No Benzos with pain meds!!!

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Rocker Dan
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My Dr. said he could no longer allow me to take valium with my pain medicne.He cites Dr.Drew and the town hall meeting resuting from pop star Princes passing!  A letter was sent "sugesting" this new procedure....Anyone here this one? My pharmasist does not agree.I have been on valium for over 40 years.Dr.Drews a moron anyway.may be corect,but neverless a moron!!!!

DyBNaps
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My pain clinic not only

My pain clinic not only doesn't allow, but drug tests many times a year randomly for just about everything, because of the potential for CNS depresesion. Dr's are just covering their rears anymore, and learning of the possible complications. Most people will not have an issue, but it is the one person who forgets they take the pill, or is having a bad day, and pops a few extra and die that ruin the needs of others.

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 been on benzos long before starting pain meds. and have been on both a easy 20 years.

Rocker Dan
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Benzos

Dear Goat.Same here.Been on Valuim since 1972.Doctor said ther is a letter sent by some medical board and my pharmasits said same.>

DyBNaps
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A family meber recently had a

A family meber recently had a bad accidnet and needed a major facial reconstruction surgery. They take a 10mg hydrocodone 2 pills max daily, and up to 4 mg Xanax daily for anxiety attacks that they have been taking for years. After the surgery, and back in their hospital room the Surgeon refused to give even 1mg of Xanax, and nothing even  strong for post surgery pain because the Dr didn't agree with their usage of Xanax.

gtrplayer
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Been on benzos for 15 years

I have extreme anxiety due to a car wreck that caused all of my medical problems. The anxiety, and to a lesser extent, depression, were all brought on due to a traumatic brain injury that my Dr., a nueuropsychiatrist, said I had when my head banged up against the windshield. That wreck completely changed my mood, and attitude towards other drivers. Since the accident I was in was caused by someone who did not look my way while she was at a stop sign, I developed a really bad case of anger directed towards bad drivers. Before being diagnosed, and treated with Zoloft and Klonopin, I was a real *^!& to bad drivers. The worst thing I did was follow a driver into a parking lot simply to yell at them, and fight them if that's what it escalated to. When I told my doctor this, she put me on Klonopin to control my anxiety and also the flight or flight mechanism we all have, because my flight or fight mechanism had somehow gone to "fight all the time." Prior to the wreck, I never, ever, acted this way. 

So, skip ahead a few years and I"m in pain management, taking Suboxone for my pain, and for 4 years, the doctors had no problem with me being on Klonopin because they had talked with my psychiatrist, and agreed that I needed to stay on the medication since other methods (depakote, paxil CR, and Zoloft ) never really got me to the point where I didn't have severe anxiety attacks that caused me to act out like a moron. That being said, my fifth year on Suboxone, everything changed. This was around 2015, when my physician assistant told me that if I continued to take klonopin, I would have to see her every month, instead of my usual every three months. Well, my Dr called her, and she must not have cared for what my psychiatrist told her because, after my second test in a row that tested positive for klonopin, they gave me my prescription, told me to schedule an appointment for the next month, and two days later, while trying to get another prior authorization from their office for my Suboxone, they informed my pharmacist that even though the prescription is valid, and may be filled, they had dismissed me as a patient and would not complete the PA. So, I had to dish out 280 dollars to get 30 at a time, and it was BS. 

I think doctors are going overboard with the whole "No benzodiazepine medications at all". These doctors don't realize that even if a patient decides that they will abide by what the doctors says- quitting a benzodiazepine is a long, drawn out process when done correctly. Even if I had agreed to stop taking my klonopin, I would have had to have a 3 month taper, which they never thought about. They simply said "no more benzos, quit taking it." Looking back, I wish I would have taken their advice and stopped the klonopin cold turkey, and when I go into a seizure, I could have sued them for improper treatment. 

I agree that, in some cases, maybe a benzodiazepine should not be taken with a narcotic pain medication. However, pain doctors need to assess the entire sitation, such as; how long has the patient been on their benzodiazepine, has the benzodiazepine caused any problems in the past when taken along with their pain medication, what are the ramifications to the patient if they do stop the benzodiazepine....etc. For me, stopping my benzodiazepine would result in me being a *^!& again, and wanting to fight every bad driver, or someone I deemed an idiot, which is not how I had ever been prior to the wreck. 

Benzodiazepines have their place in a treatment plan. Even though there are articles written that say benzodiazepines cause increased respiratory depression in some patients, doctors should examine whether the patient is benzodiazepine tolerant, and if the benzodiazepine has somehow caused their treatment plan for their chronic pain to be compromised. For patients like Goat, and myself, our bodies are used to the effects of benzodiazepine medications, and for people like us, even if we take a narcotic pain medication after taking a benzodiazepine, there is a 99.9 chance that nothing adverse will occur. For patients who only take a benzodiazepine for the treatment of a panic attack, or, as needed, there may be better alternatives than a benzodiazepine, especially if the patient has not been on the medication for a lengthy time. 

