Silk Road forums

Discussion => Off topic => Topic started by: daorklis on July 19, 2011, 03:06 am

Title: Opioid Suggestions?
Post by: daorklis on July 19, 2011, 03:06 am
Hi, I'm a pain sufferer who has been taking Ratio-Oxycocet 5/325 for almost a year now, about 4 times a day. My pain sucks and these definitely do the job but I've noticing my tolerance levels are getting higher. Also, taking 2 at a time never really did much for me beyond taking my pain away, in terms of getting high. Anyway, I'm looking to try something new and much stronger, not to replace my prescriptions, but merely for casual enjoyment while helping me deal with my pain. I'm okay with bumping stuff to get the most bang for my buck but I'm not looking to shoot anything. Any suggestions? My choices seem rather limited (since I'm in NA) but I'm in no rush so I'm willing to wait around for something to be put up if none of the suggestions are available now.

Also, I'd like to hear some proven methods on the best way to deal with constipation. I fucking hate it. Anything would be helpful.

P.S. daorklis... silkroad backwards in case you didn't catch that.
Title: Re: Opioid Suggestions?
Post by: envious on July 19, 2011, 03:52 am
Enema
Title: Re: Opioid Suggestions?
Post by: phubaiblues on July 19, 2011, 04:59 am
Envious is right...sadly.  Worst, IMO, is methadone.  After five days of 'no go'  ER visits, usually a bottle of golitely, or some of that horrid tasting green slime they sell OTC in drug stores, I forget it's name. 

Normally, tho, drink lots of water, get some docusate, keep miralax around, suppositories.  You really want a good site for this, and other problems associated with longterm opiate use, I suggest opiophile.org.  Great site.  The only real problem of longterm opiate usage.  Grim subject tho...
Title: Re: Opioid Suggestions?
Post by: wildboy211 on July 19, 2011, 12:41 pm
I think he was talking about what OTHER opioides can he take (ie, something stronger than the oxycocet)? If thats the case, you may want to look at the following chart (dont use tor to view or they will ban/suspend your account/i.p address):
http://en.wikipedia.org/wiki/Opioid_comparison

Depending on which drug you actually have will show you where you need to go on the chart (oxycocet can be a number of drug combinations). But if you want more bang for the buck try roxicodone - it has very little/none apap and they are HIGHLY abused, so they are WIDELY available and they are pretty cheap depending on where you live (in Florida 15mg = ~$6, Tennessee 15mg = ~$10). If you are switching from oxycocet, i would take a half of a 15mg just to see what it does - these can be pretty strong - dont want anyone hugging the porcelain throne :)
Title: Re: Opioid Suggestions?
Post by: ClayG on July 19, 2011, 01:13 pm
Florida 15mg for 6?

Who told you that?

I have to disagree. 
Title: Re: Opioid Suggestions?
Post by: wildboy211 on July 19, 2011, 02:14 pm
Florida 15mg for 6?

Who told you that?

I have to disagree.

Its usually 5-6 - i know from personal experience.
Title: Re: Opioid Suggestions?
Post by: joeblow2 on July 19, 2011, 02:15 pm
Florida 15mg for 6?

Who told you that?

I have to disagree.

No Clay, Wildboy is correct about street price.  South Florida is awash in roxies.  The people who doc shop the pain clinics are only paying about $3 all in for a 15mg and $5 all in (office visit plus prescription) for the 30mg.   The normal retail is $6 and $10.  But 75% of those "patients" are driving from up North which is why if you read local news stories in any NE or MW state about drug busts the sheriffs always say "funny, all the pill bottles are from FL?".  The DEA says that 85% of all oxycodone for the WHOLE country is prescribed in FL.  The ads are on the same pages with the strip clubs and escorts. 

Now...prices *have* gone up a bit since they changed the rules last October regarding ownership and operation of those phony ass pain clinics, but not very much.
Title: Re: Opioid Suggestions?
Post by: ClayG on July 19, 2011, 05:01 pm
I think that information is not current or first hand. 

Sources: Born and raised in the 954(back when I was young it was actually 305).
               Seeing same doctor filling exact script for 2 years, locally.


