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2127265 tn?1335332867

Is it legal for a Doctor to take you off all pain meds cold turkey

I have had 3 lower lumbar surgeries (L4-5 - S1), the first one 6/13/2001.  I now have to have C3-4 down to L5 done due to more bone degeneration (I've been a Brittle Type 1 Insulin Dependent Diabetic since 2/23/1967 and also had radiation treatment for breast cancer 1998).

After many years of trying different medications including a spinal cord stimulator (which failed due to too much nerve damage), my Pain Specialist finally came up with a comination that worked.  

Since 6/13/2001, I have been on some kind of opiate for pain.  For 2 1/2 years now, the formula that seems to work is: 8 mg of Dilaudid 3x/day...1-2 valium at bedtime to help relax me...1 klonapin 3x/day if needed ( I do not take these regularly)...30 mg of Adderall 1 2x/day (I take these because I have chronic fatigue due to chronic pain.  I do not sleep more than 1-2 hrs at a time before waking and having to shift positions.  Because I do not have one of the 3 sleep disorders, altho mine is medical, Medicare will not pay for Nuvigil, so Adderall seems to work the best).  I am supposed to take 50 mg of Dantrolene 3x/day, but am afraid to because of the black box label...I also take 120mg of Cybalta for Severe Peripheal Neuropathy and I guess it is a anti depressant as well.

Unfortunately, Medicare is not paying my Pain Specialist what they should so I had to seek out a new one.  After trying several and refused because I admitted smoking marijuana in the past (oh if they only knew...:)  I was told by my past Pain Specialist not to be so honest and to say NO to that question.  Talk about a Bizarre way of thinking...don't be honest.  Especially since Marijuana helps with pain and diabetes control...oh well...leave it to the rich and powerful to rule our lives.

Finally found a Doctor (I am hesitant to call her this), she decided after looking at my Mylograms that I should be off all stimulants and opiates and that my pain should only be minimul.

I tried to talk with this lady about what my Neurosurgeon and my Pain Specialist both saw in my latest mylograms and she just kept telling me to complete my paperwork.

She said everything looked stable and Yoga should do me just fine.  Again, I tried to tell her that I had tried Reiki, Accupuncture, accupressure, a spinal cord stimulator that failed, meditation and so far this was the only medication regiment that worked for me.

I also tried to tell her what the other two Doctors said.  That I needed from C3-4 down to L45 again.  They wanted me to have this surgery at OSHC in Portland, OR because they felt there was not a Dr. in Boise, ID that could give me adequate care due to my critical health and nerve system.

Again, she said to complete my paperwork.  She took me off all medication...EVERYTHING my body was used to since 6/2001.  Was I frustrated...you bet, to the max.  

The footnote she wrote to my Primary Physican was "take off all opiates and stimulates and patient should see a Pychiatrist".  She ruined my integrity and has caused me so much more pain and anxiety than I can even describe.  

I've written a letter to my Primary Dr. in hopes that I can at least get back on my Adderall.  I see a new Pain Specialist tomorrow and hope he has a brain and will get me back on something that works.

Toxins in my system...you bet, but I at least feel like I can live my life somewhat.  Can't smoke marijuana.  My prescription history will verify that I am not a Polypharmacy.

Since 4/5/2012, when I saw this quack, I've lost 11 lbs, barely move from my bed, just enough to feed my dogs and try to eat.  I cannot sleep at nite...I cannot move or focus during the day...my blood sugars are all over the place because they are affected by pain and anxiety.  I have had 3 BG's over 600 and take about 9 shots per day to keep it under 450.

My Primary Dr. said she is concerned about my overall well-being, which has been affected detrimentally for sure since 4/5/2012.

Can this quack of a doctor legally just take me off my medications that I have been used to for many many years and tell me Yoga will be fine?  Isn't there harm to my body (obviously yes) by taking me off cold turkey?

I am hoping this new Doctor will be good.  Already did their **** test they require on 4/5/2012.  Won't do one tomorrow coz smoking marijuana has kept me slightly sane.  I've been told of other drugs too, but won't go there yet.

