A question for the doctors

[Bill Murray]

On occasion I'll check out the provincial College of Physicians and Surgeons (the self-regulating body for local sawbones) and they have a section where you can see which doctors have been naughty and faced disciplinary action. The most common cause for a spanking is that they entered into a relationship with a patient which is a no-no for all sorts of good reasons but a close second is the improper prescribing of medications for themselves which of course is also verboten. But what I don't understand is that some of the drugs being self-prescribed make no sense at all. I'd understand benzo's or "z-drugs" like zopiclone (narcotics are bit more difficult given they are often a triple prescription meaning easier to track/trace illicit use) but one doc was writing fake scripts for gabapentin, a PPI and Contrave. The gabapentin and Contrave I kind of understand as there's a slight potential for abuse but a PPI?

I'm sure I could go into any walk in clinic staffed by some sketchy doc from Whogivesafuckistan and be prescribed any of those meds with zero issues. Why risk your medical license for something easily obtained?

 

[ZeroK]

Good question, some PPI's are even OTC here in the states. Can't imagine there's a black market for them and they can't get u high. If ur going to write an illicit Rx do it for a med that's in demand

 

[(G.O.A.T.) Tubemonkey]

Stop bothering them, they're at the drive through picking up their weekend scripts

 

[j.f.🔎]

the improper prescribing of medications for themselves

This is very stupid, get another doctor to write it while you write his.

 

[SPHINCTERPUNCH]

Good question, some PPI's are even OTC here in the states. Can't imagine there's a black market for them and they can't get u high. If ur going to write an illicit Rx do it for a med that's in demandView attachment 586332

Send some over;I'd luv to try some
"FUKITOL"
LMAO,🤣...SP

 

[Flatus Tube]

Gabapentin and pregabalin are both fully scheduled controlled drugs in the UK. There’s a big black market for them. It would be daft for any doctor to self prescribe a CD.

The UK’s GMC rules are old school and state doctors can’t self-treat or treat friends/ family. However, it is legal to do so but the GMC have the ability to suspend a doctor or strike them off the register if they wish.

In the past my colleagues and I did reasonable private scripts for each other for things like antibiotics so we didn’t have to take time off work.

Lots of doctors I know have self prescribed but it’s getting easier to be caught out so it’s not done as much now. It’s not a sensible idea.

 

[Damo0666™️]

Gabapentin and pregabalin are both fully scheduled controlled drugs in the UK. There’s a big black market for them. It would be daft for any doctor to self prescribe a CD.

The UK’s GMC rules are old school and state doctors can’t self-treat or treat friends/ family. However, it is legal to do so but the GMC have the ability to suspend a doctor or strike them off the register if they wish.

In the past my colleagues and I did reasonable private scripts for each other for things like antibiotics so we didn’t have to take time off work.

Lots of doctors I know have self prescribed but it’s getting easier to be caught out so it’s not done as much now. It’s not a sensible idea.

I used to sell prescription drugs many years ago and pregabs were in high demand the top ones that people always wanted were 10mg diazepam tablets (blues) temazepam 10mg, nitrazepam 5mg, Zopiclone 7.5mg and pregabalin 75mg...

I was known as the chemist many years ago lol I used to hand out more tablets than the local pharmacy 🤷‍♂️ I sometimes used to take them as well and those pregabs fuck you up real bad 🤣

 

[Bill Murray]

There’s a big black market for them.

Really? What sort of abuse? I have ~1000 50mg pregabalin capsules at home, pharmacy price is $0.25/each....maybe I have a goldmine if sold on the street!

Lots of doctors I know have self prescribed but it’s getting easier to be caught out so it’s not done as much now. It’s not a sensible idea.

An electronic record is kept in Netcare (the provincal EHR) of the prescription for all scheduled drugs and there are tools built into the system to identify abuse, over prescribing, etc. Its supposed to make doctor shopping more difficult but I know of a few people who are still able to get their pill fix but hitting up multiple clinics.

I used to sell prescription drugs many years ago and pregabs were in high demand the top ones that people always wanted were 10mg diazepam tablets (blues) temazepam 10mg, nitrazepam 5mg, Zopiclone 7.5mg and pregabalin 75mg...

