Chronic pain victims share ‘other side’ of prescription drug abuse epidemic

 

Chronic pain victims share ‘other side’ of prescription drug abuse epidemic

http://www.abc15.com/news/state/chronic-pain-victims-share-other-side-of-prescription-drug-abuse-epidemic

They are people who feel shut out from their pharmacies, by emergency rooms, and their doctors. Already struggling with chronic pain they feel “abandoned” by a system that is now focusing on a prescription drug epidemic that’s gripped the country.

Chronic pain patients have started forming their own support groups and are pleading for their voices to be heard.

“Everything is about addiction. Opioid overdoses, CDC statistics – but nobody is telling our side of the story and how this is affecting over 100 million patients in the United States,” said Barby Ingle, President of iPain Foundation, and a chronic pain patient herself.

For many of these people life literally changed overnight. Whether it was an accident, a fall, a ruptured back disc, or medical malpractice – they now live gripped with pain everyday, not knowing when the “flare up” may hit.

If you ask them to describe the pain, the responses seem unbelievable.

“The pain in my back feels like, a banana clip that women wear in their hair,” Ingle said. “Only, make it out of heavy gauge steel, sharpen it even more, clamp it on my spine then tighten it up. Then add a 10  pound weight to it,” said Lauri Nickel, who suffers from chronic pain.

“My pain is a burning fire pain,” Ingle said. “As if someone put burning lighter fluid on me, lit me on fire, and I can’t put it out.”

They are people who have learned to live life and function – despite the suffering.

“When my back problems first started, my baby was 1 year old,” Nickel said. “I ended up toilet training him from lying down in hallway with my head in bathroom, to supervise him because I couldn’t sit up.”

Ingle said there were days she thought she wouldn’t survive the pain.

“There’s been days where I was bed bound I would think, ‘I’m going to die today,’ Ingle said. “My husband’s going to come home and he will find me dead.”

Part of the struggle for them, is also having to justify this pain to doctors and pharmacists, try to prove to them that they are not just another addict looking for pain pills.

“I do not understand how someone would take these pills for fun,” Ingle said.

For them, she added there was no “high.” There was just temporary relief. 

Ingle said the iPain Foundation heard many stories from pain patients who said they were turned away from pharmacies who were unable to fill their prescriptions.

Some said they felt “criminalized” from the moment they walked into a pharmacy, and felt like they had to “prove their pain.”

“You have to prove so much even though you have medical records five inches deep,” said Nickel.

ABC15 took these concerns to the state pharmacy board. 

Executive Director Kamlesh Gandhi said pharmacists were the front line in this war on prescription drugs.  They had a huge responsibility and are constantly being trained to recognize prescription drug abusers.

Gandhi said law required pharmacists to check the “prescription monitoring program” database before filling prescriptions, and pharmacists were becoming more aware of the problem.  He added that patients needed to maintain a good relationship with the pharmacy.

Rightway Pharmacy owner Ken Patel said pharmacies were also under scrutiny by many agencies, and had to be accountable for the number of opioids they prescribed to patients.

“Every pharmacist is quite cautious in filling opioid medication, it’s not that they don’t want to,” said Patel.

He added that all pharmacies have ordering limits imposed on them by drug companies, if they go over, they were also in fear of shutting down. 

Patel said his first priorities were his loyal customers, and he usually knew what they needed every month, so knew how much to order.

In this age of addiction and abuse, establishing that trust was crucial.

“We want to take care of their health needs. That trust is very important. We want to understand what they’re going through so we can work with the doctor,” said Patel.

As for those living with chronic pain, all they wanted was to be understood, and treated with some dignity.

“We know we’re never going to be pain free. We just want to be able to function. We want to get out of bed. Take a shower more than twice a week,” said Nickel.

The Drug Enforcement sent us this statement in response to this story:

Prescription opioids undoubtedly have an important role in our society when used properly and under a doctor’s supervision.  What we are dealing with as a society now involves balancing this legitimate need with preventing the diversion of these powerful substances outside of this doctor-patient relationship.  The DEA has been and will continue to educate medical practitioners and pharmaceutical manufacturers about the regulatory system and ways to prevent this dangerous diversion.  As our country is faced with an epidemic of overdose deaths from these substances, the American people would expect nothing less from the DEA.

EVERYONE suggests that a chronic pain pt “gets to know their Pharmacist”.. But nearly 100% of the complaints that I hear about pts being refused their medications is from chain pharmacies… Walgreens, CVS, Rite Aid, WalMart IS NOT YOUR PHARMACIST !

I have been told that some/most/all of the chains have policies and procedures in place that actually DISCOURAGES their Pharmacists from filling controlled prescriptions. The chain Pharmacist(s) get paid every week … regardless if they fill your controlled prescriptions or not.  In fact, the administrative paperwork involved in filling a C-II will take as much as  TWICE THE TIME… to fill a C-II over other prescriptions.

Chain pharmacies have a nasty habit of either moving their Pharmacists around and/or using Pharmacists from a “floater pool”  In most stores, the only “regular Pharmacist” is the PIC ( Pharmacist in Charge).. because each store must have a Pharmacist that has agreed to be responsible to the Board of Pharmacy for the legal operation of the Rx dept.

Unfortunately, the PIC often has to do “double duty” since the floater pharmacist(s) may or may not do other administrative functions that must be done and typically a second Pharmacist that regularly works a store would be doing.

I routinely recommend pts patronize a independent pharmacy … because typically you will be dealing with the Pharmacist/owner who gets to know their pts, less likely to have Pharmacist staff rotating.  The Pharmacist/owner only gets paid, if he/she fills legit/on time/medically necessary prescriptions. They don’t have a reason to start looking for reason NOT TO FILL a controlled substance presented to them…  I can assure you that any Pharmacist that starts looking for a reason NOT TO FILL a prescription… they will find one..  Many use the EXCUSE – which is not a valid reason – I’m not comfortable.

Here is a website to help pts locate a locally owned independent pharmacy   http://www.ncpanet.org/home/find-your-local-pharmacy  Take all your prescriptions to that pharmacy  – a pt only filling controls at a pharmacy is a RED FLAG …  and why would you give any of your money to a chain store, when they don’t want to fill all your prescriptions ?

 

2 Responses

  1. We use our small town pharmacy and it makes a huge difference than when we used a chain pharmacy. It’s so true that the relationship with our pharmacists are better since they do not rotate and completely understand the reasons we take the medications that we do.
    Unfortunately, our health insurance no longer covers our pharmacy which they once did for over a decade. We even received a letter from insurance telling us to change to Walgreens which as you know, would probably not fill our pain meds which we both use for quality of life and be participating citizens in lieu of being bed-ridden.
    So I wonder if some patients aren’t able to switch to local home town pharmacies due to no coverage and our insurance coaxing us to use big chain pharmacies?

    • I have the same problem lisadavisbudzinski. Our insurance only allows us to use certain ‘chain’ pharmacies. I use CVS, & have had no problems as we, especially my very ill husband has so many prescriptions. Our pharmacist did tell me that every time he orders my oxycodone he gets a call from the DEA, but has never not filled mine. It’s my pain doctor that is cutting me off now.

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