Hi and a vent

[sandi1016]

Hi, Some of you may know me from the spine board. I post at a couple of different boards and the last few days, I have been reading a few posts by someone who is basically advocating "chewing " oxycontin to patients, telling them that it is no different than taking two IR oxycontins/oxycodones at once.....:mad:
I tried to explain to him that he is giving out misinformation that could cost someone their lives, and is irresponsible in that, it is incorrect information and could result in someone being kicked out of their pain management program due to altering the delivery method of their medication....not to mention the physical dangers chewing pain medication that presents.....
Am I the only one who sees posts like that as a problem? I can't be and it is frustrating me to no end to see this poster advocate that chewing this medication is no different...I can imagine a new poster showing up and reading that and thinking, well I can just chew two IR pills instead of taking the ER formulation..:eek:
Anyone have any suggestions to get this poster to see that advocating chewing pain medication is not a good idea?
I'm not even sure why this is bothering me so much, but it is.....
Thanks for your help,
Sandi

[911]

thats should definatly NOT be something anyone advocates coz some of those pills are 40 or more mg , that would be 8 count them eight oxycodone pills so not good ,,,,,,,,,,, to much no good, but plenty ok

[sandi1016]

Thanks 911. I had to back out of the thread because he just is adament and someone is going to do what he says and wind up dead or in the hospital if they are lucky.
I just don't get being irresponsible like that and recommending a course of action like that to anyone.
It's hard enough for us that have to use pain medication to function in our daily lives, without having someone post irresponsible information like that , that can seriously injure or kill someone.
I appreciate the ear.....there is little that upsets me but for some reason that type of post does.
Sandi

[Mark N]

Sandi, it should not be done in any circumstance. If it is someone that has been a part of BT in the past I know who it is because we got into here at BT as he was advocationg the same thing. This guy on here at the time saw himself as all knowing about medication and he did have alot of knowledge but he also advocated dangerous practices. Too many people were listening to his advice on their medication and what to do with it such as chewing or cutting long acting opiates not realizing that most people don't understand the danger they face with these acts.

I am glad you got in on it and at least offered a dissenting voice. That person will be lucky if they aren't tracked down by the police and charged with a terrible crime as the result of the harm someone suffered due to his advice.

[sandi1016]

Hi Mark,
I think you might be right. I do believe that I have seen the screen name before here.
He may know alot about medication but he does not realize /care that what he is advocating is dangerous. :rolleyes:
I said what I had to say to him and I hope that those who read the thread will understand what he is saying can and will hurt someone.
Sigh.......I just hope that no one is willing to follow his direction.
I can't believe that his priority is the "high" from medication that he feels he should get and advocating doing something that is highly dangerous....
Ah, I did what I could, and have to hope that it is enough.
Sandi

[lobelsteve]

My recommendation is the same as the black box warning from the manufacturer:

OxyContin TABLETS ARE TO BE SWALLOWED WHOLE AND ARE NOT TO BE
BROKEN, CHEWED, OR CRUSHED. TAKING BROKEN, CHEWED, OR
CRUSHED OxyContin TABLETS LEADS TO RAPID RELEASE AND
ABSORPTION OF A POTENTIALLY FATAL DOSE OF OXYCODONE.

If a patient I was treating admitted this to me, I would refer them to the addictionologist and would be obligated to end opioid treatment as part of their care. Using a medication inconsitent with safety labelling and varying from the prescription puts your life in jeopardy and my ability to prescribe that class of medication (any narcotic) for you at risk. No patient is worth the loss of a DEA registration of sanction by a medical board.

Opioids are not a right, but they are considered an essential medication for the public common good. Their use in chronic nonmalignant pain is still controversial and if enough bad apples spoil it for the legitimate pain patients, the government has no problem seeing to it that the use of opioids for chronic nonmalignant pain becomes greatly restricted.

The posts are best deleted and the user who posted them needs to be warned, counselled, or banned. The risk to the forum for spreading dangerous and misleading claims in direct opposition to the legal prescribing rules can place the owners/moderators/sponsors into a legal SNAFU.

[sandi1016]

I totally agree with what you are saying Lobelsteve. I in no way condone what he is saying, and haven't sat back and just pretended that it wasn't said. I did try to inform him that what he is saying/advocating is in direct opposition to the prescribing information on Oxycontin, but he apparently believes he is "correct" and that there is no harm done.I disagree with him and stated that.
It's not my forum, although I did report his posts, who knows what will happen with that. It just distresses me that someone can post that type of misinformation.
I will hope that that particular forum's administrator decides to delete those particular posts from him and have a private talk with him about posting like that.
Thanks for your advice.
Sandi

[BrokenBladder]

Sandi,

I completely agree with you. We are all given specific instructions on how to take our pain meds and to have someone advocate abusing them is just plain crazy!! There is a serious risk of death if you take Oxycontin after the pill has been broken as it sends dangerous amounts of the opiate directly into the body.
I don't know the person you speak of, but I sure would like to find that thread and put my two cents worth in!!

[debhun]

I think this person should be beaten and hung out to dry. That is not good just as you all have said. Now with that said I do have something to tell. My X couldn't Swallowed a pill. he did chewed every thing. from tabs to cab's. I know he did this for 48 years of his life. I don't know what he dose now.

[sandi1016]

Sandi,

I completely agree with you. We are all given specific instructions on how to take our pain meds and to have someone advocate abusing them is just plain crazy!! There is a serious risk of death if you take Oxycontin after the pill has been broken as it sends dangerous amounts of the opiate directly into the body.
I don't know the person you speak of, but I sure would like to find that thread and put my two cents worth in!!

Thanks Lisa. It's scary how that kind of stuff can be put out there and we all know that when you are looking for answers, you tend to search forums looking for answers. That is what makes those kind of posts so dangerous.
Especially for someone who is new to taking any kind of opiate, to see that kind of "advice"..heck for anyone taking pain medication.
It's not on this forum, it's another back pain forum, one that I belong to since my own journey began. I've kind of stayed away from there lately and when I checked it the other day, was surprised to see someone posting that kind of "information", so I responded.
Sandi

[sandi1016]

I think this person should be beaten and hung out to dry. That is not good just as you all have said. Now with that said I do have something to tell. My X couldn't Swallowed a pill. he did chewed every thing. from tabs to cab's. I know he did this for 48 years of his life. I don't know what he dose now.

My daughter doesn't swallow pills well either, but she is not allowed to chew something that isn't supposed to be chewed either, I will ask for a liquid for her if it's available.
I just don't want to see someone get hurt by reading that stuff he posted and find themselves in a dangerous situation or thrown out of their pain management program because they listened to that type of "advice".
It's posts like that one that make doctor's question their patients, patients not be able to recieve medication that they need......it creates problems all over.....

[911]

great topic sandi , thanks for bringing it up again i dont think it can be said enough and thanks steve for your input , your being here on this baord is invaluable and by the way sandi i shoulda signed out as ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,Dave ,,,,, aka,,,,,,911

[sandi1016]

Thanks Dave. I agree, it is nice to have Steve's input as well as everyone else's.
Sandi