I was known as the chemist many years ago lol I used to hand out more tablets than the local pharmacy 🤷‍♂️ I sometimes used to take them as well and those pregabs fuck you up real bad 🤣

Never sold pills but do have a complicated history with zopiclone that ended somewhat poorly for me. I clearly had an addiction, I still take it but as directed and not self-medicating.

I've had different benzos prescribed over the years and was on lorazepam for an extended period a few times but never had an issue in kicking them. Would just stop cold turkey with no ill effects. I rather enjoy benzos and could see myself developing a problem if I had unfettered access. Same with opioids although when prescribed those I was very judicious in what I took.

I'm currently on a prescription of pregabalin 100mg TID (only taking it BID) and it provides moderate relief to the neuropathic pain but I have zero side effects, neurologic or otherwise. Same when I was briefly on gabapentin. I'd kind of liked it if they would fuck me up a little bit.

 

[Damo0666™️]

Never sold pills but do have an interesting history with zopiclone that ended somewhat poorly for me. I clearly had an addiction, I still take it but as directed and not self-medicating.

I've had different benzos prescribed over the years and was on lorazepam for an extended period a few times but never had an issue in kicking them. Would just stop cold turkey with no ill effects. I rather enjoy benzos and could see myself developing a problem if I had unfettered access. Same with opioids although when prescribed those I was very judicious in what I took.

I'm currently on a prescription of pregabalin 100mg TID (only taking it BID) and it provides moderate relief to the neuropathic pain but I have zero side effects, neurologic or otherwise. Same when I was briefly on gabapentin. I'd kind of liked it if they would fuck me up a little bit.

I've always found it easy to stop taking tablets no matter how addictive they are, the thing i found the hardest to quit even harder than street drugs was Methadone 🤷‍♂️ I was fucked up on drugs for a long time but eventually got myself clean from everything including cannabis and tobacco....

My addiction started from me going to raves and parties in the late 90s we would all take ecstasy or amphetamine and then when we got home after partying for 12 hours and on a bad come down some of us would smoke a few lines of heroin or take a few sleeping tablets and as the partying became an every day thing so did the heroin use and then months later I didn't go out for a couple of nights and that's when I realised I was hooked on heroin...

Then what followed were the worst 14 years of my life but I've been clean for over 6 years now and have everything I could ever want

 

[Bill Murray]

I've always found it easy to stop taking tablets no matter how addictive they are, the thing i found the hardest to quit even harder than street drugs was Methadone 🤷‍♂️ I was fucked up on drugs for a long time but eventually got myself clean from everything including cannabis and tobacco....

My addiction started from me going to raves and parties in the late 90s we would all take ecstasy or amphetamine and then when we got home after partying for 12 hours and on a bad come down some of us would smoke a few lines of heroin or take a few sleeping tablets and as the partying became an every day thing so did the heroin use and then months later I didn't go out for a couple of nights and that's when I realised I was hooked on heroin...

Then what followed were the worst 14 years of my life but I've been clean for over 6 years now and have everything I could ever want

I never had any physical issues with the zopiclone addiction, just social & financial.

Alcohol was by far what caused the most problems for me. I started drinking early and I really enjoy booze. I'm was the one is not enough and twelve is too many kind of drunk. I'm also a very friendly drunk who's enjoyable to be around when lightly pissed. I drank with customers a lot as part of my career and drank more when by myself. Cost me a lot, fucked up a couple relationships and likely did damage to my body.

 

[Damo0666™️]

I never had any physical issues with the zopiclone addiction, just social & financial.

Alcohol was by far what caused the most problems for me. I started drinking early and I really enjoy booze. I'm was the one is not enough and twelve is too many kind of drunk. I'm also a very friendly drunk who's enjoyable to be around when lightly pissed. I drank with customers a lot as part of my career and drank more when by myself. Cost me a lot, fucked up a couple relationships and likely did damage to my body.

I never really got in to drinking, I mean don't get me wrong i do enjoy a drink now and then and sometimes I get steaming drunk, but I was never one who drank every day 🤷‍♂️ when I was younger and I used to go to raves and parties I used to take ecstasy pills and when on ecstasy you don't really drink alcohol just water..

