Melissa
To the best of my knowledge they do not generally formulate a 5/80. Not saying that it isn't done but I have yet to see it ordered frm us. As far as a bad batch is concerned, I would have to speak to the pharmacy first before I could honestly answer you. I do know that each order is made at the time it is placed. They do not make the compounds ahead of time...ever. I have heard nothing of this nature at all at the office but if you want to give me a call we can approach the pharmacy. Os it possible that you may be developing a paradoxic reaction to your meds due to some change in your own system? If you can call me and tell me more I can try and help you. I know the compounds are not for everyone.The inert ingredient is corn starch, very common.
Whichever means of resolve you choose please do not feel like you have to sit and suffer nbecause they are not working the way you need them to. Please just take a minute to call so I can see if I can help.
Also..if you have something to address and I do not respond on the board within a day you can feel free to PM me any time to get my attention. I sometimes see the pm's much more quickly than I do the posts if I am super busy.
I hope we get a chance to talk.
K

Kim, I called you today but couldn't get a hold of you. I'll PM my cell # to you so that you or the PA can call at your convenience. My refill isn't due for a few days, so no hurry.

Thanks!

I am experiencing the same issues w/ my 15/80's I just got. I knew I was taking a chance based on the mixed replies. I just think they are compounded poorly b/c I have definitely taken one for sure that seemed like it had 25mg of HC whereas the rest have seemed like 7.5's. I really really hate this; I thought for sure I had found an alternative to excess apap, although mine has always remained low, why take it if you don't have too. I too am starting to feel the effects of reduced HC intake. I just can't recommend them at this point; however CS is in fact totally the best in the OP world.

Brugge, call the pharmacy and ask for Kim. They did a sort of "mini consult" and changed my prescription without charging me. As far as the 15/80's, Kim spoke with the pharmacist at Avee (I don't know which you used), and he said that the amount of hydro and APAP are correct with a margin of error of about 2%. I do believe they are a legit company. As kimberly told me on the phone, it may be that the lack of tylenol doesn't give the hydro a kick-start if you're used to taking 10/325's or 10/500's, etc. There's also the issue of the gel cap, which may take longer to dissolve, or the binders (if there are any) that act differently with the med.

I believe ERMEds will now write for scripts for #150 of the 10/***'s, which is great for those of use with issues of tolerance.

I received an email claiming their Dr can write for #150 hydro.

Is this actually true? Has anyone actually received #150?

If so, I might consider switching me OP to ErMeds.

Hiya and good morning.
Ok, first to address the compound issue. The materials are subjected to what is caled and assay test. Anyone that knows about metal or chemical testing I am sure if far more familiar with this process than I am as I just met with the pharmacist on Thursday and heard of this for the first time. The meds must be within 2% of the labeled strength, which they are.
I wish I could say I have in depth knowledge of exactly how they work, and how they differ, but I don't...BUT..I will!
I am meeting again wth the pharmacist Monday afternoon to get as much info as I can possibly store in my brain regarding the process and the absorbtion of the compound versus the preformulated hydro and I will pass on everything I learn. I know there are some people right here on the forum that are extremely well versed in compounds that can offer some advice.
...In addition..the 150ct can be done, it's not uncommon at all, HOWEVER...it must be a valid need. Obviously if someone has been taking hydro consistently for some time a higher dosage is warranted..and this is entirely up to the doc or the PA to determine. The higher dosage is also only written for on a med with a lower APAP, which makes sense of course.I am available sporadically over the weekend and of course late nights.
Happy Saturday
K

So, does this mean that the Dr or PA will write scripts out for #150 at a lower apap?
What if the apap that is in the 325's works great?

I was using SouthWestMedGroup back before the (you know what) happend, and the Doc there scripted me the #150 of the 10/325s and they worked Great!! It was horrible when Dr "L" left..... along with that amount of meds per month. Now only able to find #120 per month.

Do the Docs there at ERMeds script the 10/325's per month?

If so, about how much would that be?

