Dealing with opiod stigma
cwilliams - Feb 19th, 2008 2:04 AM
[ Original Post ]

Is anyone else having trouble with unsympathetic medical workers? In the past few months I have received big, judgemental reactions from pharmacists and doctors once they learn I am taking MS Contin.

I try to tell them that it has been a long road of drugs and side effects, Xrays, MRI's and lab tests, diet restrictions and alternative treatments.....but I have still had severe nerve pain.

They don't know about my long nights wandering around the house in misery, the missed work days and social events. For me, MS Contin was a big decision that considered dependency and tolerance -but I also saw it as an alternative to disability or suicide.

The reaction I have encountered has ranged from alarm "That's really bad for you!" to outright contempt. I went to Urgent Care recently with severe stomache pain. The doctor assumed I was having withdrawals and contemptuously sent me out without treatment.

Fibro is bad enough, I don't like being made to feel like a loser every time I fill out a medical questionaire or fill a prescription. Anyone else experiencing this?


Comment


 

schmind - Apr 5th, 2008 11:45 PM

My rheumatologist is fairly accepting of me being on MS Contin. My Family doctor "is glad it controls my pain much better but reminds me that he isn't comfortable with it. If he only could experience the huge amount o pain relief it gives me compared to any other med, he might feel different. He wld still like to try me on something else but it would mean reducing other meds for FM so will wait and see. The stigma is there...you're right...but I've go support in a sis-in-law who's a nurse and thinks it's wonderful that MS contin is doing a better job. I still have quite a bit of pain and feel like I'm a100 lots of the time, but at least I have a life. Try to ignore the "stigma"if you can. All the best.


fibro friend - Jul 15th, 2008 7:59 PM

every one including my husband is not understanding of the need for pain meds. They think I'm using it as an excuse to use drugs. when all I want is some relief . They have no Idea what i go thru on a dail basis. When some has cancer pain do we question whether they sdoul be on narcotics. it pisses me off and some times hurts me that I have to defend myself.


Cheri_08 - Jul 28th, 2008 2:08 AM

The stigma of opiods for me is right in my family! My Rheumatologist, Pharmacist and my Phyciatrist are very knowlegable about FM. My 75 year old suffers horribly when family members actually withhold her pain meds. It's something we to have deal with all the time! Thisis the main reason I joined this forum. So that when my Mother and I need support we can find it here! I'm so sorry about your experiences with stigma! Just know that you are not alone!


Cheri_08 - Jul 28th, 2008 2:14 AM

Sorry!!!! My typing is not very good, no matter how hard I try. I should learn to proof-read... "My Mother" is suffering the same stigma, only it's worse for her because members of the family withhold her pain meds! It' just Heartbreaking to watch her suffer.



Lynn 62 - Aug 7th, 2008 8:15 PM

I feel for you all, my Dr. had me on a contract for narcotics,because I have cronic pain. so I have urine tests a couple times a year,have been taking vicodin for 13 years now he wont fill my rx because he says I dont take it often enough........... Iam pissed,not only do I have pain,he just cut me of my meds and it made me sick........ help


barnes3188 - Aug 21st, 2008 5:48 PM

My doctor only prescribes me Lortab and I had to beg for that and she still makes me feel like a horrible person for needing pain meds. The lortab barely touches the pain but it's something at least, I guess!


recross - Sep 23rd, 2008 4:29 PM

the stigma you are suffering is so widespread it is not funny.Believe it or not there are many people who are now considered drug addicts that have to buy street drugs because they are to ashamed to seek the help they so despereately need.Its pathetic.No one understands what this dieses does to you.My doc is understanding and he and I get along fine when it comes to comeing up with a plan to keep me medicated but also keep me from becoming addicted to opiats,what most people dont understand or know is that there are better drugs out there besides opium based meds.It is very hard to get scripts to them tho. Seconol is a wonderful pain med but hard to get however I am trying to get it rather than the opium based crap,I am tired of being called a junkie because I am in jpain from having been put through so many surgeries.Onward I go tho and only time will tell


kdbbev - Oct 16th, 2008 12:25 AM

You know I guess I got it good, because my doc and pharmaist is so supportive, all my family is except my mom. But I don't talk to her. The MS Contin works great and gives me back my life, that is all that should matter..