But sometimes when I went to nightclubs I wouldn't take pills and would drink instead but I always had a better night when not drinking, see on ecstasy people are all loved up and just want to dance and have a good time whereas drunks get rowdy and want to fight
This is the kind of raves I was going to, I went to hundreds of raves and parties from 1997 until about 2009

 

[Gone crazy back soon]

I'm not a doctor nor medically trained beyond EMTB from 20 years ago and no longer practicing but the odd black market prescription drug I've seen abused is seroquel commonly used with Lamictal to treat bipolar disorder. The people I've known to abuse it use it to force themselves to sleep after being up for days on crystal meth. I'm curious if any of the medical professionals in our community here have encountered this situation.

 

[Bill Murray]

I'm not a doctor nor medically trained beyond EMTB from 20 years ago and no longer practicing but the odd black market prescription drug I've seen abused is seroquel commonly used with Lamictal to treat bipolar disorder. The people I've known to abuse it use it to force themselves to sleep after being up for days on crystal meth. I'm curious if any of the medical professionals in our community here have encountered this situation.

I was put on a lowish dose of Seroquel while in hospital to help deal with some post procedural anxiety. I've stayed on it as I think its made my overall mood better, or at least made me a little more chill.

But ya, there are all sorts of meds that are used for off label reasons. I was on amitriptyline for a while that was prescribed for sleep, worked well enough but left me with a sort of hangover effect the following morning so I went back to imovane.

 

[Rick James]

There’s a magazine for psychotherapists in california that i used to get - The Therapist. My favorite part of the magazine was the section in the back that gave summaries of shrinks that had their licenses suspended/terminated. Each one had a few paragraph description. The most common one was for DUI’s, where they were put on probation and no longer allowed to help people with substance abuse. The second and third most common ones were for hooking up with clients, and insurance fraud. Here’s the summary of the best one i ever read: The therapist started working with a couple, and recommended that they each come in individually, as well as together (we commonly do that). He began hooking up with the wife in their sessions. That wife began coming over to his house. One time he left her at his house… and while gone… she committed suicide in his house!

 

[Bill Murray]

That wife began coming over to his house. One time he left her at his house… and while gone… she committed suicide in his house!

Thats going to make for a shitty ratemds review

 

[Flatus Tube]

Really? What sort of abuse? I have ~1000 50mg pregabalin capsules at home, pharmacy price is $0.25/each....maybe I have a goldmine if sold on the street!


An electronic record is kept in Netcare (the provincal EHR) of the prescription for all scheduled drugs and there are tools built into the system to identify abuse, over prescribing, etc. Its supposed to make doctor shopping more difficult but I know of a few people who are still able to get their pill fix but hitting up multiple clinics.


Never sold pills but do have a complicated history with zopiclone that ended somewhat poorly for me. I clearly had an addiction, I still take it but as directed and not self-medicating.

I've had different benzos prescribed over the years and was on lorazepam for an extended period a few times but never had an issue in kicking them. Would just stop cold turkey with no ill effects. I rather enjoy benzos and could see myself developing a problem if I had unfettered access. Same with opioids although when prescribed those I was very judicious in what I took.

I'm currently on a prescription of pregabalin 100mg TID (only taking it BID) and it provides moderate relief to the neuropathic pain but I have zero side effects, neurologic or otherwise. Same when I was briefly on gabapentin. I'd kind of liked it if they would fuck me up a little bit.

In high doses pregabalin causes a ‘spangled’ high. Some feel super calm, some slightly euphoric and others get a high verging on ketamine. But it reacts differently with different people. I tried taking 600mg in one dose a long time ago. I got sparkly visual effects and felt ‘high’ but not in a way I enjoyed. I used to have it for nerve pain but after a couple of weeks I couldn’t ejaculate! Like I lost all pleasurable sensations during sex (which is a fairly common side effect in men and women I’ve found in patients). Not a side effect I wanted after recently starting testosterone therapy and getting my libido back to teenage boy levels 😂. I now just take 30mg amitriptyline as the dopamine effect also helps my ADHD. I take it 2 hours before bed which stops the morning fatigue.