I'm numb...if there was a miracle where I did not have to take opiates or stimulates that would be great.  I am 56 (biologically I am 87 coz of my diabetes), if the rest of my life on this earth is going to be worth living and it requires the medications I have been on...so be it.

Can this Dr. really do what she did to me and get away with it?

Thank you for your time.  I am a Pisces and have a Sociology education, so to "keep it short" is not in my vocabulary.

til next time...take care...Deb
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Avatar universal
I got you, I GOT YOU!!!
.::IF::.
You were kicked out of pain management because of THC/ Marijuana in your system AFTER March 18, 2016.
I GOT YOU COVERED. X3

1... https://www.painnewsnetwork.org/stories/2016/3/18/45g7l80k0vufyjyhb06z2ttgxdj3vk

2... https://www.aacc.org/publications/cln/cln-stat/2016/april/21/cdcs-new-opioid-guidelines

3... http://crrh.org/news/node/7055

.::IF::.
You signed a pain management agreement (WHILE PREVIOUSLY PRESCRIBED),
& you were tested for medication in your system and had it when the "AGREEMENT" was signed.
I GOT YOU COVERED. X3

1... http://smallbusiness.findlaw.com/business-contracts-forms/will-your-contract-be-enforced-under-the-law.html

2... https://www.hg.org/article.asp?id=36845

3... http://contract-law.laws.com/consideration/intoxication

3 MORE...
Forced to 'agree' or aid withheld.

1... http://www.nolo.com/legal-encyclopedia/unenforceable-contracts-tips-33079.html

2... http://dictionary.cambridge.org/us/dictionary/english/unenforceable-contract

3... http://study.com/academy/lesson/duress-and-undue-influence-in-contract-enforcement-krysa-v-paine.html

.::IF::.
You were released because NOTHING/SOMETHING SHOWED UP IN YOUR URINE TEST...
I GOT YOU COVERED. X3

1...https://www.painnewsnetwork.org/stories/2015/4/11/urine-drug-test-often-gives-false-results

2... https://www.bigclassaction.com/lawsuit/false_positive.php

3... http://www.davekopel.com/CJ/IP/DrugTesting.htm

3 MORE
(#1 is aMindblower, be sitting)!

1... http://www.upi.com/Odd_News/2017/01/11/Charges-dropped-against-Texas-man-after-meth-turns-out-to-be-kitty-litter/5141484148995/

2... http://www.cbsnews.com/news/drug-tests-not-immune-from-false-positives/

.::IF::.
You were arrested selling/sharing. I WOULDN'T HELP.
:- (

There is a lot of MISINFORMATION & INCORRECT "anti-pain patient" advice & negligent commentary all over the place online.
.::FACTS::.
Pain Agreements may be ILLEGAL.
1... By threat of abandonment
2... SIGNED UNDER INFLUENCE.


Geez, you poor people.
I weep for you.
So I WENT & SOUGHT THE CORRECT INFO FOR YOU!!!

//★•THIS HAS CHANGED•★\\
Since it (WAS) going to take a minute to write it all out, heres how I (WAS) going to HAVE YOU COVERED... I (WAS) going to wait
until Monday, January 16, 2017 after 11:30pm EST. as the CURRENT & CORRECT INFO (WAS) ON MY SERVER AT WORK.
I CAME HERE NOW (7:29amEST),  just to check on you & I COULD NOT sleep & have you waiting hopeless for another 48hrs!
I worked 11pm-7amEST this week & as I just got off & came home, I wanted to let you know about my research project, & I COULDN'T REST, So... I went back work & got the info from my server, wrote this up & just came back here TODAY...
9:23 Saturday, January 14, 2017

THEY SHOULD HAVE TITRATED  & WEANED, -NEVER- SHUT OFF!

1... http://www.todayshospitalist.com/getting-out-of-your-comfort-zone-with-opioid-tolerant-patients/


THERE ARE ANTI-OPIOIDS you can/should have been offered...

