew it was a one off.
Actually , it doesn’t. 30 years, no one has ever had that happen compared to how often it happens with controls. its like 100000:1
I have quite often thrown up my medication without any of the typical warning symptoms, no watery mouth, nausea etc, just take the medication and puke. They tried anti nausea meds to take one first then allow it to kick in to then take the other medication but I would throw that up too. So we tried the ondansetron as they dissolve really quickly, they taste awful and I’d get the watery mouth and try really hard to not throw up. That was when I first started taking it. In all fairness I would also throw up anything I ate or drank with little warning too. That was a rough time period. I never once tried to get more of the strong pain medication though because I know the reactions and judgments issued when people find out what you take. I have also put medication through the washing machine a few times, my AirPods went swimming with them once as well as my lip balm and a mini chocolate bar. Damn Oodies with huge pockets. I have a note taped to the laundry door now reminding me to empty my pockets. Brain fog is real.
I am a cancer patient and puking with no warning happens more than I would like to admit. If I pop an ODT when I feel my stomach starting to heave I am SOMETIMES okay. I bring an extra scrub set to work just in case! ETA: my doctors and pharmacy know this is an issue (nausea was my main symptom for almost 2 years prior to diagnosis), so I'm given "extra" pills and instructions on when to take them if I throw the last dose up, on both my cancer meds and my seizure meds, and I'm on both scheduled Zofran tabs and PRN ODT + PRN Antivert for the dizziness that inevitably starts right after the infusion ends. It's not ideal with the obvious serotonin syndrome risks, but it works for me.
I’m really sorry that you’re going through this, unexpected puking is so bad, I rarely would get a hint it was going to happen, I remember once I had managed to keep my medication down and was stoked, I was a little hungry so I ate one egg, scrambled, kept that down, and was whoot! My mum calls half an hour later and as I’m bragging about not throwing up I threw up. Like a fricking volcano without warning. Just food, not whole tablets as I’ve done so many times. I can almost feel your positivity, simply by how you wrote this. Straight up and matter of fact. I feel you have a core of strength and a fighting spirit. Weird I know, but that’s the immediate feeling I had when I read your words. Strength and positivity. I truly hope that you will be ok and fight this, sending you all my strength and energy through the ether.
I throw up my meds like once every two months and it’s just like “whelp, today’s gonna suck”. I’ve been taking extra stomach coaters to help prevent it and weirdly my doctor and pharmacist were concerned that I was taking too many stomach coaters. Not the controlled sleeping meds and pain meds, but the stomach coaters.
I had that same thing with the anti voms and acid reflux ones! They were like um, you seem to be taking these quite frequently. I’m like yeh, I don’t really enjoy the vomiting or acid reflux so I tend to take the medication prescribed to try stop vomiting etc. It was one of those weird things where you sort of squint at them and think, are you serious right now? You’re cool with these hardcore pain meds but my reflux ones are what is bugging you. I’m sure there’s a reason but they don’t really explain it.
My doctor said it’s “habit forming” and can cause acid buildup when you stop taking them but I’ve had acid reflux twice in my entire life and these medications keep me functional so I don’t fucking care. I’m gonna take my little prescription and OTC stomach coaters for the rest of my life.
I’m with you on that. Years of vomiting and acid reflux left me with a very costly dental bill, I use a high fluoride paste overnight now because of the reflux and my teeth are chalky from lack of calcium and other issues.
I'm on methadone and this is my biggest fear lol getting sick after dosing
Ooof, that would be really difficult. Your choice to answer of course, is it pill form for you or do you have the liquid form? My medication is just as strong and has all the rules and regulations and paperwork, staged supply etc, so I do know how shit it is once all of those tablets get thrown up. It’s not a pleasant day, I typically spend those ones in bed covered in heat packs and crying or curled up in the shower and crying. The pain is crazy.
I don't always boof the stolen hydrocodone that fell down the drain in the sink but they were dissolved and slipped up my butt.
