Pharmacist Withdrawl statement

[HydroApe]

I've been on MS contin for about 1 year. There were some stocking issues at my pharmacy.
To make a long story short my pharmacist said there's no way I'd experience any withdrawl from 120 mg daily oral morphine for the 5 or so days it will take to get it in.
Is this true, or is he blowing smoke up my ass?

[upstate_007]

Give it 2 days.

Go in there. Blow your runny nose on his shirt and puke on his shoes. Oh yeah, don't forget to shit/squirt on the counter.

Then ask them all innocent like......"is this withdrawal?"

[Uncle Wiggly]

^^^ What he said. Yeah you're getting a boat-load of smoke up your ass.

Get your script and find a pharmacy that has it in stock.

[Synack]

yeah, I'd go to a different pharmacy.. most doctors that restrict you to one pharmacy for CII's won't mind if you have to go somewhere else in that situation if you let them know right before, or right after. In some cases they'll make you amend your narcotic contract at your next visit.

[HydroApe]

Yeah, I've gone through horrendous WDs before from Oxy, hydro, etc. but have been able to take my morphine as prescribed so I've never had an issue.
I really don't get any "fun" aspects from it, but a bit of pain control which I'll take after the rollercoaster I've been on.

The Pharmacist made a point to say that my ORAL dose was so low as to almost be placebo-ish.
Really?

What the hell would he prescribe and how do I get it?

A\I always thought 120mg a day was a fairly moderate dose so I haven't pushed my doc for more.

[NOLA]

That's fucking ridiculous, completely unprofessional.

Either he's flat out lying, or he's just ignorant to the truth; either way it is unacceptable.

[oxyjon]

Man, your pharmacist is fucking crazy! I'd definately take your prescription to another pharmacy. The hell with him.

[Restharrow]

The pharmacist either does NOT know his / her business or they do NOT want to do business with you.

I had a pharmaicst neighbor / friend for 10 years and she told me that she (her company) did not like handling what they referred to as "controlled substance business". They defined that, as someone who primarily purchases only controlled substances -- and little or no blood pressure meds. heart meds, cholesterol meds., etc.

She said this was true even for long term customers who caused no problems. IMO a lot of pharmacists are going to shy away from controlled drugs and a few will specialize in that -- for pain patients, cancer patients, etc. In order to discourage the "controlled substance trade" my friend said they had long wait times for controlled drugs.

I would immediately find a new pharmacy. The 2 in my area that handle a lot of cancer patients are both beside hospitals.

Over the years, I have found that my doctors have had FREQUENT calls from pharmacists "making sure they knew about all the meds. I was receiving".

I normally refrain from letting a doctor know about any "pharmacy issues", but in this case I suggest you let the doctor know whats going on.

Will

[OxiContinKing]

dont just take your prescription to a differnt pharmacy this time, dont ever go back there.

that ignorant moron and that store dont deserve your business, or anyone else's.

how unprofessional/uneducated, like someone else said, either way, unacceptable.

[NOLA]

dont just take your prescription to a differnt pharmacy this time, dont ever go back there.

that ignorant moron and that store dont deserve your business, or anyone else's.

how unprofessional/uneducated, like someone else said, either way, unacceptable.

Exactly.

No matter what the reason/excuse is, things like that just shouldn't fucking happen. I mean, a Pharmacist is supposed to be a person that is looking out for your well-being, at all times. For someone that deals with meds all day every day, it's very hard to believe that he didn't understand what kind of withdrawl symptoms that were about to happen.

That shit really blew my mind.

[jersey_emt]

60mg of morphine twice a day is most definitely not a 'placebo' dose. I would describe it exactly as you did -- a fairly moderate dose. While withdrawal will come a bit later with controlled-release drugs versus immediate-release, we're only talking about a few hours, not five days, later.

Get the prescription filled at another pharmacy. There is no shortage of MS Contin like there is with Roxicodone, so another pharmacy in your area will almost certainly have it in stock.

