Well Its offical. No more Benzos.My Doc said pain meds or Valium.No "both" anylonger.........So you choose.Pain and nerves shot,or relaxing and pain........Nice huh????
Dear Pharmers,my doctor thought about it ,well aparently not "set in stone" about no Benzos.RD.............p.s. I have one of the best, and fairest and coolest doctor's of all times."Tough yet fair is he."RD
So as the rush to investagate "flavor of the month"calms down,It seems that every year or two people stick there nose's where they don't belong. This time the news directed thier nose's to percribing Benzos with pain medicnes. And a large portion of patients who obtain Benzos have to suffer!!! Now as things calm down we see the storys of horror and overdoses have ceased. So slowly yet surely Benzos will be dished out like before.I have gone through this nonsense many times and all that attention given the "problem" goes away like it was never there. But this time around I belive it will stick as in "no more Benzos" will become the law. I still am perscribed some but the doctors are becoming more and more careful about what they write.This new practice is fast becoming a habit among pain doctors as well as GPs alike.We the pain patients have to carry the burden of the bizare choices of our world as it pertains to health care for pain management.Those who tend to dictate are usaly not the same people who wind up suffering.So it goes I get my pain medicne but have to pick and choose when and why I still take Benzos.RD
The phenomenon you are referring to is phenomenon journalism, which isn't helping matters for far too many patients. Think about how many years, prior to this one, it was common place for a Dr to prescribe a narcotic pain medication for the overall pain, along with Valium for muscle pain and spasms. Yet, now that the news has erroneously declared the U.S. as being in the midst of an opioid epidemic, patients records are being released once a trial goes to court.
Sure, high doses of benzodiazepines, when mixed with a narcotic analgesic, will increase the respiratory depression since both cause slowed breathing. However, the news seems to forget that benzodiazepines have been used in conjunction with opioid medications for many, many years. The only reason it is a topic now are because of a few high-profile cases of death, and the influx of an illegal opiate that starts with H. That being said, there is one way around this hassle. Instead of asking the doctor who treats your pain for a benzodiazepine medication, see a psychiatrist and let them determine your need for the drug. Do not misconstrue what I just said as an endorsement, or even a suggestion, to doctor shop. I just know that, in my case, my psychiatrist put me on Xanax XR (later changed it to Klonopin), and when the pain dr sees this, they ask why I am taking a benzodiazepine. Granted, I have no obligation to tell them why I am on it, but I always do because I am not ashamed to admit that I have panic disorder that affects me so bad that I have spent days at a time not even leaving my room, or visiting family.
Will this die down? Probably, once the DEA realizes that their stance is severely flawed, seeing as how they are only using information on patients who die after consuming a benzo on top of a narcotic pain medication. What the DEA fails to mention is that, in most cases, those who die with this cocktail are either not-prescribed the benzo, or have only recently begun treatment with nerve medication. One of my biggest pet-peeves is when I am told something to believe, without knowing all of the facts. Much like what the statistics are doing with "opioid" overdose deaths. We are not being told if the deceased was even prescribed what they ingested, which ultimately caused their demise.
Just something to think about next time you hear these news stories: Was the opioid a prescribed opioid, or was it a street drug beginning with H. Was the deceased on any type of other medications for an underlying conditions that could increase their chances of severe respiratory depression? The only thing we are ever told is, "There was another drug overdose death today, bringing our county's total to X for the year." More times than not, the deceased was a drug abuser, failed to inform the doctor as such, and when the patient dies the investigation, wrongly, focuses on the dr rather than the deceased prior drug history.
I have been prescribed benzos from long before I started pain management.I see a pyschiatrist of course for my anxiety. I can't imagine asking my pain dr for them. just saying
Good news here, "I did not have to ask my pain doctor for my benzos" he thought I was a tad bit hyper and restored my Valium and upped my Oxycodone.Funny thing is, I went to see him not even thinking that would happen! So I guess that he is a good man as well as a good doctor."You cant always get what you want, but if you try sometime, you get what you need!!!" (Jagger/Richards) Peace, RD
I' am curious someone I know was on methadone (yup for pain ) and a breakthrough and Klonopin-
Now this dr wrote a script for buprenorphine and breakthrough?
Never heard of such a thing!
Rocker Dan, since my last contribution, a list of drugs has been displayed in almost every surgery here of drugs which will 'no longer be initiated and current users will be assessed and encouraged to change onto safer (their words) alternatives'...
