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Does your doctor prescribe extra medication in case of an emergency?

I have read that you should have two weeks extra of prescription medications (heart meds., opioids, etc.) in case of an emergency or a disaster. I end up with about 2-4 long acting pills per month, and a few extra (depends on pain) breakthrough pills. I always have two Epi-pens in the house. I always have enough of my asthma inhaler for about a month. I read about people running out of medication, but is there anyone who has extra because their doctor writes their scripts that way?

It gives me piece of mind to know that if something happens, I'll be okay for at least enough time to taper.

About a month ago, I read about all of the things that you should have in your house for an emergency. I didn't have most of it! This summer, I plan on getting things in order and buying all of these items.

Flower
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Avatar universal
I never thought about having enough medication to get through a disaster.  (One more thing to obsess and worry about now, lol.)

My prescription for my BT meds allows me some leeway.  I can take up to 6 a day if needed for severe pain.  In theory, I could have an extra 2 a day.  Lately though, I've had to take the 6 a day.  Now, I'm thinking I may want to suck it up a bit and stockpile some.  The Fentanyl patch I'm supposed to change every 48 hours.  I originally had it for every 72 but it didn't seem enough.  Now, though, a couple of times I forgot to change it, and I was okay (with the BT meds.)  Maybe I should put a few of those aside as well.
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82861 tn?1333453911
FYI - I posted some weather pics on my profile if anyone's interested.  :-)
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Avatar universal
Good points made!  When Jaybay said "What would you grab first in the event of a fire or the roof coming off your house?"  I pictured the roof coming up off the house and papers and everything flying everywhere.  I have a lot of preparation to do.  We have been lucky with Hurricane Roulette between all of the places in Florida that we've lived in the past couple years, in addition to the quieter seasons for us.  I had really hoped we'd be out in AZ by now and not facing another hurricane season again.  Luckily we have family on the other side of the state and in Atlanta, then all the way up in Cape Cod to Vermont if we need to get the heck out of Dodge.  
Although I have a ton of things I need to do around this house, putting together an emergency kit is an important thing to do.  Flood ins. is mandatory in FL, even in the middle of the state, but we were recently reminded that we need renters ins. when our AC unit started spewing water into our garage.  
You're so organized, Jaybay, thanks for the great tips!
Troubleinohio, that really is trouble in ohio!  I'm so glad you and your family were safe and made it through the storm okay.  It's very sobering as that can happen to almost any of us.
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82861 tn?1333453911
LOL, thanks trouble.  :-)  It's so easy to become complacent about the possibility of any kind of disaster.  Growing up in Kansas I got to where the tornado sirens didn't mean much at all.  It was always "someone else's" problem.  Humans are just naturally lazy creatures.  Who really wants to think about losing everything?  Easier to pretend we're immune and safe.

With all the flooding in the nation this year, that gets me on my other soapbox: flood insurance.  It doesn't matter if you're in a flood zone or not, you stand to be financially ruined without flood insurance.  It's really not all that expensive if you're not in a floodplain.  So many people say, "My house is 30 years old and it's never flooded so  am safe."  Wrong!  Tell that to the people in Iowa who are now homeless since the dam failure yesterday.

We can't rely on anyone but ourselves for survival in a disaster. Tornadoes are completely unpredictable.  If you wait for the siren or tornado warning to take cover, it may be too late.  Police, fire, rescue, and recovery efforts can only go so far.  As we all saw with Katrina, unprepared people do not prosper and can even end up dead for any number of reasons.

Then there were the medical emergencies and deaths when SE Texas evacuated when hurricane Rita threatened.  I have never in life seen anything like that and hope never to see it again.  We couldn't get out of our neighborhood for two days because of traffic on the highway.  The lines at the gas stations went for over a mile and fights brooke out even with sheriff's deputies and constables visibly present.  Then it was a complete ghost town for two more days until people began to return.  

Evacuees stuck in traffic jams got into huge trouble because they did not plan ahead.  They had no water, no extra gas, no food, no medication.  (Bringing along barf bags and a male urinal and bedpan for females is another consideration!)  Emergency vehicles couldn't reach them because traffic was at a standstill.  It was crazy!  They depended on other people to supply gas [fuel trucks couldn't get through traffic either] and on the media to determine their evacuation routes.  DH and I know all the back roads out of this town and were able to guide some of our friends out of the traffic to points west and northwest with no trouble at all.  That's another tip: keep a map of your area permanently stashed in your vehicle along with another one of your destination.  Forget about the GPS since they take you on main roads most of the time.  Something so simple but eventually life-threatening like dehydration could have been easily prevented with a little forethought.  Panicked people do not make good decisions.  Making those decisions before the panic just might save your life.