[ryan]

Another great reason why the whole system of making pharmacists the keepers of medication is foolish..
This guy has absolutely no clue what he's talking about.
Like the majority said, find a new pharmacy, but more importantly, before you do so, make sure you tell your doctor exactly what the pharmacist said before you take it somewhere else.
Your doc needs to know this. It could prevent alot of pain and suffereing for other patients so they could avoid dealing with that douche bag sadist that some people call a "pharmacist"
Maybe he/she could even call there and talk to this asshole and tear him a new one (if you have a cool doc).

[hovadagod]

Yeah, I've gone through horrendous WDs before from Oxy, hydro, etc. but have been able to take my morphine as prescribed so I've never had an issue.
I really don't get any "fun" aspects from it, but a bit of pain control which I'll take after the rollercoaster I've been on.

The Pharmacist made a point to say that my ORAL dose was so low as to almost be placebo-ish.
Really?

What the hell would he prescribe and how do I get it?

A\I always thought 120mg a day was a fairly moderate dose so I haven't pushed my doc for more.

Is this a joke? PlaceboISH?

[HydroApe]

"placebo-ish"
I couldn't have imagined that word in my wildest dreams.
That's exactly what he said.

I've run from this pharmacy

[lilred0005]

The pharmacist either does NOT know his / her business or they do NOT want to do business with you.

I had a pharmaicst neighbor / friend for 10 years and she told me that she (her company) did not like handling what they referred to as "controlled substance business". They defined that, as someone who primarily purchases only controlled substances -- and little or no blood pressure meds. heart meds, cholesterol meds., etc.

She said this was true even for long term customers who caused no problems. IMO a lot of pharmacists are going to shy away from controlled drugs and a few will specialize in that -- for pain patients, cancer patients, etc. In order to discourage the "controlled substance trade" my friend said they had long wait times for controlled drugs.

I would immediately find a new pharmacy. The 2 in my area that handle a lot of cancer patients are both beside hospitals.

Over the years, I have found that my doctors have had FREQUENT calls from pharmacists "making sure they knew about all the meds. I was receiving".

I normally refrain from letting a doctor know about any "pharmacy issues", but in this case I suggest you let the doctor know whats going on.

Will

I completely agree, +100. I have recently come across a few pharmacies that will NOT even fill narcotic scripts and then there are those that discourage it by actions and as they say, actions speak louder than words. These pharmacies don't want to deal w/ what they percieve as a junkie clientele. The oxy shortage has magnified this. To the OP, everyone is right, this man has no idea what he is talking about & this pharmacy should be avoided at all costs. Period.

[I-Nod]

While withdrawal will come a bit later with controlled-release drugs versus immediate-release, we're only talking about a few hours, not five days, later.

Actually, the controlled release shouldn't have any effect on the half-life. It's just waxes and/ or other substances that prolong the effects. So WD's technically should occur at their regularly scheduled time, if I'm not mistaken.

About the farm-a-cyst "oral" comment... he may have been eluding to morphine's poor oral bio-availability. (they claim it's around 30% orally... so you're getting roughly 18mg's of morphine twice a day, if that's true.) Still nothing to scoff at and surely no "placebo-ish" effect... I'd bet on it that if he popped 60mg, he'd be lying down in the bread aisle nauseous as hell.

[EleusisII]

120 mg "a placeboish dose" ?!?

The fact that that this guy didn't go to medical school, and isn't making his rounds in an ER this minute, scripting narcotics in real, effective dosages (4-500 mg I guess), is proof that god in fact does not exist!

IF you happen to go there again, preferably to get your script back, could you in an innocent way inquire as to how much a moderate dose would be? Tell him your junkie-friends want to know.

[Raz]

This wanky pharmacist needs a habit, just for educational purposes......

Wat a fuckin idiot....Imagine if ya believed da arseol...:mad:........

Wankers like these make me angry.....Another one of those "jobworths"......Dat familar phrase "Its more than my jobsworth"....

