Wednesday, February 15, 2012

Suboxone, the DEA and Opioid REMS

In June I told you about the FDA developing “Risk Evaluation and Mitigation Strategies” (REMS) to put tighter controls on the use of opioid medications.  (See URGENT: FDA May Remove or Limit Access to Opioid Pain Medications)  One of the strategies being considered is requiring ...
10/14/09 6:57pm

I think it is very sneaky the way they are doing this. They made us to beleive they were going to back off and then the doctors are faced with this. W all need to stand up and tell them we will not stand still for this!

Anonymous
Anonymous
10/16/09 11:46am

There is nothing wrong with the DEA wanting to conduct this practice.  If you have nothing to hide, then nothing will be found!  I work in the airline industry...now we are talking regulated!  I can be drug and alcohol tested at anytime, anywhere.  I can be fined for passenger issues.  If a doctor can't handle his practice/practices, then he/she shouldn't be prescribing these drugs, or any drugs for that matter!

10/16/09 1:34pm

In response to Anonymous...I do agree that there is nothing "wrong" with the DEA monitoring controlled substances.  The problem comes in to play with the method they are proposing.  Your workplace and the employee drug testing (which is common in many industries) does not equate to what happens in a physician practice or hospital when a federal or state regulator makes a "visit".  Having been an ER director for most of my 30 yrs as an RN, the disruption that takes place in a hospital in preparation for and during the actual visit and review is overwhelming.  One can only imagine what that would do to a physician practice.  The physician would most likely have to close for the day(s) while the examiner is on premise.  There are better ways to monitor prescription use and abuse.

10/19/09 10:40am

If people have nothing to hide why do they worry about being tested? I think it is fine to be tested because there is to much substance abuse going on. And the doctors hands are tied and if they are monitoring you with a controlled substance they need to be able to do just that.

Anonymous
j davis
10/27/09 12:39pm

Your statement 'if you have nothinbg to hide' was used extensively by the Gestapo in Nazi Germany in the 30's. The DEA routinely exceeds its authority and is nothing morew than a reposaitory for sociopaths of the worst sort. Kind of the American equivalent of the KGB and Gestapo all rolled into one.

10/28/09 11:29am

i was just wondering...do you suffer 24/7 from chronic pain?

10/28/09 11:31am

i also wonder if you, also, ..suffer 24/7 ...from chronic pain???

10/28/09 12:52pm

I do suffer 24/7 and I am on many diff. medications and yes I am against government controled medication. I'm against govenment controled anything.  I believe like the others do Keep The Governments fingers out of our medication or for that matter out of this field all together.  But I thought we were talking about the Doctors being able to test us? This is for their benifite and so that they do not get in trouble or loss their practice.  Now a days we all have to watch our backs as well as the doctors and if we want to keep our doctors we need to back them and comply with what they need us to do to stay safe as well.

10/28/09 1:31pm

i am just so against government controlling medications...i know 2 drs. that retired , they didn't tell me exactly why, but it was suggested..about pain medication..so i am sorry if i offended you, but i say keep the government out of doctoring and medications...soon it WILL come to where NO opoid medications are not to be able to be prescribed...because of high powered people like micheal jackson and who was before him???..because these people have $$$$, they are able to get meds dispenced to them...and then the government comes in....i just say..keep the government out of it!..sorry , if i offended you, and i am sorry that youa are in pain...

10/17/09 2:01am

My pain specialist had years of medical training and continues every year to take time off in order to attend classes which will in turn help his pain patients.  He had mentioned this drug to me on several occasions as a good choice for chronic pain patients.  I do not appreciate people who have not received the education or continued training that our physicians have trying to tell them how to run their practice.  I know of several doctors who have already stopped prescribing opioid medications, and their patients have had to scramble around trying to find someone who will.  It breaks their hearts to put their patients in this place, but the regulations are getting so strict.  There has been much talk at recent medical conferences that physicians will just simply quit practicing if the new health care regulations come to place.  They simply do not deserve to be told how to do their job.  I appreciate my pain specialist and am grateful that he is constantly seeking ways to help me manage my pain and understanding of what the life of a chronic pain patient is like.   This is sad, and we as patients are going to suffer with all of the regulations. I'm concerned about the cuts in Medicare because I see what my physicians are paid already, and I don't see how they can exist on what Medicare pays them.  Especially for those who take time and don't rush you in and out the door at the same time. It is frightening to me the more regulation that I hear about and even more frightening for what we do not hear about. There is much that is not being told.  The people who write the regulation have not walked in our shoes and do not know what it is like not to be able to live any type of life with any quality and they want to deprive us of our medication.

I've written and tried to be as active as possible in trying to let our leaders know how critical this is to us.

Anonymous
Casie
4/12/10 8:59pm

I have heard and seen alot of different information about "opiods". Unfortunately it all hits too close to home! My husband injured himself and went to his dr. who gave him his first pain pill. That was 10 yrs ago! The dr. that he trusted so much with his care just kept feeding him all of this stuff that he didn't need. But believing in his dr. my husband continues to take the pills given to him. But once they stopped working he still couldn't stay away. He was hooked! This all because he tore the ligaments in his wrist! Now my husband is an addict because instead of there being any kind of real regulations for pain medications! The DEA should be looking into those drs that only walk into the patient room for 3 minutes handing out scripts of whatever the person wants. Now instead we have drs that are continuously fighting this awful battle of addiction with the loved ones of the addicts created by their collegues that call themselves drs. My hat is off to the real drs that actually look at the problem and try to help us fix it. There are so many other peoples loved ones; husbands,wives, brothers, sons, sisters, daughters; that are addicts just like my husband, and it makes me cry to know there are other people that feel the same pain as I feel because of those drs. 

8/13/11 4:02pm

It is not a doctor's fault when someone gets addicted to medication.  It is the person who keeps asking and using the meds after the need for them is gone that gets himself addicted.  We have no "pain meter" by which to measure a person's pain, so we have to sorta take their word for it.  I admit some doctors run a pill clinic instead of a practice, but most of us try our best to only give narcotics when needed.  Your husband should be man enough to own up to his addiction and do something about it, instead of taking narcotics when he has no need for them. 
That is partly what is wrong with our health care system.  No one wants to take responsability for their own health.  Dry your tears lady and do something about your husband's problem.  Just don't blame the doctor.

8/13/11 3:51pm

I think that any licensed physician is already qualified to Rx suboxone, or any controlled substance as long as our DEA is current.  The "special training" is just so some organization (AMA, AOA, American Psych Assoc, etc) can get more of our money.  Then on top of that, we get harassed by the Feds.  Any doctor, before he would start Rxing any medication, would certainly make himself well aware of how to Rx it, uses, drug interactions etc. The average American just does not know how really screwed up our health care system is becomming and will be in the near future.

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