If this is possible, as much as I love Today'sPrescription, I would be willing to change OP's for the extra meds per month. That would mean I could take one at night time again!

In looking at this OP, I'm not clear how many refils are included in the consult.

Can anyone fill me in? I think I saw 2 somewhere back in this thread.

Thanks

don

I am also having asorbtion problems with the AVEE 15/80 s
I informed ER meds....I have yet to be offered a solution
I don't know why some times they work and some times they don't...I added a tylenol with them took them with and then without meals after two weeks of thinking it was just ME
I have come to believe the NORCOS have a better PAIN control
ability and NOW I am Stuck with what I GOT ????

I am also having asorbtion problems with the AVEE 15/80 s
I informed ER meds....I have yet to be offered a solution
I don't know why some times they work and some times they don't...I added a tylenol with them took them with and then without meals after two weeks of thinking it was just ME
I have come to believe the NORCOS have a better PAIN control
ability and NOW I am Stuck with what I GOT ????

The consult comes with 2 refills. ERMEDs uses two pharmacies, Avee and Triphasic. When I talked to Kimberly last, she said that Avee has changed their refill policy from every 25 days to every 27 days in order to comply with the medicaid Rxs they fill. I'm not sure about Triphasic.

As far as the price, #120 15/80's were around $118 (I'm not sure about this,and can't find it on the website). The generic Norco 10's are $101.33 for #120 and $28.49 for #30, so I'm guessing 150ct Norcos will set you back about $130 plus shipping, which ranges from $14.50 (3-day)-42.50(Saturday Delivery).

Max, call Kimberly and tell her your situation. She was very helpful in my case.

About those 15/80s are they time release? Have you tried taking half and then adding a half of a 7.5/750? I think that adding a tylenol is different. Maybe the tylenol needs to be mixed with hydro. Just a thought.

** An empty stomach and a large glass of water..right now!!(*semi-warm for me..as we all know warm/hot water WILL desolve things,even in your stomach or mouth if you will hold them there for a short time)..will usually take care of these things you mention. Some good old caffine laden(HOT)java never hurt either..just my foolish opinion. Harken back to my post about The Big 10/325 "worthless norco" uproar of yore..a while back..NOW they ARE THE TOPS!! HAAA!!! The mind can and will..play funny/strange tricks on us..remember..that too..IS WHERE the pain eminates from..something to think about.
Limper "busily imparting wisdom"...(HAAA!!!)

I see on the front page of the web site, it says money order as a method of payment. Does this mean, by any chance, that we could pay for the consult and the medication with a COD, or does the money order have to be mailed in first? There used to be an OP around that did the cod for it all. Was very convenient for anyone without a credit card. Or even if you have one, its nice to have the meds in your hand before you pay anything for it (anyone that has delt with NWW knows that!)
I think its odd you all are having trouble with the 15/80's. I've talked to several people that say they are great... one even said it was as good as two norcos for her. I can't wait to try some.

First to MAX...there is some good info in a post from Scarecrowl (I think is his name) in this thread http://www.drugbuyers.com/freeboard/show...true#Post213518

It seems to be some good advice from someone who has switched to the compounds and found the transition to be not quite what was expected. I had several people address the issue with me last week and all but one have since decided they are happy with them. This is of course a personal choice. I do not know if we have spoken but I hope we have and I certainly don't want anyone stuck with anything. I would really encourage you to check out the posts and the way the opinion seems to have turned after the adjustment.

Astro..glad I could be of help. I called the pharm and you are all set. We don't post the compound prices since they vary slightly due to AWP. When the cost is lower, the price gets passed on to the patient. Sort of nice of the pharmacy we thought.

Ordberger...NWW who??, ok, anyway, we do COD meds and on occasion we will COD a consult. It would have to be a separate, secured money order. Usually we do this for patients that have been with us for awhile, but if I have a copy of your license, pictures of all your children, a lock of fur from your favorite housepet and at least one tangible item of sentiment from your great great great uncle's estate, I can probably swing it for you...give me a ring at the office 800.355.0522

-K

Your so funny! Kimberley

Thank you Bootie....they actually all think I'm nuts over here in my office so it's nice to be appreciated

Ord.....have you been taken care of? I was just kidding about the lock of fur. I know that's a bit over the top.