Fantod - Nov 11th, 2008 1:57 PM

I have a friend who has severe degenerative disc disease. She is in her 30's and has had surgery, epidurals and tried every other pain medication on the planet. Her doctor finally put her on Oxycotin as a last resort. It is the only thing that actually works to relieve some of her pain. We had a long talk about it and having been through the whole process with her every step of the way this appeared to be the only alternative. She gets a lot of flak from the pharmacist particularly. I think this is a direct reflection of her age - they see her as a 30 something pill popper. It is unfortunate stigma that she is going to have to deal with for the unseeable future. Too bad that a responsible person is lumped in with actual addicts.


Jeanwe8 - Nov 12th, 2008 3:22 PM

Yes, I have. Trying to be helpful my primary physician sent me to a rheumatologist. He was rude, talked down to me and when he found out that I took Oxycontin, he said, "I don't prescribe narcotics". Just the way he said it made me feel like I was some sort of drug abuser. Even though my primary physician prescribed it. At the end of the appointment, he said, "I don't think I can help you", in a very condescending way. Fortunately, the pharmacists where I get my Oxycontin filled are very pleasant and caring. My husband occasionally bugs me about taking Oxycontin, sometimes saying, "that's just taking the easy way out." Grrr, I'd like to dope slap him when he says that. Most of the time though, he's pretty understanding. I think sometimes he just gets frustrated because he can't do any thing to relieve the pain.


piratecookie - Nov 17th, 2008 5:52 AM

I have severe issues with docs, nurses and pharms that cause problems with patients due to medications being rxd. First, I currently have a pharm who is great. He takes care of nursing homes and other patients who have been long term pain management. My pain management doc is also great about meds--he too has had long term pm pts. (since 1983) If you are getting that kind of reaction from any docs, pharms or other healthcare workers, go to their supervisors or change providers. It is expected that you will not complain or will take whatever they dish because they are used to no one complaining because they are "educated." I am here to tell you, do what you have to do to take care of yourself or those you love. You don't have to explain a damn thing to anyone.
Now that my steam is slightly quelled: keep a medication/life journal. I record every medication I take, when I eat, sleep, exercise, how I am feeling, and at what times etc. You get the idea. I take it with me if I have to receive ER care or visit another doc, along with my pm doc's policy on pain meds. I am sure you are familiar with the whole, "I won't solicit other meds from other docs," info. I leave that policy copy (not the journal) with them, along with my pm doc's info and request to sign a release so they can get any pertinent info from my pm doc. If you are able to document all of the issues going on with you, an ER doc should not be sending you home assuming you're dt'ing. He/she is lazy if that is the case and you have provided your journal of meds taken and all your other documentation. Once they see you are serious about taking care of your health and not a drug seeker, they will be more willing to take you seriously. I work in law enforcement (20+ years) and as soon as they see you have all that paperwork, they know you are not there for the drugs. No drug seeker I have ever met has had the fortitude to keep a daily log, paperwork from docs, etc. I know you may not feel like carrying all that crap, but it does help more than you would think. Until non-pm docs learn more about pm, it is going to continue. Help to educate them. You don't have to be rude. (and I have wanted to on several occasions) Just remain firm and ask to see someone else there until you are satisfied your best interest is being looked after. And if they continue to be snotty, take names and write letters to their administration. It is also imperative to take someone with you whenever you go: if you have to take your complaint to the medical board of your state, you need to have a witness. The more the merrier. I have personal experience with that as well. My complaint was going to be dismissed until I reminded the investigator that I had two witnesses (and one that was completely independant) It worked out in my favor. I am just sick of docs, hospitals and all the associated workers giving the good docs and workers bad names. I'll get off my soapbox now. Good luck and here's to everyone's good health!


wellshorse - Dec 1st, 2008 10:57 PM

I am so sorry you have dealt with that. I have learned that people are very ignorant. I to am on ocycotin 4x day soma, i then have norco and oxocodone for break thur pain. I have experienced some of this from medical staff or friends but the funny thing is friends that are around me on bad days now understand when they watch me get up to walk some where and Iam huntched over shuffling my feet and almost in tears they get it now.. But you cant fix stupid and there will always be people who will do and say mean things. Just think to yourself they have no right till they walk a mile in your shoes...


wellshorse - Dec 1st, 2008 11:10 PM

Ok one more thing the funny thing about all this is I dont get high off my meds I dont catch a buz So for those who say she does it just for the high cracks me up..