TARGIN...
http://www.nps.org.au/medicines/pain-relief/opioid-pain-relievers/oxycodone-hydrochloride-naloxone-hydrochloride/targin-10-5-mg-controlled-release-tablets

STADOL...
http://www.rxlist.com/script/main/mobileart-rx.asp?drug=stadol&monotype=rx-ids&monopage=2

NUBAIN...
http://www.rxlist.com/script/main/mobileart-rx.asp?drug=nubain&monotype=rx-ids&monopage=2

LORFAN...
https://en.m.wikipedia.org/wiki/Levallorphan

AJULEMIC ACID...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2503660/

VIVITROL...
https://www.vivitrol.com/HCP/SupportForPatients/EmergencyPainManagement

PRIALT...
https://www.drugs.com/prialt.html

& for OTCs, Search for...

PAIN BOMB
https://www.google.com/search?q=pain+bomb&oq=pain+bomb&aqs=chrome..69i57&client=ms-android-boost-us&sourceid=chrome-mobile&ie=UTF-8

&

GLYSINE
https://www.google.com/search?q=glysine&oq=glysine&aqs=chrome..69i57j0l3.5223j0j4&client=ms-android-boost-us&sourceid=chrome-mobile&ie=UTF-8


A GREAT research study on pain with conclusions...
http://www.medscape.com/viewarticle/576064

FINALLY...
CHECK HERE TO SEE IF YOU FIND YOUR DOCTOR.
There is an ANTI-KICKBACK LAW to help you if they are listed.

http://www.thehealthyhomeeconomist.com/is-your-doctor-getting-drug-kickbacks/

THANK YOU!
DON'T... HURT YOURSELF!
Please! I have love ❤ for you all!

