Comments on: Did I do something wrong? http://www.theangriestpharmacist.com/2008/09/08/did-i-do-something-wrong/ You want your prescription filled when? Eat shit... Thu, 11 Mar 2010 02:16:00 +0000 http://wordpress.org/?v=2.9.2 hourly 1 By: Casen http://www.theangriestpharmacist.com/2008/09/08/did-i-do-something-wrong/comment-page-2/#comment-13293 Casen Thu, 04 Feb 2010 01:22:07 +0000 http://www.theangriestpharmacist.com/?p=235#comment-13293 You did fine :). Don't sweat the alcohol, "double dosage" advice...he'll be sweating enough for the both of you. As for the suboxone, subutex, there's finally a generic for the subutex. Pesky, sinice they like to start folks on the 'tex, then long-term (if needed) with the 'one. His best hope is to not mention the I.V. drug use.... Perhaps for him to say, "I sniff a couple of bags daily", and to try to hide those track marks... subutex can be I.V.'ed, thus making it a less than stellar choice for long term use, which is becoming more the norm and less the exception with treatment. Since the doc knows the high recidicism rate, and that said fellow will probably decide the suboxone is way too expensive, honesty could be the best policy. After all, it's better to have some odds than no odds. In other words, the subutex, though a risk, is still better than no chance at a drug he most likely cannot afford. (Going through his mind will be, "I could be getting high, instead"). My two cents. You did fine :).
Don’t sweat the alcohol, “double dosage” advice…he’ll be sweating enough for the both of you. As for the suboxone, subutex, there’s finally a generic for the subutex. Pesky, sinice they like to start folks on the ‘tex, then long-term (if needed) with the ‘one. His best hope is to not mention the I.V. drug use…. Perhaps for him to say, “I sniff a couple of bags daily”, and to try to hide those track marks… subutex can be I.V.’ed, thus making it a less than stellar choice for long term use, which is becoming more the norm and less the exception with treatment. Since the doc knows the high recidicism rate, and that said fellow will probably decide the suboxone is way too expensive, honesty could be the best policy. After all, it’s better to have some odds than no odds. In other words, the subutex, though a risk, is still better than no chance at a drug he most likely cannot afford. (Going through his mind will be, “I could be getting high, instead”). My two cents.

]]> By: TXGURL http://www.theangriestpharmacist.com/2008/09/08/did-i-do-something-wrong/comment-page-2/#comment-13255 TXGURL Thu, 21 Jan 2010 07:33:32 +0000 http://www.theangriestpharmacist.com/?p=235#comment-13255 NICE!! GOOD JOB! AND YES I WOULD'VE PRESCRIBED THE ALCOHOL TOO!! NICE!! GOOD JOB! AND YES I WOULD’VE PRESCRIBED THE ALCOHOL TOO!!

]]> By: roman http://www.theangriestpharmacist.com/2008/09/08/did-i-do-something-wrong/comment-page-2/#comment-8949 roman Wed, 05 Nov 2008 05:19:48 +0000 http://www.theangriestpharmacist.com/?p=235#comment-8949 ibuprofen and tylenol, hah won't do anything for pain especially if you are used to real painkillers, anti histamines are good for some for the sniffing on w/ds as you say. i went through withdrawals, alcohol, xanax and music, oh yeah lots of pot helped too and someone to abuse and blame for all thats wrong in the world. otherwise as pharmacist i would of just given him a few 10mg endones, not enough to get high but enough to soften the fall <strong> Yeah, because we just give away narcotics to any schmuck that walks up.</strong> ibuprofen and tylenol, hah
won’t do anything for pain especially if you are used to real painkillers, anti histamines are good for some for the sniffing on w/ds as you say. i went through withdrawals, alcohol, xanax and music, oh yeah lots of pot helped too and someone to abuse and blame for all thats wrong in the world. otherwise as pharmacist i would of just given him a few 10mg endones, not enough to get high but enough to soften the fall

Yeah, because we just give away narcotics to any schmuck that walks up.