[pokergooch]

All I can say is Ditto to most of the above posts. 1. Either he doesn't want your business or 2. he's truly an idiot. If 120 mg is placeboish, just ask him to replace it with an equivalent amount of oxy... what an asshole...

PG

[roxi*stardust]

HydroApe,
Your Pharmacist is either a total asshole or very uneducated about opiates/opioids. 120mg a day of morphine is not an insignificant dose, it would be the equivalent to around 90mg of oxycodone. The dosage of the opiate/opioid really doesn't have to be huge for someone to experience physical dependence and withdrawl syndrome. Even smaller doses of opiates/opioids when taken for extended periods of time will cause physical dependence and withdrawal syndrome. Of course the dosage is going to have a bearing on how bad the withdrawal will be and what symptoms one will experience.


Don't ever take your prescriptions there to be filled again. It is obvious your pharmacist doesn't care about his patients well being more than he cares about making $$$ off the scripts. Reminds me of fucking dealers that expect you to wait hours on end for the to show and when you cop somewhere else they cop an attitude.

[HydroApe]

Well, I went back to the pharmacy to ask for my script back and strangely enough they happened to have the stock and filled it.
I did ask the pharmacist why he used the placebo analogy and he just mumbled something about opiates not working for pain in general.
I also take Lyrica and pointed out that the combo of that and the morphine seem to work better than either alone.

Don't get me wrong I love OPIES, but have significant neck damage and now use them as directed with the occassional plug if I'm feeling naughty for an extra jolt.

Whatever, I'd never actually seen this guy there before so maybe he's just temping in. I hope so. He's not very pleasant.

Cheers all.

[Chemical_Boy]

It is scary that people that uneducated (especially after eight or nine years of education) are allowed to dispense advice.....

Damn!!

[OxiContinKing]

Don't ever take your prescriptions there to be filled again. It is obvious your pharmacist doesn't care about his patients well being more than he cares about making $$$ off the scripts. Reminds me of fucking dealers that expect you to wait hours on end for the to show and when you cop somewhere else they cop an attitude.

Ha, good analogy Roxi.

Thats exactly what it seems like.

Fuckers.

[xannyman]

Give it 2 days.

Go in there. Blow your runny nose on his shirt and puke on his shoes. Oh yeah, don't forget to shit/squirt on the counter.

Then ask them all innocent like......"is this withdrawal?"
Ha ha ha, this is fucking funny and yet so true!!!! Good shit dude!

[defenestrate]

Actually, the controlled release shouldn't have any effect on the half-life. It's just waxes and/ or other substances that prolong the effects. So WD's technically should occur at their regularly scheduled time, if I'm not mistaken.

I-nod,
That depends slightly on one's tolerance. the initial plasma levels of ER/CR as opposed to IR will actually be LOWER due to the longer set-in time, but later on, as the IR would be eliminated by the UGT system and/or kidneys/intestines (I want to say that kidneys do more elimination but I could be mistaken there) earlier while the CR/ER would have a moderate/low level in the plasma ABOVE the efficacy threshold (again, dependent on dosage and tolerance) for LONGER than the IR would stay above said threshold. now this is for standard PO (swallowed) unmodified pills. It is my experience that for IR drugs, snorting M is about 2X as potent for less long and IM is more like 4x as potent for as long or perhaps longer. I have never IVed and don't intend to, so YMMV but this is my .02 :D

[jacky]

yeah, a 120 milligrams of oxy could kill some individuals without a habit.

even a dose of 20-50 milligrams of oxy a day, OR LESS can initiate tolerance and habituation/dependence in most individuals..especially a long term usage regimine.

actually, I think forcing a patient into withdrawl is a form of malpractice.
merely because why? poor medicinal supply?
ridiculous.