DianaTF - Jun 28th, 2009 3:51 AM

yes. yes. yes. My pain management M.D. has me on Cymbalta and Lyrica for Fibro. Lupus and R.A.
I've told him that these all HAVE helped take the edge off, but some days I am in AGONY. I told him in the past, Darvon worked well for pain, so he agreed to prescribe that. When I told him it wasn't strong enough, he gave me Vicodin, which didn't do much. The darvon was actually better, so I'm back on that. I really want to try a contin drug so I don't need to be popping pills all the time.
My biggest dilemma is this: I know it was wrong, but my best friend has had back surgery and she's a mess. One day, I was in absolute agony and she gave me one of her continuous release morphine tabs.just a small mg, like 4mg I believe. It was as if I were "normal" again. felt like I was in my 20's not my 40's...the pain was GONE for an entire 12 hours.
I'd like to ask my pain mgt. M.D. if he'd prescribe, but am afraid. I suppose I'll just be honest.....and hope for the best....


Misti47 - Jul 28th, 2009 2:15 PM

Contact the state medical health board. Its against the law for them NOT to prescribe pain relievers to you. Believe me, I took my doctor to court and won! So next time those idiots tell you that they wont give you narcotics, CONTACT the state board.






BTW, ever wonder why opioids are FDA approved but forbidden but the new pain relief drugs are always on tv claiming people's lives or lawsuits against them? Doctors and ER doctor should listen to your pain, not deny it. When my ex-doctor try to tell me it was all in my head, I wanted to fire her and do whatever I could to get even. So I fired her! Then I contacted the state board and a free lawyer. Three months later, I won! She can NO LONGER PRACTICE!

BTW, a so called drug seeker wouldn't waste their time or money in a doctor's office or an ER! DUH!

Doctors, wake up! LISTEN TO YOUR PATIENTS and their need to relief for pain!


fibro4years - Aug 5th, 2009 11:27 AM

I totally understand. Last week at the pharmacy
because my prescrp. was one day early they looked
at me like I was some kind of drug addict. I should
not feel like I have to defend myself. People do
not understand the amount of pain and emotional
tole this takes on a person. I started doing mail
order for my prescriptions. I take hydrocodone
10/500 and this works pretty good for me. There are
times when I am worse and really could use
something stronger until I get through the flare up
but havent asked my doctor yet. I am afraid to ask
for oxy contin.


JOEGIRL - Aug 10th, 2009 12:03 PM

I am in on everything everyone has said on this subject. I know how it feels for people to think you are a pillhead if you take pain meds you really need . I know my family dr. doesn't like me being in paincare but He not in pain. I have seen friends that don't have medical insurance buy drugs off the street because they were in pain and couldn't afford paincare. The list goes on and on and its really sad.What gets me is my family dr wants me off pain meds but I think any medication has side effects no matter what it is so whats the difference? Just likke right now , I am on Lyrica and having problems and its not a narcotic.


mimosette - Aug 11th, 2009 2:49 AM

Cherie_08, if someone, family or not, with held meds from my Mama, there would be an azz whuppin going on. Fibro or not, I believe my temper would give me a burst of energy to do just that. Or report them. Or threaten to report them. Or all three.

I really do understand what y'all are going thru, even tho I don't take any prescription pain meds (they all make me throw up). I used to get flak all the time from my Daddy about getting off all of my "Dope " , which consists of thyroid med, Cymbalta,B12, Lunesta, and Topamax (for migraines)until I lost it and told him off.

