What types of medications do all of you take?

I live in FL. No, the pharmacists can't 'override' a doctor's orders, but they can (and do) refuse to fill a prescription that they don't 'like'. In fact, they can refuse to fill a valid prescription if they don't 'like' the person trying to get it filled! This is what my pharmacist has told me (actually more than a couple have). They don't have to fill any prescription. This can make it very difficult for a patient who is prescribed a medication, quantity of medication, or a combination of meds that is outside of the 'norm'. It's rough out here!

I also live in Florida and yes a rph has the right to deny any script. It is so posted on every Walgreen window in yellow in the Daytona and Orlando area pharmacies. If he deems the dose is dangerous,if he thinks its lethal to mix two your on,if he suspects something is hinky about the the whole thing,or if he doesn't like your shirt he can refuse to fill your scripts.

BARBLEE I too started throwing of some very weird qt waves and my heart rate was too low a couple of times and they told me then it was caused by long term methadone use. Stopped all my b/p meds and lowered the beta-blocker I was on at the time for migraines and it has not gotten worse in the ten years I've been on it.


Vickie

Post Edited (nvrthesame98) : 2/5/2013 1:14:14 AM (GMT-7)

Shaw my Doc doesnt have a problem with scripting the methadone and he has only a few that he writes that for and only if your a very long time CPer otherwise its lortab or fent and no oxy of any kind no matter what he says. Doesnt want to even go there as he thinks there are other things just as well and oxy is a big or the biggest part of our problems here in FL.

The methadone was a life saver for me as I have a lot of trouble with side effects on alot of the other opiates and I have tried many many of them. The morphine is the closest in hitting the same receptors in the brain as methadone and that probably explains why switching from methadone to morphine is easier then switching from methadone to other opiates.

My Dr also said to switch as he doesnt like Walgreens new policy of the 24 hr thing and he says they are in violation of our hippa rights by entering all the info from the paper they fax to his office everytime I fill,I mean everytime too! I have been with them for 12 years in 2 states filling the same med(methadone) by only 2 different Drs in those 12 years and still they give me the same crap every month. My Neuro is my treating and prescribing Dr and he has been in a surgeon here for 25+ years so its not like he is one of the fly by night clinics so he takes Walgreens crap of questioning his treatment of his patients as a blatant disrespect towards him. Dont blame him one bit.

I take offense as well since I have been using them for 12 years for the entire family! They dont seem to care if you take your business elsewhere either and have said as much. What you come up against if you try to switch pharms is they are filling scheduled narcotics for their current patients only since they have a difficult time obtaining some of them. This is true for CVS and Medicine shop as well as the 2 locally owned pharms here in my area and Winn Dixie,publix,target,and kmart,do not stock scheduled II meds anylonger due to the risk of robbery and the BS they have to go thru from the DEA and local police.

Leaves you pretty much stuck with the pharm your with.

Hoping you get some much needed answers and if your not getting the treatment that best serves you I would look at some other alternatives even check into other Docs as they are out there and there are some very good ones left after all the bad ones got weeded out in the take downs of the so called "pain clinics"

Vickie

Something that may help is maybe have your doctor give you your script a few days before its due so you can turn it into the pharmacy early so they can order it. But then again, I'm in Ohio and we don't really have that problem up here, at least not in my neck of the woods.

To answer the original post i am on 10/325 Percocet, 10mg Baclofen, and 800mg Ibuprofen, 3x a day.

JLA1969 said...
Shell74,
I was reading your post about liquid meds. I too had gastric bypass and now I'm going from the fentanyl patches , which I have been on since my bypass almost five years ago, to oral meds. The first one I tried was MS Contin and it worked really good. The problem was,after three weeks I was having chest pain from reflux and severe stomach pain. So, I went from that to a 75 mcg patch, which was higher than before. That didn't work for the pain either. Now I'm trying exalgo er for two weeks and its not working either. I go back to pm tomorrow and I guess I have to tell them that my intestines are just not absorbing it, due to the bypass. That's why I was asking about the oral meds and absorption...
Janet

I dont feel that my fentanyl is working as well since I lost the weight. The pm drs response is that I dont have the same fat layers which are required for the proper absorbtion of the med. We have tried to switch to Butrans but the insurance says no.

The liquid oxy works well, but it is short lived. Sort of like alcohol with bypass, hits quick then leaves. I tend to use it if I have a high pain level and I need to get something done. It gets me thru making dinner, laundry,cleaning or getting the stepgrandsons bath done. Its one reason why he wrote for every 4 hours as needed. Its nice because I can take anywhere from 10-20mg at a time per my script (or less if I want). The bad thing is that it is very hard to find. My two local pharmacies now stock it since I have gotten it almost every month for the last two years.

Matt, I was told that I cant take extended release meds after bypass because they didnt have the chance to absorb. I know all of the surgeons and programs have different recommendations. What has your dr said?

Oh I understand, they have put me thru the ringer a few times. Left me an entire holiday weekend with no meds as they had just imported their new policy re: contacting the Dr when it is schedule II and they fill my in box on my email with tons of junk each day but didnt bother to alert me to this policy,so like a good pain contract patient I didnt try to fill until I was completely out and it was due,it was a partial script,since my other ran out 4 days prior to my appt and he was out of the office. Re: the reason I couldnt fill that script for 30,he has to fax a paper to them and he was out until Monday and this was thursday. No way they were not filling it and I had used them to fill this med 12 years and this was nothing new for me same Doc same everything.

Ended up costing State of Florida and medicare a $5400 er bill!! Serves them right and the ER doc even tried calling them and getting them to fill it,no deal!! So she wrote me percs to at least cover me some until Monday. My Neuro was livid!!!

Its stupid and they act ridiculous about scheduled meds,frantic almost and the RPH was a lunatic himself. I filed a complaint with everyone all the way down the line all did no good as they dont care.

Vickie

Most of the time they just call the office to verify the script itself. Usually the dr doesnt have to get on the phone.

But I understand being frustrated and in pain. And I hate being subjected to rude pharmacy employees It sucks.

I've just seen so many people get really pissed off in the pharmacy when the tech says "give me 5 minutes to call and get some clarification on this" and I don't understand. Most of the time, the pharmicist is running the show and everyone else is doing what they're told.

Yup Vickie.

I had to get my Dr. to rush the script out so that I could turn it in to the pharmacy today to be able to get it before monday (cause I'm gonna run out on saturday). Luckily I filled it on the 8th last month, so they took it today, as its a 30 day script.