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Thread: Will taking suboxone blacklist me?

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    depthoffield is offline Senior Member
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    Default Will taking suboxone blacklist me?

    Hi guys,

    Sorry if this question has been answered a million times before but I've googled it and used PR's search engine and can't find a definitive answer. So my question is, if I obtain a suboxone script from one doctor, will other doctors be able to see that I was previously on this? I'm concerned that I'll effectively be blacklisted by my primary care physician (who I will be regularly seeing once I get my insurance back on January 1st) from obtaining any controlled substances because he can somehow see (e.g. through some kind of database) that I was very recently on suboxone. Is this, in fact, possible even if I don't disclosed ever seeing this suboxone-prescribing doctor?

    Thanks in advance.
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    bostonurmyhome is offline Senior Member
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    [QUOTE=depthoffield;146892]Hi guys,

    Sorry if this question has been answered a million times before but I've googled it and used PR's search engine and can't find a definitive answer. So my question is, if I obtain a suboxone script from one doctor, will other doctors be able to see that I was previously on this? I'm concerned that I'll effectively be blacklisted by my primary care physician (who I will be regularly seeing once I get my insurance back on January 1st) from obtaining any controlled substances because he can somehow see (e.g. through some kind of database) that I was very recently on suboxone. Is this, in fact, possible even if I don't disclosed ever seeing this suboxone-prescribing doctor?

    Thanks in advance.[/QUOT

    I live in Florida and for us living here, the answer would be no. My friend went to her primary care whom prescribed her pain medicine due to her having some pain for woman issues, then her primary care referred her to the specialist she needed to go to and then that doctor prescribed her pain medicine. The doctors don't communicate with one another down here. Up north where I am from, this would never happen. Down here now, the problem comes from the pharmacies. The pharmacies can now look in their system to see if you have any other pain medicine being filled at other pharamacies, this is something new for Florida. If you have signed medical release forms at your prescribing doctor's office giving them permission to release your records to any doctor that requests them, then yes, any doctor will see what you were prescribed. So if the doctor your going to see asks you have you ever been treated for this before, he's going to ask the doctors name and information, but if you live in Florida he wont....I hope that helps you...
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    depthoffield is offline Senior Member
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    @bostonurmyhome

    Thanks for the quick and helpful reply. I'm from California and from reading up on things it seems like we do things similarly here in that pharmacies and insurance companies would be the main culprits in "outing" one's medical history. Doctors, to be honest, are often quite clueless from what I've seen in that they are sometimes recklessly ignorant in regard to their treatment plans (i.e. they know and could care less to know what's been going on with you outside their office).

    I'm still a little wary though because there are always the few stories that contradict this where doctors bust out a sheet with your entire medical/prescription history and treat you based on that knowledge. I obviously don't want to take that chance so any more knowledge and/or experience would be extremely helpful. My appointment with the sub doctor is tomorrow afternoon so I have until then to decide whether it's worth it to see him or not.

    Thanks again guys.

    *This post was auto-merged. The following text was added 19 minutes after the last post:*

    Upon further research I've discovered that California has a Prescription Drug Monitoring Program (PDMP) in place that doctors can access if they apply for it:

    "The California Department of Justice, Bureau of Narcotic Enforcement, CURES, has launched a Prescription Drug Monitoring Program (PDMP) system which allows pre-registered users including licensed healthcare prescribers eligible to prescribe controlled substances, pharmacists authorized to dispense controlled substances, law enforcement, and regulatory boards to access timely patient controlled substance history information."

    Bureau of Narcotic Enforcement - Cures Program - California Dept. of Justice - Office of the Attorney General

    So I guess it looks like if your practitioner feels the need to look you up then he or she can, but it doesn't come without cost and -- to some unknown extent -- inconvenience. Hmm...
    Last edited by depthoffield; 12-05-2011 at 11:01 PM.

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    Soon there is going to be a network for many states who want to be involved that any doctor or pharmacist and search and see all of your prescriptions etc, they did it to stop the "Pill Mill"s in FL (bogus pain clinics with Dr.s just handing out huge scripts to whoever basically)
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    Quote Originally Posted by depthoffield View Post
    Hi guys,

    Sorry if this question has been answered a million times before but I've googled it and used PR's search engine and can't find a definitive answer. So my question is, if I obtain a suboxone script from one doctor, will other doctors be able to see that I was previously on this? I'm concerned that I'll effectively be blacklisted by my primary care physician (who I will be regularly seeing once I get my insurance back on January 1st) from obtaining any controlled substances because he can somehow see (e.g. through some kind of database) that I was very recently on suboxone. Is this, in fact, possible even if I don't disclosed ever seeing this suboxone-prescribing doctor?

