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What are my rights when a Doctor tells me I have to follow their demands or they will refuse to fill my pain medication?

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Most pain medications are strictly regulated, so if you are not following your doctors orders, then he/she is within their rights to refuse to refill a prescription. Ultimately, they are responsible if something goes wrong, so if they have any doubts as to how the medications are being taken, or being used for, it's in their own best interest to refuse.

You can always find another doctor, but if you "shop" around too much, that raises some flags as well, and won't look very good on your medical record.

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Thanks Sephira. I have been on these pain meds for 9 years. I have a host of pain related ailments. Spinal Stenosis in my neck. I also have arthritis in every joint. Disk detereation. Fibromyagia.Chronic leg pain. Bursitis in both shoulders. Stenosis in my lower spine. I also have I.T.P, Myeloporifitive disease, raymouds syndrome, bleeding disorder. I am still recovering from an anueyrsm I had 1 month ago. Some of these diseases make me very fatiuged They want me to try physical therapy which I have done in the past, 4 times and I was so tired & hurting when I was done I couldnt drive home. I have explained all this to them and they just have an attitude thats its their way or no way. I completely understand in the end they are responsable for the writing of the meds, but the meds do help me. I take 45 mg of morphine every 8 hours (Im also on other meds, but morphine is the only pain med) I can't be taken off cold turkey. Heavens I would be a basket case going thru all the withdrawls. You seem very smart, could you suggest a way I can approach my Dr. with my concerns? Thank you.
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I understand completely about the PT, sometimes it's helpful, but other times it's definitely not. I had aquatic therapy for my back and it'd feel great when I was in the pool, but as soon as I tried to get out, it made the pain 100 times worse when gravity reasserted itself. I'd spend the rest of the day barely able to move.

It's sort of a catch-22 though, because it hurts to be active and move around a lot, but if you don't do any sort of activity, then it makes things hurt worse too. When it comes to our bodies - form follows function, so it really is a case of "move it or lose it", the less active we are, the harder it is to be active.

PT is sometimes too strenuous, and while there are some good PTs out there that will work with you to tone it down a bit, on the whole most of them are like drill sergeants, and don't seem to care that it's hurting (they are of the "no pain, no gain" school of thought). I would suggest talking to your doctor about the possibility of taking Tai Chi or a gentle type of yoga (many hospitals offer "seniors yoga" classes which are geared towards being less strenuous, and are still open to all ages. Really any sort of activity that does gentle types of stretching and movement that will keep you active, but not put you in a lot of pain the way that PT does. It may be somewhat uncomfortable in the beginning, but once you get used to moving regularly, it will actually help you feel better.
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Why would you not want to listen to your doctor. Why even go to the doctor if you don't want to listen. If it bothers you so much that he wants you to feel better, then maybe you should change doctors.

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Not all doctors are created equal. Some behave badly. People have no choice but go if they are in need of a prescription. Some places only have one doctor in town. Not all things in life are as clear cut as you suggest. Holding out on needed meds sends up a red flag.
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No you need you follow the doctor's rules when it comes to pain meds because they are easily abused. That's why doctors are strict with pain meds.
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Wrong. If he demands you quit smoking, or some other non related issue it will certainly be an issue for the medical board. The doctor's demands were not specified in the question. Could be anything.
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Thank you casseygrimm84. I appreciate your feedback.
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Sounds to me like you are just wanting pain meds without following the Drs instructions to not need them. Your Dr probably doesnt want you to have to rely on the medication since they can be very addicting. You need to do as you are instructed or get your drugs on the street like a regular addict would and risk the prison sentence for doing so. Drugs are bad...... uh kay. Pay attention.

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I have been on them for 9 years so addiction is no longer an issue. I don't get "high"from them, at first I did, but now, as in the past years they do help with my pain. I'm thinking you have never had to deal with "chronic pain" !? And just so you know, I DO NOT seek out street drugs and I never will.plus that is something I am against. How would you approach your Dr. if you were in this situation? I do want to be adult about this, but not sure how to address the situation with her.
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If his "demands" are unreasonable you can file a complaint with the medical board. If pain medications are legit, holding out on a prescription unless you <insert demand> won't fly with them.

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Thank you for your input. My husband said the same thing. However I want to approach this with my Dr. as adults. I am so confused & up-set. Thank you again.
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Pain medication is a regulatory nightmare for doctors and some doctors have even lost their license to practice by not following federal rules. On the other side is the fact that pain medicines in general in the USA are under prescribed. If you truly are in a lot of pain, find another doctor because the one you go to just might not care.

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Thank you BobH. Finding a new Dr. (which I really don't want to do) maybe my one true solution.
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If you're not following his directions (unless it's something stupid), then there's a good chance you might just be getting those pain meds from him because you're hooked on them. (Speaking from a doctor's point of view.) They can get their license taken away if the think you're abusing the pills but they keep giving them to you... Maybe you need to reconsider?

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I have to take my pills, in the origanal bottle, every month so my Dr. can see that I'm taking them as I should be, and I do take them the way they are prescribed. I have never had a bad report when it comes to that. Thank you for your advice!
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The problem is two fold; you have been taking pills so long that even though you may not realize it you are addicted. 45mg every 8 hours is a lot( I read some of your other comments). Addiction is not just the feeling of being high. The second is that the federal and state govt are tightening their belts as far as controlled substance regulations. Your doctor is caught between you the patient and those laws. It could cost him his livelihood. Information that is missing: Have you seen a pain management specialist? You can change doctors but may run into issues with medication replacement. If this happens you may end up in severe withdrawal which could be life threatening. Have a plan in place before doctor shopping if that is what you are going to do.

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Its a pain management Dr. that Im seeing. You are right. I know being on the pain meds as long as I have, I am most deffinatly addicted. I do take them as Im supposed to. I also know it will be very horrendous for me if they took me off "cold turkey". I dont want her to lose her job. That is not my intentions. I just want to know how to approach her with some ideas of my own. Thank you very much for your comment.
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