I think you are mistaking the price that the chains charge (around 1.5) with what the majority of people pay to fill their script, which right now at mom and pops(where I'd guess over 90% go to fill) is around 4-6 per 30 with 15's being extremely expensive at around 3-4 each.  The average visit unless it's a grandopening type deal is 150-200 with the average (and this is very quantifiable since DEA put a limit at "180" which is really) 168 (yeah then they said 28 day visits only get 28 day scripts so you get even less).  Let's just pretend the visit is 168.  That's an extra buck, and that's a pretty low range of visit prices.

South Florida prices are up from your previously mentioned 10 fullretail-per unit price to around 12-15, North (east, don't know about west) Florida is up from 13 average to 15-20 but the upper end of pricing is easier to obtain, i.e. more people selling closer to the 20 mark thn SFL selling closer to 15 mark.

I am aware of what happened in Oct. with both the inhouse squash(yeah I know but who cares about 3 day supply and that is illegal  now either way also) and that did contribute to the price increase but what really sealed the deal was the DEA shutting down 3 suppliers to pharms (one supplied fucking Publix) and then doing what they do best, imposing unwritten rules on pharms as far as how many they may fill in a certain period.

As soon as that happened they went up.  Basically as soon as It got harder to fill the scripts the price went up.


Title: Re: Opioid Suggestions?
Post by: wildboy211 on July 19, 2011, 05:16 pm
I think that information is not current or first hand. 

Sources: Born and raised in the 954(back when I was young it was actually 305).
               Seeing same doctor filling exact script for 2 years, locally.


I think you are mistaking the price that the chains charge (around 1.5) with what the majority of people pay to fill their script, which right now at mom and pops(where I'd guess over 90% go to fill) is around 4-6 per 30 with 15's being extremely expensive at around 3-4 each.  The average visit unless it's a grandopening type deal is 150-200 with the average (and this is very quantifiable since DEA put a limit at "180" which is really) 168 (yeah then they said 28 day visits only get 28 day scripts so you get even less).  Let's just pretend the visit is 168.  That's an extra buck, and that's a pretty low range of visit prices.

South Florida prices are up from your previously mentioned 10 fullretail-per unit price to around 12-15, North (east, don't know about west) Florida is up from 13 average to 15-20 but the upper end of pricing is easier to obtain, i.e. more people selling closer to the 20 mark thn SFL selling closer to 15 mark.

I am aware of what happened in Oct. with both the inhouse squash(yeah I know but who cares about 3 day supply and that is illegal  now either way also) and that did contribute to the price increase but what really sealed the deal was the DEA shutting down 3 suppliers to pharms (one supplied fucking Publix) and then doing what they do best, imposing unwritten rules on pharms as far as how many they may fill in a certain period.

As soon as that happened they went up.  Basically as soon as It got harder to fill the scripts the price went up.

Central Florida just last week the prices were 5-6 for 15s and 12-15 for 30s. There are people that will charge 20 a piece, but they are just nickel and diming and looking for desperate people. Hasnt been to hard recently to get em. Was hard for a little bit (between nov-feb). Now it seems back to normal.
Title: Re: Opioid Suggestions?
Post by: joeblow2 on July 19, 2011, 07:11 pm
I think that information is not current or first hand. 

Sources: Born and raised in the 954(back when I was young it was actually 305).
               Seeing same doctor filling exact script for 2 years, locally.


I think you are mistaking the price that the chains charge (around 1.5) with what the majority of people pay to fill their script, which right now at mom and pops(where I'd guess over 90% go to fill) is around 4-6 per 30 with 15's being extremely expensive at around 3-4 each.  The average visit unless it's a grandopening type deal is 150-200 with the average (and this is very quantifiable since DEA put a limit at "180" which is really) 168 (yeah then they said 28 day visits only get 28 day scripts so you get even less).  Let's just pretend the visit is 168.  That's an extra buck, and that's a pretty low range of visit prices.

South Florida prices are up from your previously mentioned 10 fullretail-per unit price to around 12-15, North (east, don't know about west) Florida is up from 13 average to 15-20 but the upper end of pricing is easier to obtain, i.e. more people selling closer to the 20 mark thn SFL selling closer to 15 mark.

I am aware of what happened in Oct. with both the inhouse squash(yeah I know but who cares about 3 day supply and that is illegal  now either way also) and that did contribute to the price increase but what really sealed the deal was the DEA shutting down 3 suppliers to pharms (one supplied fucking Publix) and then doing what they do best, imposing unwritten rules on pharms as far as how many they may fill in a certain period.

As soon as that happened they went up.  Basically as soon as It got harder to fill the scripts the price went up.