    Thanks in advance.
    I think you should assume that the future Sub Dr records will follow you around and Most Doc's will look at it Negatively. JMHO
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    Quote Originally Posted by Stevo1 View Post
    I think you should assume that the future Sub Dr records will follow you around and Most Doc's will look at it Negatively. JMHO
    It Sux but it's reality
    I think alot of it depends on the state your in, and if you use insurance or pay cash,If you are treated for substance abuse/mental heatlh these issues are not of accessable medical information unless you choose it.
    Unfortunatly to get sub treatment you have to say your an addict and then the insurance will have your records branded as such. I paid cash for office visit and meds and what is between me and sub dr is confidential.
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    The problem seems to arise at the pharmacy. Since pharmacies check for drug interactions (which is a good thing of course) they know all the doctors and all the rx's that you have ever been given...that is as long as you go to the same place all the time.

    I think your best bet would be to find a small mom and pop kinda pharmacy to take your suboxone rx to get filled, or at least take it to a completely different chain of pharmacy that you ususally deal with. Good Luck! These days, it seems like it's impossible to remain "offline" so to speak!

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    Subxone blacklisting you etc - I think I have the best psychiatrist around (he's an older gentlemen w/ a private practice) He subscribes me my Suboxone as well as 30 1mg Ativan, 30 1mg Klonopin and 30 1mg Xanax a month (only caveat he said is if I ever test positive for opiates he'll stop treating me) Gotta love liberal states.
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    My good friend has been on and off subs for 5 years. He also has lupus and has been able to get prescribed narcotics with no problems even after being on subs.

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    If every appointment and prescription was paid for in cash and one moved to another state or possibly just tried another doctor would that work? Another workaround I've though of is that after my accident I saw 1 doctor for 3-4 months and then switched to a different one closer to home who I ended up on subs with in the end. If I were to only bring the medical records from the first doctor and a pharmacy printout stopping at the date I stopped seeing the first doctor wouldn't that pretty much get it handled? As I said there was never any insurance involved whatsoever so hopefully that will help. ANy input would be appreciated

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    Quote Originally Posted by jimmyfingers View Post
    My good friend has been on and off subs for 5 years. He also has lupus and has been able to get prescribed narcotics with no problems even after being on subs.
    While there seems to be a lot of anecdotal or anticipated negative downside to having a medical record of Suboxone treatment, I have to say that I've never seen it become a problem one way or the other.
    On the one hand, if a patient has had a history of drug abuse and addiction, any physician treating them in the future needs to be aware of this. I can personally attest that, based on a recent hospitalization, my abuse history was openly discussed with hospital staff and there was no hesitation regarding heavy IV opioid and benzodiazepine prescribing. A rapid, successful taper was instituted post-discharge.
    On the other hand, if proper confidentiality measures are put in place, the patient can protect their Suboxone history even if medical insurance is used. This has to be thoroughly discussed and documented with the doctor when treatment is commenced.
    I don't believe anyone should avoid getting help with Suboxone if their habit is totally out of control based on something in the future that they've "heard" might happen.
    If anyone contributing to this discussion has actually experienced this type of negative backlash, I'd really like to hear details about it.
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    Subxone blacklisting you etc - I think I have the best psychiatrist around (he's an older gentlemen w/ a private practice) He subscribes me my Suboxone as well as 30 1mg Ativan, 30 1mg Klonopin and 30 1mg Xanax a month (only caveat he said is if I ever test positive for opiates he'll stop treating me) Gotta love liberal states.
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    One major problem is if you use insurance to pay for your pills and lets say you lose your job and insurance coverage. So you try and take out a new plan and you will be denied because you were on suboxone.

    I think the rules may have changed on this, but I am not sure.

    I don't see how a doctor could hold your suboxone treatment against you years later if you developed a serious painful illness.

