I live in the U.S., first off.

I was prescribed a narcotic following a minor surgery. I’m not going to say what kind of surgery that was and please don’t ask. I’ll just go ahead and say that the prescription was for hydrocodone/acetaminophen 5-35. I’m worried about having been prescribed this because I know there’s a state-wide electronic system used to monitor all prescriptions—accessible by all doctors, pharmacies, etc. anywhere else in my state—and I know that system is used to flag people for prescription drug abuse. I also know that medications like this are highly frowned upon by the healthcare system itself and even more so by the authorities. I assume it’s entirely possible that I look suspicious according to that system now.

I’ve only taken a three pills so far, out of ten total. If I take the other seven back to the pharmacy to have them destroyed, they’ll make a record of that, I would imagine.

What I mean is that I could just stop taking them now but never tell anyone that, and anyone looking at my medical history in the future would see that I picked up ten pills from the pharmacy, and that’s all they would see, and so I took the entire script as far as they know; whereas if I take the other seven back, and they make another entry in their records about that, that’s in effect like plus ten and then minus seven, and that way I would theoretically have three pills counted against my medical history instead of ten; right?

I could be way overanalyzing this, but frankly, I’m already terrified to take another one anyway. I honestly don’t like how they make me feel, which is good, but it would be just my luck that I’d take one more pill and start liking it immediately. I know what happens to people who end up liking this stuff, and how easy it is to end up liking it; I’ve seen it. It’s also that I’m still relatively young, and my health’s already bad enough at this point as it is, that I already know they’ll eventually put me in the ground with at least one major surgery, and I don’t want to have to get through that with ibuprofen because I’ve already blown it.

  • Apytele@sh.itjust.works
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    7 months ago

    Source: am psych RN and have lots of experience with ppl who are actually abusing drugs.

    Yeah you’re thinking about this waaaaaaaay too hard. PDMP is basically just a record that’s open to interpretation. One script from one doctor for 10 of an opiate looks fine and makes sense, especially if you also report the medical history of having had a surgery that year.

    What they’re looking for for signs of abuse is things like:

    • lots of different doctors (shopping around)
    • one doctor but in obscene quantities or doses (pill mill, also the patient will need to be tapered, depending on the drug cold turkey could kill them).
    • a drug that is different than the one they found on testing, so for instance you have a script for Adderall but there’s no Adderall in your pee but there is oxy. That means you probably sold it or traded it for the oxy.

    TLDR; Ten pills once is chump change.

    • _dev_null@lemmy.zxcvn.xyz
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      7 months ago

      Ten pills once is chump change

      When I was a patient at the VA pain clinic for a couple years, I could fart ten pills on any given day.

    • some_guy@lemmy.sdf.org
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      7 months ago

      Don’t listen OP! They’re gonna bash through your front door any second now and haul you away to some gulag!

      Jk, you’re fine.