You just reminded me - I'm going to look for the digital camera cable and post the pics of the mammatus clouds over the house yesterday.  No funnels, but really good cloud formations!
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230262 tn?1316645934
Jaybay you are awesome! Thanks for the great reminder, I hope many take heed (including myself LOLOL). I certainly dont have to worry about hurricanes beng that I live in OHIO, lol, but if I learned one thing this summer- we are not immune to disaster. Our local area here has had the most violent storms and tornadoes since May than any other year ever! We got hit with devastating F4 tornadoes on June 5th and some F2s and 3's as well the same night. Many people here thought it'd never really happen to us...because for years we've had lots of false alarms. The tornado sirens would blow quite often every summer just because a funnel cloud was spotted or rotation on the radar but no tangible tornado touchdown...so people started getting careless (myself included) and pretty much ignored the tornado sirens and assumed it was just another regular thunderstorm with a false alarm tornado again. Well this community got caught with our pants down and blindsided by a late night (after 11 pm, lots of folks sleeping already, another hit afte 2 a.m.)  F4 tornado that LEVELED homes, a high school, police station, buses, cars, stripped trees to the bare core..it was surreal. Worst of all 6 people died that nigt and many injured and traumatized.  SO since that night, we are all more vigilant about keeping an eye on the weather! ANd I do think implementing a disaster plan is a smart thing to do! I've stepped up on a lot of thngs like extra flashlights, emergnecy battery radios, etc  , but I've got a long way to go. THanks for the tips and reminder, JayBay!
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Avatar universal
Nice to meet you too.

Yes, migraines.  I just learn to live around them.  However, it does not sound like my pain is as intense as some of you all; can't imagine going through all the problems trying to get prescribed pain medication.

Runitskit and Jaybay brought up some good points.  
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82861 tn?1333453911
Living in hurricane country, I always laugh when a serious threat looms and the media says, "If you evacuate bring along a month's worth of prescription medication."  That statement is ridiculous on so many levels.  Narcotics aside, even if your doctor calls in an extra refill for something like birth control pills, anti-inflammatories, blood pressure meds, insulin - whatever - insurance companies are unlikely to pay for it.  If you have the cash, no problem.  But narcotics?  No way.  

With the Katrina disaster, I wondered about both CP patients and addicts who ended up in withdrawal and found themselves homeless, without an income, and in a shelter.  Sure, medical care is available in shelters but they certainly aren't passing out narcotics.  

When Ike hit us, my fentanyl prescription was sitting in my PMP's office ready to be picked up, but the office was closed for over a week due to lack of electricity.  I stretched everything out as low as possible and finally withdrawal set in.  The doctor's answering service wasn't answering either.  I finally did get through once, said it was an emergency, and got put on hold for an hour and the call disconnected.  Talk about panic!  

I tried to track down my PMP at the hospital, but no luck.  The hospital suggested I try to reach my surgeon and/or GI doc in the meantime since they all work together on a daily basis.  The surgeon's office staff accused me of being a drug seeker when I explained the dilemma and then threatened to call security.   WTH?!   I have been his patient for 12 years!   I wasn't asking for a prescription.  I asked them to call the surgeon and see if he could contact my PMP.   I will NEVER foget that.  Thank God for my GI doc.  His staff immediately called him and he called my PMP at home.  She called me right back and met me at the pharmacy and refilled all my meds right there and then.

That experience and the flash flood disaster last year finally got me off my rear and DH and I put together a disaster plan.  We have bags packed and ready to go at a moment's notice.  All we have to do is throw in meds and go.  The bags contain clothing, essential personal items, towels, protein bars and water, a list of important phone numbers including doctors, veterinarian and pharmacy, flashlights, radio and extra batteries.  We also have a pet bag stocked with their food & meds, water, bowls, towels, first aid kit and extra leashes for the dogs.  The birds have small bug-out cages that will fit in the car along with us and the dogs.We keep all important papers in a small fireproof box that we can grab and go without an all-out search.  Veterinary records are also stored in this box along with the computer's zip drive.  Food and water gets switched out every 3 or 4 months.