Two really great posts!  I *love* when someone is actually in the area code and can provide *real-time, live reporting*.  It's like Channel 7 WDRG. ;)  Now we have two on the ground reports from N FL and central FL.  We need a S FL guy to weigh in.

I get my info from guys who do the caravans down there.  I hate to say this, but most of them know (or round up) welfare Moms in Broward County, take them to the clinics, fill at CVS with their medicaid cards.  Their only costs are the trip down and what they pay the women.  And I'm expected to pay taxes for that shit. 

Can I ask a few questions?

Did they ever institute the prescription monitoring program?  I know Purdue Pharma gave them the money for it.  But FL said they had no budget to run it.  What happened?   

With the 3 day rule you're talking on-site dispensing, right?  They still give you a 28 day scrip to take with you?

Are *any* of those places with the security guards and several hundred people milling around in the parking lot still open?  I know they shut down Broward Pain and South Florida Pain but there were a couple dozen others around the state. 

Oh yeah--want to split that scrip every month? :D

Title: Re: Opioid Suggestions?
Post by: ClayG on July 20, 2011, 12:51 am
I didn't think so but today talked to the doc and he said it was started July 1st, now he could be incorrect the only reason I say this is because I have Florida pain law's RSS'd and that would be big news.  He did say the pharmacies are the ones who notifiy him and he HAS to call the DEA before even discharging the patient so maybe I missed it, I know a law already in effect allows them to get the roster from a doc office without any court order.  Catch you as a patient at one clinic then another in same month, you got problems.  Also the new limit is confirmed(DEA according to my doc has actually specified what over prescribing is):

Non terminal cancer patient: 168  or 6 a day(180 but if 28 day visit, which all are subtract 12, so in reality limit is 168)  Oxycodone 30mg IR or equiv

Terminal Cancer patient: 240/224

Leg cut off recently :240/224 but didn't ask for how  long but it's temporary.

There were mentions of other IR meds but I didnt want to seem to interested, Its got to be online I'll google "168 oxycodone IR 28 day visit DEA over prescribing" and try to find a link to see if it's confirmed or not, hey docs are people to, it's not like he's incapable of being wrong.

I stopped looking quickly to not look out of the ordinary.  I've been going for 2 years , had the same meds never pissed dirty/without meds, never missed an appointment, and I use words with the doc that let him know he is 100% safe with me. "Quality of Life" is a silver bullet but it's good to have others so you dont look like Jeffro with everything else you are saying.

Um armed security gaurds I have not scene at clinics, pharmacies only 1 (The shithole in Deerfield that rapes on price for anyone in Broward).  Last place with a Guaurd I saw that performed how you mentioned was also coincidentally in Deerfield and is probably the one you're caravans hit  A real shithole, vomit in the bathrooms, guys with gold teeth sponsoring sceniors, fuckers from Kentucky and Tennessee in there getting in where they fit in, can't blame them though.  Sad , the place was 1.75 per in house and visit was 200. No that I think of it I would bet money this a place you're people have been to.   They got raided and their Doctor jailed, the owner is still there looking like a mafia used car sales man, and he's bad ass the guy really is cool as shit but the place is a shithole (never went ofcoarse to see a doc but brought people there to help them, didn't sponsor them just mean showed them where a compassionate doc was)

Uh 3 day was in reference to the original law in Oct where in house scripts where they would give you a 3 day script only , you do still get the 28 day script on paper to walk away and I heard about places doing something that sounds clever,  a sort of unofficial in house.  You goto the clinic who has an agreement with a mom and pop. After you see the doc , if you choose they call the pharmacist who then brings scripts over in a car.  I don't know how they are going to combat getting robbed and maybe they've stopped this, I heard this 4-5 months ago so not sure.

I spend a considerable amount of time in Broward and all my people grew up there and are there, Im  sure enough my knowledge is as current as anyone living there now to the point of where I would be willing to meet whoever is in Broward that can prove (by me filling) 30mg Oxycodone can be obtained for anything short of 4 at this moment or until Friday that I will pay 100 cash (to make it legal) to anyone able to be picked up, smoked out with the finest shit in South Florida (Cheddar Cheese, NEW CHEESE STRAIN) and taken to the pharm with me to witness them either turn me away or accept the scipt.

We are talking 2-3 days when I need to fill another part of my script.  This is completely legal on whoever wants to prove me wrong and is willing to do's end.  I will be bearing the risk smoking with you, I could care less if you're a cop have fun with the 1 day in jail bust for weed.