I bet the war on patients rights and drugs has something to do with the sloppy stocking.
and they should be willing to work with your Doc to find some replacement for you like perc's or something I would think. at least a bit of methadone for the pain.

this pharmacist is fucking with you I think. trying to smooth the situation over by filling a hole with horseshit.

fuck, even endogenous peptides can cause withdrawl if a person lacks the ability to initiate release of the levels of endorphins that are being commonly released/consumed.
a few studies with people that experience the runners high, documented that on days that the people withheld exercise, they had problems sleeping, moodiness, etc etc.
they figured a person can release the analgesic equivalent of 50 milligrams of morphine or similiar per day, just using exersice to release endorphins.

I reckon, if a persons natural body chemistry can cause peaks and valleys like that...so can a few pills a day taken for a year or so...or less.

shit, I have had low dose opioid habits for months and months, and suffered moderate withdrawl just weening from such substances.
in one case I was taking 3-7 darvon a day for months.
I moved to squaw valley for a winter snowboarding season. I was sleeping on couches, and freinds floors.
I weened down to 1-2 pills a day for a few weeks, finally to 1 a day, and still experienced moderate withdrawl for a few days coming off of that.
I felt strange for weeks after.

if I was in your position, I would risk having siezures because of even moderate withdrawl.
when I was using H, if I missed a shot for 5-6 hours, I would/could start having small siezures.

its not a thing to play around with. these people act like there is no way a little withdrawl is going to kill anyone.
but it can...and has.
it also ruins your fucking day, how can you make it to work, deal with physical and mental pain, deal with your family etc etc and spend 5 days in withdrawl just because the system is failing the patient.
what is this? fucking Russia in the 70's and 80's?

stuff like this pisses me off. I would try and find out how to make a formal complaint or something.

I had two freinds, one partly crippled from a broken back, and one was an amputee. they were both on vicoden/perc's for managing pain for years.
then in the 90's, the state pharmacy board of Idaho, decided to fuck these two operational, active, members of a community. one of them was a state archeologist, working on his masters. he would spend weeks in the field, and he needed his pain meds to make it through that, as well as just daily life.
well, within a few months of one another, the state forced these two people off of their pain meds.
they warned them any Dr filling pain prescriptions for them would get in trouble.
there was no buprenorphine, or methadone treatment in Idaho back then.
you could only treat someone for over 1 day, in an inpatient program.
I was lucky enough to get treated for a two week, outpatient, medically assisted opiate detox program in Idaho right around this same time. when the state pharmacy board heard about my case, they warned the low income clinic that they would take their license to practice away, if they continued treating addicts like me. I was the only person to ever succesfully finish their treatment program.
anyway, just to give you folks an idea how fucked up this state is regarding pain management/detox treatment I thought I would add that little experience of mine.
So both of these older freinds of mine, were cut off from their pain meds. they turned to heroin within weeks.
and BOTH died from overdose or opiate aided suicide, because of the pain.
I am fucking irate about these beautiful guys that always took care of me when I was in need...they died because they were trying to treat pain.
legitimate, life long pain.
to make matters more infuriating...one of them was threatened by the state pharmacy board, to make one of them a ward of the state if he didnt start testing clean from all narcotics. they threatened to, and actually did for a few months, throw him in a psych ward for not being clean of narcotics.
and that is a reason that I think the other one killed himself with an overdose.
he was sick of fucking fighting with healthy people for pain relief.
he threw in the towel.

it makes me hate the fucking beauracracy.

they died before I knew much about the internet. they died before we knew much about pods, kratom and other agents of relief that can make the junkies life a little better.
they died whilst at the same time, morphine and codeine were sitting in a fucking bulk bin at Win-co foods, a few bucks worth of a legal seed product that could have given them some more options at least.

I think if these guys lived in California, or another state with more problems and more money, states with methadone programs, that they would still be alive.
I could be wrong...but I think its a strong possibility.

anyway, I hope you get something to hold you over, till these money jacking jackasses get their shit together and fill a script for a substance that for all purposes, is only really worth a few pennies per milligram.

