Topic

CAN A PRIVATE DOCTOR PRECRIBE METHADONE MONTHLY?

I had a $200 heroin addiction before doing a voluntary rapid detox in a hospital and then going into a methadone maintanence treatment clinic. I have been steady four years at 110 mg methadone and clean from any other drugs since. I just moved to a different state Florida and previously had all my records sent to a clinic on the pretext they were going to honor my "phase" earned at the prior clinic and give me a month of take home medication. Once I showed up they changed all that and are making me dose on a daily basis. I have to drive three hours every morning to dose and they say it could take years at their clinic to get the earned phase to take home a months' supply. A nurse told me that my transfer should be just like a prescription and I should have received the same amount of medication I had been getting in Tennessee. I would like to quit the clinic altogether and see a private physician.Can a private doctor write me a prescription of 110mg of methadone on a monthly basis for my needs? If not is there a recourse to take on the position of the clinic?

2014-12-04 03:20:08

Amy

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Formula's answer is only partially correct. The Harrison Act has was passed 80 or so years ago making it illegal to prescribe narcotics for the prevention of withdrawal or treatment of opiate dependence. In the early 1970s an exception was passed allowing clinics to prescribe methadone under very strict guidelines-- including rules on how the drug is dispensed. In 2000 another exception was granted for the use of buprenorphine (or other schedule III- V medications). But the Harrison act ONLY applies to the use of opiates to treat addiction-- NOT as the prior post suggests to treat ADDICTS. Opiate addicts are just as entitled to pain treatment as is anyone else; a doctor is much more likely to get into trouble for refusing to treat the pain of an addict than for treating pain in an opiate addict! Methadone and buprenorphine can be prescribed to treat pain by any doctor who can prescribe scheduled substances. If a doc can prescribe percocet he can prescribe buprenorphine (including Suboxone). There is confusion on this issue but there shouldn't be; 'off-label' prescribing is extremely common for many conditions and medications. Likewise methadone can (and is) prescribed for pain quite often. I have a number of patients in my chronic pain practice for whom I prescribe methadone. But I CANNOT prescribe them methadone in order to treat opiate addiction. If one of my chronic pain patients becomes addicted to opiates that doesn't mean I have to stop treating him-- just that I have to make sure that I am treating his pain carefully documenting things carefully and appropriately etc. It gets quite confusing; any doc who has a DEA license can use an exception to the Harrison act for up to three days and dispense a scheduled narcotic to prevent withdrawal. But the doc cannot PRESCRIBE the medication; he can only DISPENSE it one day's dose at a time for a total of three days. What a mess!

2014-12-04 03:20:41

Sun