]]> By: addictedtolove http://www.theangriestpharmacist.com/2008/09/08/did-i-do-something-wrong/comment-page-2/#comment-7679 addictedtolove Mon, 22 Sep 2008 07:16:12 +0000 http://www.theangriestpharmacist.com/?p=235#comment-7679 The only thing I would add, if you took off your work hat and spoke man to man, is tell them to try marijuana for withdraw...i know that many would yell at this....but withdraw is the WORST time and even though alcohol will help a little it will cause some problems of it's own. This guy (anyone getting off street drugs) has access to the stuff, and though NOTHING will make it easy....smoking enough throughout the day and night might keep him from giving up and just going back to the hard stuff. The problem with long term addicts is rarely wanting any high....they are just trying to delay the most horrible pain and misery in thier lives a little longer..... The only thing I would add, if you took off your work hat and spoke man to man, is tell them to try marijuana for withdraw…i know that many would yell at this….but withdraw is the WORST time and even though alcohol will help a little it will cause some problems of it’s own. This guy (anyone getting off street drugs) has access to the stuff, and though NOTHING will make it easy….smoking enough throughout the day and night might keep him from giving up and just going back to the hard stuff. The problem with long term addicts is rarely wanting any high….they are just trying to delay the most horrible pain and misery in thier lives a little longer…..

]]> By: VoidBlender http://www.theangriestpharmacist.com/2008/09/08/did-i-do-something-wrong/comment-page-2/#comment-7104 VoidBlender Tue, 16 Sep 2008 07:38:49 +0000 http://www.theangriestpharmacist.com/?p=235#comment-7104 I am currently dealing with withdrawls (not a pharmacist) from opiates. I have a spinal injury(s) and have been on opiates for almost 2 years. I have made an effort with my doc to start weening off. One reason being that im young and the other is that i dont like the way i get treated in pharmacy even tho i use insurance and go to the same pharm each time. Turns out that i got ahead of myself and the pain got to great and went through my supply in no time. I have 4 perc 5/325 to last me a week until i can get my refill. I have had to cut these into 8 pieces to last the week. So you figure less then 1mg a dose 2x day. This is a drastic deduction from what i was taking, about 100-200mg oxy ir a day. Although this alone is letting me beat the sweats and jitters i still have the runs and pain is very acute. What i am finding to work is that i space 4-6 hrs between the doses and then make sure to knock myself out a couple hours after last dose with tyenol pm or Xanax 3mg xr so that i can sleep through the night time hell. I am prescribed the xanax but never take it because i dont like how i feel so now i have a reason to use it and dont think it will be addictive. Believe it or not the best help has been Amphetimine salts(also prescribed) that i have for my add, i dont take often but it does do a great job at keeping your mind off the pain and focused on some other task to keep your mind occupied. The downside is if you dont take it early enough you will have trouble getting to sleep which could be bad. The big issue is bordem, when your body does not have its usual dose you lack inerest and the hours grow longer and longer. I have been taking walks to take up some time and doing suggested stretches for back pain and it does help but its hard to find the motivation. I have considered the alcohol but i think it depends on the person. Me personally i dislike alcohol and have never been drunk, i can only take the taste of rum the few times i have tried so in my case it my not be a bad idea to ingest a little bit to ease the nerves and pain. Other then that i suggest some super-strength ben-gay rub and patches to help, it does not always work but it helps a little. Try not to sit or lay down too much and keep a fan near by if you start to go thru sweats. So far the pooping, pain and bordem are the hard parts. Hope this info helps, and by all means dont score off the street because those sort of people make it worse and you risk going into jail and having no help at all. I am currently dealing with withdrawls (not a pharmacist) from opiates. I have a spinal injury(s) and have been on opiates for almost 2 years. I have made an effort with my doc to start weening off. One reason being that im young and the other is that i dont like the way i get treated in pharmacy even tho i use insurance and go to the same pharm each time. Turns out that i got ahead of myself and the pain got to great and went through my supply in no time. I have 4 perc 5/325 to last me a week until i can get my refill. I have had to cut these into 8 pieces to last the week. So you figure less then 1mg a dose 2x day. This is a drastic deduction from what i was taking, about 100-200mg oxy ir a day. Although this alone is letting me beat the sweats and jitters i still have the runs and pain is very acute. What i am finding to work is that i space 4-6 hrs between the doses and then make sure to knock myself out a couple hours after last dose with tyenol pm or Xanax 3mg xr so that i can sleep through the night time hell. I am prescribed the xanax but never take it because i dont like how i feel so now i have a reason to use it and dont think it will be addictive. Believe it or not the best help has been Amphetimine salts(also prescribed) that i have for my add, i dont take often but it does do a great job at keeping your mind off the pain and focused on some other task to keep your mind occupied. The downside is if you dont take it early enough you will have trouble getting to sleep which could be bad. The big issue is bordem, when your body does not have its usual dose you lack inerest and the hours grow longer and longer. I have been taking walks to take up some time and doing suggested stretches for back pain and it does help but its hard to find the motivation. I have considered the alcohol but i think it depends on the person. Me personally i dislike alcohol and have never been drunk, i can only take the taste of rum the few times i have tried so in my case it my not be a bad idea to ingest a little bit to ease the nerves and pain. Other then that i suggest some super-strength ben-gay rub and patches to help, it does not always work but it helps a little. Try not to sit or lay down too much and keep a fan near by if you start to go thru sweats. So far the pooping, pain and bordem are the hard parts. Hope this info helps, and by all means dont score off the street because those sort of people make it worse and you risk going into jail and having no help at all.

