Doctor insights on:
Psychiatrist Prescribe Medications 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
Not on HealhTap: Any chronic illness or pain should be managed by a face-to-face encounter with a provider that knows all about you. HealthTap only allows those that prescribe medications to do so to treat acute illness or manage problems until proper follow up is arranged. Further, only very mild, non-opioid pain meds can be prescribed by the system and only then for short periods of time. ...Read more
Yes: Pain affects all aspects of one's life. In chronic situations, pain may have devastating effect on a patient's emotional well-being. A psychiatrist or a psychologist can help patient deal much more effectively with depression, anxiety, etc. They can also help with improving patient's coping skills. ...Read more
Pain: The causation of physical pain depends on how long what part of body etc need to talk to pcp. ...Read more
A lot of mysterious musculoskeletal pains. Suspects to be chronic pain syndrome. Should I see neurologist, psychiatrist, pain management, rheumatolog?
I advise you see a holistic/integrative MD to determine the underlying causes. I would suspect chronic Lyme disease, which is common in NY but often not properly diagnosed. Even if not Lyme a holistic MD will do a thorough evaluation and refer you to appropriate specialists.
See http://www. Lymedisease. Org/lyme101/lyme_disease/lyme_disease. Html
and http://www. Abihm. Org/search-doctors ...Read more
Is morphine useful in the treatment of chronic pain? I have chronic pain in my legs of unknown source. Psychiatrist believes it's depression related.
Yes and no: Morphine is an addictive medicine that is usually used when everything else has not worked. Depression can exacerbate pain and also be underlying cause in some patients. I recommend you work in conjunction with your psychiatrist as well as a pain specialist to come up with a treatment plan that works for you that is lowest risk of addiction. ...Read more
I was prescribe Oxycodone HCL 10mg for chronic pain. Was does HCL means? Can I safely cut the pill in half with a pill cutter?
In general, scored..: ..tablets can always be split in half. Oxycodone 10 mg. Does have scoring (line down middle of pill) so yes you can split it with a pill cutter. If the tablet is not scored then, although it can be cut with a pill cutter and many people may do this, the pill should NOT be cut. Check with your pharmacist or physician but in this case you should be able to split the pill. ...Read more
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
No controlled drugs: We do not prescribe controlled substances via telemedicine, sorry. ...Read more
Can you suggest a means to get my doctor to prescribe narcotic pain meds for my very real chronic pain?
Ask: For a referral to a chronic pain specialist for evaluation. ...Read more
I've had chronic pain in my neck for years, would my physciatrist prescribe me pain meds to help with neck? Acupuncture/chiro didn't help.
Probably not: It is unlikely that a psychiatrist would prescribe pain medications. See your primary care doctor and try to get alternative treatments and not narcotics. ...Read more
I have Ehlers-Danlos Syndrome and take chronic pain med's how do I get my doc to prescribe a med for the intense daily pain EG morphine? Thank you! :)
Chronic Pain: The treatment of chronic pain is complex and the best methods depend on the exact reason for your pain. Most of the time opioids such as morphine are NOT a good solution for chronic pain. Most patients build tolerance and can even become addicted. Speak with your doc who knows you best! Many times physical therapy and stretching help the most. ...Read more
I have chronic pain in my back. With metal rods. Need a docter to prescibe my ultrams to me. And nurotins?
Need in-person: Prescriber for Ultram, an opioid/controlled substance. Think you can get Neurontin/gabapentin from Concierge or Prime doc though. I can only imagine how bad it is. Try to stay mobile, exhaust physical therapy & try out alternative care like acupuncture & massage. Do you have a Pain specialist/Anesthesiologist locally that you can visit? What state are you in? ...Read more
Is there any reason a chronic pain patient should not be prescribed immediate release medication for breakthrough pain?
NoReason/MD'sChoice: There is no reason why chronic pain patients should not be prescribed immediate release pain meds and these are often prescribed. But what medicine and for whom it is prescribed is the decision made by the treating physician who knows what kind of pain Medication is indicated in particular case ...Read more
Chronic pain medication side effects, after getting prescribed tramadol and codeine. Is it normal to feel 'hung over' the day after taking them?
My dr prescribed me cymbalta (duloxetine) to go along with citalaptam for depression and chronic pain. Is there ant other drug to try. Cymbalta (duloxetine) way out of my price?