In the UK, pregabalin was being sold for £1 per capsule for 150 or 300mg. That was actually cheaper than the NHS tariff cost at the time before the patent expired! Substance addicts often use it to self treat their anxiety or to augment their high (particularly opiates).

 

[Anjelica]

On occasion I'll check out the provincial College of Physicians and Surgeons (the self-regulating body for local sawbones) and they have a section where you can see which doctors have been naughty and faced disciplinary action. The most common cause for a spanking is that they entered into a relationship with a patient which is a no-no for all sorts of good reasons but a close second is the improper prescribing of medications for themselves which of course is also verboten. But what I don't understand is that some of the drugs being self-prescribed make no sense at all. I'd understand benzo's or "z-drugs" like zopiclone (narcotics are bit more difficult given they are often a triple prescription meaning easier to track/trace illicit use) but one doc was writing fake scripts for gabapentin, a PPI and Contrave. The gabapentin and Contrave I kind of understand as there's a slight potential for abuse but a PPI?

I'm sure I could go into any walk in clinic staffed by some sketchy doc from Whogivesafuckistan and be prescribed any of those meds with zero issues. Why risk your medical license for something easily obtained?

The only thing I can think of... that the guy was desperate for some pain relief from one hell of an ulcer/stomach cancer. The over the counter stuff is for short term relief but something like protonix would heal it if it is an ulcer and ole jack here doesn't want to take time for an endoscopy.

 

[whiteboyopie]

I've always found it easy to stop taking tablets no matter how addictive they are, the thing i found the hardest to quit even harder than street drugs was Methadone 🤷‍♂️ I was fucked up on drugs for a long time but eventually got myself clean from everything including cannabis and tobacco....

My addiction started from me going to raves and parties in the late 90s we would all take ecstasy or amphetamine and then when we got home after partying for 12 hours and on a bad come down some of us would smoke a few lines of heroin or take a few sleeping tablets and as the partying became an every day thing so did the heroin use and then months later I didn't go out for a couple of nights and that's when I realised I was hooked on heroin...

Then what followed were the worst 14 years of my life but I've been clean for over 6 years now and have everything I could ever want

 

[Graziani]

Drink 6 pack beer and you Will be fine

 

[Ellzibette]

I've been on lots of drugs. I have PTSD so as a user I can see how many of these things can get abused.

Seroquel can fuck you up. I stopped taking it because it fucks you up so much. Once I was in the UK and it blacked me flat out on the tube and I woke up who knows how long later not knowing where I was or how I got there. I don't even know if I was asleep, I just lost a huge chunk of time completely. It also made me hallucinate. I threw in the towel when I was in the shower and saw all the letters on the shampoo bottle jump off and scurry down the drain. Crazy drug that one.

Gabapentin, which I take now, has done wonders for my anxiety. But in large doses I can see how it might mellow you out to a "high" kind of level. I hate feeling high so I have never done it, but I can see it happening.

I've also taking PPI's, I don't know why someone would abuse those honestly. I have esophageal issues secondary to all the shit I deal with so upper endoscopies sometimes result in sometimes meds, sometimes not.

Wellbutrin caused me cognitive issues. I particularly had problems with speech and language recognition. I'd be in the middle of talking and completely forget a word I needed to express something. Maybe that's like being "high" to some people.

I've taken many SSRIs, but had to come off of them because I guess my dosage or my length of use or both caused serotonin syndrome. I was all disoriented and my muscles started twitching like crazy so I was admitted to the hospital for a week to detox them out of my system....which was a miserable experience....but now I am on an SNRI so I guess that must be different enough in some way because I don't have those symptoms. But again, for someone who doesn't need them, I can see how SSRIs could be abused.

Contrave I really don't understand being abused. You can trick doctors into giving you just about anything so when this first came out I had a prescription for it.....bad to give someone with body dysmorphia but all you have to do is conjure up some symptoms (like power slamming high sugar/fat/sodium foods before a blood test that requires a fasting period) and engineer a little unexplained weight gain and bam, you get a prescription. It absolutely does make you not want to eat.....I never felt hungry. But it also makes you constipated as fuck. So not sure why someone would abuse this....well I guess I did actually abuse it, so maybe all these doctors who do have eating disorders.