I hope this helps!
:- )
BK
Helpful - 1
4 Comments
Im almost 47 years old. My back and pelvis were broken and I no longer have a disc cushioning l5-s1 these injuries were due to domestic violence. I was given a small amount of vicodin 5 mg I believe and my urine showed up with it in there. The pain mgmt dr had his nurse call me..or whoever it was and I was told I failed my drug screen and Im kicked out of the practice. I was never asked to come speak with the dr...although that was his job....i was not offered a place to help me get sober...the pain mgmt dr didnt speak to me once after that! Thats breaking some laws...num1..he discriminated against me or he would have had me come in. He abandoned a patient with no referral to a single place to help with my pain issues.
The reason for trying to get back in now is because now I have a very painful immune disorder...Ive been clean for almost 3 years now and they dont care....I think i should sue
there is a RULE about it...rule 360-3-06 in Pa...the dr MUST have you come in speak with you personally. The dr MUST continue treating you until you find a new pm dr. The dr MUST offer you either help for your issue or help refer you to another pm dr...its abandoning patients
autoimmune disorder I meant...apologies
I have been dealing with PM doctors for over 25 years and I have never heard of the ‘rule’ you say Pa. has in regard to treatment in PM.
If you have been under the care of a PM doctor- you should have known that you needed to contact him regarding taking ANY opiate or scheduled med he is not currently prescribing you- even ones obtained through an ER or Urgent care or other medical provider BEFORE you fill or take it.
PM Contracts typically clearly lay out terms under which they will treat you and things that will cause immediate automatic dismissal and being refused any further treatment.
There are typical criteria-. Patient will ONLY take medications currently prescribed by this office, and take any medication exactly as prescribed.
Urine compliance testing and pill counts are randomly conducted. Failure of urine compliance testing or to come in for required pill counts as considered a failure and will result in dismissal.
Obtaining and using  scheduled medications (opiates, benzos,sleeping pills) from another medical provider is considered doctor shopping and will result in immediate dismissal.
In the event of a medical Emergency- if you are provided pain medications- have the ER doctor contact this office prior to giving the prescription. Patient must notify this office prior to taking any scheduled meds.
Use of illegal or street drugs is grounds for dismissal.
Etc.
Assuming your PM did not prescribe the Vicodin and did not approve it prior to your taking it- you would be in violation of the Contract and he has every right to dismiss you immediately with no taper or referral.
Avatar universal
Actually they can do all that legally.  We are military and I have a bunch of friends who have come home from war and are pretty beat up.  One girl in my husbands unit got medically discharged and her spine is all messed up from jumping out of planes and such.  She has had so many surgeries and everything in between to fix it and now is just on pain management.  Her docs will not give her Narcotics whatsoever.  Being a wounded vet they will not even go down that road.  I asked my doc about it (I was on narcotics and stuff for my back but not from war wounds...well kind of...I had 5 kids...haha!) and I was telling her I wanted off all my meds and asked her about my friend and she said actually a LOT of the meds they are getting way more strict on (as of just a couple weeks ago even) and no doctor is willing to risk it anymore.  More and more docs are just saying no.  She said the overdose rate has more then tripled in the last couple years and mainly from pain meds and a lot are accidental.  So now a lot of doctors are just not going that route anymore.  Her biggest argument was a lot of other countries do not have even close to the pain meds that we do and they are all having the same sorts of medical problems we are here and they are all doing it without the meds so there is just no reason for them.  I tend to trust the military doctors a little more since #1 they do not get a kick back from any pharmaceutical companies and #2 they get paid their rank no matter what so money is not influencing them at all.  So from a legal point yes the docs can tell you no.  They are under no obligation to make you comfortable...just to make you stable.  Another thing she said....a doctor would rather have you in the hospital because you are cold turkey detoxing then because there was an overdose....the cold turkey detox will not come back and bite the doc in the butt....the overdose will.  I am in no way saying you would overdose or anything like that.  I am just saying if it is a new doc who does not know you well or anything they may just not be willing to take any chances.  It isn't worth their license.
Helpful - 1
Avatar universal
my pain management doc wantsa me to go off of my pain medicsation for one month in order to get a pain pump  is that legal because iim in sio much pain vcant baere it anympore she wont here mme or listen to me its so redicyul0us?
Helpful - 0
1 Comments
There is a reason they want you to g off the oral meds before you get a pain pump placed. There is a risk of accidental overdose having both oral meds and testing doses of meds using a pain pump. Secondly the dosages are very different and work differently. On the pain pump, a constant dose of medication is delivered directly into the spinal fluid, rather than systemically in your blood stream, requiring much different dosages.
Patients who have the pain pumps usually like them far better than taking oral meds, have better pain control, and don’t require frequent dose adjustments
I would suggest working with your PM doctor and cooperating , they are trying to more effectively manage your pain.
Avatar universal
Is it ethical? It depends. I would highly disagree with that woman. Trust me I get it...as a pain patient, sometimes you go the extra mile to get pain relief. I mean you don't want to treat drug addicts with the drugs that gives them highs, but you do want to control their pain and symptoms.

So, in your case, I would say it is not ethical. However, it is NOT Advised to discontinue a patient's medication abruptly. Doing so will put you in withdrawal, as you already know. You can always file a complaint with the ethics board of the hospital or the professional association she is enrolled. You can also file a complaint with Medicare for malpractice.
Helpful - 0
Avatar universal
i have been on valium for back spasms .hypnodorm to sleep i have tinnitus.40 mg oxycontin 3 times a day for pain i smashed my foot sand back,.i went to pain specialist and when i read the report he said i have been on speeed and cananbis now my dr mulvey in coffs harbour has cut me of cold turkey becauce shaun clark pain specialist is a **** head .i dont touch speed or illegal drugs now i cant get dr for pain.or a dr .thanks shgaun clarke of rose ave coffs harbour im in extremem pain because of you.DONT GO TO SHAUNE CLARK HE IS A SADIST
Helpful - 0
480448 tn?1426948538
First, let me say I'm sorry you went through this.

