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  • Uro does not want to perscribe pain medication

    Does anyone know why it is my mothers Uro does not want to perscribe pain medication? The gal at the front desk told my mother that the Dr. doesn't like to perscribe pain medication and that she should talk to her primary, which she did and he did give her some pain medication, but was reluctant to do so since he was not the one who diagnosed my mother as having IC. Does pain medication interfer with Elmeron or does it hurt the bladder further in some way, or is it that her Uro thinks that she will eventually abuse the medication. Just curious since pain medication is the last thing my mother wants to do but can't think of anything else to try since her quality of life is now confined to her home because of pain and frequency. Any insite would be great. Merry Christmas, Carolyn

  • #2
    Many urologists prefer to refer their patients to physicians with more experience/training in pain management. Primary Care physicians will frequently order pain meds for short periods, but will refer their patients to pain management specialists for long term pain management.

    I hope your mother feels better soon.

    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
      So sorry Carolyn

      Uros typically will not prescribe long term pain meds. They just won't do it. Ummmm...they are supposed to heal I guess, so...

      We have had much luck with our NP who has been more than helpful with pain control. You might want to consult with Mom's primary care. Good luck to you and happy holidays.

      Comment


      • #4
        Hi Carolyn,

        It is sad but not unusual for urologist who of all doctors should know how painful this condition can be won't prescribe pain medicine. Fine if they don't want to do it long term but they should help for at least a few months and help refer to pain management doctor for long term. I always wish these people could feel it for just a week so they would know how bad it is and learn to be more humane with patients.

        Anyway in answer to your questions, there is no evidence or even hint of suggestion anywhere that pain meds would interfere with elmiron. They are worried about abuse I guess and they are worried more about liability I guess but they are doctors and need live up to the oath they take about relieving suffering.

        Mike
        -

        Symptoms: started July 2007

        New pain medication regimen has things under pretty good control for many weeks now. Exercise and eating healthy along with pain control have given me new life.

        Current Symptoms: pain in testicles, penis and general groin area. Other discomfort that is beyond pain, a maddening crazed feeling that defies description. New pain medication has most symptoms under good control.

        Frequency and urgency was a problem the first year or so but frequency is normal now.

        Diagnosed: Prostatitis first then IC by Cysto/Hydro

        Current Meds: Hydroxyzine 25mg 3 x day, Pyridium 200mg 3 x day (off 3-4 days on 3-4 days), Oxycodone, Norvasc (BP).

        Past medications and treatments:
        Protatitis and IC diet strict for 6 months, no change. Still watch diet although nothing seems to help or make worse. Have tried reverse, ate lemons to see if worse but no change at all.

        Meds tried - Amitriptyline, Detrol, Flomax, Cipro, Doxycycline. many other antibiotics, Uroxatrol, Vicoprofen, Elmiron (6 months at $320 mo nothing), Aloe, Cysprotek, Glucosamine, Marshmallow, various oils, tons more stuff to strange and numerous to recount. Hydrodistension for diagnostic was horrible for two weeks after I was sure I must be going to die because nothing could feel that way and let you live.

        Comment


        • #5
          My urologist told me the DEA monitors how much pain medication is given out. I wonder how they'd do that? Anyhow, my primary care doctor prescribes my pain medication, which is fine because he can then justify it as for not only my IC, but also my migraines. And since both doctors are part of a multi-service clinic I go to, there's no question that I'm going to multiple doctors for it, because I have one giant medical file there they can all read.
          Kadi

          -------------------------------------------------------------
          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.
          ------------------------------------------------------


          New favorite quote: "God gives us only what we can handle. Apparently God thinks I'm a bad-ass" ~Author Unknown
          Source - Pinterest
          "


          Current treatments:
          -IC diet
          -Elavil 50mg at night
          -Continuous use birth control pills (4-5 periods/year)
          -Heparin/Marcaine/Sodium Bicarb home instills at night 3-4x per week, more often if needed
          -Pyridium if needed,
          -Pain medicine at bedtime daily, as needed during the day several times per week
          -Antibiotic when doing an instillation to prevent UTI
          -Colace & SmartFiber to treat chronic constipation from meds, Fleet enema as needed
          -Dye Free Benadryl 50 mg at bedtime
          -"Your Pace Yoga: Relieving Pelvic Pain" dvd, walking, treadmill at gym
          -Managing stress= VERY important!
          -Fur therapy: Hugging the cat!

          Comment


          • #6
            I am a Nurse Practitioner and our prescribing habits are monitored. On several occasions I have been called by a pharmacist or insurance company to inform me that the the patient I just gave a script for 20 percocet for their back pain, had already received 200 percocets in the past two weeks from other providers that were filled at various pharmacies. Patients that do this(and believe me their are many) make it difficult for patients who really need pain medications to get them.

            If your Urologist is not comfortable managing your pain, ask to to sent to a Pain Clinic.

            Comment


            • #7
              Re: Uro does not want to perscribe pain medication

              I am a Nurse Practitioner and our prescribing habits are monitored. On several occasions I have been called by a pharmacist or insurance company to inform me that the the patient I just gave a script for 20 percocet for their back pain, had already received 200 percocets in the past two weeks from other providers that were filled at various pharmacies.

              This is now literally impossible in New York and every other state that uses e-records. The undermedicating of pain in those states has other rationales, such as doctors and clinics being pressured by states to prescribed fewer pain meds, regardless of the need for them.

              Patients should know and understand this, the better to defend themselves.

              Comment


              • #8
                Re: Uro does not want to perscribe pain medication

                Does anyone know why it is my mothers Uro does not want to perscribe pain medication? The gal at the front desk told my mother that the Dr. doesn't like to perscribe pain medication and that she should talk to her primary, which she did and he did give her some pain medication, but was reluctant to do so since he was not the one who diagnosed my mother as having IC. Does pain medication interfer with Elmeron or does it hurt the bladder further in some way, or is it that her Uro thinks that she will eventually abuse the medication.
                .
                You and your mom should understand that the vast majority of doctors are in business to make a living. They can get in trouble for prescribing pain medication, so they hand off patients like footballs, leaving it to someone else to do the work of pain relief. Most are not particularly interested in your problems, and certainly aren't going to risk their practices to help you.

                Just curious since pain medication is the last thing my mother wants to do but can't think of anything else to try since her quality of life is now confined to her home because of pain and frequency. Any insite would be great. Merry Christmas, Carolyn

                Why is pain medication 'the last thing' your mother wants to do? For many of us it saves our lives, and makes our lives worth living. I hope whatever stigma your mom attaches to it she can overcome and get the relief she deserves.

                Pain is often something that just happens, and a nerve your spinal cord impinges upon doesn't happen because you're a bad person. If the lining in your bladder weakens and causes you excruciating pain, it's not because you harbor impure thoughts.

                Take good care.

                Comment


                • #9
                  Re: Uro does not want to perscribe pain medication

                  It isn't that doctors don't WANT to prescribe pain medications; it's because they must follow strict regulations in that area. I know of doctors who have been chastised by their licensing agency for prescribing too many pain medications. That's why frequently doctors will refer their patients to pain management specialists.

                  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

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