Darn Scedule II Drugs

This is a rhetorical question, yes?

I was almost positive this thread was going to be a rant about having to chase down some YaYo that wasn't actually a poor mixture of No-Doz and Laxatives...

Got an Rx at Grady once:

Mofin 2 ponds 

I agree I have to do the same for my sons meds it is rather annoying plus it costs me a Dr. visit each time.

Because it's Schedule 2 and requires a special tamperproof prescription pad.  At least it does in Texas.

Nope...saw it
This was Grady...and I might be misspelling ponds...
Also had a guy walk into the ER to finish with a gun what he started with a knife...good thing the knife stuff was on face...which was covered by drapes...he asked "is that Billy Bob" I said no...we had to send him over to the Medical ER...he thanked me and headed off that a way 

Edited by RiverRat50 2010-10-21 7:39 PM

Not in PA.  We used to have to send a quarterly report to Harrisburg, though, of all the schedule II's we wrote for.  THAT was fun.

Anyway, if it helps, it is a huge PIA for docs (or at least me) too.  I was glad when the DEA allowed me to write for 3 months worth of stimulants, even if it still has to be on 3 separate scripts, with a notation about when it is allowed to be filled.  I hate having to write a new Rx for a patient who is stable, with no changes needed, who I am only seeing a couple of times a year for monitoring, instead of just writing for the refills for the year the way I do with antidepressants, antipsychotics, and mood stabilizers.  Being a child psychiatrist means the greatest proportion of my patients have ADHD, which means stimulants, which means schedule II.

Yep, see the inconvenience for docs and patients, esp. in a case where it's a long-term patient on long-term medication, etc.

I wonder how you could revise the laws for that ...

Here in Indonesia, ANY drug primarily indicated for 'psychiatric' use is the equivalent of Schedule II. Unless the prescription comes from a psychiatrist or a neurologist, they can only be doled out in amounts of 20 (and no, they don't usually have different mg/g doses). Even the best and largest pharmacies are often understocked on run-of-the-mill antidepressants or antipsychotics because because they're so tightly controlled.

I struggle with how pain medication is treated. On the one hand, I think it's grossly and appallingly overprescribed and overused in the U.S. Here, I think, it's grossly and appallingly underprescribed. People are expected to recover from major invasive surgery or bear extremely painful conditions on paracetamol (like Tylenol) or if you're lucky, you can get a prescription NSAID (all of them, including ibuprofen, are prescription here).

The upside is that (if you can recover from whatever it is) people follow instructions and heal up damned fast. They get the rest they need, and there's ZERO payoff in staying sick, and you want to get out of pain as quickly as possible.

Also, in the extremely rare event you do get your hands on narcotic pain relief (not administered in an emergent setting), it's going to be either codeine or Ultram. That's it. In small doses, 10-count or less.

Do away with any prescription needed. Do away with all drug laws. The abuse of drugs is self correcting.

I'm hoping that you just left off the sarc font. Honestly, I believe part of the reason for drugs to be scheduled is to remind the prescriber about the seriousness of the meds.  I have seen too many people Rx'd abusable drugs and then become addicted to believe that letting it all be self-managed is a good idea.  If the docs need to be better educated and aware, what makes anyone think that lay-people will take it more seriously?  Instead, they will be saying "it must be safe, or it would be restricted".

Nope, I didn't leave it off, I mean it.

popcorn time... Juju's if anyone wants them

Nah, I'm done. Was just answering a question originally.

 it's ok,, I really didn't have any popcorn to share.. just some almonds 

have a great weekend

For husband it isn't the dr. visit, its that the dr. never seems to get it completely correct, and here in CA if it isn't completely, absolutely correct, the pharmacy cannot call the dr. to get the correction, a new prescription needs to be made.  For someone that will probably be on this drug the rest of his life, it is frustrating.  We solved the problem, by having the dr. put a photo copy of the correct rx in his file, so he now just copies it, and changes the date.  It use to also be frustrating on the date restriction.  You had 3 days from the date they wrote the Rx.  They have since extended that time out a bit.  

I think there should be a way to do an electronic Rx...some secure way, that has to have the dr.s pin code or special Rx number or something...some way to help out those.  I do agree that the dr. must send it in each month, so that there is contact and control with the patients.  

 

Wow. That is all.

Ditto.  I'm not sure how to respond.  Its so much more complicated than lay people know. Rules vary from state to state to state as well

Oh no many of us know it is complicated for the Docs and that is the reason it is such a PITA for us, that is the whole point.




btw I will be looking for the green hair at IMFL and thank you.

Kate, it's not anything you posted that I'm wowing.