This isn't a big bad wolf speech this would help me because it would save me 100+ every month, so it's something I'd love to be proven wrong about.




Title: Re: Opioid Suggestions?
Post by: daorklis on July 20, 2011, 02:32 am
I think he was talking about what OTHER opioides can he take (ie, something stronger than the oxycocet)? If thats the case, you may want to look at the following chart (dont use tor to view or they will ban/suspend your account/i.p address):
http://en.wikipedia.org/wiki/Opioid_comparison

Depending on which drug you actually have will show you where you need to go on the chart (oxycocet can be a number of drug combinations). But if you want more bang for the buck try roxicodone - it has very little/none apap and they are HIGHLY abused, so they are WIDELY available and they are pretty cheap depending on where you live (in Florida 15mg = ~$6, Tennessee 15mg = ~$10). If you are switching from oxycocet, i would take a half of a 15mg just to see what it does - these can be pretty strong - dont want anyone hugging the porcelain throne :)

Sorry to digress from the (rather interesting) digression but thanks for the suggestion. I'll keep an eye out. I'll also ask questions if I see anything else that interests me. I'm not looking to replace my normal prescription. I just want something stronger to enjoy on the side.

Also, thanks for the constipation tips, fellas. Will give 'er a go.

I can't really relate to what you guys are talking about since I live in Canada but it's still pretty interesting to read. Now, please continue...
Title: Re: Opioid Suggestions?
Post by: ClayG on July 20, 2011, 03:44 am
Hahaha I'm sorry about that.  Most bang for your buck if you enjoy that type of feeling but intensified would be 30mg oxycodone IR/roxycodone.  You said taking 2 of the 5/325's (10mg of oxycodone) just takes the pain away but doesn't get you high, a 15mg would only be 50% and you want max bang for your buck.  Realize that if you crush one it will be like taking 6 of your pills and combining that intensity with it hitting you in 30 seconds-1 minute.  I promise you your tolerance will skyrocket.  It doesn't take long for 1 a day to become 4-6. There is something particularly nasty about this particular medicine when it's purified like that.  It's easy to be a chipper doing lortabs or percs but it seems to make you an official user once you try that stuff, you jump up quick..  You will love it. You will hate it.

The answer is oxycodone IR 30mg, or and I say this only because I've seen a dude in Canada listing them , it might be common in your country, the original formula oxycontin 40 or 80 mg, both seem to be about the same purity but that's off of eyeballing as a pose to weighing the pill weight vs active mg.  If it's EASY to get the old formula, I wouldn't call them generic because in the us they switched and the brand name had to reformulate to continue selling while they were able to hand off the real/old type to another computer to license as a sort of generic.  Now if you have a script written for brand in the us you will never get the old type but ones that say OP instead of OC on one side.  It's interesting but I don't know if Canada did this.

Long and short if the old type oxycontin is available marked OC on one side and you can fill it every month with no problem that would be another option.  I seem to remember it being considerably more mg per mg than the IR(roxy) 30mg version but that was when the 30mg was relatively cheap so they may have gone up as well at the pharmacy.  Purdue had some sort of assistance program I was JUST about to get on when they switched that allowed you to pay some crazy amount like 20-40 bucks or something and get it sent in the mail, I would look into this if the old prep is still available only,  if you are wanting to sniff you will want the old type and if that is no longer sold by purdue it isn't worth doing.  If it is the way it worked in the US was your doctor had to apply for you.  You just printed out a form and brought it to them.

If I were I'd call a CVS or something where they will at least answer price questions and ask then do the math, I'd bet even with price hikes the 30mg is the cheapest mg per mg of sniffable.  I don't sniff medicine but my cousin sniffs and smokes it and told me it's also easier to prepare any type ingestion than the OC's are/were.

Good luck.   



Title: Re: Opioid Suggestions?
Post by: happytree on July 20, 2011, 04:08 am
Any suggestions? My choices seem rather limited (since I'm in NA)

Um, you want to get high at the same time as alleviating your pain, BUT you're "in NA". Um, correct me if I'm wrong, but if why are you still going to NA if you're also trying to get high? I mean, I get that you have pain and want to address that. But if you're also trying to get high, what's the point of going to NA? We're talking about Narcotics Anonymous right? I mean, I'm no judge, but shoot...
Title: Re: Opioid Suggestions?
Post by: joeblow2 on July 20, 2011, 05:19 am
Excellent question Happytree.  Have you ever been to a 12 step meeting?  If so, was anyone high there?  My experience is that they are divided about equally between people who *never* get high (good for them!) and people who all go together and get high as soon as the meeting is over.  In the game of life, some people just want to get high.

