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Doctor insights on: Why Might My Psychiatrist Refuse To Prescribe Me Medications For My Chronic Pain

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Why might my psychiatrist refuse to prescribe me medications for my chronic pain?

Why might my psychiatrist refuse to prescribe me medications for my chronic pain?

Psychiatry: While it is true that your psychiatrist may not be comfortable or familiar with all the pain medications and he may want you to see a pain specialist for this - it is also true that he may also feels that based on examination pain medications are not justified or based on the psychiatric diagnosis your request for pain medications may be related to this diagnosis - talk to him! ...Read more

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Could my pain management doctor refuse to prescribe for me unless i quit smoking?

Could my pain management doctor refuse to prescribe for me unless i quit smoking?

Yes: This is possible, especially if you are talking about pain medication. Smoking has been proven to heighten pain sensation and your doctor may recognize that as part of your pain drivers. That being said, you two should work together to stop smoking if possible and find other ways to help treat your pain. Otherwise, some patients and physicians do not mesh and you may need to see someone else. ...Read more

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Doctors, can my pain management doctor refuse to prescribe for me unless I quit smoking?

Doctors, can my pain management doctor refuse to prescribe for me unless I quit smoking?

Yes: It is not common, but no doctor is REQUIRED to prescribe anything for anybody that they don't think is appropriate. Smoking alters metabolism of many drugs, and smokers are at higher risk to abuse controlled substances as well. You have the right to change doctors, and if this doctor is in a larger group, you can complain to the organization, to the county/state medical society. Or- QUIT SMOKING. ...Read more

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Please tell me, could my pain management doctor refuse to prescribe for me unless i quit smoking?

Hard to say: I'm not able to answer based on limited information, and can't comment on another doctor. If you are referring to getting controlled medications for your pain, such as narcotics, some providers consider patient use of any addictive substances to be a cause of not prescribing pain medications. Smoking cigarettes has been connected to having lower ability to handle pain. Consider quitting! ...Read more

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Could my doctor prescribe anything to help with my ADHD? I'm afraid to ask because he's treating me for opioid dependence with the medication Bunavail

Could my doctor prescribe anything to help with my ADHD? I'm afraid to ask because he's treating me for opioid dependence with the medication Bunavail

Bunavil & ADHD: Bunavil is a buccal film that contains buprenorphine & naloxone, similar to Zubsolv & Suboxone, all approved for outpatient maintenance treatment of opioid dependence. If you are on this medication & formally diagnosed with ADHD your doctor may first want to try treating the ADHD with therapy +/- non-stimulant FDA approved ADHD medication. Stimulant treatment requires expertise & close monitoring ...Read more

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Horrific back pain for years. Washington doctors won't give out pain medication. What can I do to help with this?

Horrific back pain for years. Washington doctors won't give out pain medication. What can I do to help with this?

Back pain: Back pain may be from a variety of conditions. Most commonly, a ruptured disc causes impingement of the nerve root. Sacroiliac joint inflammation can mimic a herniated disc too. Try anti-inflammatory medication, ice, and stretching. If the pain persists for more than a week then seek attention with a neurosurgeon/neurologist to determine the cause of the back pain and formulate a treatment ...Read more

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Hello doctors, i need stronger pain meds from pain management doctor. How to ask for this?

Hello doctors, i need stronger pain meds from pain management doctor. How to ask for this?

Stronger Meds: Make an appointment with your pain management doctor ; explain that your pain is not currently optimally controlled. Your medication regimen may be adjusted ; alternative therapeutic options may be considered; such as interventional procedures, physical therapy, chiropractic, home exercise, etc. ...Read more

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How do I get my doctor to prescribe narcotic pain meds? My chronic pain is real!

See pain specialist: Many docs are uncomfortable dealing with chronic pain, in part because of fear of attracting/creating drug addicts & because state medical boards punitively regulate pain med prescribing. Seek a certified specialist in chronic pain (see http://www.Painmed.Org) & also consider a holistic md who will be interested in you as a whole person & seek to treat the cause of your pain (see www.Abihm.Org/). ...Read more

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Do I have to suffer from severe pain because my primary doctor is afraid to write out prescriptions?

Do I have to suffer from severe pain because my primary doctor is afraid to write out prescriptions?

Don't blame Dr.: Don't jump to that conclusion. It may be choice of words for the concern that you will end up w/ more problems than you start w/. Often pain meds work less well soon and being addictive, you have the pain and an addiction. Pain mgmt needs to include real correction if possible, learning how to cope and distract, improving strength to relieve the burden, each case is unique. ...Read more

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Why did my doctor prescribe an anti-depressant to treat my shingles pain?