When you tell someone off REALLY good, they tend to leave you alone . They can say what they want behind my back, but just better watch what they say to my face, especially on a bad day!


corrections1 - Aug 14th, 2009 6:19 PM

Unfortunatlly were in a scociety that has abused the medication that WE as sufferers NEED to have. I feel for your situation!!!! I like alot of people have a Dr.that can barely even look at me anymore, because he Believes that I have FM but is unwilling to allow me to even have vicodin because its addictive. OK, so now I eat Ultram like tic tacs and mix it with numerous other medications like neurontin ,Buspar, Soma and alaprazolam(Only if really needed) Just to feel ok a little bit. We get no sympathy or help. when on the Vicodin I functioned just fine, but since it's a NARCOTIC were left to suffer. What was that made for anyways? Pain!!! We all have been to and through the hoops and to the specialist,many thousands of dollars spent and that alone is proof enough that we are in fact Suffering!!! If I were an addict......Dont you think we would have gotten the medication on the streets and through other means along time ago???
I suffer and have been seeing the same Dr for 19 years a D.O and the other specialist too like nuerologist,rhuemotologist and surgeons. But my D.O is my primary Dr and if you look for someone else you are stereotyped as a Drug seeker. Whats a person to do????


toots2889 - Aug 20th, 2009 12:59 PM

cwilliams, I to am going thru this. Im on Vicadin for pain and hate going to pharmacy to pick them up. They make me feel ashamed that im on them. If they only knew what we go thru on a daily basis, just maybe they could show alittle compasion unstead making us feel like were addicts and pill pushers.
Going to urgent care here is a joke. I know refuse to go. I will suffer before I go there. The last few times i went in there they were cruel and ugly to me. Preached how i shouldnt be on vicadin (one doc. told me narcotics do not help fibro patients and refused to help me. She made me so mad and upset I said id never go back.
Like you said, they make you feel like a loser, whose just addicted to pain pills. Its nice to know im not the only one being treated this way.


tnichel - Aug 20th, 2009 4:56 PM

Right there with you. Before I was diagnosed I went to an urgent care ctr. b/c I could not turn my neck or lift my arm. I asked for something comparable to hydrocodone b/c that's what my doc put me on for severe headeaches (I didn't know the abuse was so rampant then). Since the doc couldn't find anything thru his series of tests he gave me the worst look ever and sent me on my way with nothing. I had to go back to work and sit in pain for 5 more hours. It was the worse. I was almost near tears b/c of the doc's contemptuous look. I had half and mind to go back after i was diagnosed to give that doc a mouthful about his abrasive manner. It's a never-ending battle it seems when you have fibro. Docs, friends, family don't always take you seriously and when it's a doctor it's even worse.


caligirl2001 - Sep 24th, 2009 4:26 AM

I struggle with understanding why needing something stronger than an ibuprofen to relieve chronic pain automatically classifies one as an addict. It is very frustrating. My doctors office told me that if I wanted a refill, I need to be "reevaluated". So 60 pills (5/500 hydrocodone) last me 2 1/2 months, but I still need to pay for another cash visit (no health insurance right now) for them to go over my records and reconfirm what they should already know - that I live with pain every day and deserve the dignity of a few pain free hours to enjoy my kids and family. I can't even fold a basket of laundry without being in agony for 2 days. And I get terrible migraines.

Nice to see that I am not alone in being treated terribly for needing medication. Never had any problems with pharmacists, just doctor's offices.


axxie - Sep 24th, 2009 7:55 PM

How I understand all of you, yep I found MS Contin helped me when my surgeon prescribed them to me for surgery. So I use them sparingly I am afraid my doctor will not want to prescribe them to me. She know's that I have fibro but she feels it can all be waved by taking one cymbalta a day, I sometimes use my trazadone to help me with the pain, at least it relaxes me.

Going to see my doctor next week I'll again ask for some, see what she says, I"m still waiting to see a rheumy it's a year wait here in Canada.


Noca - Oct 30th, 2009 11:55 PM

I dont give a shit what anyone thinks of me taking Dilaudid, Amphetamine and Benzos. I know this for sure though that no ER is ever gonna give out narcotics. You have to get them from your pain clinic doctors or specialists etc.