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  • Unsolicited opinions of pharmacists...

    I had a rather unpleasant confrontation with a pharmacist today about my pain management. I went in today for a 6 month med check, to my GP who treats my pain. My uro refuses to prescribe rescue pain meds. I fill my sodium bicarb/lidocaine/heparin prescriptions at the same pharmacy.

    At my doctor’s visit, she brought up giving me more pills per month. I never asked for them. I am on a low dose of 5mg as needed. She said “I know you’re not abusing them, so I’m going to give you more if you’re ok with it so you don’t have to fill as often.” I said ok.

    At the pharmacy, the pharmacist took me aside and said “I don’t really like filling this long term.” He went on about the long term effects, which I know of. I said “we have a treatment plan, but I can’t pursue it yet because I don’t have enough time built up at work for surgery recovery.” Which is true. It’s part of the reason I’m not considering hydrodistention yet.

    Does it matter what the pharmacist thinks? He’s not in the doctor’s office with me. He hasn’t seen my chart. He doesn’t know how many countless hours I’ve spent in hot sitz baths.

    My does not need the input of my pharmacist. Can a pharmacist even call a doctor and discuss a patient’s treatment? Which is what irks me about his unsolicited opinion.

    I have thought of my opioid use a lot lately, what with the “opioid crisis” being in the news so often. I’m stricken with guilt that I need this medication to function. I think “ok well what if I went off it?” and the thought of living in misery only using instillations and diet change as my treatments doesn’t sound appealing.

    I would pursue a hydrodistention, but I’m not convinced it’s the right thing for me. And the effects would only be temporary, if they don’t in fact cause a massive flare as I’ve heard it can.

    Has anyone else been made to feel guilty by pharmacists or other professionals? What am I supposed to think/feel about this?

  • #2
    I totally understand what you are feeling. I am on a pain control program with a pain management specialist --- I have an implanted morphine pain pump, along with a schedule for oral pain medications. All of the publicity about abuse can make us feel accused. I know it's upsetting for me. Pharmacists and physicians are also being targeted --- so far my pharmacists haven't questioned my prescriptions, but I do have to have a written prescription (no refills allowed here!). Try not to have negative feelings about your pharmacist --- you might want to tell him something like the fact that before you started a pain management program you weren't able to function normally --- that you appreciate his concern, but are closely following your physician's instructions. It also wouldn't hurt to let him know that less pharmacy trips makes life easier for you.

    Sending gentle hugs,
    Donna
    Stay safe


    Elmiron Eye Disease Information Center - https://www.ic-network.com/elmiron-p...mation-center/
    Elmiron Eye Disease Fact Sheet (Downloadable) - https://www.ic-network.com/wp-conten...nFactSheet.pdf

    Have you checked the ICN Shop?
    Click on ICN Shop at the top of this page. You'll find Bladder Builder and Bladder Rest, both of which we are finding have excellent results.

    Patient Help: http://www.ic-network.com/patientlinks.html

    Sub-types https://www.ic-network.com/five-pote...markably-well/

    Diet list: https://www.ic-network.com/interstitial-cystitis-diet/

    AUA Guidelines: https://www.ic-network.com/aua-guide...tial-cystitis/

    I am not a medical authority nor do I offer medical advice. In all cases, I strongly encourage you to discuss your medical treatment with your personal medical care provider. Only they can, and should, give medical recommendations to you.
    [3MG]

    Anyone who says something is foolproof hasn't met a determined fool

    Comment


    • #3
      I believe most pharmacists are just covering their own a$$es by speaking up. We shouldn't have to say anymore than to let them know our dr is carefully monitoring our usage. The opioid crisis is a bunch of crap if you ask me. Dr's do over prescribe short term but that has nothing to do with people just wanting to get high. If they take away opioids and magically get rid of heroine people will just find something new to get high on. I'm so tired of society treating me like I'm the problem and making me feel guilty when i take my meds like I'm supposed to and they still don't take the pain away. Sorry for the tangent, there's been alot of heated discussions around here lately. As far as hydrodistention, i was already flaring and got lidocaine and antibiotic instills at the same time but i assume it would atleast cause a temporary flare. My uro also had me do it once a month for three months (i think, it's been ten years) because she said it would be more effective long term.
      Jamey