It may seem paranoid and sound like a lot work, but I don't ever want to go through that terrible panic of trying to first decide WHAT is important and then WHERE it is at the last minute.  If we ever flood again or experience another disaster like fire or storm damage, we know what to do.  The idea is to first protect your health (evacuate) and wealth (financial records, laptop, cell phone, list of important contacts, etc.).  What would you grab first in the event of a fire or the roof coming off your house?  Do you have a final destination and rallying points agreed on or will that be another thing to panic over?  How fast can you get out of your home with the imporant things intact? Believe me, if you have a spouse you will not agree on what "important" things are.  LOL!  It's best to have that discussion and make that decision together before panic sets in during the course of an actual emergency.

We can be out of the house with everything, including the birds and dogs, in three minutes.  After last year's flood, we realized the most everything in our house is just "stuff" and not all that important.  The world does keep on spinning even when you're homeless.  Having proof that you are prescribed narcotics is essential if you find yourself without a home and unable to return for some time.  Grabbing those bottles is essential to obtaining interim medical care when your own doctor is either hundreds of miles away or unavailable by phone.  Since most long-acting meds are Schedule II, they can't be called into a pharmacy.  If you've decided on a destination ahead of time, you can ask your PMP to give you a list of pain docs in that area.  It will save panic and time if you're stuck.

There you have my lessons learned from real disasters.  I hope all of you will at least think about putting together your own disaster and bug-out plans.  Once you get started, it's really not that much of a daunting task.  :-)
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230262 tn?1316645934
heck no , my clinic does not give you extras. In fact I just noticed that my script for next month is dated in such a way that I would run out 1 day early if I dont suck it u and cut out one dose for a couple days! Not sure if they made a computer error or what but they only gave me a 30 day supply and the script renews at 31 days. (maybe they didnt realize there are 31 days in july? I dont know but Im not going to rock the boat and call and complain.  They just upped my dose at last appt, so I dont want to make any waves about it. I'll just suck it up and suffer minus a dose a lil bit
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Avatar universal
when i was in pm, it was excatly 28 days, no more no less, they never did urine test or pill counts but if you lost your meds or needed extra tough luck, now when i was going away they did give me extra for that week but had to fight with the nurse.

Its funny, now im with my GP, i have known him so long, he gave me a rx of vic's, in case i need them,i dont use them but he said since its the summer time you and the family may get up and leave for a couple of days use this till you get back. I dont think he does this with all his patients,

but i wont abuse him in anyway, its just refreshing to know that you have a good dr on your side.
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Avatar universal
I've never heard of a doctor doing that. My prescription is written differently every time I get a new one because my pain is so different all the time. That's how my PM is. When I was being treated by my primary it was always the same. Take 1/2-1 pill every 4 hours as needed. He gave me 50 and I had 3 refills. My first script from my PM doc was to take 3 pills a day (or something like that) for pain. It was 90 for a month supply. Second script was for 50 to take as needed. So there was no time limit. My current script it to take 1 pill every 4-6 hours and it is 120 tabs. So it's a month - five week supply depending on how much I take. My insurance will fill my script I think 2-3 days before it's out. They do that will all medication controlled or not.

I know that doctors write "as needed" or tell you how much to take in a day. As needed is so you can take more or less so you may have extra.
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547368 tn?1440541785
It is good to know we are not alone. Actually I think it is cruel to be expected to use your very last tablet before you can get the next one refill. Why place extra stress on an already stressed chronic pain patient?? Makes little sense to me.

Don't get me wrong I understand the laws very well. It just seems to me that a few back up makes more sense....a few means just that, not ten! And just my thoughts!

~Tuck
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Avatar universal
Londres,

It's nice to meet you . I'm sorry that you get migraines. Caffeine helps my headaches/migraines when I get them.

Everyone,

It's good to know that I'm not the only one!

Flower
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Avatar universal
I have chronic migraines since moving to Europe; just take OTC medications and keep on going.   However, I have taken care of alot of patients with pain management issues and worked with Pain Management physicians over the years; RN for 12 years.  I have dealt with alot of issues related to narc/controlled substance Rxs.  

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Avatar universal
I'm actually right there with Tuck and Flower!!

I'm allowed 1/2 to 1 tablet every 8 hours OR as NEEDED of my Percocet for BT Pain.  I get 45 pills a month as I take ONLY 1/2 as Needed and I usually only take about 3 - 1/2 tablets so I also have some left over. I'm NEVER stressed that I might run out and that REALLY makes is MUCH easier for dealing with my pain.

For the most part my Fentanyl Patches control my pain, HOWEVER WHEN a time comes that I NEED to take FULL pills I can and ALL I have to do is notify his office and they have a note on my file that I can have the REMAINDER of my prescription (the rest of the 90 pills) ANYTIME that I need them.  

I'm VERY fortunate to have the PM Doctor and Clinic that I have.