K

I have found an OP I will stick with as long as I need OP's. ERMeds. The BEST by far.

I often need to change credit cards and/or shipping address, and it is NO PROBLEM. Just fill it out on the web order page when you refill, and it get's handled with no drama whatsoever.

I personally LOVE the compounded meds. I'm getting the 15/80's. I really don't see how anyone would like 10/500's or 10/325's, or any of the factory made high Tylenol liver stressing stuff out there compared to these things. And since I am on long term therapy as a result of a chronic condition, the less Tylenol the better. Perhaps they are too strong for some people. Or, perhaps the placebo effect-having their "pill" in a plain capsule just might not seem right to some people. Maybe they need to see that factory stamp on a solid pill.

Thanks Kimberly, you guy's are truly the best out there. Nobody matches the combination of 1.) Great customer service 2.)Easy ordering 3.) Compounded meds. They usually only have 1 or 2 of the 3. I know, I've tried most of them. Keep up the good work!

Hi there everyone...Happy Friday..

Thanks EELRM...very pleased that you are happy here.

About the refills...it's just 2, and I have never seen our physician go over that. We can go up to 150 ct on certain low apap meds but the refills never go beyond 2. Dr A and Rhonda as well both feel that a follow-up is warranted anytime pain meds are being prescribed and I have to say that I am comfortable with this so I would never argue for higher refills at this point. I can't say for sure that in the future we would not go to 3 but as it stands right now we stay at 2.
When we start to really lift the veil of monotoring the scripts it just brings unwanted scrutinization.

K

Have a wonderful weekend everybody!!!!
K

I just came over to these guys after being put off by MedsMadeSimple. Everything went very smoothly, got my records faxed and got a consult the same day. PA was very nice and friendly and gave many ideas for me to reduce my pain. I was very impressed. The consult lasted about 15 minutes and was thorough and professional. I was prescribed Norco #150 and Soma #90. Best of all, I will get my meds tomorrow morning. This was a nice change of pace from having to almost harass someone into giving me a consult. I would recommend them to everyone.

Kay, did you request 150ct. or did the doctor suggest it to you? Also, did you consider the 15/80 or do you just prefer 10/325? I am very happy with the OP I am currently using, but ERMeds sounds like a great company with some nice alternatives in med count and the compounding, which I'm just starting to learn about. Also, what did you mean by being put off by MMS? Just curious.

Thanks,
Time

Time, I came over from MedsMadeSimple because they couldn't open any consult slots for me until well after my consult was due. I was happy with their service, but I expect to get my consult near when it is due. They say that they are having some "changes" in their medical staff. I don't know if that means that Karen is still with them or not.

As far as ERMeds, I requested the 10/325, even though I probably could have gotten the 15/80's. I just don't care for the compounded meds at higher doses. I am a small person and they tend to make me feel nauseated.

ERMeds prices for meds were a little higher than MMS, but at least they responded to my e-mails and phone calls, which MMS did not, even after four days. And I really liked Rhonda, I "clicked" with her just like I did with Karen at MMS.

As an update, I did receive my meds this morning, all accounted for, and packaged very nicely from AVEE Pharmacy. They used cotton to keep the rattling to a minimum. I was very pleased and I especially liked the online chat function available on the ERMeds website.

By the way, the PA suggested the 150 count to me.

I really would like to try these 15/80 my poor liver needs a break. Does anyone know if their doctor will prescribe like 10 just to see if they work for them?

Trey

Yes, I would definitely go for an arrangement like that. I have read post both from people who swear by them and others who say they don’t work for them. I would just hate to get stuck for a month with meds that didn’t work for me.

Best regards,

Trey

Trey
Go ahead and ring the office...I am here for another hour and then back after 3...

K