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	<title>Comments on: do pain manangement doctors check a prescription history?</title>
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	<link>http://www.aubenades.org/drug-abuse-narcotics/do-pain-manangement-doctors-check-a-prescription-history/</link>
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		<title>By: Gov't Mule</title>
		<link>http://www.aubenades.org/drug-abuse-narcotics/do-pain-manangement-doctors-check-a-prescription-history/#comment-4399</link>
		<dc:creator>Gov't Mule</dc:creator>
		<pubDate>Fri, 30 Oct 2009 17:44:59 +0000</pubDate>
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		<description>Yeah with the new database they can do it very easy. And yeah they usually do.  Some places will even put you on a random urine test to make sure you have the opiates in your system and that you&#039;re not just selling them at first.  It&#039;s best to just be up front with them if you want them to help you.  If you are just trying to score they will nail you.  I&#039;ve been in a pain management program for several years.&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;</description>
		<content:encoded><![CDATA[<p>Yeah with the new database they can do it very easy. And yeah they usually do.  Some places will even put you on a random urine test to make sure you have the opiates in your system and that you&#8217;re not just selling them at first.  It&#8217;s best to just be up front with them if you want them to help you.  If you are just trying to score they will nail you.  I&#8217;ve been in a pain management program for several years.<br /><b>References : </b></p>
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		<title>By: US_DR_JD</title>
		<link>http://www.aubenades.org/drug-abuse-narcotics/do-pain-manangement-doctors-check-a-prescription-history/#comment-4398</link>
		<dc:creator>US_DR_JD</dc:creator>
		<pubDate>Fri, 30 Oct 2009 17:17:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.aubenades.org/drug-abuse-narcotics/do-pain-manangement-doctors-check-a-prescription-history#comment-4398</guid>
		<description>It can really depend on the history of physicians seen by the patient.  If the patient comes from a single source, and has not seen multiple providers in the past it is usually not necessary to screen a presciption history.  However, there are some patients who &quot;doctor shop&quot; to obtain multiple narcotic prescriptions.  If a patient has multiple presciptions, giving them high level pain medications could result in inadvertant overdose.  So in those cases a presciption history is required.  

The decision to screen a patient is made based on the actions of the patient and is not a routine, but is sometimes required.

It is a policy of our clinic that a patient select a pharmacy, and our prescriptions are pharmacy specific.  They are non-transferable.  This maintains the ability to provide the medication without repetitive screening.  However, on occasion, we do have the staff screen histories, and have the patient sign releases so that we can contact all the area pharmacies for information.

It is unfortunate, but is necessary to provide safe care.&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;Pain Management/Headache Specialist</description>
		<content:encoded><![CDATA[<p>It can really depend on the history of physicians seen by the patient.  If the patient comes from a single source, and has not seen multiple providers in the past it is usually not necessary to screen a presciption history.  However, there are some patients who &quot;doctor shop&quot; to obtain multiple narcotic prescriptions.  If a patient has multiple presciptions, giving them high level pain medications could result in inadvertant overdose.  So in those cases a presciption history is required.  </p>
<p>The decision to screen a patient is made based on the actions of the patient and is not a routine, but is sometimes required.</p>
<p>It is a policy of our clinic that a patient select a pharmacy, and our prescriptions are pharmacy specific.  They are non-transferable.  This maintains the ability to provide the medication without repetitive screening.  However, on occasion, we do have the staff screen histories, and have the patient sign releases so that we can contact all the area pharmacies for information.</p>
<p>It is unfortunate, but is necessary to provide safe care.<br /><b>References : </b><br />Pain Management/Headache Specialist</p>
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		<title>By: Marissa&#38;Mike</title>
		<link>http://www.aubenades.org/drug-abuse-narcotics/do-pain-manangement-doctors-check-a-prescription-history/#comment-4397</link>
		<dc:creator>Marissa&#38;Mike</dc:creator>
		<pubDate>Fri, 30 Oct 2009 17:04:59 +0000</pubDate>
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		<description>no. Sometimes they will ask you to bring a print out from ur pharmacy, but that&#039;s it.&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;</description>
		<content:encoded><![CDATA[<p>no. Sometimes they will ask you to bring a print out from ur pharmacy, but that&#8217;s it.<br /><b>References : </b></p>
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		<title>By: AL</title>
		<link>http://www.aubenades.org/drug-abuse-narcotics/do-pain-manangement-doctors-check-a-prescription-history/#comment-4396</link>
		<dc:creator>AL</dc:creator>
		<pubDate>Fri, 30 Oct 2009 16:42:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.aubenades.org/drug-abuse-narcotics/do-pain-manangement-doctors-check-a-prescription-history#comment-4396</guid>
		<description>It is important to know what medications the patient has been taking or could possibly still possess since severe and fatal drug interactions, especially with pain medications, are possible. E.g. see death of Heath Ledger&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;http://en.wikipedia.org/wiki/Heath_Ledger#Death</description>
		<content:encoded><![CDATA[<p>It is important to know what medications the patient has been taking or could possibly still possess since severe and fatal drug interactions, especially with pain medications, are possible. E.g. see death of Heath Ledger<br /><b>References : </b><br /><a href="http://en.wikipedia.org/wiki/Heath_Ledger#Death" rel="nofollow">http://en.wikipedia.org/wiki/Heath_Ledger#Death</a></p>
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