[Uncle Wiggly]

Jacky, that is sad and infuriating at the same time. I was recently watching a documentary on Al Gore and he was talking about global warming and over-zealous government. This was what he said, "It's time for civil disobedience people" I doubt he was referring to our neck of the woods but it's getting to the point that I'm ready to relive some of the things I did in my youth.

[InfectedMushroom]

That's horrible Jacky. I wish the god damned government would open their eyes. If it was someone they loved, you know they would go out of their way for them, but they just don't give two fucks about people they don't know who live with lifelong pain.

[Spaazkaz]

Who the FUCK do these guys think they are. That is seriously evil. What about the guy who listens to him and thinks he is dieing scared shitless the next day. Just wrong, especially if you are an honest pain patient which you are.

[Patches]

Give it 2 days.

Go in there. Blow your runny nose on his shirt and puke on his shoes. Oh yeah, don't forget to shit/squirt on the counter.

Then ask them all innocent like......"is this withdrawal?"


:Dhahahahah.......Lmao..........Great answer................lol:):)

[Morfiend]

I know this isn't necessary but... WHAT THE FUCK?!?!?!?!

... what the fuck?





... what




the




fuck!?!?!?!?!






what the fuck????????















seriously... SERIOUSLY???

EDIT: sry lost my cool...

Okay here goes... the lawsuit scenario:

(1) Say "okay mr. pharmacy guy you knows best! Can I have that in writing?"
(2) Withdrawal FACE!
(3) Fill script looking like hell
(4) Take your normal dose
(5) possibly overdose because your tolerance is lower, probably not.
(6) Either way goto the ER ZOMG!!! "I think I'm overdosinngnggg!"
(7) Sue this asshole or the pharmacy for making you overdose with documentation of the hospital visit.
(8) Collect $$$

[AGV10]

I completely agree, +100. I have recently come across a few pharmacies that will NOT even fill narcotic scripts and then there are those that discourage it by actions and as they say, actions speak louder than words. These pharmacies don't want to deal w/ what they percieve as a junkie clientele. The oxy shortage has magnified this. To the OP, everyone is right, this man has no idea what he is talking about & this pharmacy should be avoided at all costs. Period.


Pharmacists take a professional oath when they qualify and register to practise. Duty of care to the patient is in most European countries (and would image the USA as well) line one, rule one, paragraph one, page one in their practise book - which means they have a duty to dispense against a perscription.

Refusing to is a breach of that professional oath, and I know in the UK, if you find yourself having to deal with a pharmacist who declines to dispense against a genuine perscription, the RPSGB will come down on them like a ton of bricks if you go down the proper complaint route.

[digby]

The pharmacist was without question an ignorant insensitive fool. But having to wait a week for a schedule 2 prescription to be filled is something that does happen occasionally and patients need to be more prepared for it. Try getting a prescription for a large amount of levo-dromoran and see what your wait time is.

One pharmacy I have to deal with for some items only orders on tuesdays and thursdays, and so depending on when your doctor appointment is, you might end up waiting a week just for a normal prescription of opiates. That happened to me just last month. No one who is dependent on pain meds should should have to rely on everything going smoothly to get a prescription filled before withdrawals set in.

One week minimum should be everyone's backup med stash and two is even better. Yes it can be tough getting the stash together but no longer having to rely on assholes for sanity and pain relief is....well, priceless.

[jersey_emt]

The pharmacist was without question an ignorant insensitive fool. But having to wait a week for a schedule 2 prescription to be filled is something that does happen occasionally and patients need to be more prepared for it. Try getting a prescription for a large amount of levo-dromoran and see what your wait time is.

One pharmacy I have to deal with for some items only orders on tuesdays and thursdays, and so depending on when your doctor appointment is, you might end up waiting a week just for a normal prescription of opiates. That happened to me just last month. No one who is dependent on pain meds should should have to rely on everything going smoothly to get a prescription filled before withdrawals set in.