      dx
      IC, endometriosis, cervical dysplasia, bi-polar, trichotillomania (hair pulling disorder), scoliosis, fibroid breast disorder, chronic fatigue, arthritis in hands, temporal lobe seizures
      meds
      buspar 30mg, atarax 100mg, norco 10mg 30/week for pain, vimpat 100mg 2/day, trileptal 600mg 2/day
      flare strategyestrace cream, lidocaine jelly, and ice pack on urethra. ativan .5mg for severe flares only

      Life's not about waiting for the storm to pass. It's about learning to dance in the rain.
      (and looking for rainbows)

      Comment


      • #4
        I use Walgreens and they give me my pain meds when they feel like it.I went to my pain Doctor last friday but they won't give me my meds until this coming friday I'm to scared to question their policy because of how hard it can be to find another a new one.

        Comment


        • #5
          Susie,
          It's not up to them, it's up to the dr or the insurance company. My dr writes a "fill on" date on mine. Have you asked why? I haven't heard of Walgreens having any kind of policy on how often you can fill. If it were me, i would go to another store or transfer to cvs.
          Jamey

          dx
          IC, endometriosis, cervical dysplasia, bi-polar, trichotillomania (hair pulling disorder), scoliosis, fibroid breast disorder, chronic fatigue, arthritis in hands, temporal lobe seizures
          meds
          buspar 30mg, atarax 100mg, norco 10mg 30/week for pain, vimpat 100mg 2/day, trileptal 600mg 2/day
          flare strategyestrace cream, lidocaine jelly, and ice pack on urethra. ativan .5mg for severe flares only

          Life's not about waiting for the storm to pass. It's about learning to dance in the rain.
          (and looking for rainbows)

          Comment


          • #6
            Jamey is right --- even if my doctor writes a refill date on a pain prescription, if it hasn't been 28 days, either the insurance won't pay or the pharmacist isn't allowed to fill it.

            Donna
            Stay safe


            Elmiron Eye Disease Information Center - https://www.ic-network.com/elmiron-p...mation-center/
            Elmiron Eye Disease Fact Sheet (Downloadable) - https://www.ic-network.com/wp-conten...nFactSheet.pdf

            Have you checked the ICN Shop?
            Click on ICN Shop at the top of this page. You'll find Bladder Builder and Bladder Rest, both of which we are finding have excellent results.

            Patient Help: http://www.ic-network.com/patientlinks.html

            Sub-types https://www.ic-network.com/five-pote...markably-well/

            Diet list: https://www.ic-network.com/interstitial-cystitis-diet/

            AUA Guidelines: https://www.ic-network.com/aua-guide...tial-cystitis/

            I am not a medical authority nor do I offer medical advice. In all cases, I strongly encourage you to discuss your medical treatment with your personal medical care provider. Only they can, and should, give medical recommendations to you.
            [3MG]

            Anyone who says something is foolproof hasn't met a determined fool

            Comment


            • #7
              It depends on how many pills. I'm allowed 120 norco every 30 days. I've had other meds filled with my Dr's knowledge, but i don't know the limits on multiple meds. There's no harm in asking why as long as you're not angry\agitated when you do. I would just ask what their policy is so you're not wasting your time and theirs.
              Jamey

              dx
              IC, endometriosis, cervical dysplasia, bi-polar, trichotillomania (hair pulling disorder), scoliosis, fibroid breast disorder, chronic fatigue, arthritis in hands, temporal lobe seizures
              meds
              buspar 30mg, atarax 100mg, norco 10mg 30/week for pain, vimpat 100mg 2/day, trileptal 600mg 2/day
              flare strategyestrace cream, lidocaine jelly, and ice pack on urethra. ativan .5mg for severe flares only

              Life's not about waiting for the storm to pass. It's about learning to dance in the rain.
              (and looking for rainbows)

              Comment

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