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Re: Pain medications and the people who really need them

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Yes the new laws are tougher & frustrating for good reason

I have been on a narcotic pain med for 10 years due to hereditary issues along with falling out chair episode which majorly damaged my back whereas I can't stand longer than 5 minutes without pain. Therefore I am unable to work as I would like to & can't do many things used to but it could be worse. 

I take the lowest dose pill which only makes my pain tolerable. I have to now go twice year for pain Dr appointments along with my regular 3 times year visits. My Dr counts my meds asks all kinds of questions & has printed report of all meds I fill anywhere plus can/have been drug tested. Yes, it is frustrating having go through all of this.

I was married to a recovering addict for 20 years and attended meetings for families & addicts for years witnessed lost of many folks. Living in recovery helped me with awareness & reality of dying and addiction plus being control freak I've never liked being dopey or out of touch with what's going on around me so its kept me from abusing my medicine even at times of great pain. Yes my body is addicted Twice I've tried to stop taking but its unbearable and it affected my daily livelyhood. So I'd prefer not having live with the pain medicine but have accepted the reality it is necessary in order to function.

Also I'll add there are those who abuse meds & used to get from multiple doctors...the issues and reasons why necessary for new laws is real...as the old saying goes "1 person doing wrong messes up things for ones trying to do right" So we are paying consequences for others bad/wrong choices. 

Will say, unless a person is living with chronic pain its easy to say get control & stop. Also unless you've lost a love one (young or old) to addiction you may not understand the epidemic we are living with. 

So for myself I am willing to do what's required by new laws & regulations to get my meds knowing the laws are in place to protect us & hopefully save some lives. 

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Re: Pain medications and the people who really need them

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Sorry you are having problems but it is not your pharmacist and not your doctor either -

It is not just kids or young people that have abuse problems - many people become addicted because of prescribing abuses and now that is being changed by the Federal and State governments.

 

You will just have to abide by the new rules for prescribing.  You may have to see your doctor more, he may want to try different methods of pain control.  Talk to your doctor and he can advise you better on your use and his prescribing schedule or any other things he may want you to try for chronic pain.

 

Prescriptions and use are being closely monitored in most every state by new rules.  The CDC has issued new recommendations for prescribing.

 

From the CDC -  https://www.cdc.gov/drugoverdose/prescribing/guideline.html

Improving the way opioids are prescribed through clinical practice guidelines can ensure patients have access to safer, more effective chronic pain treatment while reducing the number of people who misuse, abuse, or overdose from these drugs.

 

CDC developed and published the CDC Guideline for Prescribing Opioids for Chronic Pain to provide recommendations for the prescribing of opioid pain medication for patients 18 and older in primary care settings. Recommendations focus on the use of opioids in treating chronic pain (pain lasting longer than 3 months or past the time of normal tissue healing) outside of active cancer treatment, palliative care, and end-of-life care.

 

Affirm Health 02/20/2018 - Opioid Prescribing Guidelines: A State-by-State Overview

 

 

 

 

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Re: Pain medications and the people who really need them

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The Feds are the ones regulating. Primarily, the FDA. However there are many groups now discussing, and lobbying, for more regulations on various pain meds. National Institutes of Health is involved, NCPA, and various other groups. There are congressional hearings. Congress has already passed changes that will start in 2019.

   And, it's not just for kids:

 

".... Issued by the Agency for Healthcare Research and Quality (AHRQ), the reports reveal that millions of older Americans are now filling prescriptions for many different opioid medications at the same time, while hundreds of thousands are winding up in the hospital with opioid-related complications.

"These reports underscore the growing and under-recognized concerns with opioid use disorder in older populations, including those who suffer from chronic pain and are at risk for adverse events from opioids," said Dr. Arlene Bierman. She is the director of AHRQ's Center for Evidence and Practice.......

The agency's second report analyzed opioid prescription patterns among older Americans.

Bierman and her colleagues pointed out that chronic pain is common among seniors, as eight in 10 struggle with multiple health conditions, including heart disease, diabetes, arthritis and depression.

To cope, many seniors take opioids, which inevitably raises the risk for side effects and negative drug interactions.

And in fact, the team found, opioid-driven complications were the cause for nearly 125,000 hospitalizations -- and more than 36,000 emergency department visits -- among seniors in 2015.

 

The report also uncovered other alarming trends. Between 2010 and 2015, there was a 34 percent jump in the number of opioid-related inpatient hospital admissions among seniors, even as non-opioid-related inpatient hospitalizations dropped by 17 percent.

Similarly, AHRQ investigators found that opioid-related emergency department visits among seniors shot up by 74 percent, while non-opioid related emergency department visits only increased 17 percent.

At the same time, AHRQ's second report found that nearly 20 percent of seniors filled at least one opioid prescription between 2015 and 2016, equal to about 10 million seniors. And more than 7 percent -- or about 4 million seniors -- filled prescriptions for four or more opioids, which was characterized as "frequent" use.....".

   


"...Why is everyone a victim? Take personal responsibility for your life..."
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Pain medications and the people who really need them

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I am disabled and take pain medications,  ever since these young kids started using these medications to get high i have had the worst time trying to get my medication filled. I am so tired of feeling like a criminal because i don't like to be in pain. Who gave these pharmacists with their little 4 year degree so much power, they don't know me and have no clue what my medical issues are. I know i can't be the only one dealing with this. Who do i have to call or write so my rights aren't being trampled on because of people who do abuse these medications.  

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