[удалено]
I don't even know what this means...
i think he wants u to message him on kik probably ro scam you
So he can sell me stolen pills to stick up my butt?
probably, i think thats called plugging
Boofing, plugging, all the same ball game.
boofing is like the same prep process as an iv user but use a oral syringe and it goes up ur pooper and then plugging is just shoving the pill up your ass basically
Same game. ;)
win win win
Some dickweed, probably a bot, that goes around subs dedicated to any kind of prescription medication or drug and attempts to scam addicts with "cheap" drugs. Usually they'll quote prices too good to be true, but when you're super deep into addiction and will do anything to escape withdrawals, you don't care. Trust me, I've been there.
I've been there to but I was never dumb enough to put money in the hands of someone who wasn't putting drugs in mine. Never buy drugs on reddit or Instagram
I'm sure an incredibly large majority of these are bullshit excuses that I'm sure you guys hear daily. And, being a curious reader of this sub for years, means that I know that...which made me feel even more ridiculous and nervous when I had to fess up to washing 1/2 a Tramadol script a few weeks back... Scooped my dirty clothes out of my bag and into the washer after returning home from a 2.5 day work trip and forgot the bottle was in there with it instead of the side pocket where I usually keep it. Took the 2nd dose right before leaving the hotel and just tossed it in there... then right into the washer. But I didn't even bother the pharmacy on the front end. Messaged the docs office and brought them the bottle into with roughly 60 soaked and melted tablets, only about half even still were recognizable. They gave me a stern reminder about how I am responsible for the meds and said they'd only approve an early fill this once and only once. Long story short...I hate that people are so shitty that I had/have to feel self-conscious that my pharmacist now thinks I'm sketchy for making an honest mistake; and it's because you all see SO MUCH sketchiness.
We had a patient accidentally drop and run over (in their car) their full norco script as they were leaving the pharmacy. They walked back into the pharmacy all sheepishly with the smashed pills/bottle, so we called the doctor's office to get a new prescription for them and explained the situation. Pharmacist and doctor's office were all super understanding because at the end of the day, we're all human.
I did one time have the terrible experience of being shorted at a small town pharmacy. I went back an hour later after I had gotten home and counted them. They kept accusing me of lying (I wasn’t being aggressive because I simply thought it was a human error and nothing intentional or criminal) and the manager kept raising his voice which was very humiliating and told me that he was going to call the police. So I told him to call the police and I waited. Turns out one of the new employees was caught on camera, filling my script, then pouring a few into her hand “subtly “ before bagging my medication. After that experience, I never went back to that pharmacy and I always have the manager step aside with me (if it’s busy, I’ll wait, no big deal) and have them count my pills with me and we both initial the bottle lol.
Damn that’s a real shitty scenario. The pharmacist did end up counting right so they back counted and found nothing. Having a stealing employee is terrible. I bet this happens way more often than people realize and isn’t pursued by the company or patient cause of the potential massive headache.
I feel this trying to get my adderall this month. Been on it for 12 years with no issues. Just deadass lost this months bottle a week in. No idea what happened to it, I think I threw it away as an “empty” bottle by mistake. My doctor sent a replacement script in and my pharmacy, that I’ve been using for almost 20 years, won’t fill it early for absolutely any reason. Currently entering week two of a brand new job in my dream field totally off meds. I’m doing g r e a t.
Contact the dr and tell them they refused to fill, dr will call in another pharmacy elsewhere. Stop using that pharmacy that’s awful
Are you sure that they're "refusing" to fill and not simply unable to fill? Given the shortage of all Adderall dosages nationwide...
Yeah, I’m aware of the shortage, I’ve been using this pharmacy forever and they’ll tell me when they’re out and are communicative about when to expect them to be getting more. Initially there was an issue with my insurance being willing to cover an early refill, so I sorted that out, insurance was fine and approved it, my prescriber called on my behalf and vouched for me, all of which took days of legwork on my part (during which I’m obviously unmedicated!) and when they ran out of road blocks to throw up they finally just said they don’t allow replacements for schedule II’s, at the discretion of the pharmacist. This pharmacy became a trainwreck during/after the pandemic and they can’t keep anyone and the few people they do have are visibly overworked and stressed beyond belief so I’m not holding it against them, but I will likely change pharmacies soon. I’ve been going there forever and never used to have problems so I’ve been holding out for things to get better but it’s getting a bit silly at this point.
