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PostPosted: Wed Jan 27, 2010 12:16 pm 
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Hello
[sup]I have been on Suboxone for years and at this office for three. The doctors in this office come and go and the only person that really knew me was the clinical pharmacist, who left six months ago. The demanded in December that I go from 4 a day to three. He told me that he would be lenient and for me to just do my best. However, he give me hell when I needed the refill a week early. now this month, I call and my meds are due to be out on Friday, the Doctor calls them in and the insurances pays but the pharmacist (same one for over a year) said she will not let me have it until Friday. This has never been the rule, I have always picked them up a couple days early for convenience and because I freak if I run really low. The Doctor knows my father had a massive stroke in October and I care for him 3 days a week more than an hour away. I am furious because I feel like they are treating me like a child, or dangling a carrot over my head. Do any of you have to wait until the DAY you are out to get them? I am in Virginia.
Teresa[/sup]


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PostPosted: Wed Jan 27, 2010 6:10 pm 
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Hello,
I too am in Virginia. Since it is a controlled substance they are supposed to give you your meds on the day you are supposed to, not earlier. I found for myself that each pharmacy is different, when I would fill at Walmart they wouldn't let me have it a day to soon, but when I went to CVS they were willing to 2 or 3 days early. I think it has alot to do with the insurance, but in your case the insurance has already paid, the pharm is holding out on you. Maybe she has seen a pattern of you coming in early each month, I don't know. Maybe the pharm that you go to maybe a little stricter about it, it could be a slew of reasons. I wouldn't take in personal though, if it is too early to get it then you should have some left from the previous script. Now if you ran out early that's a different story, and maybe they have caught on to that and are making you suffer, I know that sounds terrible but it could be possible. Anyway I hope you have enough to get you through the next few days.


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 Post subject: in VA too...
PostPosted: Wed Jan 27, 2010 9:35 pm 
I'm in VA too, Richmond area, and I've been using a Rite Aid. I've been getting mine about 3 days early each month, and they never gave me any trouble. I'm surprised if the insurance paid that they would give you a problem, so it must be a jackass pharmacist. Yeah, don't take it personally, it's a Schedule III narcotic so they throw red flags up all day long about this stuff. I just switched my Sub script to CVS, so it remains to be seen if they'll give it to me early....I like getting it as early as possible because, hey, the more extra pills I save up the better.


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PostPosted: Thu Jan 28, 2010 3:16 pm 
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Oh yeah Rite Aide has done that to me just recently , i think that they just changed it to where its the day before you run out ..but I think they do that to just the people that are taking Suboxone.


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PostPosted: Fri Jan 29, 2010 1:01 pm 
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CVS will not let me get my script except on the day its due. Over the holidays I had to show proof (airline iteniary/meeting agenda) to my sub doc that I was going to be out of town for a meeting and would run out of sub before I got back into town. My doc wrote me a script and told me to fill the day before I left. I went to CVS and the Pharmicist went off on me and said I am not giving you your "feel good drugs" early. She of course had to say it loud enough for others to hear....so I chose to be louder to her and told her she was not my doctor and I already explained to my doc and your tech the reason for the early refill. I told her to call my doctor to verify........She said Oh I will call your Dr but not till Monday it is Saturday and I dont want to get yelled at for bothering the Dr because you are trying to get an early refill......I said do you think my doc would have written the prescription today's date if he didn't know the circumstances......I said fine if you wont call him I will......and I did...I called the answering service...they paged him and he called the pharmacy......She slammed the phone down and took 45 minutes to fill the script.......she suddenly took great interest in working the drive up window.........(bitch). When my script was done...I was standing right there the whole time and of course she yelled out my name. I paid for my script.......wished her a good day and a Merry Christmas. I then added if I hated my job as bad as she hated hers I would quit........she ignored me. I know there is laws about controlled substances and they have to follow them but customer service is part of the job...I think they love the power....and some want to be the police......while others are great professionals that care about thier customer and use common sense. I know the feeling of panic about running low...but I will tell you that sub is the one prescription that I take as prescribed...I hope you havent run out and that your going to be ok...just remember 2 mg normally will keep you from having w/d symptons....not sure why I shared this story but I have been holding it in. I hope you make it till you get your script. Good Luck


