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Oxycodone "refill" question

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Posted 9/26/2011 12:34 AM (GMT 0)
Hey everyone..I normally post on the crohns disease board as I have crohns and thats where my pain comes from BUT I figured I would get a quicker response and the people who post here would know the answer to this.

I know with oxycodone refills they are very strict, which they should be, and you can get it filled every 30 days (or like 25 with your insurance-something like that) Anyway I was at my Docotors (GI)  on Sept 7th and got my normal script of 60 15mg Oxycodone ( I have been on this med/dose for over a year now and it helps when I have my bad days) Anyway ever since my appt on the 7th of this month I have gone into a REALLY BAD flare and everything from my stomach/back/anus heck even my gums and mouth are hurting. Im sure its inflamtion and I will discuss my crohns meds as well with him tomorrow.  So I called and got another appt with him for tomorrow.  My current directions for my oxycodone is 1 pill every 12 hour..so 2 a day, but during this time (the past 2.5 weeks) I have sometimes had to take 3 and a couple days had to take 4 of my pills. These are usally my longer days when I have work etcc but it helps. So im only down to about 6 pills left and "technically" I know I wont be able to refill it until oct 6th (or like I said before maybe around oct 3rd or 4th). But tomorrow when im discussing this with my doctor my hope and im sure he will, will be for him to change the directions to maybe 1 every 6-8 hours instead of 12 or even increase me to 90 pills during this rough time for me. 

My question is when I take this script to the pharmacy since it not exactly a "refill" since it will have different directions/ quantity will I have any problems filling it? Its only been 19 days to be exact but I thought I read somehwere that if the doctor changes the directions or amount even if its the same med they fill it whenever since its not the same as the last month. Has this situation ever happned with anyone here? I should be able to fill tomorrow correct?

I hope this makes sense as im typing in a lot of pain and thanks for any input.

Posted 9/26/2011 1:51 AM (GMT 0)
Hi, nini /Kathy here at cp forum, most of whether or not you will get what you need depends on who your insurance is with, I have medicare, and I have had to fill my percocet earlier about 1 1/2 years ago due to the awful blizzard we had and walking around in all that deep snow like I was 15 again was not smart.  I ended up with the worse pain in my back (thats where most of my pain is, lower back), I could not stand.

I ran out of my percocet which is my breakthrough pain med about 10 or 12 days early.  I went in to see my pm doctor and I expected a long lecture and maybe even worse, instead I got compassion and understanding.

Ok sorry, back to your problem, as I said it depends on the insurance, but I do know mine was filled as it was worded differently, as if it was a completely new prescription.  I believe if worded correctly by your doctor, and they know what to say, hopefully you will not have a problem.  It will read as if it is a completely different prescription.

Good Luck, and take care,

Kat  

Posted 9/26/2011 4:27 AM (GMT 0)
If it is for the same strength, they may not fill it since you should have some left over, normally from the previous fill of the same medication.

And, you are correct, these meds are usually given /prescribed for a 30 day time period, and with that, there is usually a MDD( maximum daily dosage) that the pharmacist goes by. Since your previous dosing schedule was 12 hours- the pharmacist can refuse to fill the script for any reason, and your insurance company may reject it because of the previous day of fill.

I'm sorry that you are having a rough time, but just so you know, before you ever take more of a medication than prescribed, you want to make sure that you talk to your doctor and get it okayed first, otherwise you may find yourself dismissed, even from a GI doctor.

With the DEA oversight on opiates, all doctors need to follow the latest prescribing protocals and so to stay on the good side of your prescribing doctor, clear any med ajustments with him first.....

Good luck,
Sandi

Posted 9/26/2011 6:31 AM (GMT 0)
Hello John!

Welcome to the CP forum!

I will share with you what I have have experienced in the past as far as a new dosage and refills. I recently had my dosage of Oxycontin increased, and when my Dr orders this, he expects the dosage to take effect on that day, even if you are early on your refill date. What he does is calculates how many pills I will need to reach the refill date, with the new dose, and writes a script for that, and then will write another script for a full refill on my normal refill date. My Insurance CO. seems to recognize that the new dose is to be effective now, and not when the normal refill date comes around, and will allow the fill.

