The note below IN RED I got today from a 60 y/o disabled female and on abt 90 MMEs of opioids for some 10-15 yrs. A couple of months ago, her pain doc decided to cut her oral opioids down to 15-20 MME/day and put a buprenorphine patch on her without any attempt to give her body to metabolize the opioid MMEs she was taking.
This threw her into a COLD/HARD WITHDRAWAL and per BP spiked to 240/120. After several back/forth messages – I finally got her to agree to take the patch off and go to the local ED. Where she was placed in ICU and blood tests indicated that there was some cardiac enzymes – suggesting that she could be in a heart attack and/or having some cardiac muscle damage happening.
Her pain doc insisted that she put the patch back on and it would not cause her BP to spike
Her pain doc told her that he was prescribing a “different medication” to take and when she told me what it was… it was the same medication – but the one you put on your tongue, under your tongue or between cheek and gum, and will rot the pt’s teeth.
She has found a new pain doc who put her back on the opioids that she had been taking for 10-15 yrs and her blood pressure is once again “normal-tensive”
As this pt put it… following my advice… gave her a new lease on life
My b p. Was 120/90 at the Dr today. I got the. Mast virus that’s going around ugh you should be a Dr. cause. You was. A 10000 percent right. By putting me on the 15 it would. Bring it. Down. Hmmm Yes I am forever Grateful. For You, you gave me a new lease on life
Filed under: General Problems
@Pharmaciststeve I wish you could be EVERYBODY’S DR.!!! Our world would be so much better off with you in charge ❤️
Brenda Price