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 Post subject: Too bad about that
PostPosted: Fri Jan 29, 2010 8:12 pm 
Wow, I'm sorry that happened to you. I also do not know where the mean-spirited attitude comes from...before I found out about Suboxone, I was caught at several pharmacies trying to fill fake prescriptions, and it was amazing the wide range of attitudes among pharmacists. I had one guy who said he wasn't going to call the police, but that I needed to get to treatment right away. He had compassion. Mostly, they would go through the roof, screaming that the police were on the way and what a pathetic slimebag I was. I mean really, really nasty. I tried to tell one lady pharmacist that I couldn't help it, to please not call the police, I would never come back to that store, and she looked at me and said "all of you dirty, diseased drug addicts should be in prison the rest of your lives." Now, I kind of wonder why someone (one of my multiple therapists, doctors, pharmacists, PO's, anyone) ever told me about Suboxone. No, it took until I went to jail and another prisoner told me he had taken Suboxone and it had helped him a lot (he was there for a non-drug related offense) for me to ever hear about this miracle drug! Unbelievable. For 12 years, all that was thrown at me was NA/AA, which I tried over and over and over and still relapsed again and again. But was Suboxone ever suggested as an option to try? Never once. Weird.
JD


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PostPosted: Fri Jan 29, 2010 10:22 pm 
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You know you bring up a good point. I found out about suboxone from my dealers girlfriend......one day she said I can't believe how much money you spend each week on Loratabs.......have you ever thought about stopping with suboxone. Suboxone...........what is that? She then told me all about it....wrote out the name of the drug on a piece of paper and I jumped on the internet and ran across this site. One week later I was on subs and my life started all over..The funny thing is that my dealer was on suboxone and when I told him I was going to get on it (I didn't tell him how I heard about it) he was cool about and has never texted me again to tell me he was holding......that is amazing. I wonder how others learned about suboxone........


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PostPosted: Fri Jan 29, 2010 10:37 pm 
I'll tell you one thing, I went through three 28-day inpatient programs, two 6-month inpatient programs, and four multiple-month outpatient drug programs since 2002 and NEVER, EVER did anyone tell me about Suboxone. I'm pretty sure that Sub has been available in the US since 2002 or 03. Something's really, really wrong with that picture.
JD


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 Post subject: Oh yeah...
PostPosted: Fri Jan 29, 2010 10:46 pm 
Oh yeah, 2 years ago I overdosed on Vicodin and had congestive heart failure. At the end of the 2 week hospital stay, a psychiatrist put me on Naltrexone, and told me it might help. Yuck!! It didn't help at all. It's basically the same thing as naloxone, it just fills up the opioid receptors and blocks other opioids. When I took the first dose, I had a major panic attack. I took it for about a week, and then stopped so I could go back to getting high. Why in the world that doctor didn't tell me about Suboxone I'll never know.
JD


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PostPosted: Sat Jan 30, 2010 3:13 am 
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Wow how ironic, I too have been through multiple rehabs for opiates and no one even said a word about suboxone! Methadone, Methadone Methadone...I'm not knocking it, Im sure i would have tried methadone maintenance but I couldn't commit to going everyday. I don't understand why sub is such a secret. I too heard about suboxone through a using/dealer buddy that was on suboxone herself. She even called her doctor that same day and talk to him about getting me in. She even rode with me the hour and half trip to introduce him to me and now its been almost 4 yrs later!! WOW, never expected that. This is interesting hearing how people were introduced to subs, since its a secret hush hush drug in the mental health/ behavorial part of the medical community. NA/AA may work for some but for this addict it didn't and I thank God everyday for this gift he has given me, Im so grateful to be alive today!!!


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PostPosted: Sat Jan 30, 2010 1:22 pm 
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I am in school right now to become a chemical dependency professional, and the amount of ignorance about Suboxone that I encounter is shocking. I think Shelwoy is in an addiction studies program and she has said similar things. I was so fed up with it by the end of last quarter that I gave a presentation about Suboxone treatment and outed myself to my whole class as a former Sub patient. OMG! They were shocked! But it was a good opportunity to do some education.

I think it takes a while for these kinds of shifts to happen. The medical model of treating addiction is still pretty new. Using research-based best practices to treat addiction is still pretty new. It will take a while for attitudes to evolove.