Cymbalta (duloxetine)?: Cymbalta (duloxetine), (duloxetine) while an anti-depressant, has an indication to treat nerve pain (though usually in diabetic patients). In order words, it has been studied and has been shown to improve neuropathic (nerve) pain. In this case, it is not being used for its anti-depressant properties. Doses of Cymbalta (duloxetine) are typically higher to treat this than to treat depression, often 60-120mg a day. ...Read more

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I am 18 with multiple sclerosis and severe back pain my neurologist won't prescribe me anything for the pain. Find another doctor? What to do?

I am 18 with multiple sclerosis and severe back pain my neurologist won't prescribe me anything for the pain. Find another doctor? What to do?

Need clarification: Is your neurologist really prescribing nothing or has s/he tried things and they haven't worked and s/he isn't sure what else to prescribe. Some patients need to work with a pain management specialist along with their ms specialist. If s/he has truly not tried anything then a second opinion may be helpful. We often use seizure meds and antidepressants to help with pain. ...Read more

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Can my gp give me antipsychotic medication or do I have to see a phychsrtist?

Can my gp give me antipsychotic medication or do I have to see a phychsrtist?

He may: Any physician is authorized to prescribe antipsychotics however gps prefer that you should be evaluated by a psychiatrist first if there is a need for antipsychotic. ...Read more

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I cannot afford to see a urologist and a psychiatrist to treat my interstitial cystitis, can my primary doctor prescribe my meds I have an anxiety disorder due to my ic which requires klonopin , propranolol and trazodone, my primary doctor has me on celex

I cannot afford to see a urologist and a psychiatrist to treat my interstitial cystitis, can my primary doctor prescribe my meds I have an anxiety disorder due to my ic which requires klonopin , propranolol and trazodone, my primary doctor has me on celex

Your doctor can: Your doctor can prescribe as long as they are familiar with the medications and comfortable prescribing them. If your doctor is not willing, then it may be more cost effective to call around and find someone who is. I realize, however, that switching doctors may be difficult to do. ...Read more

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Can u give me some reason why a doctor may prescribe celexa (citalopram) for back and knee pain?

Can u give me some reason why a doctor may prescribe celexa (citalopram) for back and knee pain?

Celexa (citalopram) is SSRI: Due to the good efficacy rates and dosing simplicity, many patients with pain and depression receive SSRIs as initial treatment with good results. ...Read more

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Can i see a doctor who's not my pcp to prescribe me antianxiety medication?

You are free to: see other physicians as needed. However, one of the 'contractual' duties of the patient in a doctor-patient relationship is to be honest with the physician. You need to inform your PCP, and let him/her know if you are on any additional medications. ...Read more

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Hi I am an addict with chronic back pain. I really need something to control my back pain. my doctors refuse to even give me nsaids but I fear relapse?

Hi I am an addict with chronic back pain. I really need something to control my back pain. my doctors refuse to even give me nsaids but I fear relapse?

Addiction, Back Pain: I feel empathy for your back pain. I admire you for your honesty about Addiction. See an Orthopedic Specialist for diagnosis, Physical therapy, and medication.. At age 22, stressors of relationships, unresolved emotional conflicts, separation, work and finances can contribute to back pain See an Addiction Specialist for Medication dependence, Therapy, Yoga and Meditation Attend NA meeting ...Read more

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Why would my doctor prescribe me a steroid medicine to treat my hyperandrogenism?

Why would my doctor prescribe me a steroid medicine to treat my hyperandrogenism?

CAH: If he/she thinks there is a block in your ability to make cortisol (a steroid) you may have excess hair growth due to too much adrenal male hormone production (cah). Always ask the doctor why and what he/she suspects is the cause of the hyperandrogenism as excess male hormone may be due to many other causes besides cah. ...Read more

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I have chronic pain syndrome and on the medication suboxone.They refuse to give me sleeping medication. I have tried everything! &cant sleep.Now what?

I have chronic pain syndrome and on the medication suboxone.They refuse to give me sleeping medication. I have tried everything! &cant sleep.Now what?

Anxiety/ depression?: Often people with chronic pain have issues with anxiety and/or depression due to their health status. They report waking up in the night and not being able to go back to sleep. They also report that their mind is working overtime at night thinking about stuff they have no control over at the time. If this is the case, you may try a medication like zoloft (sertraline) and you may find you are sleeping better. ...Read more

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