This thread reminds me of one of my favorite stories (this is a true story, maybe there's a youtube of it, I don't know): A reporter gets a chance to interview the Dalai Lama.  The reporter is thrilled; it's hard to get that kind of interview.  So he decides he's going to tell him a classic Dalai Lama joke, which is: the Dalai Lama walks into Pizza Hut and says "can you make me one with everything?".   In the interview the Dalai Lama turns to his advisor, they confer for a bit and then he looks at the reporter with that totally serene face he has and says "what's a pizza?".  (seriously, this is true, I saw it).

The point being: the half of the 12 steppers who get high every week together feel much less guilty if they do it all together; especially after going to "a meeting".  The next level up from that is coming on a drug forum to get more opiates "for pain" even though you're already being treated by a doctor *with opiates* and going to NA meetings. 

Doesn't make any more sense than telling the Dalai Lama a Dalai Lama joke, does it?  :D

@Clay-yup, I'm sure they've hit that place.  And you confirmed the other part they always told me: it was way cheaper for the in-house meds (and waaaay more overprescribed) than getting it filled outside. 

@daorklis-I hope you don't get upset if I had a little fun at your expense.  You seem like a good sport.  :D  I've been where you are.  I've bought so many 3 packs of enemas at a CVS that the clerk thought I was a gay prostitute.  And I've chopped wood for hours just so I'd throw my back out so badly that the pain was *unbearable* and then I could justify buying some oxy "just to be able to walk standing straight up".  I've gone to NA meetings so high that the people in front started salivating while I talked with that look in their eyes that told me they were gonna corner me to see if I had any 40's for them as soon as the meeting ended.  I've nodded off in the front row while the "celebrity guest speaker" was giving his big talk.  The funniest one was Danny Trejo.  I nodded off while he was talking and since he'd spent 20 years in different prisons at that point he just came over and smacked me upside the head.  He said "son, why are you even here?".  I just said "umm...I'm still on the first step?".  He just shook his head.

Life is like a box of chocolates...sometimes they just taste better with drugs...good luck with your journey.  Sincerely.  :)

(I feel like I've helped hijack this thread.  That's bad etiquette.  The title is "Opiod Suggestions".  My suggestion is that taking opiates leads to taking a lot more opiates.  Every time.  So might as well enjoy it.  I'm going to stop now.)
Title: Re: Opioid Suggestions?
Post by: daorklis on July 20, 2011, 06:24 am
Any suggestions? My choices seem rather limited (since I'm in NA)

Um, you want to get high at the same time as alleviating your pain, BUT you're "in NA". Um, correct me if I'm wrong, but if why are you still going to NA if you're also trying to get high? I mean, I get that you have pain and want to address that. But if you're also trying to get high, what's the point of going to NA? We're talking about Narcotics Anonymous right? I mean, I'm no judge, but shoot...

LMAO! A little clarity: NA = North America. I meant that SR doesn't seem to have a lot to offer me at the moment. My bad.

Edit: Haha! joeblow wrote all that out. I feel bad. Let me pretend I'm actually going to those meetings so his post is legit. Thanks, man.
Title: Re: Opioid Suggestions?
Post by: phubaiblues on July 20, 2011, 06:35 am
This thread has gotten hilarious.  Starting to remind me of opiophile...when we all fessed up to plugging tar ;)

So we started out on constipation, went to the price of roxis in FL, to a misdirected but interesting NA story...to this!  ;)
Title: Re: Opioid Suggestions?
Post by: joeblow2 on July 20, 2011, 06:45 am
Any suggestions? My choices seem rather limited (since I'm in NA)

Um, you want to get high at the same time as alleviating your pain, BUT you're "in NA". Um, correct me if I'm wrong, but if why are you still going to NA if you're also trying to get high? I mean, I get that you have pain and want to address that. But if you're also trying to get high, what's the point of going to NA? We're talking about Narcotics Anonymous right? I mean, I'm no judge, but shoot...

LMAO! A little clarity: NA = North America. I meant that SR doesn't seem to have a lot to offer me at the moment. My bad.

