no dr garcia is not giving any opiates,i know i drove all the way to see him 1,300 miles and they just changed thier laws!!to newban and you have to inject yourself with syringes its not been approved from fda i dont suggest using them

It is approved by the FDA, that is not one of the many problems with this situation.

and so the hype and drama that once was consults direct ,etc.. fades into obscurity just as so many before has. the once great promise of telemedicine that compassionate and caring doctors will be willing to provide what many have not been able to find, a way to find relief from pain and discomfort without turning your life into one continuos search for a doctor willing to just listen and act accordingly.

sad to see but true that many in this industry had absolutely no other plan for the continuation of their services . many a OCS owner has made money . many , many monies , many of us chronic pain suffers and anxiety suffers have had to resort to finding relief in this unstable environment and spent many ,many monies doing so. unfortunately we , the suffers , are the ones left wondering what will become of us.

i was not a patient of the dr.called garcia but i have seen many other services with doctors both like "him" and even better ones be driven from this field. as we all go into the new era of post RHA i wish all good fortune in finding what each needs to live a constructive and positive life.

AND NOW FADE TO BLACK

.............I LOVE THIS SPIN.========

so necy, they changed policies and you were not told beforehand? I take it that you rejected the nubain if it was offered to you then, even after the 1300 mile trip?

I don't know what to think about this. I wouldn't want to have to inject myself several times every day, but then again, when you are in pain... Is that how it works? Injections several times a day or once, twice a day? Forgive me, I am naive about this particular drug and have never taken it before, but I have heard about it before. What is it for? Acute pain? And, I guess it's really expensive too?

What scares me is what you all are saying about the lack of data supporting this as a drug for chronic pain.

I am all for alternatives in pain management, but I'd have to be more informed about this. I think I've tried everything under the sun, but this, including the steroid shots and epidurals. I hate needles, but when I had a migraine I would stab myself with an imitrex syringe in a minute for the pain relief.

Can anybody tell me if it does afford good pain relief? What is it scheduled - a IV, V or is it even scheduled?

I am not a patient of theirs, but this sounds a lot like Tramadol. Several years ago, the docs told me I'd probably be on pain medication for the rest of my life and wanted to try other things than the narcotics (of course) which worked, but for the long haul, wanted to try to find non-addicting meds for me since I was "so young" at the time. So, they prescribed Tramadol and the doc talked it up and I was elated! - finally, something that would help my pain, that was non-addictive and that wouldn't make me look at like a druggie when I picked it up or asked for a refill! I remember the handout I got on it saying a lot of what that Nubain email says and being told that it was easier to get, no stigma attached to it, they afforded better pain relief than narcotics, were safe, non- addictive - how wrong they were!

not scheduled but controlled...

Scheduled and controlled are different words to describe the same meaning. If a drug is scheduled in the US, it is a "controlled med"

Just wondering if anyone has heard anything about CD or Dr.G I'm just amazed for as much as they talked how there just gone, no expination. Are they doing anything for any of the patients that flew down there besides the new famous mircle drug! Just kinda courious. I just had a wierd thought that maybe they just pretended to disapear so they could fly under the radar, and have enough patients and are just telling everyone this big story so they don't get to much attention. Anyway just a thought I hope the weather gets better cuz I have to much time to dream these things up. LOL!

As of today there are still no new disciplines or actions against either his Florida Medical License or his DEA number.

At this point it looks as if he stopped prescribing controlled medication before any action was taken, unless it takes several weeks to show up in any of the databases, which would be odd. Here when a doctor has been in trouble and they even suspend the DEA # pending investigation it is published in all the newspapers as well as in the databases. Kinda sticky when they have come up innocent on several occasions and were reinstated, sort of ruins their reputation prematurely.

Thanks Bluefairy,
Yeah maybe they just warned him I've heard of this happening with another doctor he just got warned so he quit. How bout CD have you heard anything about them have they just disapeared?

yes, but a medication can be controlled but not scheduled... no?

i realize all scheduled meds are controlled, but thought some that do not carry a schedule status are still controlled. or am i wrong in thinking that? could use psuedoephedrine as an example... not scheduled, can be bought over the counter... but now one must show an ID to purchase and can only purchase so much per month.

