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primary care doctors

AnonymousUserAAnonymousUser Posts: 49,731
edited 06/11/2012 - 8:23 AM in Chronic Pain
Im trying to find out if pcp can write pain meds so i dont have to wait to get into new pm clinic and suffer in pain waiting
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Comments

  • se- Do you have a PCP that you trust? I know there are people who get pain meds from their PCPs but I now get my pain meds from my PM dr. I have also gotten pain meds from my ortho drs as well as my NS in the past. I think that issue may depend on the PCPs feelings on pain meds. There are some who do and some who don't. :/ ..jade

  • My PCP handles my pain for now, its not what I would call pain management,but it is some relief.Just be honest and don't just ask straight out for them, they usually assume your a "seeker" if you do.If your pain is chronic then you will eventually have to get a PM, PCP don't generally rx them for very long, unless you have a great relationship with them.Make sure you have great documentation too(mri's,cat scan,x-rays) to make them feel you are being proactive as well.
  • Your doctor should have a heart and prescribe pain meds, since there is medical evidence supporting your chronic pain. They should give you enough to last until your appt. with the pain doctor. Since they are referring you, and sometimes it takes a while to get in, they should do you the favor. Keep in mind that they send your records and the pain clinic scrutinizes it, and determines if they want to treat you. That was my experience.
    I was referred to pain mgt. by my surgeon's office, and I was running out of the pain meds they were giving me. I decided to call in a refill and figured they wouldn't have a problem with that, since they were working on getting me in there. I got my refill thank goodness, because it took a couple of weeks until my first appt.
    PCP's don't like writing narcotic prescriptions for an extended period of time nowadays because they don't want to be flagged by the DEA. I don't know what the guidelines are as to how long they will give you narcotics. I think it has to do with the condition and the expected course of it. If you need a specialist, they will work to get you there as prudent as possible.
  • dilaurodilauro ConnecticutPosts: 9,733
    I have to assume that different PCP's handle writing pain medications differently. Many times when I have had flare ups in the past, my PCP would write prescriptions for pain medications and refills. It was only when it got to the point, where I needed more specific following than the PCP could provide, did writing of prescriptions switch from my PCP to my Pain Management doctor.
    Ron DiLauro Spine-Health System Administrator
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • I have to agree with Ron here. The PCP will usually point one in the direction of a PM Dr. once the pain begins to become a chronic situation. Also the type of meds that are needed for certain pain will prompt a PCP to refer you to a PM Dr. Many PCPs are afraid of writing scripts for drugs like OxyContin, Morphine Sulfate, etc. Most PCPs will try to care for their patients until they get to a certain point with the patient. That point usually comes when pain begins to take over the body and the PM is best suited for the job.
  • My PCP treated my pain for only a few months when it came to narcotics~from August until Nov when I began seeing a PM Dr.~Before that (several years previous) she was treating my pain for a few years..but not with narcotics(tho it was a scheduled drug)

    My PCP and I have a really good relationship,but she felt that my pain was too much for her to take on..she explained to me about the DEA (a little) and she felt I needed more than she could give.Inj.,PT,etc.

    What is it that you need pain relief for.I've seen your posts before,but not mention of your medical problems.(if you don't mind me asking)
  • I have never had a pm doctor prescribe me pain meds, my primary doctor has always prescibed my pain meds.....
  • My PCP and I have a great relationship and he has offered me whatever I want for pain (within reason). It is because he knows me, knows my problems, knows my histoy, and knows I have never abused.... in fact my scrips normally last many times longer than they are prescribed and I have in the past actually asked about expiration dates.

    I also tell him everything I have been prescrived by other docs... PM, Surgeon, etc and that equals trust.

    Talk to your do; if they will not trust, I would start looking for one wo does.

    Best Wishes,
  • se,

    I think the best way to find out the answer to this question is to ask your PCP. Only he or she knows whether or not they'll write for you and for how long. We can all assume-like I assume that it won't be a problem as long as they are the one setting up the referral and they know when that appt is scheduled for-but obviously we can't say that's gospel because we don't know your PCP and we're not you.

    Why don't you give the PCP's office a call tomorrow and see if you can talk to your PCP's nurse. Remind the nurse that you have appt with 'specialist X' that was referred thru their office and that the date is 'x-x-08'. Tell her that you just realized you aren't going to have enough pain medications to last you that long so you're wondering if they can write you enough to get you through until that appt.

    I don't think it's too much to ask, but since I don't know even what your injuries/conditions are or what your hx is, that's easy for me to say-so again, best thing you can do is call your PCP's office. Since tomorrow is Friday, I would get right on that first thing in the morning so that hopefully you'll hear back from them before they close up for the weekend and you're left to ponder the situation for another 2 days. Just be kind and patient and I'm sure you'll get your answer.

    Good luck, hope you sleep well tonight, and please, keep us posted, OK? We do care-it's kind of a prerequisite to joining SH! ;) :D
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