Edit: Haha! joeblow wrote all that out. I feel bad. Let me pretend I'm actually going to those meetings so his post is legit. Thanks, man.

LMFAO!!  No wonder you are being such a good sport.  And here I wasted so many good stories just trying to help a nice gal to accept her love for the hard drugs!  See, who says drugs aren't fun? Glad I wasn't the only one who immediately went there.  Color me donkey grey. :D

Sooooo...more seriously: we have a couple of very decent opiate suppliers here (for NA to NA sales, ha!), they are just "taking a short break" ATM.  One should be back this week (he's late already!) and one by Aug 4 or so.  And we are slowly coaxing one new, possibly decent, supplier into listing.  Just check the main board *frequently* as sometimes the opiate listings come and go very quickly.  And WELCOME ABOARD.  We opiators are a small, but lively group and are definitely a lot of fun:

Daorklis, meet Clay and Wildboy and Nomad and Chronicpain and Happytree (she's new!) and Phubaiblues and there's a Catwoman someplace... and...  :D
Title: Re: Opioid Suggestions?
Post by: phubaiblues on July 20, 2011, 07:07 am
I agree,  opiate crew rocks...probably cuz our sellers won't get off their asses and start selling again ;)  We need to quit being so nice to them, I fear they are getting lazy, and would rather loll around in the forums talking about drug prices than actually put goods on the shelves...I keep waiting for some ace to start selling mexican neo-percodans at a couple dollars apiece.  I actually got away with that in a topless bar in Texas when I was down and out...hell, those girls, even when they found out it was really just darvocets with a sombreros on,  they still bought them....:)
Title: Re: Opioid Suggestions?
Post by: joeblow2 on July 20, 2011, 07:20 am
I agree,  opiate crew rocks...probably cuz our sellers won't get off their asses and start selling again ;)  We need to quit being so nice to them, I fear they are getting lazy, and would rather loll around in the forums talking about drug prices than actually put goods on the shelves...I keep waiting for some ace to start selling mexican neo-percodans at a couple dollars apiece.  I actually got away with that in a topless bar in Texas when I was down and out...hell, those girls, even when they found out it was really just darvocets with a sombreros on,  they still bought them....:)

"Darvocets with a sombrero on"....LMFAO!!! Again!!! I'm going to steal that one.  I don't think I've *ever* laughed out loud twice in one day over a drug site. 

Yeah, you go to Mexico and you find out there's a BIG difference between "Tylox" and "Tylex".  :D
Title: Re: Opioid Suggestions?
Post by: daorklis on July 20, 2011, 07:26 am
Thanks, joeblow. Really nice to meet everyone! Oh and I'm always a good sport. It's looking like we'll be having many a fun discussion in the future but for now I must be off to sleep. Way past my bedtime. Come to think of it, I'm a pretty bad sport when I have to wake up in the morning.
Title: Re: Opioid Suggestions?
Post by: happytree on July 20, 2011, 02:58 pm
Ohhhhh JoeBlow2, I am very familiar with 12-step meetings. Attended both NA/AA for about 13 years on and off. In all that time, maybe twice did I see someone drunk at an AA meeting. In terms of NA, well, that is sort of known to be a half-assed program, as it were. So, while I was never witness to people going to get high after the meeting, I also never saw anyone high at meetings.  But I guess there lies the possibility there were things much worse than I ever saw. I have no problem with people who want to get high, just think it would be odd to go to a meeting to claim to want to get clean, and then turn around that night and get high. What a waste of time!

In terms of "accepting hard core drugs", lol, that's funny! You must not have seen many of my posts. I am very accepting of hard-core drugs! I bet I've done waaaaaaaaaay more than you! Neener neener neener. lol
Title: Re: Opioid Suggestions?
Post by: anonamoose on July 20, 2011, 11:15 pm
Interesting thread.

Any of you guys have a recommendation on how to find a "good" pain clinic.  I have back issues with an MRI to prove it, however it's not severe.  My current doc prefers sticking a needle into my spine. 