There are five Schedules of Controlled Drugs. Controlled drugs are what the DEA deal with. Viagra is not controlled.

Schedule I - Pot
Schedule II - Oxycontin
Schedule III - Hydrocodone
Schedule IV - Valium
Schedule V - Robitussin with Codeine

OK here goes

schedule 1 Illigal drugs
schedule 2 oxycodone, morphine and such
schedule 3 hydrocodone
schedule 4 some codeine products...benzos
schedule 5 the least likely, but has potential for some addictions....tylenol #3 for example.

Controlled....anything that requires a doctors prescription is controlled. I believe that is how to put it.....BP meds controlled....they are not on the shelf @ walmart for anybody. The scheduled meds are controlled even more so than the lesser....if my memory serves me correctly....hope I didn't confuse anyone. I may be wrong but it seems like this is what we learned in nursing school about prescriptions.

YES you have got it!

BP meds require prescriptions or flonase and antibiotics, but are not scheduled....or at least I don't believe they are

Any Medication that requires a Prescription from a Doc is a Controlled Med. Scheduled Meds are Controlled by the DEA thus A DEA Registration # ! A doc can Write a Script for Medications that are Not Scheduled with out a DEA #. No?

yes... this is exactly what i meant... viagra is not scheduled, but you can not obtain it without a prescription... therefore making it controlled.

There are four types of classifications at a pharmacy.

"Requires a prescription" - Viagra
"Controlled" - Hydrocodone
"Over the counter" - Aspirin
"Limited to behind the counter" - Pseudoephedrine

Only drugs that are a controlled with schedules II, III, IV and V by the DEA require the Doc's DEA# on the Rx. Drugs that aren't controlled by the DEA do not require the Doc's DEA# because they are regulated by the FDA. Controlled drugs that are schedule I are not in a pharmacy and are usually procured on the streets by a drug dealer.

Agreed!

http://www.google.com/search?hl=en&rlz=1...nition&ct=title

Here is the definition of controlled medications

there are some states that have a schedule 6 now the sudafed, super glue, some paints....you can get these @ walmart LOL...not in bulk though!

Thanks for clearing that up NotBillGates!

I knew there was a difference between just needing a prescription and "controlled." For example, Soma is only considered a controlled substance in 13 states (including Alabama).

oh, and I didn't know codeine was now a schedule 3 med....I mean it may help some but addiction potential, I guess it is possible for some. It used to be 4 and that was the Tylenol #4 and Tylenol #3 was a schedule 5....weird!

They are actually talking about making Viagra and other ED drugs a Schedule V here in AZ. With the high number of elderly; diversion is rampant. High School kids get a real kick out of them.

Tylenol #3 is a Schedule III Controlled drug. They don't make Tylenol #4 any longer in Amerika.

Wow, you must work in a pharmacy....tylenol #3 sucks for pain relief, IMHO, of course. I just can't imagine anybody getting addicted to it, but I guess it happens.

Viagra, the only thing I have heard about it and the teens is they like to mix it with their or x however that stuff is referred to.

Well, on the subject of CD, Dr. Garcia, and Nubain.

CD has not disappeared, I have communicated with them thru email and phone, as have others I have spoken with.

Dr. Garcia called me, as I believe he has called others. He had my medical records in front of him, and we spoke extensively. Everything he said about Nubain was consistent with the research I have done (a little different than that letter, btw) and consistent with what I was told by local pharmacists and a doctor.

I am going to try it.

I will receive samples with the prescription.
I have arranged with a local pharmacy that has experience with instruction in Nubain's usage to take my samples to them when received and they will teach me what and what not to do. They do keep it in stock so that is also not a problem.


I am not suggesting anyone else out there try it, I think we each have to do what we feel is best for our particular situation. I feel that this may be a viable option for me. For quite some time now my quality of life has been dependent upon the iffy availability of narcotics.

