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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?


  • 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 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
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  • 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
  • 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.

    3 level spinal fusion, L3/4, L4/5, L5/S1, November 2008. Stiff, but I can walk.
  • Just three weeks ago had very bad infection involving three teeth. Due to my disabilities the dentist decided pulling one at a time would be better for me after being on antibiotics. I too, have a heart murmer but needed additional antibiotics for infection. He also said he had no idea how I was handling this pain and felt I should be on higher dosage of pain meds. I explained I was seeing a PM and he immediately got on the phone while I was in the chair, called my PM dr and wrote a letter to him. It was agreed my meds would be increased by PM dr. After my appt. with PM dr he commended me on the way this way handled. He continued to increase my meds for each extraction a total of 3 months and said this is how all patients should handle this scenerio. Make me feel good! After reading so many stories on this site which is wonderful I will not take any chances whatsoever. Just a good practice to notify PM first to avoid any problems.
    So important to have a trusting relationship with your PM dr as we all are suffering from painful spinal issues. Unfortunate we have to go through all this but so many have abused that dr.'s have to be tough.
    Glad everything worked out for you.
  • with my PM doctor about 2 years ago when I needed to have some female surgery. I was on the fentanyl patch at the time, but wanted to wean off. The anesthiologist who was putting me to sleep for surgery said not to touch the patch until after the surgery...she was afraid that I would have more pain issues without it. Then I asked my PM doctor what would be a good break thru pain med she would suggest for pain control fdor my surgery? She stated dilaudid b'/c I already took 2 percocets a day for bt pain for my back. I offered for her to talk to my surgeon and I conveyed this message to my surgeon and offered for him to talk to her. I guess they both trusted me and after my surgery, they gave me vicodin which was standard with that surgery, then the surgeon came around before I left and gave me a script for dilaudid knowing the vicodin would be too "weak" for what I was used to. I was very open and honest that I was under a pain contract, but I guess my PM doctor saw this as a different circumstance and didn't mind the surgeon medicating me post op.
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