One week minimum should be everyone's backup med stash and two is even better. Yes it can be tough getting the stash together but no longer having to rely on assholes for sanity and pain relief is....well, priceless.

(this is intended for chronic pain patients who are prescribed opioids)

Exactly! I have about 10 of 11 days worth of medication left when I get my new prescriptions. So, if there is a problem filling something (like with Roxicodone recently in early 2009), I am OK if I cannot find a pharmacy that has what I need the same day I get my prescriptions. I am prescribed fairly large quantities (3x per day) of MS Contin, and 6x per day of Roxicodone, so it is pretty common for a pharmacy to have some in stock, but not enough for the #90 MS Contin and #180 Roxicodone. This should also be done for emergencies like a natural disaster (hurricane, tornado, etc). wreaks havoc locally and you have nowhere to go.

Save up some by taking a bit less than your maximum daily prescribed dose when you are having a good day pain-wise. I am prescribed two Roxicodone tablets for breakthrough pain up to 3x a day. If I am having a good day, I might only need 3 or 4 tablets, not the whole 6. On the rare days when I have no flare-ups of breakthrough pain, I do not even need the Roxicodone; the MS Contin by itself keeps the pain under control for rare days like that. Saving the MS Contin is a bit trickier, since that needs to be taken 3x a day for me for around-the-clock pain control. What I do is when I've had several good days and as such have some extra Roxicodone tablets, I'll skip one or two tablets of the MS Contin and instead use the 'extra' Roxicodone tablets during that time. That allowed me to, over the course of several months, save up enough MS Contin and Roxicodone tablets for a 10-11 day supply. I'll keep adding to that as I am able to.

[AGV10]

The pharmacist was without question an ignorant insensitive fool. But having to wait a week for a schedule 2 prescription to be filled is something that does happen occasionally and patients need to be more prepared for it. Try getting a prescription for a large amount of levo-dromoran and see what your wait time is.

One pharmacy I have to deal with for some items only orders on tuesdays and thursdays, and so depending on when your doctor appointment is, you might end up waiting a week just for a normal prescription of opiates. That happened to me just last month. No one who is dependent on pain meds should should have to rely on everything going smoothly to get a prescription filled before withdrawals set in.

One week minimum should be everyone's backup med stash and two is even better. Yes it can be tough getting the stash together but no longer having to rely on assholes for sanity and pain relief is....well, priceless.


The great thing about the UK NHS system is that pharmacies (meaning: those that are allowed to dispence perscripted meds) are all tied into the NHS system - which by its nature ties them into a national med's ordering database.

As a precaution the only pharmacies in the Uk that as a matter of regular practise stock large dosage or large quantities of narcotic analgesics are those that serve, or are near to cancer clinics. None-the-less, the national ordering system provides twice daily deleiveries to pharmacies i.e. if you go into a Uk pharmacy with a narcotic analgesic perscription before 10:30am, all the pharmacist has to do is enter it onto the ordering system and it will be deleiverd to the pharmacy on the afternoon delivery run (2pm - 3:30pm).

[mongatu]

(this is intended for chronic pain patients who are prescribed opioids)

Exactly! I have about 10 of 11 days worth of medication left when I get my new prescriptions. So, if there is a problem filling something (like with Roxicodone recently in early 2009), I am OK if I cannot find a pharmacy that has what I need the same day I get my prescriptions. I am prescribed fairly large quantities (3x per day) of MS Contin, and 6x per day of Roxicodone, so it is pretty common for a pharmacy to have some in stock, but not enough for the #90 MS Contin and #180 Roxicodone. This should also be done for emergencies like a natural disaster (hurricane, tornado, etc). wreaks havoc locally and you have nowhere to go.