You probably won't want to hear this, but I agree 100% with army wife's post above.  There is no "law" anywhere stating that a doctor has to do certain things before stopping prescribing a medication (especially a controlled substance).  It's always at their discretion....same with pharmacists, they can also refuse to fill a script if they're not comfortable, because in the end it IS their behind on the line....their license, DEA #, etc.

This is why these kinds of pain clinics have very thorough contracts and many of them have a "one strike, you're out" policy.  While I understand that certain things happened that led to this that were unfortunate, honestly...from the way you describe it, it would kind of sound some alarm bells.  Hindsight is 20/20, but if you were sick and not taking your meds as prescribed, you should have informed them to note that in your chart.  The whole urine collection situation sounds odd, and it sounds like you were not giving the tech a straight answer, and then you say you didn't read the consent you signed.  That too may have raised some red flags (your vague/unclear answers to her asking about if you had been taking your meds).

Your best option at this point is to find a new doctor, because it's HIGHLY unlikely that you will be reinstated for narcotics again, or even prescribed enough to taper, because the NP's fear is diversion, that you're giving your meds to someone else, or selling them (which sadly, is all too common).

It's good that you're getting your medical records, you'll need those.  I really hope you figure something out.  I can understand your concern about w/d, but the way you describe not taking the narcotics regularly, you shouldn't have too rough a time, if an issue at all.  I mean, you were able to skip enough days where the drug was no longer in your system....and I'm assuming you weren't withdrawing then?  You didn't say you were.  If that's the case, you should be okay.

As for not informing you of withdrawals...that doesn't make any sense, as you seem to acknowledge that you are well aware of the w/d when abruptly stopping certain meds?

So, which meds exactly was she prescribing for you, and what were your doses?