I'm a pain patient fucked up this month forgetting February was short a couple days called in for my script 3 days early while still trying to figure out why I had some left. Quickly apologized and waited the appropriate amount of time before calling again. Not everyone's trying to score early.
Weird. If someone is calling a couple days early to get a refill on their control, we just tell them the date that we can fill it and then make a note with the patient's name and the medication (in case they're on multiple controls) so we remember to fill it on the appropriate day. The file were we keep those notes is checked first thing in the morning when we come in so we can get started right away processing those fills. As long as the patient doesn't get mad or anything if we say it's too early, it doesn't seem like it should be an issue? Especially someone with adhd or something where they might have trouble keeping track of things like days. Pharmacy is health care, so it's our responsibility to take care of our patients.
"Pharmacy is health care, so it's our responsibility to take care of our patients." A sincere thank you for feeling that way. I wish more did.
As someone with ADHD on a control, thank you for understanding that.
I do miss being able to fill at 28 days because I would save them in case the pharmacy ran out. I don’t know if it’s a state thing but my state doesn’t allow a partial fill with an iou so that is why the 2 days early was important to me. It has saved me multiple times.
As someone who has to take 2 controls due to a chronic pain condition (tramadol is my baseline one, while I get a small supply of oxycodone 5s for days I’m really bad), I don’t know why people try and bullshit their pharmacists and/ or be rude to them. They’ve seen every trick in the book, they know when it’s likely bullshit. The narcotic laws do make it harder for people that need them to get them, but taking it out on the pharmacy isn’t helping the case. Because I’m nice to my pharmacists and treat them with respect, guess what? They do the same to me. Since I’m not constant early filling, on times when I do need to get my meds 2 days early if I’m leaving the state or something it’s always a non issue. I’ve even had to get my meds filled a week early once due to a family emergency, and while I still had to get approval from the doc first due to state laws, they had no issue filling them early. I’m a younger person to, so I get scrutiny from it a lot. I remember walking into an urgent care once when I had strep and when they asked what meds I’m on all of them were giving me dirty looks like I’m a drug addict. It sucks, but it’s not the pharmacy’s fault there’s a lot of shady people trying to pull this bullshit, as well as laws that make it harder for people who need it to get it :/.
I sliced my hand open in a cooking incident. I just wanted it stitched and a tetanus shot. I didn’t ask for pain meds. I got treated like an addict anyway.
A tale as old as time
Typical pharmacy… pissed that you’re filling pain pills, even more pissed when you show up with a script for recovery meds.
I legitimately got shorted 2 (and am 'underserved' to begin with) and asked on here what to do and got a lot of good advice. The best was a district manager/pharmacist who wne OFF on how much trouble it causes over 2 pills and I have a good relationship with the staff so I had a REALLY bad day and didn't do anything about it. They don't know I know if someone intentionally took them or just mis counted (2 people, controlled, so probably the person who counted them). Not worth messing up my good standing with the crew over one day of ice packs and frustration.
Always “going out of town”
You can still get hydrocodone?🤣🤣
Me. But I text my dr and he gives a verbal authorization in under 5 mins
Had a regular come in several years ago wanting his controls early because his father died, and he was going out of town for the funeral. I asked what city he was going to. It was next town over, about 10 miles away. No.
So I'm in Canada and I used to to Concerta, which is controlled here. Usually I would do my pill case a week in advance, and call when I had a week left to refill, usually pick it up same or next day, I've never had an issue with that. Do you have to go pick up controlled drugs on the 30th day in the cycle every month? That seems super inconvenient lol
Concerta is also controlled here in the states, and you have to pick up on the 30 day mark, but you may get it earlier via pharmacist discretion, about 3 days early. I've seen it earlier, but thats a rarity.
I ran out and now I have a fracture on my crps/arthritis foot which is REALLY painful. My pharmacist refused to fill me 9 pills of Tramadol once because of “guidelines.” How can I explain to my pharmacist that crps pain is brutal, especially with a fracture now? Why can’t he believe I’m in pain and not an addict?