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    New Methadone Restriction Question

    As of the 1st of january pain doctors will not be able to perscribe methadone 40mg wafers anymore.

    http://www.deadiversion.usdoj.gov/pu...e_advisory.htm

    Hi, I am currently perscribed to 4 - 40mg methadone wafers a day which is 160mg's a day. I get this medication for treatment of severe chronic pain. This has been a miracle medication for me and has given me my life back.

    I have a question and did some reasearch and couldnt find an answer to. I know 40's are being taken off the market. The 10's will still be available. Will I be able to get 12 - 10mg methadone's a day, which would be a perscription for 360 a month or is there a law or somethingsaying you can only get so many a month?

    Ive been trying to find presctiption limitations as far as how many of a medication a doctor can perscribe a month or is it unlimited and the doctor can write it for whatever as long as its justified?

    Please Help, Shawn

    #2
    Originally posted by PainsMyName
    As of the 1st of january pain doctors will not be able to perscribe methadone 40mg wafers anymore.

    http://www.deadiversion.usdoj.gov/pu...e_advisory.htm

    Hi, I am currently perscribed to 4 - 40mg methadone wafers a day which is 160mg's a day. I get this medication for treatment of severe chronic pain. This has been a miracle medication for me and has given me my life back.

    I have a question and did some reasearch and couldnt find an answer to. I know 40's are being taken off the market. The 10's will still be available. Will I be able to get 12 - 10mg methadone's a day, which would be a perscription for 360 a month or is there a law or somethingsaying you can only get so many a month?

    Ive been trying to find presctiption limitations as far as how many of a medication a doctor can perscribe a month or is it unlimited and the doctor can write it for whatever as long as its justified?

    Please Help, Shawn
    I am sorry but I don't know the answer to your question. Wise.

    Comment


      #3
      I expect that you would still be able to get the 10 mg dose by the way it reads. I imagine the reason they took the 40 off the market and restricted it is because of the potential for overdose. See the one sentence in bold type. Adverse events they say. You would probably have to talk with your doctor about it, and the pharmacy which would supply you. They might have to dole it out in two batches to you. Truely an inconvenience.

      As of January 1, 2008, manufacturers of methadone hydrochloride tablets 40 mg (dispersible) have voluntarily agreed to restrict distribution of this formulation to only those facilities authorized for detoxification and maintenance treatment of opioid addiction, and hospitals. Manufacturers will instruct their wholesale distributors to discontinue supplying this formulation to any facility not meeting the above criteria.
      Methadone is a long-lasting opioid medication used in the treatment of pain and narcotic addiction. The 5mg and 10 mg formulations indicated for the treatment of pain will continue to be available to all authorized registrants, including retail pharmacies. The 40 mg methadone formulation is indicated for the detoxification and maintenance treatment of opioid addiction. The 40 mg strength is not FDA approved for use in the management of pain. Thus, the distribution and availability of the 40 mg formulationwill be limited to registrants in only those settings using the 40 mg formulation for the appropriate indication.
      The DEA and pharmaceutical industry agree that the reported increase in methadone-related adverse events merits action and further agree to a united effort to assure that methadone is properly distributed, consistent with its approved uses. Industry and the federal entities involved commit to monitor the progress of this initiative.

      Comment


        #4
        it is common to get 120 a month of many pain meds fpr pain patients.
        hopefully it is just the worry of overdose,
        cauda equina

        Comment


          #5
          OK, so the doctor will be able to give me 12 - 10mg methadone a day? hats 360 pills a month, that seems like alot but its actually 40mg less then my normal a day. Just 360 seems like alot and I just wanted to know if there are restrictions to writing perscriptions for that many pills.

          Thanx,
          Shawn

          Comment


            #6
            i hope not, bu ti guess you willf ind out within the month
            cauda equina

            Comment


              #7
              What's wafers?

              Thought about taking the oral liquid? I used to take it and its good pain killing material.

              You in the US or UK?
              C-5 incomplete , walking with crutches. In controlled pain. Respect to all SCI people.