Best of luck to you.
Helpful - 0
1 Comments
I have severe stenosis and arthritis of the spine, lower back is shot, a specialist informed me that if i didnt stop working now that by age forty I would be disabled for sure. I have been in a great amount of pain since February 2015, stopped working all together in November 2015, filed for disability in January of this year and playing the waiting game now...in the meantime I am trying to find the right pain management clinic for me, without assuming i am just some bottle chasing druggie. I dont abuse drugs in any way. I was cut off yesterday by a Dr. in Chattanooga,Tn. for having the wrong medication in my bottle. I had three in there of a med that came out of my medicine cabinet!!! When I get home I see the three that should've been in the bottle when I went, on my bathroom counter top!! So now i have to wait almost two months to get help! The pain I experience keeps me up through the night resulting in 2 1/2 hours of sleep and the fact that I was able to work and can't now has been quite depressing!! I feel the way this doctor treated me and the way so many others do to others that truly due make a little mistake like I did, is no good reason to cut them off!! They dont know me true...but what I've just spoke is the truth!! They can take there assumptions and stickem up there ***...I am not a druggie that just ran out and had to borrow them from someone else to make count!! I have needs that must be met so my referral is in and those of you going through the same, my sympathies, hang in there, and God bless!!
Avatar universal
Hello, I hope i can get some help.Last week i went to Advanced Pain Management for my 2 month appointment as always for the past few years.Normally i am always greeted kindly , this time was different. My nurse Practitioner had this awful mean look on her face , her voice was harsh. I was asked about  my RA and the Dr i seen. Then in a harsh and rude voice she said  your urine test came back negative (CLEAN) ok i didn't think anything about this.Then she said i cannot write you your prescriptions anymore .I said i don't understand. She said well the form of consent you signed said you were taking  your meds but your test said different.She said It  is the law from the DEA and the FDA and she will not loose her license. She said i can't give you meds but we can  give you injections and surgical and other pain treatments. I tried to talk to her and said but i was sick and... and so rudely she wouldn't lesson to anything i was trying to say.I asked her  to redo the urine test and if there was anyone i could talk to  , and what am i to do.All she kept saying is no , no one, and nothing.She walked out of the room  saying i will not argue with you , this was kinda  funny i was not doing this it was her being loud and rude.So i sat in the room wondering what just happened ,im thinking to myself I told the woman that took me to take the urine test and sign the consent form Put down what she wanted to.When i was asked have you taken any meds  in the last day and half i said i haven't been taking  them for many days i have been sick and  not sleeping.I did take  my dizapam. She kept asking are you positive i said i dont know , She said is there a chance you possible could have taken them. I said  well yea i mean when i take my dizapam and not get alot of sleep sometimes i wake  up and  am a little loopy and in pain take them.What was i  to say she had me so confused.And to get my meds i have to sign the form i asked her is this a problem and she said no this is just  to allow us to take the test.(1. TRUST WAS MY FIRST MISTAKE 2. WAS NOT READING WHAT I SIGNED BECAUSE I DIDN'T  HAVE MY GLASSES).I thought she had wrote  down all but nope. So what was i to do but walk out of the room and asked her again to redo the test she said  no I asked her who do i talk to she walked away. I went to the front desk and asked is the manager there they said no  but wrote down a number and told me to call. So  the next day i called and as i thought he was not able to take my call and i was asked to leave a voice message as i did.Over the weekend i was asked  by my daughter if i was given something so i dont go through withdrawals i said no and she never told me i would have anything like this.This nurse partitioner not only was rude and nasty but now i find out she put my health and possible life in danger. On Monday the manager contacted me I explained all to him what had happened again  all he said was well we can treat you with injection or surgical  ect help. I asked did anyone even question the woman  who took my urine test he said he would check into that. Then i said not only did she brake my trust but she  put  me in danger  by not advising of possible withdrawals  and  the compilations.Then his tuned changes oh we can give you something and yadda yadda yadda. I told him i am going to file a complaint and so on he said to wait a few days.I said why i now no longer have the care i need but i also found out of the outcome of not taking  my meds i said thank god i dont take them all the time not she also knew that i didnt always take them but only when i needed them. He asked me  how many do i have i did not answer. I asked  for a copy of this so called law  and  a letter from the Nurse Practitioner that has cared for me for years , and all my medical records. Today i recieved a call to come and get my medical records, and i said i still need a copy of the law that says i can no longer get meds from her he played it out wouldn't answer me.So i asked him is it  a DEA law or is it what you decide he said well she will have to tell you. It was  a back and forth game no real answers were given .So now after 20 years  of meds and as all knows with neck and back surgery the domino effect happens you don't get better.I am searching and doing everything i can to get into see someone.Thank god the same day all this happened my diabetic Dr took a urine test to show i was taking my meds. And.And my family Dr has already sent a request for a new pain clinic now it is the clock that is ticking.If anyone else has some advice of who or what i can do ,I want this woman  to be  accountable for her lack of professional and her neglect of my  care. If there is anyone that know or is working to fight the DEA and the FDA i am very interested to get involved .We are not all drug abusers,or abusing the meds we take if anything many of us  are to afraid to take  to many meds and the chance of being cut off. thank you all who takes the time to read this.
Helpful - 0
3 Comments
Good Lord, I swear as I was reading this that someone had posted it for ME because the similarities are outstanding and what I am dealing with today and at a complete loss. What was the outcome of your situation? Where you able to be prescribed new meds?
In June 2014: My head was struck by a tree from  straight line winds... in June 2015,  I fell off a 3rd story balcony. Airlifted, said I was going to die, never walk. Etc. I am And I can. Been over 4 years and I've not yet got my L5-S2 (spinal stenosis) along with my T7-T8 and T8-T9 spinal cord deformities diagnosed properly. Dozens of MRIs' with dozens ormf different answers.  I haven't  had a strong enough pill to (bed ridden for a whole day if u stay in my feet more than 45 minutes. Domino effected every bone up to my L5).  Drs are scared to do surgery: I. Scared if open back surgery, considering I need my whole lumbar supported. I'm in Arkansas and I don't care what narcotics I receive it what Dr (sane situation, released 3 times)... I just NEED relief. Haven't been able to work and disability denied me 4 times, I think.  I can no longer be a police officer (6 years) or pick up my 3 y o granddaughter. My bone density test us a -2.9, I think  and I have narrowing of NY spinal column,  d d d. disc displacement, Osteoporosis, and spinal stenosis, head trauma, ..... I'm sorry. I just needed to vent. God bless all of you for letting me read your individual situations. Oh, fyi, I was trying to stop smoking, another granddaughter in 3 weeks. My PCP out me on Wellbutrin 3 months ago: 2 months ago I told her that I also want the patches and I was taking them both as needed daily to stop smoking; kadt month (3 months ago- showed I had benzo's but no opiate: 2 months ago she said I showed no benzo's but showed opiate--this month said I showed neither AND test positive for amphetamines). I knew for a FACT that ALL of that was WRONG..  it bothered me to the point that I asked my pharmacist about Y my tests are showing the opposite. .. he said that wellbutrine WILL show up as a false positive. ... Hmmm, so I googled urine test falses (showing false positive and false negative). He was right. That Dr maliciously  and purposely, I think,  did so because, well, I guess I'll never know. .......anyone who reads this; look up ANY otc meds. Benedryll, Nsaids, Aleve, etc. You'd be astonished if so otc medicine you're taking is on that list  ... Again,ty for letting me share my last 3-4 years.
Sarah,
Welcome to the Pain Management forum. First, I am sorry for what you are going through.
My suggestion as far as proper diagnosis and treatment options is the largest teaching hospital you can get to. Complex spine Ortho and Neuro consults.
Then you can compare and contrast options presented and discuss them with their teams.
As far as the urine test results go- in office screenings only show positives/negatives based on the detection thresholds of the screening tests, prescribed and not prescribed.
If you are taking ANY other medications, over the counter meds, vitamins, supplements, anti depressants you need to advise your PM ahead of time and make sure those are listed on the requests for the lab, otherwise you may get false positives or negatives in your results.