I do not know for sure this will work. I do not know for sure that it is a long term solution. I do know living my life in pain is not a viable option for me, and I do not see many others right now.

So I will try it, and I will report back when I have done so.

speaking of which my ex husband used to work in a pharmacy, except he just worked at Walgreen's and not in the pharmacy but would sneak back there and steal meds....you would think something good right...xanax or something....he was taking viagra, levitra, and cialis. I found it and he tried to tell me they were vitamins hahaha he had the inserts I was like WTF are you doing and he said that hydros would fall to the floor there and they really didn't keep a good count on their medications....sounded like a bunch of BS to me. He said they sold so many hydros they used a machine to do a count and then the pharmacist went back over or the tech one, but at the end of the day swept up what was on the floor and threw away....that just sounds bogus to me, but hey, notice I said my ex husband LOL

Really? Where did you hear that?

(Not saying you're wrong, but I can't find anything about it on the Internet.)

ETA: According to Walgreen's website, it's still available..

http://www.walgreens.com/library/finddru...odeine&id=18926

Nitemoon: Hope things work out for you. It is good of you to try and to report back to all. You'll probably get some cr*p from some who are angry about this. Not at you but CD. For those who did CD and are not getting narcotics from them than CD is as good as "disappeared" to them. maybe not physically but gone just the same for what the clients needed. i am rooting for you. I sincerely hope it works. I am not thinking it will though. JMO Best wishes as always

The pharmacist I spoke to also gave me a printout from the American Journal of Pain Management, stating that Nubain is an effective medication to use for chronic pain. The journal article was dated January 2006. I found links to it online so I did not have to type the whole thing up.

Nalbuphine A Safe, Effective Long-Term Therapy for Severe Chronic Pain


NEW YORK JAN 24, 2006 (Reuters Health) - Nalbuphine (Nubain) effectively reduces long-standing debilitating pain from a variety of causes and conditions without inducing any observable withdrawal, according to a report on a series of patients treated at the Veterans Affairs Medical Center Pain Clinic in Fayetteville, North Carolina.

Nalbuphine achieves analgesia almost equivalent to morphine but without the euphoria, sedation, tolerance, or psychotomimetic effects associated with opiates, Dr. James S. Howard, III, explains in his report in the American Journal of Pain Management for January. Furthermore, it does not stimulate mast cell histamine release or depress respiration.

The diagnoses in the 14 men and 11 women included pain from "degenerative lumbar and/or cervical disc herniation with or without radicular pain, chronic severe migraine, fibromyalgia, and chronic severe pain from traumatic orthopedic crush injuries to the spine, pelvis, or extremities."

The average duration of pain was 6 years, during which patients had experienced an average of three pain-related hospital admissions for surgery. All of the patients rated their average pain levels as unbearable (8 to 10 on a visual analog scale).

Nalbuphine was prescribed in doses ranging from 10 to 20 mg three to four times daily. The drug has to be injected, either subcutaneously, intramuscularly, or intravenously.

After establishment of this regimen, the patients rated their average pain levels as bearable (2 to 3 on a visual analog scale). Men tended to require larger doses than women for adequate relief. Many of the patients have been treated with nalbuphin for several years without requiring dose escalation or medication switches. Many report that they've been able to return to work, without experiencing motor impairment, sedation or difficulty concentrating.

In addition to the indications listed above, Dr. Howard notes that nalbuphine has been used at his clinic to treat patients with rheumatoid arthritis and osteoarthritis, cancer-related pain, and pain from traumatic bone, nerve, and deep-tissue injuries.

He concludes: "It appears that the daily use of injectable nalbuphine may offer a new and worthwhile alternative in the long-term management of severe chronic pain."

SOURCE:

Am J Pain Manage 2006;16:29-33

Here are a couple of links online to the article

http://www.cancerpage.com/news/article.asp?id=9311


http://www.redorbit.com/news/health/368265/nalbuphine_safe_effective_for_severe_chronic_pain/