why would my doctor do this?

[Elite_Fry]

i was on this prescription drug and i told him it wasnt working to well, so he said he would prescribe me a stronger drug.
but i just found out the new drug he gave me is weaker than the first one
why did he do this?

 

[RADAR]

He fuked you man! its all in your head


RADAR

 

[westsnoop]

Looking for a placebo effect?

 

[GoldenDelicious]

i was on this prescription drug and i told him it wasnt working to well, so he said he would prescribe me a stronger drug.
but i just found out the new drug he gave me is weaker than the first one
why did he do this?

tell me what drugs for what condition, and ill tell you straight whats going on. too many possibilities atm

there may be delays though, my beauty sleep has culminated in tonight and im going ooooooooouuuuuuuuuuutttttttt

 

[Elite_Fry]

tell me what drugs for what condition, and ill tell you straight whats going on. too many possibilities atm

there may be delays though, my beauty sleep has culminated in tonight and im going ooooooooouuuuuuuuuuutttttttt

i get bad back pain

he gave me Mersyndol Forte

The last lot he gave me where Di-Gesic

 

[GoldenDelicious]

mersyndol forte:
paracetamol: 450mg
codiene phosphate: 30mg
doxylamine succinate: whatever mg

di-gesic:
paracetamol: 325 mg
Dextropropoxyphene: 50mg

now, dextro is 30% less potent than codiene on a mg to mg basis, and in many people is of the same potency. so, worst case scenario, the digesic has the equivalent of about 35mg codiene per tab, and may have the equivalent of 50mg per tab

now lets get something straight: paracetamol is weak as piss compared to any of the opiates. so dont even think about teh paracetamol dosage. at the end of the day, effectiveness of the tablet is going to come from the opiate

also, those drugs are dose limited by the paracetamol dose in each tab. with mersyndol, max dose is 2 tabs at once, which = 900mg paracetamol and 60mg codiene. digesic is max 3 tabs at once, which = 975mg paracetamol and 150mg dextro (which is equal to 115-150mg codiene...which is a LOT more codiene)

so your assumption that the digesic is weaker is incorrect.

also, the mersyndol contained a VERY sedating antihistamine, and he may have wanted to take taht out of your regimen, OR he may have wanted to give you the dextro because its half life is different to that of codiene, OR he might think that the codiene is not being metabolised in your body (10-15% of the poulation lack this enzyme, i think its cyp 450 1a2) and therefore inneffective as an opiate analgesic

so there you go.

 

[Elite_Fry]

all i know is when i took 2 of the digesics i would get some pain relief for the mersynodol i get none (i took 2 2 hours ago and just took 2 more then).. so maybe taking more than the prescribed dosage will do something

but looks like im gonna have to go back to see him within the next few days

 

[BUBBLES]

He was just trying the drugs out for the first time on you.

 

[GoldenDelicious]

all i know is when i took 2 of the digesics i would get some pain relief for the mersynodol i get none (i took 2 2 hours ago and just took 2 more then).. so maybe taking more than the prescribed dosage will do something

but looks like im gonna have to go back to see him within the next few days

ooooooooooh wait i misread it, its the other way around - you had the digesic first?

oh. in that case yes, it is weaker, but has sedative in it

he either wanted to try the sedative, or trial you on lower dosed painkillers to see if you could get away with a lower dose and fewer sides

if it isnt working, get in touch with him by phone, and get him to fax the new script to the pharmacy so that you dont waste time or money on another consult

cheers

 

[*MissFit*]

drugs work differently on everyone..

 

[Elite_Fry]

omfg its bad tonight
im gonna have to take enuf of these so itll make me pass out till tomorrow

 

[bullett]

mersyndol forte:
paracetamol: 450mg
codiene phosphate: 30mg
doxylamine succinate: whatever mg

di-gesic:
paracetamol: 325 mg
Dextropropoxyphene: 50mg

now, dextro is 30% less potent than codiene on a mg to mg basis, and in many people is of the same potency. so, worst case scenario, the digesic has the equivalent of about 35mg codiene per tab, and may have the equivalent of 50mg per tab

now lets get something straight: paracetamol is weak as piss compared to any of the opiates. so dont even think about teh paracetamol dosage. at the end of the day, effectiveness of the tablet is going to come from the opiate

also, those drugs are dose limited by the paracetamol dose in each tab. with mersyndol, max dose is 2 tabs at once, which = 900mg paracetamol and 60mg codiene. digesic is max 3 tabs at once, which = 975mg paracetamol and 150mg dextro (which is equal to 115-150mg codiene...which is a LOT more codiene)

so your assumption that the digesic is weaker is incorrect.

also, the mersyndol contained a VERY sedating antihistamine, and he may have wanted to take taht out of your regimen, OR he may have wanted to give you the dextro because its half life is different to that of codiene, OR he might think that the codiene is not being metabolised in your body (10-15% of the poulation lack this enzyme, i think its cyp 450 1a2) and therefore inneffective as an opiate analgesic

so there you go.

I'm IMPRESSED!

 

[KillahBee]

Because a doctor's job is to make money. There is no money in curing somebody.