When I first got on antidepressants...22 years ago (gawd, I'm gettin old) - it was a huge frakking deal. You had to go to an inpatient facility to go on psych meds so you could be monitored, the side effects were hideous, and the stigma was very real. Everyone I encountered had some idea about how I could just "think" or "behave" my way out of depression, even though it was killing me. Taking meds for mental issue was somehow shameful or weak and people just didn't get it. Even the people who were cool and understanding about it didn't get it.

Then Prozac happened. Now everybody takes or knows someone who takes or has taken an antidepressant. It's just a normal part of our culture. The neurotransmitter-imbalance therory of depression has become like gospel. People trot out the "it's just like a diabetic taking insulin" analogy about their antidepressants all the time, and it's pretty much accepted - even though the science supporting that theory of depression and the efficacy of most antidepressant drugs isn't really that strong.

But still, cultural shift. As more people become dependent on opiate pain meds, Suboxone and other buprenorphine drugs will become commonplace. Now that big-pharma has seen that there is a profitable market for treating addiction with medication, I bet you we will see more drugs targeted at different addictions coming out. We are just the patients on the leading edge of this trend.

Still, I agree that the ideology of absenence-only based recovery causes health-care providers to hold back the Suboxone option from their clients totally sucks.

_________________
You can't stop the waves, but you can learn to surf.

-Jack Kornfield


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PostPosted: Wed Mar 31, 2010 9:06 pm 
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Yeah I heard about Suboxone from a friend that I used to hook up from. He actually gave me a couple one time when I was comming down off perc's. I couldn't believe how good I felt in like a 1/2 hour after. He told me all about how to get a Dr but I never went through with it until I was ready. Strange world.

G


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PostPosted: Sat Apr 24, 2010 8:45 am 
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I know I'm coming into this conversation way late, but I also heard about subs from my dealer. I am also on probabtion and had been in jail for pills and do you think anyone mentions subs as treatment. NOPE! Ridiculous.


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PostPosted: Sun Sep 26, 2010 10:12 pm 
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I don't even know why pharmacists exist. Well, I do, but I have never gone long without
one giving me some shit. I once went to get a refill at Walgreens (don't even get me started
on that P.O.S. chain) and this 18 year old KID just out of pharmacy school LIED
to me about a fill date. I went home, found the empty bottle. and came back and
said "I won't have to ask you not to lie to me again because I will never again
grace your 'chain' with my presence.

If you think your crap does not stink and you are a ego-maniac tee-totaller
(would never touch 'drugs' but drinks like a fish every night) then
pharmacy is the thing for you.

I would recommend NOT using CVS,Rite Aid, Wal Mart and most
especially WALGREENS,or any major chain
pharms. because on TOP of all the DEA crap they have to go by, they
have a huge database that dose nothing but keep court-rooms full
and make certain there is a need for more cops and drug laws every 34
seconds.

NO I don't WANT to wait 25 minutes so I can shop and NO I don't have
any questions.


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 Post subject: Subdocs and pharmacies
PostPosted: Mon Sep 27, 2010 5:13 pm 
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Yea, I have had some major conerns since my recent decision to stay on suboxone therapy. I was a pain patient, and had started to abuse my meds. Fact is, my choice to stay on sub is not totally for relapse prevention, but in part to treat my pain, and honestly it does absolute wonders for my bipolar condition. I don't need valium and all that crap anymore, and my sleep is 100% better without meds....it was a risk/reward thing. My quality of life is 100% better.

BUT....I'm just starting to realize that it really is like being attached to a heart lung machine. I still count pills, I still worry what happens if I have an emeregency and everything else. It plain old sucks.

For anyone who read my ranting about my recent psychological eval at my pain doc, and my worries that I might get a taper script, I've got good news. My psych of 8 yrs had already suggested that I get with one of his former partners, and rather than waiting until 10/9 for my next pain appt to find out my fate I made an appt for tomorrow with the new doc!!

Still, he costs more, and is farther away but I'll take it for the peace of mind. I've withdrawn twice now from sub at a very low taper and like I wrote in the "horror story vs. Fairy Tale" thread, it wasn't fun for me. Honestly I'd like to stay on sub for a good long time. I'd also like to see it available to all psychiatrists as a treatment modality for other conditions. One day......

So I read about the film, but are we getting any closer to seeing generic? Or changes in Rxing Guidelines ?