Like most of you, I am fed up with all these ridiculous regulations the FDA/CDC has implemented, causing doctors to worry first about being busted for a frivilous reason, such as prescribing a narcotic to a patient on a benzodiazepine. My view on a patient taking a benzodiazepine along with their pain medication is simple: you are responsible for what you take. It is not the doctors fault if you take a benzodiazepine in conjunction with your pain medication and end up dying. Doctors should not be under scrutiny for things like this. I remember when it was common place for a pain dr to prescribe valium for muscle pain and muscle spasms, but those days are over I guess. This is what happens when our government decides that the easiest way to claim progress on a war on drugs is to go after doctors, and patients, who leave a trail that is easy for them to follow. 

Speaking of the DEA/CDC, I really hope they realize that this "opioid epidimec", as they call it, does not revolve around prescription medications. They go after the doctors who prescribe, in good faith, pain medication to make the lives of those in chronic pain better, which has created an even bigger problem with illicit opioids being the drug of choice for those who have been cut off by their pain management doctor. Prior to the DEA/CDC going after doctors who they deemed to exhibit incosistent patterns of prescribing opioids for pain patients, I honestly don't remember the illegal opioid (you all know what I"m talking about- people shoot it up or smoke it) being a problem. Now that drs are hesitant to prescribe opioids for pain management for fear of coming under scrutiny from the government, the same patients who were compliant with their pain management program are the same people who have been forced to take to the streets for their opioid treatment. 

I know I ranted some in this post, but this is one area that  feel extremely strong about. The DEA knows that, with mary jane becoming legal in more staes, they have essentially lost their war on drugs. They can't get the drug lords, the kingpings, or even the street dealers, so they go after the honest, and innocent doctors who are trying to get their patients a better life. It's really pathetic when you think about it. If they would stop going after doctors, and focus on the real problem- H dealers, they might make a dent in the problem. Going after doctors, and arresting them and leaving the patients of those doctors hung out to dry does nothing except exacerbate the problem. In all honesty, after reading about the Iran/Contra situation where the CIA admitted to allowing drug dealers to operate, sometimes even for the CIA, I have a really jaded view of our government. There has to be a reason they are allowing this to happen. 

goat
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what a post !  Wink

Rocker Dan
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BENZOS

Dear DyBNaps,exactly what i am saying!!!!  New "law" no more Benzos with pain meds!!!!! Peace,RD

Rocker Dan
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"Best post ever"

Damn.#%^*!.Damn.............Best post ever!!!!! I well..You said it all about DEA/CDC ect............#%^*!!!!!!

gtrplayer
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Thanks guys

I really appreciate what you guys said about my post. Thank you so much. I know it may not seem like a big deal, but this past year or so, I've begun to really scrutinize everthing that comes from the FDA and CDC because I truly do not believe they have our best interests at heart.

I'm all for preventing overdoses, but I also want to know all the facts. Don't tell me we, as a nation, have an opiod epidimic based solely on the fact that there have been more overdose deaths from opioids than ever before. 2 things that are sorely missing from every release from the FDA when it comes to opioid deaths are: 1. Did the deceased have a valid prescription for the opioid that killed them, or was it obtained legally? 2. Was the opioid that caused the overdose a prescription medication (in which case, reference the last sentence) or was it the illicit opioid that starts with H?

At some point, we need to stand up to these agencies (easier said than done, I know) and demand full transparency as to what exactly they are talking about in regards to "opiate". Even if the overdose was caused by a valid prescription, questions still linger. Such as: when was the prescription filled and how many pills were left when officers arrived? Were the pills located (if any) consistent with what the bottle says the prescription was for? There is a laundry list of questions that I will not bore you with, that I always ask myself when I read these reports. Sad to say, but as is the case with most goverment enacted policies, more harm than good has come from this ridiculous declaration that our nation is in the midst of an epidimic. What the DEA should have said, assuming the opioids in question were prescription medications, is that we have an epidimic when it comes to diverted opioids, such as theft of medication, or even mail order prescriptions being diverted by drivers for their own gain.

I really, really want to be heard by the FDA, because I believe (not in a narcissistic way) that they need to hear a logical and thought out set of questions as it pertains to their broad sweeping set of rules.

When I am less tired, I will include a link to an article I fone regarding overdose deaths by H, versus by prescription painkillers that also breaks down how many of those who died from medication possessed a valid prescription for the drug they OD'd on.

Rocker Dan
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BENZOS

Well the war I said  on Benzos took a turn into the sureal yesterday..............i went to my pain dr. and I greeted him with a smile and he replied"No need to smile,your now dissmissed from this pain program.the reason is you had to much valium in your sytem!"  I said NO WAY!!!! The doctor said my urine test revealed a hiher than normal,or for that higher than he had ever seen!! He called in a nurse for backup(she was around 10 feet tall as i saw her)And we began to battle.next i must now cut down to 19 mgs per day from 40,then 20,now ten????  i was in a state of schock.then he said my Oxycodone which was 15 mgs QID(4 times per day) must go to 10mgs TID(three times a day) Well i had quite enough from this former freind turned turd.i said NO,NO,NO!!!!! so he said he would write me a nice referal letter to another doc.i again said mo way man,no way!!!!  i have lumbar facet arthopathy,degenerativelumbar disk,severe nerve damage as well as lumbarspondylosis,also nerul forman,narowing of the spineal canal.I do like this man,however i feel that there are much higher powers at work here pulling the strings.It not only has to do with benzos but pain cliics in general.Let us all report any and all odd circumstances to each other here on this sute!!!Peace,RD