]]> By: Robert http://www.theangriestpharmacist.com/2008/09/08/did-i-do-something-wrong/comment-page-2/#comment-7097 Robert Tue, 16 Sep 2008 03:55:39 +0000 http://www.theangriestpharmacist.com/?p=235#comment-7097 There are definitely avenues for treating chemical dependency that cost little or nothing if he makes the right contacts. Doing it without medical supervision sounds like a real bitch. Regarding the stuff you recommended, I also read somewhere about valerian root being used to treat the psychological symptoms of opiate withdrawal (paranoia, anxiety, general uneasiness) because it's (in theory) a GABA agonist. I know I've recommended it before to people with mild opiate withdrawal symptoms to help them sleep with good results. My personal experience is limited to my brother who's gone through intermittent withdrawals (big-time oxycodone abuser), and it seems like almost nothing but Suboxone or more dope would have helped his symptoms... although maybe this fellow has a little more constitutional fortitude than my dear bro. There are definitely avenues for treating chemical dependency that cost little or nothing if he makes the right contacts. Doing it without medical supervision sounds like a real bitch. Regarding the stuff you recommended, I also read somewhere about valerian root being used to treat the psychological symptoms of opiate withdrawal (paranoia, anxiety, general uneasiness) because it’s (in theory) a GABA agonist. I know I’ve recommended it before to people with mild opiate withdrawal symptoms to help them sleep with good results. My personal experience is limited to my brother who’s gone through intermittent withdrawals (big-time oxycodone abuser), and it seems like almost nothing but Suboxone or more dope would have helped his symptoms… although maybe this fellow has a little more constitutional fortitude than my dear bro.

]]> By: Ren http://www.theangriestpharmacist.com/2008/09/08/did-i-do-something-wrong/comment-page-2/#comment-7077 Ren Mon, 15 Sep 2008 18:24:18 +0000 http://www.theangriestpharmacist.com/?p=235#comment-7077 Agree with everything you told him. Hope it sticks, everything you suggested is all well and good, but won't do anything if he doesn't want to stop. You forgot to tell him that before he quits he is not, under any circumstances allowed to watch Trainspotting ;) Agree with everything you told him. Hope it sticks, everything you suggested is all well and good, but won’t do anything if he doesn’t want to stop.

You forgot to tell him that before he quits he is not, under any circumstances allowed to watch Trainspotting ;)

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