Lilly Cares: If rhe Cymbalta (duloxetine) is working ffor you, go online and look up eli lilly which is the company that makes the ball to. They have a program called "lilly cares" to help provide the medicine for people otherwise can't afford it and who benefit from it. Alternatively, they also have coupons online for reducing the ongoing price you pay every month when you pick it up. ...Read more
I am prescribed Ultracet (tramdol and acetaminophen) for my chronic pain. I take 3 tablets per day. Since, this medication is not a narcotic, will it cause me constipation?
Possibly: Ultracet (tramdol and acetaminophen) is a combination of a narcotic and acetaminophen (Tylenol). It may or may not cause you to develop constipation and if you do you will deal with it. Every time a doc prescribes a course of therapy there a risk/benefit or on the one hand but on the other hand argument. You as the patient have to decide if the pain relief out ways the constipation if you develop it. ...Read more
I am prescribed Ultracet (tramdol and acetaminophen) for my chronic pain. I take 3 tablets per day. Since this is not a narcotic, will this medication/dosage cause constipation?
Ultracet (tramdol and acetaminophen): While Ultracet (tramdol and acetaminophen) is technically NOT a narcotic, it is what they call an "opiate analog." This means it works similarly to opiates (or narcotics) in treating pain, but doesn't have a lot of the undesirable effects, like dependence, loss of judgment, etc. However, it CAN cause constipation. Now, only 3 per day is low, and if you take a laxative or stool softener while using it, you should be fine. ...Read more
Depends: Depends on your diagnosis, the severity of functional impairment as a result of the diagnosis, and the urgency you and the psychiatrist feel about improvement. For example, schizophrenia is almost impossible to treat w/o meds but most instances of mild to moderate depression can be treated without meds unless u feel u don't have time or insurance for therapy, or need relief faster than therapy. ...Read more
Can a psychiatrist see and prescribe medication to calm down a severly cognitively impaired teenager who screams all day?
Yes: Very often, psychiatrists have to resort to meds to help taking care of uncontrollable behaviors like constant screaming in severe cognitively impaired patients. Reassurance, thorough medical work up, environmental interventions and search for the ultimate cause is very important too. Ask your dr, psychiatrists will help a lot. Good luck. ...Read more
Is it ethical for my prescriber to delay refills of ongoing medications? I've been seeing my psychiatrist for 12 years. He's had the same assistant during this time. His assistant is the one about whom I am inquiring. Over the last 12 years the asst. Ha
Refill. May need f/u: The condition which comes to my mind under which I would not refill a long-term patient would be if I had not seen the patient for an extended period of time. You see, the physician must ensure the medication (s) prescribed and dosing continue to be safe and appropriate. ...Read more
Many: Benadryl (diphenhydramine) or melatonin can be enough for some people and those you can get without prescription. Trazodone helps many people. I have also used Amitriptyline and doxepin. Seroquel is sometimes used. It is very sedating, but has many potential side effects. Mirtazepine is another antidepressant that is usually sedating, but not used just for sleep ...Read more
How many sessions of therapy do you have to attend before a psychiatrist will prescribe medication for anxiety?
That really depends: On the doctor, the patient's symptoms and the scenario. Medications are some times prescribed at the initial session. I sometimes wait to prescribe medications to see how the patient is responding to psychotherapy. Medications might not be indicated. A medical workup might proceed medications. Take care. ...Read more
A psychiatrist: Is a medical doctor, he ma prescribe any medication he pleases ...Read more
Could you tell me what type of medication can a psychiatrist prescribe for someone who has clinical depression?
My friend is experiencing depression and he refuses to go to doctors. Can psychiatrists do interview and prescribe medications to him on healthtap?
VideoConsult: ON HEALTH TAP PRIME. You can help your friend to connect with HT prime. Good luck ...Read more
Can any physician prescribe medication for adhd? I've called multiple psychiatrists in my area and they are all booked until next month.
Yes, assuming comfor: While many ADHD/ADD medications are controlled substances, most duly trained & certified physicians w/appropriate DEA licensing are allowed to prescribe whatever they please, assuming that they're comfortable doing so. Many Family Doc prescribe ADHD/ADD medications in concert & follow up w/psychiatrists once diagnosis made/confirmed. Check w/your Family Doc or General Internist. ...Read more
Do psychiatrists prescribe benzodiazepines with Adderall (dextroamphetamine and racemic amphetamine) or just ADHD stimulant medications?
Benzos and ADHD: This is not a usual combination. Benzodiazepines are antianxiety medications and may cause sedation countering the effect of adderall (dextroamphetamine and racemic amphetamine). If anxiety complicated your adhd or is contributed to by adderall (dextroamphetamine and racemic amphetamine), considering an alternative to Adderall (dextroamphetamine and racemic amphetamine) should be discussed with your prescriber. ...Read more
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