Doctor has to keep the patient happy, can’t have bad reviews on pain management.

Aug 5, 2019
10:36:57pm

kotacoug All-American

Then patients get upset about underprescribing when they give opiates other people get upset about over prescribing. 🤷‍♂️

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kotacoug

Bio page: kotacoug
Joined: Jul 20, 2002
Last login: Sep 14, 2024
Total posts: 81,903 (4,756 FO)

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Messages

Author

Time

Need Drug Interaction Advice (Percocet/Dilaudid)

Whispers

8/5/19 9:49pm

What? No. Don't take both of them at the same time. You can tell us yours and your sister's weight if you want to tho

Slim

8/5/19 9:50pm

Why would they send her home with both?

Whispers

8/5/19 9:54pm

Take one or the other, not both.

PharmCoug

8/5/19 9:56pm

I don't know.

Slim

8/5/19 9:56pm

Better yet call the doctor on call for clarification.

Agnostic-alumni

8/5/19 10:02pm

Seems risky to follow anything you are told from randos on CB.

garyfan

8/5/19 9:51pm

Take ibuprofen plus percocet, if percocet alone is not working.

CougarAndMerlin

8/5/19 9:54pm

She is on a blood thinner as well so can not take Ibuprofen.

Whispers

8/5/19 9:58pm

<< Deleted >>

IGlowInTheDark

8/5/19 10:01pm

I wouldn't. Both are opioids. She can take Percocet and Ibuprofen at the same

Fatalplacebo

8/5/19 9:54pm

Can’t believe doctors are still prescribing this much opiate

claw

8/5/19 9:57pm

How much? He didn't say how many pills she was prescribed...

Slim

8/5/19 9:58pm

“This much”—you don’t even know the dose or how many were written

IGlowInTheDark

8/5/19 9:58pm

The doctor was probably doing Percocet and adding in dilaudid just for

credible HULK

8/5/19 9:57pm

If that was the case. She still can't take both at the same time, correct?

Whispers

8/5/19 10:03pm

Just stick with one until you can reach the doctor.

IGlowInTheDark

8/5/19 10:04pm

She can. I wouldn’t want to though. Dilaudid is heavy stuff. What are the

credible HULK

8/5/19 10:04pm

Dilaudid isn’t “heavy stuff”. All that’s gonna do is confuse him.

IGlowInTheDark

8/5/19 10:06pm

It is heavy in that a smaller amount of dilaudid gives you a big kick.

credible HULK

8/5/19 10:10pm

Potency is the word you're looking for.

IGlowInTheDark

8/5/19 10:20pm

Fair enough. I apologize for using the wrong word.

credible HULK

8/5/19 10:22pm

I don't need an apology, just don't give irresponsible advice.

IGlowInTheDark

8/5/19 10:23pm

Both are immediate release opiates that are used for breakthrough pain

mobius

8/5/19 10:04pm

Good call. You’re probably right.

credible HULK

8/5/19 10:07pm

Doctor has to keep the patient happy, can’t have bad reviews on pain management.

kotacoug

8/5/19 10:36pm

Dilaudid has ER version

MatthiasG

8/6/19 5:50pm

Dilaudid is the brand name for immediate release hydromorphone

mobius

8/6/19 7:44pm

Yep. He didn’t specify much & often referred to by brand name despite generic

MatthiasG

8/6/19 10:05pm

Pick one and only take that one.

IGlowInTheDark

8/5/19 9:57pm

Make sure it is not diclofenac

Agnostic-alumni

8/5/19 9:58pm

Percocet and dilaudid is a very dangerous combination. Diclofenac and Percocet

Agnostic-alumni

8/5/19 9:58pm

toggle them throughout the day

BlueFrog

8/5/19 9:59pm

No this is dangerous advice

Agnostic-alumni

8/5/19 10:01pm

Don’t do that

IGlowInTheDark

8/5/19 10:05pm

<< Deleted >>

MMCougIII

8/5/19 10:07pm

This is potentially life-threatening stuff. You probably should not be asking

Agnostic-alumni

8/5/19 10:11pm

Every single answer is to not take both - it’s common sense advice

cougfanz

8/5/19 10:20pm

Pick one, take that one as directed. It's not rocket science.

IGlowInTheDark

8/5/19 10:22pm

How long have you two been physicians

Agnostic-alumni

8/5/19 10:23pm

11 years but given my work schedule I claim 20

cougfanz

8/5/19 10:25pm

I have 20 years. You honestly think it's safe to solicit advice here?

Agnostic-alumni

8/5/19 10:26pm

Sure. Seems safer than taking Percocet and dilaudid prescribed by some PA

cougfanz

8/5/19 10:28pm

Well for sure but one of the posters said to toggle the scripts and if you read

Agnostic-alumni

8/5/19 10:30pm

I printed a DNP certificate before I replied in the thread.

IGlowInTheDark

8/5/19 10:26pm

What took longer? Printing it, or completing the coursework?

Backcountry

8/5/19 10:30pm

Haha. Ugh. So true

cougfanz

8/5/19 10:36pm

She refers to herself as doctor? Whoa..

Backcountry

8/5/19 10:39pm

<< Deleted >>

Albuquerque Coug

8/6/19 8:45am

I'm a murse. It was a self-own.

Backcountry

8/6/19 8:59am

I'm a pharmacist and late to this conversation.

quackaddict

8/5/19 10:59pm

And whoever the pharmacist was that dispensed those should have counseled you.

quackaddict

8/5/19 11:10pm

I really liked your answer. Well said.

TO11

8/6/19 8:12am

Follow the instructions on the bottles, maybe start w/ 1/2 dosages. The bottles

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