 

[GoldenDelicious]

I'm IMPRESSED!

why? any other pharmacist will say the same thing

 

[EnderJE]

Because he's trying to kill you and get with your girl?

 

[Lestat]

i wouldn't say either of those is "weaker" they have slightly different effects. The Dr. is just trying something new to see what works for you.

 

[GoldenDelicious]

omfg its bad tonight
im gonna have to take enuf of these so itll make me pass out till tomorrow

HANG ON dont take any more of the drugs tahn you have been prescribed, if you take too much paracetamol you can poison your liver and need a transplant in the next week!!

MAXIMUM 8 of those tablets TOTal in any one day, in at LEAST 4 divided doses!!

 

[RADAR]

I hate it when a Dr uses his patients for experementation
I hate it more to spend 80 bucks for shit that will make me sick or else.
Now when i see him i demand something i've tried before that works.
When i ask for Darvocet i expect Darvocet.

RADAR

 

[GoldenDelicious]

I hate it when a Dr uses his patients for experementation
I hate it more to spend 80 bucks for shit that will make me sick or else.
Now when i see him i demand something i've tried before that works.
When i ask for Darvocet i expect Darvocet.

RADAR

your doctor has a duty of care to give you the right drug, for the right condition, to achieve the right therapeutic outcome. that duty of care includes reevaluating past therapy, and choosing the drug with the best ratio of therapeutic benefits to side effects.

while it might be appropriate in the patients mind taht they receive, for example, Darvocet their knowledge of medicine is miniscule compared to their health professional, and they should abide by the doctors decision, because frankly the doctor/pharmacist is weighing up aspects of the case that the patient has no concept of, and is acting in their best interest.

the reevaluation of therapy that health professionals do, whilst sometimes off the mark, optimises therapy, and is completely neccessary.

patients who try to tell me how to do my job piss me off. pharmacists dont get a hundred grand a year to count pills and stick stickers on. its a bit more complicated than taht. and while we're at it, if you mofos are ready to wait 1 hour at the doctors surgery, you can bloody well wait a similar amount of time for a pharmacist to double check that the doctor did the right thing.

cheerios

 

[Elite_Fry]

your doctor has a duty of care to give you the right drug, for the right condition, to achieve the right therapeutic outcome. that duty of care includes reevaluating past therapy, and choosing the drug with the best ratio of therapeutic benefits to side effects.

while it might be appropriate in the patients mind taht they receive, for example, Darvocet their knowledge of medicine is miniscule compared to their health professional, and they should abide by the doctors decision, because frankly the doctor/pharmacist is weighing up aspects of the case that the patient has no concept of, and is acting in their best interest.

the reevaluation of therapy that health professionals do, whilst sometimes off the mark, optimises therapy, and is completely neccessary.

patients who try to tell me how to do my job piss me off. pharmacists dont get a hundred grand a year to count pills and stick stickers on. its a bit more complicated than taht. and while we're at it, if you mofos are ready to wait 1 hour at the doctors surgery, you can bloody well wait a similar amount of time for a pharmacist to double check that the doctor did the right thing.

cheerios

goldendelicious r u a doctor? orwork in pharmacy?

 

[GoldenDelicious]

pharmacist you nut, what did you think?

 

[Elite_Fry]

pharmacist you nut, what did you think?

can pharmacists write out prescriptions?
and do u ever steal medicine?

 

[GoldenDelicious]

can pharmacists write out prescriptions?
and do u ever steal medicine?

no pharmacists dont write scripts

and no, i dont steal medication. my medical needs start and end with a bit of telfast, a couple of sleeping pills here and there, and something to get rid of the headaches i get form dealing with idiots

when i start my multi million dollar speed lab, ill be sure to post it here for you

 

[RADAR]

your doctor has a duty of care to give you the right drug, for the right condition, to achieve the right therapeutic outcome. that duty of care includes reevaluating past therapy, and choosing the drug with the best ratio of therapeutic benefits to side effects.

while it might be appropriate in the patients mind taht they receive, for example, Darvocet their knowledge of medicine is miniscule compared to their health professional, and they should abide by the doctors decision, because frankly the doctor/pharmacist is weighing up aspects of the case that the patient has no concept of, and is acting in their best interest.

the reevaluation of therapy that health professionals do, whilst sometimes off the mark, optimises therapy, and is completely neccessary.

patients who try to tell me how to do my job piss me off. pharmacists dont get a hundred grand a year to count pills and stick stickers on. its a bit more complicated than taht. and while we're at it, if you mofos are ready to wait 1 hour at the doctors surgery, you can bloody well wait a similar amount of time for a pharmacist to double check that the doctor did the right thing.

cheerios

altho you are right insome cases.
But when i injure myself and pain meds are required i'm not gonna pussyfoot around and play lets try this & that.

I'm not telling the Dr how to do his job ,i know after trying a variety what suits me and what doesn't

RADAR

 

[GoldenDelicious]

altho you are right insome cases.
But when i injure myself and pain meds are required i'm not gonna pussyfoot around and play lets try this & that.

