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Real members of MyChronicPainTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A MyChronicPainTeam Member asked a question 💭
Bristol, CT
August 17
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Answer Summary

Members explored why a doctor might refuse to prescribe tramadol and co-codamol together, with the most supported explanation being that... Read more

Members explored why a doctor might refuse to prescribe tramadol and co-codamol together, with the most supported explanation being that prescribing guidelines have tightened significantly compared to what older doctors once practiced. Several members shared frustration about being undertreated for chronic pain while feeling unfairly labeled as drug seekers, and one member with a background in drug treatment highlighted that stable opioid doses can be maintained without constant increases. A recurring theme was the emotional toll of living in serious pain with limited options, and one member found relief through therapeutic massage as an alternative approach.

A MyChronicPainTeam Member

I’m in Texas, and I know here the state is really tying the hands of the pain doctors about administering pain medication. I know they want to eliminate addicts, but we with pain are suffering.

September 3
A MyChronicPainTeam Member

AS and Osteo and all my PCP and Rheumy will let me take is Tylenol and and and an occasional Aleve.

August 25
A MyChronicPainTeam Member

@A MyChronicPainTeam Member Here's what I found." Past vs. Present: Your old doctor may have used older habits, but your new doctor must follow today's safety rules to protect your health.
Both can slow your breathing so they won't do both. Same happened with benzodiazepines. They won't combine them with opioids. They use to, no second thoughts.

August 21
MyChronicPainTeam

It can feel really frustrating when a new doctor takes a different approach to your pain management than what you were used to. There are a few common reasons this might be happening. Here are some possible reasons your doctor may be hesitant:

- Prescribing guidelines have tightened — Doctors are under increasing pressure Show Full Answer

It can feel really frustrating when a new doctor takes a different approach to your pain management than what you were used to. There are a few common reasons this might be happening. Here are some possible reasons your doctor may be hesitant:

- Prescribing guidelines have tightened — Doctors are under increasing pressure from regulators to limit opioid-based prescriptions, even for legitimate chronic pain patients
- They want to try other options first — Current guidance suggests opioids should only be used when other treatments haven't worked
- They don't know you yet — A new doctor may want to review your full history before continuing a previous prescription
- Insurance or formulary restrictions — Some insurers now limit which medications they'll cover and for how long The best step is to have an open, calm conversation with your doctor. Clearly explain how these medications have helped manage your pain and ask what their specific concerns are. If needed, ask your doctor to document the medical necessity and consider appealing to your insurer if coverage is the issue.

Don't give up — advocating clearly for yourself, with your history and facts in order, can make a real difference.

August 17
A MyChronicPainTeam Member

I worked most of my life with opioid dependent service users, The Drs were happy to prescribe buprenorphine upto 32mg per day and methadone dose up to 120mg a day (take home up to fortnightly after lengthy period of supervised in chemist.
I'm all for ensuring that that drug dependent people get enough medication to hopefully enable them to live a life worth living - yet, as pain patients sometimes we're treated as 'drug seekers' and our quality of life and individual choices re poss addiction, depth of breathing and drugs potentially stopping working are dismissed.
The Drs i believe are fortunately not suffering from chronic pain, often feeling suicidal because of it.
Moan over lol

September 4
Hi, this is just a check-in, based on a phrase you mentioned. If you — or anyone else who sees this — is thinking about self-harm, we want to say that you are an important part of this community. No part of this is easy, but there is support that can help. Read more >

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