can i still be prescribed opiates?

[dissident]

about 2 years ago i went to the emergency room for help with withdrawing from a 320mg+ per day addiction to oxycontin (illegally obtained on the street) they helped me with lorazepam and catapress scripts, and i continued to see my own doctor for lorazepam, paxil for anxiety but he knew it originated from oxycontin addiction.

could this being on my medical/ insurance records keep me from being prescribed opiod meds in the future for anything i might really need them for (pain, cough etc.) ? :eek:

[caesee]

I had a freind in the same situation, but not oxy his was morhine. He went to hositple ect, and it was listed on insurance. When he goes to the doctor, he pays cash for the visit, and never had any problems. He still used his insurance for the rx's but never for the docotr visit...

[hovadagod]

What if you've paid for sub on insurance but never used insurace for the doctor's visit?

[candy]

It may depending on the diagnosis that was made by the doc and what he wrote in the notes.
Because it was an emergency room visit, I doubt it would be part of any record your personal physician would have, unless the ER doc called your personal doc and was given information regarding your visit to the ER, I would not worry.

What I would recommend is that if you do see another doctor for pain or cough,etc. don't give any information regarding your past addiction to pain meds. Unless you feel they should know this info, I would not volunteer it.

In my experience, docs are less likely to give narcotics to anyone with a history of addiction. They will be more likely to use, non-narcotic type analgesics, such as antiinflammatories. For a cough, there are different types of cough meds such as an antitussive(Robitussin, Delsym). While such meds as Codeine work great for a cough, they may not prescribe them if they know you have been addicted to opiates.

[dissident]

thanks for the replies

really im just worried about a doctor having a long term doc/patient relationship with me.. knowing my history and not want to prescribe any controlled drugs because of my history. i do have a legitament need for anxiety meds, and i believe this is why i tend to self medicate with opiates. im worried that my history would make a doc hesitate to prescribe anything that could be benneficial for my real needs

[satori]

I have a similiar experience. I was on NO WHERE NEAR that amount of oxy but i was perscribed 10mg endocet (80 the first time, that got me going) then i got... im not sure how much more. A lot of hydro etc. I ran out and felt like i was going to die, so i went in to the doctor i got it from to say i was .... well i guess addicted, i didnt say addicted but thats what she came up with (i was lol, i loved it). She gave me catapres patch and later on tramadol. Well one of the doctor's there did something really messed up to my mom so i stopped going and switched doctors. I have had a lot of pain problems sense then and have gotten MANY MANY scripts through the same insurance. At the same time i only saw them 3 times for it and i dont know how they wrote it down and submitted it. Dont tell your new doctor and you will be fine, i beleive you have to sign a waver giving permission for a new doctor to see your info.

[Zoop]

What if you've paid for sub on insurance but never used insurace for the doctor's visit?

I have wondered the same exact thing. I get bupe too, and I don't submit the doc visits on insurance, but I DO put the drugs on my insurance. Without that, I would have a very hard time affording it. It's too freekin' expensive! Buprenorphine has been around for a very very long time - it's not on patent or anything - you should be able to get it generic! And you know the reason why it's so fucking expensive? Because there is only one company right now, Reckitt Benckiser (I think they're British) who is actually willing to take the HUGE risk of marketing a controlled substance specifically made for drug addicts! I mean, they are out in the open, vulnerable to all kinds of lawsuits - just imagine: "I was taking their product, in the hopes that it would help me with my addiction, and I actually got WORSE!" (the horror!). there are no other manufacturers out there willing to put themselves in that position, so, with no competition, we got prices through the roof - they have a monopoly on the only bupe product to treat opioid addiction. Fuck.

I hope some generic manufacturers get into the game after they find out the water's fine.

[Zoop]

I have wondered the same exact thing. I get bupe too, and I don't submit the doc visits on insurance, but I DO put the drugs on my insurance. Without that, I would have a very hard time affording it. It's too freekin' expensive! Buprenorphine has been around for a very very long time - it's not on patent or anything - you should be able to get it generic! And you know the reason why it's so fucking expensive? Because there is only one company right now, Reckitt Benckiser (I think they're British) who is actually willing to take the HUGE risk of marketing a controlled substance specifically made for drug addicts! I mean, they are out in the open, vulnerable to all kinds of lawsuits - just imagine: "I was taking their product, in the hopes that it would help me with my addiction, and I actually got WORSE!" (the horror!). there are no other manufacturers out there willing to put themselves in that position, so, with no competition, we got prices through the roof - they have a monopoly on the only bupe product to treat opioid addiction. Fuck.

I hope some generic manufacturers get into the game after they find out the water's fine.

Oops. I went off on one of my rants... I was going to say - my bupe doc told me that he (and other MD's) will sometimes prescribe subutex or suboxone for treating PAIN in patients, specifically lower back pain, he told me. It's very good for that he said. So, if you don't have a doctor visit with that ugly "opioid dependence" diagnosis code on it sent in to the insurance, and only the meds, then you could say you were getting it for treatment of chronic back pain or some type of pain.

[hovadagod]

I used to get it from an OP for pain. Then I got in a fight with them.

It's not that Reckitt is the only one who will make it for detox/maintenance. The FDA only has approved sub for maintentance/WD's. It's the FDA helping out Reckett. There are pharmacies that compound it but it's only indicated for pain. The FDA...blame those bastards!

[antigonemuse]

My understanding of this exchange of information is as follows (which may vary state to state... HIPPA is federal, isn't it?)

My job, is filling medical record requests. No client record (or any part of) may be exchanged without a signature. Depending on the petitioner, in almost all cases the client has to sign to a Release of Private Health Information (PHI) Form. This form gets submitted to the records department the facility in which it is stored; and it is filled from there. Unless you disclose your medical history, a doctor can not get it form outside sources. I would hope that this includes Insurance Companies, being that have their own set of doctors that review client cases.

I hope that made sense. Any how... If you have a good doctor, and you need the meds, you'll get them.

Peace

[satori]

I get "care calls" from my insurance co. They want to see how im "doing" after i make a visit to the doctor (or a few visits haha). A nurse call's and asks how things are doing, saying i should do this or that (trying to get me to not go back, this would save them $$$). I wonder if they see all of the files i had. HMMMM

[JoyDivision]

Obviously if you have intense pain your going to get pain killers. Like if your in an accident or something
they aren't going to look at your records and say "nope sorry, no pain killers for you, you were an addict, so you just take it and die from shock"

You can die from too much pain. That's why they invented anesthesia. People on the operating table were dying from the pain of surgery itself. So I don't think they are going to deny you pain killers.
They probably might not give you Oxy though. They might give you something else and just take your history into account when it comes to coming off of them.

[exitwound]

Yeah, well, there are many types of pain that are just as real, and just as horrible, as that resulting from a car accident or other such externally obvious injury....but which are not given one percent as much respect from doctors.

For people like me who have rarer, more mysterious chronic pain conditions triggered by infections or runaway inflammation/immune response etc.....it can be damn difficult to get proper medication from ANY doc. Heck, most docs in my area don't even want to deal with chronic pain when it's as obvious as a car accident!

My doc is afraid to give me the meds that I know would work best for me with a minimum of side effects. I have to make do with what I can get, and what I can find to supplement my meds with....

[katomic]

I used to get it from an OP for pain. Then I got in a fight with them.

It's not that Reckitt is the only one who will make it for detox/maintenance. The FDA only has approved sub for maintentance/WD's. It's the FDA helping out Reckett. There are pharmacies that compound it but it's only indicated for pain. The FDA...blame those bastards!

Why the USA help out a british company? they prolay do that with yank companys but what would they get out of a british company?