Save up some by taking a bit less than your maximum daily prescribed dose when you are having a good day pain-wise. I am prescribed two Roxicodone tablets for breakthrough pain up to 3x a day. If I am having a good day, I might only need 3 or 4 tablets, not the whole 6. On the rare days when I have no flare-ups of breakthrough pain, I do not even need the Roxicodone; the MS Contin by itself keeps the pain under control for rare days like that. Saving the MS Contin is a bit trickier, since that needs to be taken 3x a day for me for around-the-clock pain control. What I do is when I've had several good days and as such have some extra Roxicodone tablets, I'll skip one or two tablets of the MS Contin and instead use the 'extra' Roxicodone tablets during that time. That allowed me to, over the course of several months, save up enough MS Contin and Roxicodone tablets for a 10-11 day supply. I'll keep adding to that as I am able to.

I follow a similar strategy but have managed to accumulate quite a bit more of a reserve supply. I just don't feel comfortable without having a substantial extra supply in reserve as any number of things could happen to interrupt one's ability to get additional meds.

An additional strategy that has helped me accumulate more of a reserve is that when my rx was increased, say from 30 mg ms contin 3x per day to 60 mg ms contin 3x per day, I simply did not start taking the full 60 right away. Instead I started splitting the pills and taking approximately 45 mg or so each dose and this enabled me to more quickly accumulate a reserve supply. Another thing is that when I first started on extended release pain meds, for quite a while I was able to get by on 2x per day even though rx'd 3x per day and that helped the accumulation as well.

It took some self control but I feel it was worth it for the additional peace of mind having that reserve supply provides.

Just the other day, I went in to fill an rx for a four month supply of my pain meds, if you can believe that! My doctor was willing to write me for a 4 month supply because I'm going overseas for a 3 month trip and I told him I was concerned about possibly getting delayed on the return which was the truth (he is really cool). So anyway, of course the pharmacy couldn't fill that on the spot and had to order my meds which wouldn't come in for several days. In my case, the pharmacist very nicely asked me if I had enough meds to hold me over while I was waiting for this order to come in. Now that's the way it's supposed to be. And it felt good to be able to say, thanks, but I have enough on hand and can wait for the order to come in.

[DCBA]

thats self control, i do have that too, but only if i dont IV, IVing for me is a rollercoster for disaster..

[DCBA]

The great thing about the UK NHS system is that pharmacies (meaning: those that are allowed to dispence perscripted meds) are all tied into the NHS system - which by its nature ties them into a national med's ordering database.

As a precaution the only pharmacies in the Uk that as a matter of regular practise stock large dosage or large quantities of narcotic analgesics are those that serve, or are near to cancer clinics. None-the-less, the national ordering system provides twice daily deleiveries to pharmacies i.e. if you go into a Uk pharmacy with a narcotic analgesic perscription before 10:30am, all the pharmacist has to do is enter it onto the ordering system and it will be deleiverd to the pharmacy on the afternoon delivery run (2pm - 3:30pm).
likewise here, Portugal.

[hd69]

It is scary that people that uneducated (especially after eight or nine years of education) are allowed to dispense advice.....

Damn!!
Kind of like what we do here! :D :p

[dharma bum]

Kind of like what we do here! :D :p

I believe many of the folks here give decidedly educated advice. Usually, the advice even errs on the side of caution. That's a good thing. Here, you have experienced folks telling you what they have been through. On the other hand, my first suboxone doctor didn't know shit, and even gave me bad advice. Why? Because he was ignorant of the truths of suboxone and he went by what Big Pharma told him to say and accepted it as truth...I learned more things about safety and moderation and 'harm reduction' here than anywhere else....phrases I never heard in the doc's advice or Naabt

Of course, you get the occasional asshole that says "shoot 500 mg's of O.C. in your eyeball. It's the best". But that guy usually gets a beatdown.

[sigprn]

I've been on MS contin for about 1 year. There were some stocking issues at my pharmacy.
To make a long story short my pharmacist said there's no way I'd experience any withdrawl from 120 mg daily oral morphine for the 5 or so days it will take to get it in.
Is this true, or is he blowing smoke up my ass?

He is full of shit. Your going to be dope sick.