Tuck, My Friend  -  I LOVE your Word of the DAY

Peace to you ALSO.....Sherry
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Avatar universal
My doctor is different also.  He sees patients every 28 days and writes the prescription based on 30 days.  He also recommends taking half of the medication on a day when we don't have to do anything about once a week so that we keep our tolerance down and have the few extra to use for the worst pain days.
I've always thought it's a little confusing and a lot to keep up with so I just make sure I do a pill count every so often.  It's also a good idea as I have a 12 year old in the house and while I don't think that he would take my medication for himself or to sell at all, I have heard of that happening and it's not worth the risk of someone getting hurt or killed so I make sure none are missing.
I think if we had a forecast for a direct hit from a hurricane he would make sure we had enough to get us through in case the office was destroyed or temporarily unavailable.
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954005 tn?1304626605
I have to wait until the day I am OUT to be able to pick up my medication...which I HATE!!! My 2 scripts for pain meds overlap, so I am usually never without....but I never have those few extra that you do...I wish I did! Because there have been a few emergency situations out of my control, and my doctor's office can't always find someone to approve my refills like if my doctor goes out of town, and I've ended up in the ER in withdrawals:(
So....count yourself lucky, and keep those extras in a very safe place! I may try to put a  few aside on my really good days...it just seems like I haven't really had any really good days in a while:
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547368 tn?1440541785
I must be the lone nut here!!

Like flower, my prescription of short acting opiates is written to allow me some autonomy. I can take more on a painful flare and not usually run out. At the same time I can take less on a day that my pain is more stable, which I do. I am not required to take a certain number a day. Obviously I could not take maximum allowed for the entire month or I would run out before my next RX. Although I have had a "bad month" when that was the case.  I was always able to obtain my short acting meds in less than thirty days. Again I think that is because of the way the RX is written. For example if the RX reads, take 1 or 2 every four hours and you are prescribed 70 tablets obviously that will not allow you to take 1 or 2 every four hours. Therefore if you have taken the 2 every four hours it would not take you long to go through 70 tablets. I hope I am making sense.  

I have a relative that has DDD and a knee joint that is bone on bone but she is not a candidate for surgery. Her physicians writes her RX for 1 tablet every four hours PRN but than it states, 60 tablets, must last 30 days. So in reality she cannot take 1 tablet every 4 hours. She must space that RX out to cover a month. So I really think it is how the RX is written.

Most months I have a few left over. I try to keep a few extra of my short acting narcotics on hand. However I just went on long acting opiate and that RX is written for BID (twice a day) these are written for the exact amount and unless I would skip a dose (which I can't) I obviously only have enough for thirty days.  

Sorry I have probably made this a longer post than necessasry!!! I ramble sometimes.  :)

The word today is...
Peace,
~Tuck
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Avatar universal
Londres,

Do you have chronic pain?

Flower
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Avatar universal
Wow. I'm surprised. I know that some people have to wait until day 31 to fill a 30 day prescription.

Interesting...

Flower
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Avatar universal
Sorry, misunderstood what was asked.  

Well, in any case, I have NEVER seen a physician write out a narc Rx for any "extra" tablets; the number of the tablets should be exact to the frequency.  I have seen it done with non-narc and medications that are not closely regulated.  I have worked as an RN for 12 years in the USA and Europe; I am in Europe now.  

I have never seen Rxs given in case of an emergency.    
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Avatar universal
Londres, I'm not talking about a separate prescription, although I have read of people who have gotten an extra prescription solely for an emergency (Katrina). My doctor has never done that, but my prescriptions are written in a way that I have a couple of extra each month. In my opinion, it's a good thing.  I didn't think it was all that uncommon. I have read and heard about it before...was just wondering if anyone on here had a doctor like mine.

Runningmom, I bet that keeps the doctor shoppers out!

Flower
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655875 tn?1295695107
Not the pain clinic I'm at.  I have a sheet that tells me where I should be at with my medications.  They never prescribe anything over and I need to be exact with the number of pills each time I go in for my appointment.  I can not have more nor less medication then what I'm allowed.  The clinic is suppose to do pill counts every time we go in, but they do pill counts if there are several days remaining before a new script.  I've never run out of medication early.  I've thrown up meds a few times(SA meds), but I've never took more to replace what was thrown up.  My clinic also takes all unused medications as well.  
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Avatar universal
I have NEVER heard of any physician giving extra Rxs for emergencies, especially narc Rxs.  I can't imagine a physician giving extra narc Rxs being these medications are closely regulated.  
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