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PostPosted: Mon Sep 27, 2010 9:25 pm 
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runner wrote:
Yea, I have had some major conerns since my recent decision to stay on suboxone therapy. I was a pain patient, and had started to abuse my meds. Fact is, my choice to stay on sub is not totally for relapse prevention, but in part to treat my pain, and honestly it does absolute wonders for my bipolar condition. I don't need valium and all that crap anymore, and my sleep is 100% better without meds....it was a risk/reward thing. My quality of life is 100% better.

BUT....I'm just starting to realize that it really is like being attached to a heart lung machine. I still count pills, I still worry what happens if I have an emeregency and everything else. It plain old sucks.

For anyone who read my ranting about my recent psychological eval at my pain doc, and my worries that I might get a taper script, I've got good news. My psych of 8 yrs had already suggested that I get with one of his former partners, and rather than waiting until 10/9 for my next pain appt to find out my fate I made an appt for tomorrow with the new doc!!

Still, he costs more, and is farther away but I'll take it for the peace of mind. I've withdrawn twice now from sub at a very low taper and like I wrote in the "horror story vs. Fairy Tale" thread, it wasn't fun for me. Honestly I'd like to stay on sub for a good long time. I'd also like to see it available to all psychiatrists as a treatment modality for other conditions. One day......

So I read about the film, but are we getting any closer to seeing generic? Or changes in Rxing Guidelines ?


I don't know why there is only a generic for Subutex, I guess there is so much red tape that they could not
get the approval to make a generic for both. I payed about $140 dollars for #60 buprenorphine tablets. How does that compare to what
any of the rest of you have payed for generic Subutex?

I also started as a pain patient. With the huge whole that I have always had in me (PTSD, major depression,
and degenerative joint disease and mild scoliosis in lumbar, for the past 17 years) hydrocodone back in '96 was all I needed
for mood , pain, and whatever else but I discovered that once I had a gorilla tolerance I started to hate any
short acting opiate/oid but would a lot of the time have to "make due".
But with hydro comes tolerance. I have always been scared as hell to take too much tylenol.
I have read many many people posting about taking 200mg doses(give or take) for longer periods of time
thats like 20 grams per day when the PDR says that the max. recommended dose for APAP is 5,000mg
per 24hours. I had an aunt die back in the 70's from acetaminophen toxicity. She was taking darvocet
and I suspect that part of the toxicity was the propoxyphene as well because it breaks down
into norpropoxyphene which is toxic in higher doses.

About staying on Suboxone vs. the insane idea of trying to detox in under a month. If you have no
pain and you have not been addicted for a decade or so, I guess getting off of bupe instead of
taking a "maintenance" approach is the best, but I have never felt ready to start lowering my dose
at any time. My current doc says that "you have to titrate yourself down yourself, I cannot make you
or encourage such a thing" and I know for sure that he's right. When I go back next month the
I will tell him the truth, that I am doing well. I am getting SO much more done and am sleeping
eating and feeling marginally better since you have helped me. I will say lets not change anything
this month. He did mention that if I did get off it he would give me a lifetime supply of Naltrexone
(used to be called Revia or something but now it's just generic naltrexone [different drug than
Narcan(naloxone) which they use IV to reverse Heroin and other opiate/oid overdoses, it being
longer acting that the short acting Narcan(naloxone). If I am ever to get off of Sub for good I
don't want Naltrexone. For one I have heard it can really make you feel like crap which
would lead right back to addiction for me. Also, who is to say that it does not block
natural endorphins? I just don't like the idea, not for me. One member here
said that it gave him an instant panic attack the very first time it was taken.

The only guideline that has changed that I have heard of is that a doc with an existing Suboxone
waver ( I think that's what they call it ) who is at his 30 patient limit may pay a fee and upon
completing more training seminars can have his or her limit raised to 100 patients.

One good thing about going to a Sub. doc is that there is nothing to hide and no gain from lying
about anything and that flooded me with relief because I am not a good lier and do not want
to become one.

Lastly, I agree with your likening being on Sub to being tied to a machine. At least it's
a machine that's a bit less evil. Just an expensive machine.

best wishes, let us know how your doc visit goes.


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PostPosted: Sat Nov 20, 2010 2:38 pm 
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One positive thing about getting your sub filled at huge chain
store like Rite Aid, Walgreens or CVS, is that you can call
and put your script number into the computer and if your
insurance is already in the computer and it's within
5 days the computer fills the script and at the store
the printer just spits out the label , so they are much
more likely to fill it. Of course if you have a shit
head for a pharmacist your screwed either way.


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