Most PM offices automatically send out in office screenings for confirmatory/quantative tests as well. These tests are far more specific and look for the metabolites of substances , so keeping your PM in the loop about anything you are taking has to be your priority to avoid any problems.
Are you currently being dismissed or what did your PM say about these results?
1271743 tn?1320892461
I can believe it but it's not right.  The Adderall and things like and anything for your anxiety or such... that should and normally are prescribed by a Pychiatrist.  But your PAIN Meds should come from that PAIN MANAGEMENT doctor... but once you have either admitted to smoking or had a bad drug screen that showed it, they do not have to prescribe you any narcotics for pain. Its all differs from state to state but it is basically all the same.  You might have to go back to the dr you had before and figure out some way to pay out of pocket to get your meds.  

As for the price of the meds.... try needymeds.org and see if you can find some helpful info there... otherwise... I am at a loss for suggestions.... good luck!
Helpful - 0
Avatar universal
I feel for ya had the same thing happen to me after back surgery
the doctor is not under any leagle obligation to treat you although there is a moral code of ethics you best bet id to just get off all of it in the long run most of us feel much better once we do at least give it a shot you will find out your base pain line good luck with whatever you decide God bless........Gnarly  
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I am glad that "most of us" feel much better without pain meds, but I guess I am not "most of us", because it has all but destroyed my life. With meds (always taken as prescribed, never any problems) I could function, now I have to force my self to go to work when I get home at night I am not sure how I will deal with the pain until benadryl gives me a couple hours of respit. I sleep about hours a day. With meds I was a productive human, now i am a human trying to figure out how to get out of this life.
Welcome George. Did you choose to go off the meds or were you taken off without your agreement?
Do you currently see a PM doctor? What were the circumstances of your no longer being on meds?
What other methods do you use to try to manage the pain?
495284 tn?1333894042
Yes she can take you off these meds.  It happens all the time.  Alot of doctors dont understand that once meds are stopped all he!! will break loose.  I hope your new doctor can help you.  We also have a pain management forum here at MH.  I would copy and paste this and put it up in that forum also.  They are very knowledgeable over there. .  Keep us posted  on how things turn out.   sara
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