What to say about today?

I’d be tempted to tell her, “You’re beautiful when you get angry.”

Great job clarifying the issue. Only makes common sense. Next time point like-minded individuals to this blogspot. Have them study it this interchange. May still have questions, but would bet it’d give a few out there without sense a bit of Emily Post, Dear Abby, or the modern contemporaries.

I have a question - is Ultram a controlled substance? I was told it’s not, yet it’s highly controlled and regulated. I am just curious because i was prescribed this med and it was like a 3 ring Circus at CVS getting it filled. And no, I do not forge rx’s and i’m not an addict.

In my state, it is not. Federally, it is not, but states are allowed to make some substances controlled if they so choose. Kentucky for instance, has Some (carisoprodol) controlled whereas most other states do not have it controlled.

Ultram is not controlled, but it is an opiate derivative. In high doses, it can provide quite a buzz, especially if you throw some booze into the mix. However, with high doses, it usually causes nausea and major sedation. In mega doses, it WILL cause seizures. So, the abuse is somewhat self limiting. No one wants to get high and then throwup allover themselves.

It is abused tho, people take 10 a day of those and are a pain in the ass when they want their early refills etc…

However, to arbitrarily act like you are a user or abuser when you’ve given them no reason other than having the prescription is bullshit. I’d find a new pharmacy if mine treated me like an addict…

The problem is these types of customers keep coming back after every attempt I make to get rid of them.

Thanks for your honest and candid reply. I usually follow the rules to a T. I don’t bother the pharmacy for anything, with the except of getting some special insurance approval for something. In North Carolina there are killer rules at these pharmacies, they have something where they can pull your profiles of all the rx’s you’ve had filled reguardless of where they were filled. This just blew me away.

My other beef is with Lyrica - it’s the flavor of the Month. The doc gave me this and it’s a controlled substance. I would rather not get any RX’s that require big brother’s permission. My insurance doesn’t even cover it, but that’s another post.

I like to continue to fly under the radar but I don’t want some BS from the pharmacists about why I’m taking Ultram. I definitly know 30days is 30, not 15 not 20.

Patients just have no idea on how pharmacy operations work I mean damn when they drop off their rx they stand there and expect me to magically appear oh yeah let me just squat down and itll pop right out get real!Then one patient said I dont understand why itll take an hour all you have to do is slap a label i looked at the patient and said “are you kidding me ?is that what your thinkiyg?then I went on to say that the process is far more in depth I told her that if she wanted to rest assure that the drug she is receiving in fact necessary and will not cause and drug-drug interactions then she would need to wait because the pharmacist that makes 6 figures and sits on his ass at the verify machine has to verify and check for any other problems thatmay arise because ultimately its his DEA number that will get revoked if he kills you!So the lady shut up and sat down and waited as in my mind i was thinking you phucking idiot go do some damn research on pharmacy operations then come back and ask the question then youll get the hand across the face reaction!

i love that “don’t fill it on my insurance” comment. nothing will guarantee more that we will run it through on your insurance first.

i got a random one of these the other day. it was a guy who regularly fills his percocet every month. he came in, told me not to fill it on his insurance, so obviously i did. but the catch is that not only did it go through, but it was cheaper than what our cash price was. i’m wondering if he went elsewhere immediately afterward and got it filled again on insurance, since our cash prices are the cheapest around on narcotics (oh how i wish they weren’t….). then again, maybe he was having insurance issues at the time. who isn’t at the moment?

I’m wondering if there’s requirements out there that require you to use your insurance for all healthcare…like in the contract you signed with them…

My insurance is crap. I guess I will not say give me the cash price because it will wind up being cheaper them my copays. I’ve even had my insurance limit my med’s to 15 days of Nexium, yet I have 30 days of ulcers. These MBA idiots who decide this really need to experience a day in the life… I pay exorbant premiums only to be limited to 15days of necessiary medicine, then they have the nerve to send me a reminder that I’m not taking the med’s as prescribed. What ever.

Jenn

Don’t put it thru your insurance? Please.

I had this guy, let’s call him Ron, who wanted his dilaudid through workers’ comp. Fair enough, I say. So I type it in, and bill it under Medicaid by mistake. Surprise! A 30-day supply was filled 14 days ago at CVS down the road. Different doctor, too. So I look in his receord, he’s had dilaudid every month (coming in 5 to 7 days early each time) from us, for the past 18 months. I call up CVS and they say he’s gotten it for the past year from them. Bulls-eye. I warn them of the situation, then proceed to call up both doctors, his social worker, and his workers’ comp adjuster. He came in later that day, with the full get-up: neck-brace, crutch, and arm cast (all of which he took off after leaving the building). I just smiled, gave him the RX back (with “Filled 2 weeks early” written in big letters on top), and told him to call his doctor.

It’s been four months since. I looked in his record the other day…he hasn’t gotten dilaudid, ms contin, tramadol, or even soma, from either doctor. And that, friends, is my good deed for the day.

Lyrica is a controlled substance? I guess I’m glad I’m still on gabapentin (which as a generic is still amazingly expensive, especially in the 3200 mg a day I take). I was in a drug study for Lyrica back in the day, which is how I ended up on gabapentin. I don’t remember getting high, though.

Lyrica = pregabalin
Neurontin = gabapentin

Lyrica binds to some calcium channels reducing neurotransmitter release. This downregulates nociceptors (pain) and decreases seizure activity.

It’s Schedule V — so it’s barely controlled. Some states allow some schedule V medicines to be sold over the counter, like Codeine cough syrups, lomotil for diarrhea, and pseudoephdrine. Other than that, I’m not sure why exactly it is controlled. The mechanism isn’t understood why it gives you a buzz. And, the literature says the BUZZ was only noted by admitted drug abusers — those looking to get a fix out of anything and everything.

I’d recommend Gabapentin over Lyrica any day because they are essentially going to be used for the same things - except Lyrica is INDICATED to treat more things while those would be unlabelled uses for gabapentin. Gabapentin doesn’t have a blonde handing out pizza, donuts and ink pens either…Lyrica does…:-)

I’ve been happy with gabapentin, other than the fact that I have to take it four times a day. It’s really only good for 6 hours, and if I miss a dose, I turn into a basket case. An itchy, cranky, anxious basketcase. It’s not attractive.

Lyrica in Indiana is controlled..

Sounds a little like something that happend to me the other day! ha!

http://persephoneinluv.livejournal.com/8331.html

Can anyone tell me which ADD drug has the most kick. I am curently taking Ritalin 1o mg twice a day and having no effect.

Uhm…no