              Comment


                #8
                Update!!!

                UPDATE!!!!

                Well I went in to the doctor and almost cried! I have been on methadone 40mg 4x daily for 2+ years now. That is equilivlant to 160mg a day. This was a perfect dose for me! It really helped my pain an allowed me to manage my pain with my life. I was able to finally start working again thanx to this medication.
                Well the 40mg methadone wafers were taken off the market on the 1st but the 5 and 10mg tablets were still avaiable for pain management. So I figured that I would get 12-16 methadone 10mg tablets a day which would be the same dose I was taking with the methadone 40mg wafers.
                WRONG! At first the doctor was only going to give me 4 methadone 10mg a day! I flipped out, he would be cutting 120mg a day in one MONTH! Methadone is a drug that needs to be tapered slowly. I eventually got him to give me 8 methadone 10mg tablets a day which is still HALF of what I have been getting for 2+ years.
                I am in so so so much pain that I can't even work. I lost my job and am now bed/coach ridden again. WHAT DO I DO? I am thinking about maybe looking for a new doctor. Any advice would be helpful at this moment. I would have posted what happened earlier but I've been in so much pain I dont even want to go on the internet.

                Shawn

                Comment


                  #9
                  I am so sorry to hear about this Shawn. I sincerely hope you can find a solution. I can't stand it when politicians and bureaucrats dabble at practicing medicine like this, pressuring and restricting doctors. I have to wonder what in the heck your doctor was thinking to even consider dropping you to 1/4 of the dose you'd been taking all along, that's just insane. Feel free to rant here whenever you need.

                  Perhaps at the very least you can look into other meds you can take along with the methadone? If you read here, it's pretty common to have to use more than one med to fight this level of pain.

                  Comment


                    #10
                    Shawn, what's the source of your pain? Are you SCI? There's nothing in your profile to tell.
                    - Richard

                    Comment


                      #11
                      I'd recommend a new Dr. You should at the very least be tapered down adequately.

                      Getting off methadone was one of the hardest things I've ever done,
                      besides hiking to Everest base camp w/one functioning lung.

                      Good luck.

                      Comment


                        #12
                        i went to a pain mngment clinic, he basicly gave me what i asked for, however; i had to get him to write and fax a permission slip to my regular dr...(lol) saying "here's what you should give him...to cover my regular md's rear.

                        Comment


                          #13
                          Oh Shawn this is a criminal act in my opinion. I take methadone and am on 60mgs a day and also I get 4-30mgs Roxicodone tabs for breakthru a day..so I am getting 180 methadone pills and 120 Roxi pills. I would seriously find another pain clinic or get to a methadone clinic and get back up to your dose. I know the clinic is crappy but at least you would get your dose everyday (but having to go in everyday sucks). Eventually you would be able to get takehomes from the clinic but it takes a while. How important is it for you to work, not be bed ridden etc? Me, I would do what it takes but thats me. I sure hope your able to find another doctor. If not and your wanting to go to a methadone clinic, then I can help you find one in your state. Just email me...and put CC forums in the subject.

                          Comment


                            #14
                            you need to call a pain clinic or a methadone clinic if you give me the city you are by i can get a clinic and they can put on your normal dose without hesitation-you would need proof of taking such a dose though-instead of dealing with the doc-it could cost you 55-80 bucks a week for a clinic- but they are good- i go to a private methadone clinic it is very nice, clean, and i can increase my dose once a week -i didn't even know docs can perscribe it to a pharmacy-i am still taking the 40mg waffers in illinois-a doc can perscribe as many pills as he wants it is up to the pharmacy if it gives off a red flag to the DEA-they may suspect-i know from prev pain pill refills-

                            Comment


                              #15
                              Hi,
                              I just want to say i'm a c/3-4 incomplete spinalcord injury and have been on methadone for about 10 years, it also has been a life saver for me to.
                              My doctor gives me a 18 10mg tablets a day.I believe it just depends on your doctor my doctor dose'nt have a problem with this.

                              Comment

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