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Pain clinic contract

jlrfryejjlrfrye ohioPosts: 1,111
edited 06/11/2012 - 8:46 AM in Chronic Pain
I am a patient with a pain clinic that I have signed a contract with that I will get no narcotics from other doctors.
I have an abcessed tooth and cannot get the tooth pulled until
I am on antibiotics for 3 days due to a heart murmer. My dentist tried to give me a script for pain meds to which I told him I could not accept due to the contract. He reccommended that I increase my oxycodone from 3x a day to 4 to control the pain. 3xs a day was not controlling the tooth pain so I have increased my dosage. Here is the problem now I will run out of my meds before I should per my contract. Will the pain clinic take this into consideration? Will they write my next script before 30 days due to having to take more because of my tooth? Should I call them now and let them know of the situation? Has anyone else been in a situation like this and how did you handle this?
Susan
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1

Comments

  • Just based on what I've read here about PMs, contracts and issues, I think I would call them today (before you're out too many pills) and explain the situation, giving them the number of your dentist so it's all up front and above board for them. Maybe you can call the dentist first and ask them if they'll take the call from the pain clinic...?

    Maybe it's me, but I think, knowing how strict these contracts are, your dentist maybe could have offered to call them while you were there so as to keep you as comfortable as possible and still within your requirements.
  • I think the dentist should have called your pain doctor and worked it out with them.

    Usually they just call and notify that they are prescribing extra for a specific procedure and get the other doctor's OK (since I believe the contract usually says that you won't get opiates from other doctors for THIS injury or without their permission or something, not that you can't ever).

    This is a bummer, I think the dentist messed up :(

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  • Dentist should be calling your pain clinic Dr.
  • i've taken pain pills from dentist and no one found out. If he did i believe he thought it was not worth the effort. i think most pain drs would cut you some slack. i also had pain pills for gal bladder surgery and nothing came about it. i was even on morphine pump.i don't think this gets back to pain dr and if it did just explain to him. not enough to worry about
    jon
    I have 4 fusions from L5-3, the latest last May '12 where they fixed my disc that broke.They went through my side this time. I take 40 mg of oxycontin 4x a day and 4 fenatyl lollipops 300 micro gms 4x a day.
  • i've taken pain pills from dentist and no one found out. If he did i believe he thought it was not worth the effort. i think most pain drs would cut you some slack. i also had pain pills for gal bladder surgery and nothing came about it. i was even on morphine pump.i don't think this gets back to pain dr and if it did just explain to him. not enough to worry about
    jon
    I have 4 fusions from L5-3, the latest last May '12 where they fixed my disc that broke.They went through my side this time. I take 40 mg of oxycontin 4x a day and 4 fenatyl lollipops 300 micro gms 4x a day.
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  • I don' tknow. My husband has Crohn's Diease and has to be on pain mends sometimes due to flares. He ran out and could'nt get into the doc for a week and he got so sick and in pain I took him to the ER. There they gave him a morphine drip and sent him home with 10 pain pills. Well a week later he told the doc about it,what meds was given to him. Well the doc took a urinalysis and it came up pos for morphine and darvecet, so she terminated him.
  • I would contact your PM Dr. and let them know your Dentist prescribed you take more of your pain meds for your tooth surgery. Hopefully they'll work with you. Hope it works out for you. Charry
    DDD of lumbar spine with sciatica to left hip,leg and foot. L4-L5 posterior disc bulge with prominent facets, L5-S1 prominent facets with a posterior osteocartilaginous bar. Mild bilateral foraminal narrowing c-spine c4-c7 RN
  • jlrfryejjlrfrye ohioPosts: 1,111
    I called the pain clinic and they asked if I could have my dentist call them. No problems and the issue is solved. They asked me if I had taken a script from the dentist and I told them no and their reply was good. I have an injection the 10th and they said they would take care of my meds then
    susan
  • It's all good, hopefully the dentist will know how to handle his next patient on a pain contract. I'm surprised he didn't have experience with it already.

  • should be not only with your doctor, but the DEA (drug enforcement agency). Call your doctor or whoever is on call for him/her and get your meds that way. I just had rotator cuff surgery and, when the surgeon offered me norco, I had to tell him I was unable to accept the prescription and would have to get by on what I had. I think he was amazed that someone refused drugs! Keep it legal or risk a painful future.

    Linda
    3 level spinal fusion, L3/4, L4/5, L5/S1, November 2008. Stiff, but I can walk.
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