I wish this forum allowed 'likes' for posts because you would have received one for at least two contributions to this - YOUR - debate!
Two glaring omissions from the list are alprazolam and clonazepam, so we may assume, for some unknown reason, neing the two most potent BzDs - apart from triazolam/brotizolama, which are no longer on the UK lost anyway, nor the two benzos which are CD Sch 3, temazepam and midazolam; they are fine. Pity they stopped my Xanax prescription because I said I could no longer afford the most expensive in Europe if not the planet - and restricted to maximum dosage unit now of 500mcg (0.5mg) meaning my dose requires 12 tabs daily. So that's why I am now on lorazepam 2.5mg, but now, after a 15 month taper, down from qds (10mg/day) to bd (5mg/day, not even close to efficacious dose.
It is confusing why clobazam is on the list as it is a direct alternative to clonazepam - but without the property of prophylaxis of panic disorder, and with the highest anti-convulsant effects of any benzos; licenced only, as clonazepam, treatment for seizure-related issuess - see Ashton Manual which confirms that clonazepam's licence is for epilepsy &c ONLY and not for panic, for which it is in effect, an 'off-label' indication.
Incidentally, therebIS a warning appears on prescription software which draws attention to interaction between oxycodone and clonazepam, which is ignored by myself and my doctor, about the only decent thing I can say about the cow. To give a patient with a PROGRESSIVE pain condition one third of the dose I was titrated to in 2002 is far more worrying than any effect of prescribing the two at once, which I have been getting now for 15 years.
Nothing of any consequence has ever happened, and I do not even get increased sedation by mixing the two on a daily basis!
Iam a 28 year old guy dependent on prescriptions like Suboxone, Xanax and Temazepam. My doctors have had no problem with me on xanax, suboxone and temazepam (Restoril another benzodiazepine). Iam currently on 10-12mgs of suboxone a day, and Two 2mg Xanax pills, and one 30mg Temazepam for before bedtime (Severe insomnia since I was a child).
I was on a Methadone program,but have since switched to suboxone to quell my withdrawals and scratch that itch inside of my brain.I wasent using cannabis for a couple years so i could get take home methadone but when a @$^$?&^ thing happened at the clinic unrelated to weed i decided to leave the methadone clinic setting and go to a doctors office for suboxone instead.Dont get me wrong I was on 110mgs a day of methadone for 7 years straight (and years before sporadically) but some &??$ uninvolved with cannabis happened and i decided to leave and get on suboxone, the first month or so i was miserable but you adjust to it.I asked my doctor (a very honest nice woman) why I was feeling so bad even after a month and she told me straight up that "Patients on high dose methadone for years like you usually all have a VERY rough transition on to Suboxone", I appreciated her honesty.
I was on the benzos for years (which was confirmed) and my suboxone doctor said "Iam going to not worry about yur benzos because you seem to be doing very well with them" (She has the Prescription Drug Montioring Program sheet which shoes all fills of meds for controlled substances in the state of Florida.
In fact I was on #30 2mg xanax when I started because the methadone clinic I went to only allowed 2mgs a day for "high" doses but when I switched to my suboxone doc I was my family doc who I get the xanax and temazepam from and asked if I could go up by 30 pills (He used to write me 90 a month for years) and he agreed, and I went to my suboxone doctor that same day for a visit and told her and she thanked me for being honest and letting her know I incresed my xanax by double.
She is a very nice, calm, honest and patient woman, I just wish she did suboxone maintenance instead of slow detoxes, if she had maintenance id stay for as long as i could until I felt like getting off of it (if that day ever came).
Remember I signed a detox and opiate contract but the purpose was not for pain but for addiction to an opioid.
What I am finding out the more that I read, is that it can vary state by state, and especially from doctor to doctor. In Georgia, I believe, patients are reduced to 60 benzodiazepine medications if they are on a long acting pain medication. That being said, what I read may have been a load of bull as well. It seemed legit, and came from what appeared to be their newspaper, but the "source" of the information in the article, which was printed on a normal day to day newspaper like we all (used) to get, was a guy who claimed that, while on Methadone, his wife filled all 90 of his Valium instead of only 60, and he stated he was without all meds for a month before finding another pain doctor.
I have no reason to not believe what he says actually happened, but, when you've read as much anectdotal "evidence" as most of us here have, you tend to become very, veryskeptical, for many reasons. Sometimes people just feel wrong that they were booted, and for whatever reason, feel the need to let everyone know they were kicked out, but that it wasn't their fault.