Im in the Maryland/DC/Virginia area if it matters.
Title: Re: Opioid Suggestions?
Post by: happytree on July 20, 2011, 11:35 pm
http://webmdpain.com/

http://www.gwhospital.com/Hospital-Services-O-Z/Pain-Management

http://washingtonpaincenter.com/

I can't speak on behalf of any of them, however. lol

If your doc won't do more than give you cortisone (which I suspect is what he's needling into your back), you won't get much more from a pain management clinic. Doc would have to refer you to pain management clinic, and if it's "not that severe" they'll probably send you back to your doc. Best bet is to get another doctor, or get pills from here! :)
Title: Re: Opioid Suggestions?
Post by: phubaiblues on July 20, 2011, 11:43 pm
Agreed: it's pretty hard to get the ball rolling, unless your original md is sympathetic and 'generous' anyway.  And of course, if you *do* get a good doc, you hate to leave them.  And I've tried every which way, but the DEA has just totally intimidated doctors and pharmacies, and now with even Florida under the puritan's microscope, that too is getting dicey.  All they've really done, the obvious, is turn a whole bunch of us into criminals.  How many generations of this crap have to happen before they realize it's not working.  There's just not enough money in it much longer, for pain clinics to be able to afford the legal protection, and of course, the less of them there are, the more they stick out...and all the busts of kind doctors, like what happened all over north florida mean that docs just don't want to prescribe opiates, I don't care what your problem is...they don't want to take the chance.   

So normal middle class kids, out of desperation will turn to heroin, and, well, it's a long hard road...often ending--at best--with methadone maintenance, and that's another crappy road to go down...

http://webmdpain.com/

http://www.gwhospital.com/Hospital-Services-O-Z/Pain-Management

http://washingtonpaincenter.com/

I can't speak on behalf of any of them, however. lol

If your doc won't do more than give you cortisone (which I suspect is what he's needling into your back), you won't get much more from a pain management clinic. Doc would have to refer you to pain management clinic, and if it's "not that severe" they'll probably send you back to your doc. Best bet is to get another doctor, or get pills from here! :)
Title: Re: Opioid Suggestions?
Post by: happytree on July 20, 2011, 11:48 pm
Imagine our world if they took the funding of drug task force agencies and put them into busting child pornography rings, and providing treatment centers for child abuse victims? What a happier, more peaceful world...

Our societies' priorities are so skewed...
Title: Re: Opioid Suggestions?
Post by: joeblow2 on July 21, 2011, 12:22 am
Where I live you spend half a day at a pain clinic and spend $300 (including prescription) to end up with 90 Tramadol.  Useless.

Unless I had a tip from someone about the doc or they were in the paper for being a pill mill but somehow avoided being closed, I just wouldn't bother.  A friendly GP doc can be a *big* help; like Clay seems to have.

There's a pill mill about a hundred miles away but I'm reluctant to drive all the way down there.  I was *hoping* to have my pills sent to me anonymously in the mail via SR. :D

Oh where oh where has envious gone?
Oh where oh where can he be?
With his listings done and no prices from him
Oh where oh where can he be?

I'm not enjoying my enforced opiate vacation.  Need.  Drugs.  Must find now.   Aaaarrrgggghhhh!
Title: Re: Opioid Suggestions?
Post by: anonamoose on July 21, 2011, 09:36 pm

If your doc won't do more than give you cortisone (which I suspect is what he's needling into your back), you won't get much more from a pain management clinic. Doc would have to refer you to pain management clinic, and if it's "not that severe" they'll probably send you back to your doc. Best bet is to get another doctor, or get pills from here! :)

Yeah, I guess I don't know how the whole pain clinic thing works.  My primary actually wrote me a script for percocet and a muscle relaxant, but when the MRI came back he told me I needed to see a specialist.  And the specialist is the one who did the epidural. 

Title: Re: Opioid Suggestions?
Post by: daorklis on July 22, 2011, 02:54 am
My doctor moved me from the percs to 10mg oxycontins, which I find rather useless after giving 'em a try. Stupid me. I should have realized that it wasn't going to work, especially since I've been taking 2 percs (5/325) recently just to get relief. I didn't run the comparison in my head until I got home otherwise I would have said something to him when he was writing it all up. I'm going to call him tomorrow to ask him to bump it up to 30mg, and maybe settle there and see how well those work. I'm strictly talking about pain relief here.

Anyway, I've been giving it some thought and I'm not sure whether I want to purposely go stronger just for the sake of getting high. As much as I love the feeling, I'd hate to be in a position where I can't get consistent relief from the drugs that my doctor is willing to prescribe me. I understand that over time it will need to get higher and higher, assuming my pain does not eventually get better, but it might not be wise to accelerate it along.

