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Lied to by Doc "I Think"
#1
Hello,

Without going into detail I broke my leg and caught a painful blood clot... I seen a doc that upped a dose of xarelto and would not prescribe a pain pill because it interferes with the xarelto...

I called BS and searched for the interactions and come up with aspirin as a no-no because of bleeding but nothing on opioids mind you I take aspirin and he said nothing about stopping it... So do you think this Doc is lying or do you have info that he is right???

Thanks for sharing...
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#2
Most doctors have no idea what any medications do. They do or don't prescribe based on popular consensus among their colleagues or outside pressures. It's a shame the level of ignorance to their profession. I could prescribe better than most doctors.
"Man is a universe within himself" Bob Marley
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#3
(03-01-2018, 05:41 PM)Skink Wrote: Hello,

Without going into detail I broke my leg and caught a painful blood clot... I seen a doc that upped a dose of xarelto and would not prescribe a pain pill because it interferes with the xarelto...

I called BS and searched for the interactions and come up with aspirin as a no-no because of bleeding but nothing on opioids mind you I take aspirin and he said nothing about stopping it... So do you think this Doc is lying or do you have info that he is  right???

Thanks for sharing...
Howdy Skink,
Xarelto shouldn't be taken with any NSAID because of the increased bleeding risk, but is okay to take with opioids (as long as the opioid isn't partnered with an NSAID, of course).  Since most opioids are partnered with acetaminophen, there was no contraindication present and you should have been good to go. Your doc certainly sounds like he is shoveling it if he lets you stay on aspirin, while telling you that pk narcotics are contraindicated with Xarelto. I would question him again about the whole thing. Regards,  RM
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#4
I Accepted his BS,,, stopped my daily aspirin and made another order ...

Thank you for the input!!!
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#5
A lot of doctors, rightly or wrongly, react negatively if you ask for stronger pain relief, particularly opioids. I suffered agony for 5 days in hospital with a severe post operative infection due to a resistance to up pain medication to the level I obtained any comfort. It was an ongoing battle for a prolonged period and I only got relief when I was eventually prescribed morphine, even then there was resistances any time I asked for more pain relief. Madness really, I know you have to be careful of abuse but if you have a patient clearly in distress and pain, why would you not do what you can to relieve that suffering?
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#6
(03-02-2018, 06:54 PM)Skink Wrote: I Accepted his BS,,, stopped my daily aspirin and made another order ...

Thank you for the input!!!
YW. Very happy that you are off the aspirin, at least. I know what you mean when you say that you accepted his BS, of course. Been there so many times.  RM
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#7
Thank you Rafterman,,, To be fair the doctors here have their hands tied by the government ... The medical profession like politicians save their hide first then ours... My doctor did give me a compression sock that relieved some distress and if his butt was not on the line he probably would of gave me something for the pain,,, he explained to the student he was mentoring how painful my situation could be but still denied me...
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#8
(03-17-2018, 09:18 AM)Skink Wrote: Thank you Rafterman,,, To be fair the doctors here have their hands tied by the government ... The medical profession like politicians save their hide first then ours... My doctor did give me a compression sock that relieved some distress and if his butt was not on the line he probably would of gave me something for the pain,,, he explained to the student he was mentoring how painful my situation could be but still denied me...

Absolutely agree, Skink. It is hard to blame anyone who is operating under potential penalty of law, for simply trying to keep his job. Some people forget that being a doctor is a job and I don't know any layperson who would report to work and intentionally get themselves fired. That said, I know there are circumstances where a doctor has to stick his neck out a bit in attempt to simply do what is morally right. Like helping a person who is in pain. Example..kidney stones. I have had problems with them for decades. The old ER protocol was to do a CT. If they spot one in one of your ureters, they hung a back of [email=Dil@udid]Dil@udid[/email]. If they decided to send you home to pass it, you left with 15 Oxy 5/325's. That was better than nothing. The new protocol when they send you home is Flowmax and Ibuprofen. They are playing CYA while people are trying to take down kidney stone pain with Ibuprofen. Totally get where you are coming from and feel bad for you.  Regards, RM
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