I'm not telling the Dr how to do his job ,i know after trying a variety what suits me and what doesn't

RADAR

sometimes you dont. like i said, sometimes you cannot conceptualise the problems taht may arise when using certain drugs in the same individual, over time. new conditions present themselves, or worsen with time/age. and sometimes, doctors just dotn have time to explain what they are doing to their patients, because really, patients are flat out leaving the office knowing which drugs to take and when, let alone the pathophysiology of their conditions and the rationalisations the doctor has made to come up with a solution to your particular problem.

for example, you may have been using something like voltaren for years, some stage say somethign to your doctor that makes him suspect or be wary of something like a stomach ulcer, and so he may say 'try xxxx drug and see how you go' so as to find out if he can achieve the same analgesia without worsening a suspected stomach condition.

or he may see that you are exhibiting some signs of liver impairment, and rather tahn sit tehre and scare teh shit out of you by saying 'hey, your liver might be fucked, i want to put you on xxxx drug instead of your normal yyyy drug, that doesnt metabolise into a liver toxin while i check it out'. scaring the shit out of your patients is easy to do - its why i highlight the important bits of the leaflet taht comes with drugs, so that the patients dont read the whole thing and see all of the sideeffects that can turn up, freak out and not take tehir drugs.

the considerations taht a health professional takes when making one scummy decision would take an hour to explain to a layman. it isnt in anyones interest to do so, as it isnt in anyones interest for a patient to second guess their doc. what it comes down to is taht you need to find a doctor that you trust to be working in your interest, then shush and do what they say.

cheers

 

[Elite_Fry]

okay i went back to the doctor today
and he has given me TRAMADOL HCL 200MG
goldendelicous is this a good drug?
thanks

 

[RADAR]

sometimes you dont. like i said, sometimes you cannot conceptualise the problems taht may arise when using certain drugs in the same individual, over time. new conditions present themselves, or worsen with time/age. and sometimes, doctors just dotn have time to explain what they are doing to their patients, because really, patients are flat out leaving the office knowing which drugs to take and when, let alone the pathophysiology of their conditions and the rationalisations the doctor has made to come up with a solution to your particular problem.

for example, you may have been using something like voltaren for years, some stage say somethign to your doctor that makes him suspect or be wary of something like a stomach ulcer, and so he may say 'try xxxx drug and see how you go' so as to find out if he can achieve the same analgesia without worsening a suspected stomach condition.

or he may see that you are exhibiting some signs of liver impairment, and rather tahn sit tehre and scare teh shit out of you by saying 'hey, your liver might be fucked, i want to put you on xxxx drug instead of your normal yyyy drug, that doesnt metabolise into a liver toxin while i check it out'. scaring the shit out of your patients is easy to do - its why i highlight the important bits of the leaflet taht comes with drugs, so that the patients dont read the whole thing and see all of the sideeffects that can turn up, freak out and not take tehir drugs.

the considerations taht a health professional takes when making one scummy decision would take an hour to explain to a layman. it isnt in anyones interest to do so, as it isnt in anyones interest for a patient to second guess their doc. what it comes down to is taht you need to find a doctor that you trust to be working in your interest, then shush and do what they say.

cheers

oooohhh! Hush! lol!
I'll ride my bike the way i want!
RADAR

 

[juiceddreadlocks]

i would think that it would be your responsibility to be autonomous, and second guess things, learn about every decision he asks of you...

 

[chewyxrage]

no pharmacists dont write scripts

and no, i dont steal medication. my medical needs start and end with a bit of telfast, a couple of sleeping pills here and there, and something to get rid of the headaches i get form dealing with idiots

when i start my multi million dollar speed lab, ill be sure to post it here for you

How difficult would it be for you steal meds?

 

[GoldenDelicious]

okay i went back to the doctor today
and he has given me TRAMADOL HCL 200MG
goldendelicous is this a good drug?
thanks

lol youre going to like tramadol

How difficult would it be for you steal meds?

truthfully, it depends on what type, and the pharmacy that the pharmacist is working at. in the vast majority of pharmacies, the abuse drugs like the opiates are tied down very tightly, with independent agencies coming and checking stock (which is good). as for other drugs...just like anything else, id say. there are always ways to cheat a system, but it would depend on how good the accountant was in picking it for what it was. in quantity, it just isnt going to happen. its just like any other retail store.

there are many pharmacists who thought that they were more clever than everyone else and are now deregistered. its just not worth it, really. you shutup, work, get paid well, and invest. no need to do dodgy stuff

 

[Elite_Fry]

the doc recons i should only take a max of 2 a day because you feel the effect for 12 hours

i talked to him about the forte and he was really suprised when i told him they were less effective than the digesic. cos he said they were a much a stronger drug.

 

[GoldenDelicious]

the doc recons i should only take a max of 2 a day because you feel the effect for 12 hours

i talked to him about the forte and he was really suprised when i told him they were less effective than the digesic. cos he said they were a much a stronger drug.

looks like you respond very differently to codiene and dextro

it happens...

oh and tramadol is a serious drug. be careful, dont get addicted.

 

[Elite_Fry]

lol youre going to like tramadol

i dont think the tramadol works for me ! arghhhhh