Anyone else in a similar position? What are your thoughts? There are lots of other wonderful things to try on SR. Let's see what my doctor says about my request and if he denies my request, I may have to take matter into my own hands anyway, at the expense of coming out of my own pocket.
Title: Re: Opioid Suggestions?
Post by: joeblow2 on July 22, 2011, 03:28 am
My doctor moved me from the percs to 10mg oxycontins, which I find rather useless after giving 'em a try. Stupid me. I should have realized that it wasn't going to work, especially since I've been taking 2 percs (5/325) recently just to get relief. I didn't run the comparison in my head until I got home otherwise I would have said something to him when he was writing it all up. I'm going to call him tomorrow to ask him to bump it up to 30mg, and maybe settle there and see how well those work. I'm strictly talking about pain relief here.

Anyway, I've been giving it some thought and I'm not sure whether I want to purposely go stronger just for the sake of getting high. As much as I love the feeling, I'd hate to be in a position where I can't get consistent relief from the drugs that my doctor is willing to prescribe me. I understand that over time it will need to get higher and higher, assuming my pain does not eventually get better, but it might not be wise to accelerate it along.

Anyone else in a similar position? What are your thoughts? There are lots of other wonderful things to try on SR. Let's see what my doctor says about my request and if he denies my request, I may have to take matter into my own hands anyway, at the expense of coming out of my own pocket.

Well first, you're getting the exact same dosage of oxy as before so you're really not anywhere with your doc except he's conceded to put you on a CII instead of a CIII, WHICH IS a major breakthrough.  It won't be so difficult now to have him raise you in the future.  Even if you don't want to go to the 30's you could just ask for oxy 20's for the time being.

SWIM started out on this path, I took hydro for a couple of years before I ever had anyone even tell me about oxy.  The problem with oxy (or dilaudid) is that once you start, you have to go up to feel anything.  If you go up fast, it's just a lot of money and then what?  SWIM got up to a steady 800mg of oxy a day back when it was cheaper.  But it was still $300/day.  Where will that money come from?  eh? 

Best, if you can, just keep up with 15mg percs or 20mg oxys for your regular meds and then you can buy some 30's at SR now and again for a fun time.  But you really have to limit that to 1-2 days a week maximum.  You enter that 3rd straight day with no 5 day break and you're headed to "all day, every day" land.  I don't think one opiate person on here would say "yeah, that's great!" about needing them all the time just to feel normal.

Have you ever kicked from an opiate addiction?  If you have, then you know what you're trying to avoid.  Do what you think is best... :)
Title: Re: Opioid Suggestions?
Post by: daorklis on July 22, 2011, 04:29 am
The one thing I am not really worried about is addiction, but I will take caution. That being said, I am going to completely agree with you. Thanks for the insight.
Title: Re: Opioid Suggestions?
Post by: phubaiblues on July 22, 2011, 06:44 am


Well first, you're getting the exact same dosage of oxy as before so you're really not anywhere with your doc except he's conceded to put you on a CII instead of a CIII, WHICH IS a major breakthrough.  It won't be so difficult now to have him raise you in the future.  Even if you don't want to go to the 30's you could just ask for oxy 20's for the time being.

SWIM started out on this path, I took hydro for a couple of years before I ever had anyone even tell me about oxy.  The problem with oxy (or dilaudid) is that once you start, you have to go up to feel anything.  If you go up fast, it's just a lot of money and then what?  SWIM got up to a steady 800mg of oxy a day back when it was cheaper.  But it was still $300/day.  Where will that money come from?  eh? 

Best, if you can, just keep up with 15mg percs or 20mg oxys for your regular meds and then you can buy some 30's at SR now and again for a fun time.  But you really have to limit that to 1-2 days a week maximum.  You enter that 3rd straight day with no 5 day break and you're headed to "all day, every day" land.  I don't think one opiate person on here would say "yeah, that's great!" about needing them all the time just to feel normal.

Have you ever kicked from an opiate addiction?  If you have, then you know what you're trying to avoid.  Do what you think is best... :)

I agree totally with what you posted.  Unfortunately, IMHO, nobody ever notices this until way too late...we never figure it'll be us...I smile to think once that a few perks or even vicodins would make my day...hell, now I have to do my damndest just to detox off methadone far enough to feel hard opiates.  I'm not on methadone maintenance...but I"ve been there too...everybody starts out thinking...not me, man!   It can turn into a pretty hard road...yep.