However, if you have been taking more than you should have been, then you are still going to be short, because he is calculating from how many you should have left. I want to be clear, that the strength is the same, but he added an extra daily count. What bothers me in your case is that with Crohns, you probably should have been on a around the clock pain med, instead of a 4 to 6hr med, unless it has been scripted as needed, since Crohns can flair up. In a flair, there is no way you can get adequate care every 12hrs with the 6hr max oxycodone. shakehead

One other thing I do different than I think most patients do, is I have my med's refilled on the same date every month, and do not count out 30 days as most do. I did not want to recalculate what day of the month 30 days was going to fall on. What this does is, change my dose requirements depending on how many days there are in the month. Since I take #20 X3 Oxycontin daily, there are some months with 31 days in them, so I get 93 pills for those months. Of course, 30 day months…then require 90 pills…and so on. I'm not actually getting more med's this way, it's just that I refill on the 28th of each month.

Hope this helps, and again Welcome to our forum! Stop by anytime!



SEwink
Posted 9/27/2011 5:45 PM (GMT 0)
John510

yes its true, if you go in with a different dosage they will fill it.  At least in Oregon.  I too am on Oxycodone as the Vicoden was killing my stomach and it was not working any more.  My doc give me 6,   15mg oxy a day.  I try and stay with 3 as much as I can.  I am a old poster on here usually on Ostomy site, but have not been on there much either as I have been horrible ill.

I dont have a appliance they just re-connected me when they did a Total Colectomy in 2010,  now the rest of my intestines and stomach are not working, so trying Reglan to see if it will get my stuff moving again.

Hope you do well, and if he is not helping you enough just my thought he should up it a lot.  Hope that did not break Forum rules...

Good Luck

Leslie nono

Posted 9/28/2011 11:24 PM (GMT 0)
Hi John
It's been my experience that if the dosage changes or the amount changes it becomes a new script and pharmacies will fill it. That's been my experience. I'm in Ontario Canada so I don't know if the regulations are different where you are but that's how it works here. Best of luck. Take care.
Stingray
Posted 9/28/2011 11:24 PM (GMT 0)
Hi John
It's been my experience that if the dosage changes or the amount changes it becomes a new script and pharmacies will fill it. That's been my experience. I'm in Ontario Canada so I don't know if the regulations are different where you are but that's how it works here. Best of luck. Take care.
Stingray
Posted 8/27/2015 10:19 AM (GMT 0)
on the oxycodone I have been taking 30 mg 1 every 4 hours due to chronic back problems as well as both shoulders being torn up , no rotator cuffs left , nerve damage , soft tissue damage , reconstruction is out of the question , the back is even in worse condition. You need to discuss with your doctor your pain levels and especially the spikes that occur and why . 15 mg is a light dose every 12 hours . you might ask him to move you to 1 every 6 hours
'AS NEEDED" this way if the pain is reduced your OK . But oxycodone is also a blood level pain killer if the pain is chronic and never ending . You need to take the meds as scheduled .or a relief level cannot be maintained . My constant is managable at about a level 5 to 6 . it reminds me of what I cannot do .
A note about percoset . instead of loading yourself down with tylenol which has a list of severe health issues all by itself , even percodan with aspirin , if taking either more than 4 times a day health issues will happen , Opinion Ask the Prescribing Doctor to set you to a 5 mg or 10 mg oxycodone , the tylenol and aspirin can do much more harm than good in long term doses
Posted 8/27/2015 4:34 PM (GMT 0)
Hi Muggs & welcome to the chronic pain forum. Muggs, you have brought up a very old post & we have not heard from the John in almost 4 years.

Please note we invite all new members to make a separate intro post so that all members will see it & be able to say hello & welcome aboard. By posting on this older thread not many members will see your post & we like to keep the older threads off of the main page.

I will lock this thread so no one else will post here. We look forward to getting to know you. Thanks.
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