1.) ASAP - Good dosing overlaps versus Poor dosing...

From: Helen Dynda (olddad66@runestone.net)
Thu Sep 27 20:14:44 2001


** American Society for Action on Pain (ASAP) **

1.) Good dosing "overlaps"...vs...Poor dosing has "spaces" at dose time: Meds LEAVE the body

http://www.asappain.com/home-1.html

[] Your Human Right to ADEQUATE pain medication!

Doctors: The URL to this web page is at: http://www.widomaker.com/~skipb/home-1.html No doctor would tell his patient to have "long spaces" between doses of insulin for sugar; so why would they tell patients to have "long spaces" between doses of pain medicine?

[] The State of Florida wrote to its doctors saying: "large doses, if documented, may be neccessary to control severe pain. Extended therapy may also be needed to alleviate chronic pain." And "...It is legitimate medical practice for physicians to prescribe controlled substances for the treatment of pain, including intractable pain... Concerns about regulatory scrutiny should not cause physicians to be reluctant to prescribe or administer dangerous and controlled substances, including Schedules II-V drugs as provided for in Florida Statutes s.893.03, for patients with legitimate medical needs. Physicians need not fear administrative actions when prescribing dangerous drugs and controlled substances to patients in their care for a pathology or condition when the prescription is issued after a good faith examination and there is medical indication for the prescription." (Yet, if "the police" go to a doctor there pretending to be a pain patient, with FILMS "proving their painful condition" and then send that doctor to jail for treating it, that is a violation of not only Florida law, but everything our Constitution stands for! And THAT's what has happened in Florida because of corrupt law enforcement.) The Florida Letter (Click on "Florida Letter" at the above website) went on to say: "Predetermined limits should not be placed on dosages or length of drug therapy."

[] Dr. Frank Fisher has said:

"We are in the midst of a paradigm shift concerning widely held beliefs within our society about opioids. For the last century opioids have been demonized as the ultimate evil and this mythology has been the basis for our current war on drugs. Recently medical science has overturned this mythology; however belief systems are slow to change and initially the scientific view is treated as heresy. It was no different in Gallileo's time. This time law enforcement rather than the church is conducting the witch hunt."

"Dr. Moore's decision not to prescribe Schedule II medication is rational when viewed as a means of self protection and it echoes the behavior of most of the profession. Morally, choosing not to prescribe schedule II medication because of regulatory oppression is repugnant and despicable. It is similar to the behavior displayed early in the AIDS epidemic when many doctors refused to treat those victims. A physician who puts his own well being ahead of the needs of his patients is an impostor. Frank B. Fisher MD"

And THAT IS WHY this web page is here to help YOU the Intractable Pain Patient to find the relief you need and have a Human Right to have! "Failing to provide narcotics and Under-Treating pain, is a 'Medical Crime.'"

Here we want to show you all we can about "dosing" as far as we laymen can go there, although you'll need "professional help" to arrive at this level of pain control by working with a doctor who isn't afraid of the DEA and State Medical Board. Once you understand this kind of dosing you can take that to your doctor and get started on a much better regimen for treating your pain, or check with the State Pain Reps (Click on "State Pain Reps" at the above website.) and get help in finding a doctor who will help you in your State. Also, the "long acting" medicines that do last for 12 hours early on, when the patient is NEW to the medication, later stop lasting that long and rather than dosing them twice a day they need to be done at least 3 times a day. Most good pain doctors know that already. Once you get used to it, you may find that it could last from 5 to 8 hours at the most, so work with your doctor to get it just right! In the same area is the "Pain Patch." Most of our members on it have to change it every 48 hours, NOT every 72 like the package says. Indeed if you look at their own chart you'll see it wares off at around 48 hours. IF your doctor can get you balanced on them that is a great way to control pain. So once the patient is used to it the change must be done every two days rather than every 3 days! Keep that in mind as you read this info below. This could be a good page to have on hand when you talk to your doctor about dosage:

How & Why pain is under treated in America

Many doctors are only willing to give their patients 30 pain pills per month if that. I've received many of those "30 pill" prescriptions myself over the years. It's "pure torture" and now is against the rules of the Medical Community so you need not take that kind of treatment from anymore! That's just one pill per day, (4 hours of pain control out of 24 and it really will not do that since you need several doses to "build up" to real pain control. See Charts below. This point is why tens of thousands are dying every year over under treated pain: Under dosing. The chart below shows how pain should be treated if one is using the short acting medicines that are really just "4 - 6 hour pills" (4 hours for most people). Since it takes TEN of my pills to control my pain, (I take TEN PILLS EVERY 4-6 HOURS), it may take more than you're getting now to control yours. And if you are put on the "long acting" pills that the drug company says lasts for 12 hours - but they only last for 8 in YOUR system - then it should be DOSED EVERY 8 HOURS! Or every 5 or 6 or how ever long it really lasts in YOUR system. After they get used to them many patients find that the long acting pills only last 6 to 8 hours for them, and their doctors dose it that way! So if you are on "only" 6 of the four hour pills per day, you are still way below many other pain patients. If you are getting only one or two pills per day, then maybe 6 of the four hour pills MIGHT work for you. Depending on what it takes to control your pain, that's how your doctor should arrive at a dosage for you and it's called "Titrating" the medicine to fit the patient's pain and body. But nobody should be getting less than 6 pills or 6 doses per day if they arein severe pain and using the four hour pills. In what other kind of "medicine" would the patient be told to take only ONE four hour pill every 24 hours? None. This shows what happens when "the police" are given control over some technical subject that th ey know nothing about. It's why we now have new rules for doctors that just started on January 1, 2001, demanding that pain be evealuated and then treated right! See the Joint Commission's new rules. Would a heart attack victim be "under treated?" Would a patient be told to take only one dose of insulin per day, when he knows he needs more to avoid a coma? No. What insanity would justify such madness? Only the War On Drugs could ever bring about such a crazy result and once you see what your doctor is up against it will be easier for you to work with him and get the medication you need. Each 12 hours requires 3 doses, and each 24 hours would then require 6 doses, like this chart as we look at the four hour pills:

GO TO THE ABOVE WEBSITE (and scroll down) TO SEE THIS CHART: PROPER 24 HOUR DOSING FOR 4 HOUR PILLS!!

If it's "too much" the patient can tell and "back off" just a little until patient and doctor can get the dosage just right working together. Each "dose" whether it's one pill, or 10 pills at a time like I take, could be taken just a little bit before the previous dose wares off like this "Overlap" in the chart if you are looking at a 12 or 24 hour period. You'll need to keep a record of when your pain begins to come back so you'll know how long a dose works in your body. The upward sweep indicates the pain medicine taking effect over time in your body, and staying "up" to that level for the four hours at a time before it starts to come down. If your pain starts to come back at say 2 hours, then you need to tell your doctor because you'll need stronger medicine to work with. As it begins to drop, the next dose is taken in time to get it into the system before the previous dose is gone, like this:

[ GO TO THE ABOVE WEBSITE (and scroll down) TO SEE THIS CHART!! ]


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