    If you need the help with addiction issues, that should come first instead of thinking 'will some doc write me a script for hydrocodone if I have an earache"

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    Quote Originally Posted by alumni View Post
    While there seems to be a lot of anecdotal or anticipated negative downside to having a medical record of Suboxone treatment, I have to say that I've never seen it become a problem one way or the other.
    On the one hand, if a patient has had a history of drug abuse and addiction, any physician treating them in the future needs to be aware of this. I can personally attest that, based on a recent hospitalization, my abuse history was openly discussed with hospital staff and there was no hesitation regarding heavy IV opioid and benzodiazepine prescribing. A rapid, successful taper was instituted post-discharge.
    On the other hand, if proper confidentiality measures are put in place, the patient can protect their Suboxone history even if medical insurance is used. This has to be thoroughly discussed and documented with the doctor when treatment is commenced.
    I don't believe anyone should avoid getting help with Suboxone if their habit is totally out of control based on something in the future that they've "heard" might happen.
    If anyone contributing to this discussion has actually experienced this type of negative backlash, I'd really like to hear details about it.
    Reposting my experience.
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    I would do as a couple posters suggested. First, if any way possible, pay cash. Insurance is one of the easiest ways for both doctors and pharmacies to track your information. Using a small mom and pop pharmacy and NOT a chain store is also the best way to go. They will certainly be less likely to check or be able to check your prior prescriptions. MOST IMPORTANTLY, Remember to also use CASH to pay at the pharmacy.
    As far as other doc's being unwilling to prescribe pain medications to you in the future if they find out you've ever been prescribed suboxone....you may want to consider the prescribing policies of the suboxone clinics in your area. I know people who are prescribed suboxone under the assumption that IT IS a TYPE of treatment for Chronic Pain. At least around here, that is the guise that a lot of the doctors/clinics use when explaining what suboxone therapy is to the first time patient. It's described as being beneficial for people in different situations: people who never "needed" pain pills for a medical condition, but became addicted to them just to get "high" and now wish to stop taking them. ALSO is people who are chronic pain patients who need pain medication, but it has stopped working for in doses prescribed by their physician. SOme of these people may or may not have sought out additional pain medication sources to treat their pain, before realizing that traditional pain medications were simply no longer working for them. These people ARE TOLD that suboxone WILL HELP them with their chronic pain.
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    I love computers and the internet! The problem for people that take scheduled drugs is that our medication history is like a glass box. In the state where I live they keep an updated database of all people in the state that are taking scheduled medications.

    I am not sure exactly how it works, but I have a friend who tried to pay cash and not run a painkiller script through his insurance company. He had even taken the trouble to drive to a small mom & pop pharmacy 10-15 miles away from the large chain pharmacy where he gets the majority of his medication filled through his health insurance. At the chain pharmacy he had a Percocet script he had filled 1 week earlier from another docotor. The new mom & pop pharmacist told him that his computer was alerting him about the other Percocet script at the chain pharmacy and that he had filled it only a week earlier.

    The new pharmacist told him what he is doing is actually against the law. He told my friend he was not going to report him and handed the script back to him and suggested he tear it up or wait another 2.5 weeks and bring it back and only have 1 active Percocet prescription from one doctor.

    You have to be careful because LE and some pharmacies in some states call this doctor shopping. I am not sure if the mom & pop pharmacist would have filled say maybe a Hydrocodone script since they are not the exact same kind of pain med.

    It is hard to get away with anything these days as computers from the insurance companies to the large and small pharmacies seemed to be linked and can communicate with each other.

    I am not sure how doctors would view or consider current or past Suboxone use. I think you may find future doctors being much more conservative when writing scripts for pain medication. If you are in pain you will get some relief, but instead of leaving the ER with a script for 30 painkillers a past Suboxone patient may only get 8-10 pain pills. This is just the new way medicine and medication reporting is going to be moving forward in this country IMO.

    There may be some tricks to avoid what happened to my friend, but I would not take the risk of being arrested and charged with a felony!!!!
    Last edited by Gladheart; 01-14-2012 at 09:26 AM.
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    I wouldn't use the same pharmacy to fill the script, even a different branch in another location. They all have the same database of patients, so choose another pharmacy, it only takes a minute to fill out a paper as a new customer and better than having dr's called. Know from experience.

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    Quote Originally Posted by refriedbeans View Post
    I wouldn't use the same pharmacy to fill the script, even a different branch in another location. They all have the same database of patients, so choose another pharmacy, it only takes a minute to fill out a paper as a new customer and better than having dr's called. Know from experience.
    If you are in one of the nearly 40 states with an active prescription monitoring database, it doesn't matter where you try to fill the duplicate script.
    Exactly like the post before yours explained.

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    One thing to consider. Subs are also used to treat pain patients. It doesn't necessarily mean, it was prescribed for addiction.
    "My Dr. put me on subs a while for pain control"

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    I live in Tennessee and here I'm pretty sure the answer would be no as far as doctors offices go.. now pharmacies is another story altogether.. if you get 60 opanas today at Rite-Aid.. it would not be smart to try to hand a second script for 60 opanas to Walgreens tomorrow?

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