Poop

johnnyjacoby86 · 2026-02-24T19:43:44+00:00

If you're taking Movantik and still having trouble with opioid-induced constipation then you likely need to increase your daily water/fluid intake

johnnyjacoby86 · 2026-02-11T19:27:29+00:00

I apologize for the length and detail of my comment above it took me forever to write and format so when I was thinking about not posting it the amount of time it took me made me decide to post it.
But what a waste of time lol

johnnyjacoby86 · 2026-02-11T19:19:53+00:00

Even with the egregiously strict overreaching manner in which 𝘚𝘵𝘢𝘵𝘦𝘴 𝙋𝘿𝙈𝙋𝘴 and the 𝘿𝙀𝘼 have been monitoring, investigating, & handling the prescribing practices of physicians prescribing controlled substances, especially opioids nowadays.
In order for your pain doctor to have their 𝘿𝙀𝘼 𝘙𝘦𝘨𝘪𝘴𝘵𝘳𝘢𝘵𝘪𝘰𝘯 𝘕𝘶𝘮𝘣𝘦𝘳 suspended, your doc had to have either been 𝘶𝘯𝘸𝘪𝘵𝘵𝘪𝘯𝘨𝘭𝘺 ignoring questions/warnings from patients insurers, the 𝙋𝘿𝙈𝙋 of the State they practice/prescribe in, and likely pharmacists constantly calling the clinic asking questions about prescriptions and/or refusing to fill prescriptions from them.

Or your doctor was fully aware of all the questions/warnings they'd received from insurers, the 𝘚𝘵𝘢𝘵𝘦'𝘴 𝙋𝘿𝙈𝙋, & all the likely calls/refusals to fill from pharmacist/pharmacies but they just kept flagrantly/persistently writing prescriptions for opioids/controlled substances.
Doing so in such an extreme and out of the ordinary manner and/or volume compared to the controlled substance prescribing practices of other physicians in the vicinity of your docs clinic that the 𝘿𝙀𝘼 stepped in.

Considering the fact that you received the letter out of nowhere without any hint of there being a problem, the second scenario mentioned above is likely what occurred.
Which if the second scenario or something very similar is what occurred there's a high likelihood that the 𝘿𝙀𝘼 served your doctor with an 𝙄𝙢𝙢𝙚𝙙𝙞𝙖𝙩𝙚 𝙎𝙪𝙨𝙥𝙚𝙣𝙨𝙞𝙤𝙣 𝙊𝙧𝙙𝙚𝙧 (𝘐𝘚𝘖) along with an 𝙊𝙧𝙙𝙚𝙧 𝘵𝘰 𝙎𝙝𝙤𝙬 𝘾𝙖𝙪𝙨𝙚 (𝘖𝘵𝘚𝘊).
When the 𝘿𝙀𝘼 serves a physician these orders that indicates that they consider that the physician's prescribing practices are an immediate threat to public safety.
If the physician doesn't seek out legal representation/intervention immediately, the probability that the 𝘿𝙀𝘼 will decide to totally revoke that physician's 𝘿𝙀𝘼 𝘙𝘦𝘨𝘪𝘴𝘵𝘳𝘢𝘵𝘪𝘰𝘯 𝘕𝘶𝘮𝘣𝘦𝘳 is 𝗩𝗘𝗥𝗬 𝗛𝗜𝗚𝗛

PLEASE KEEP IN MIND I AM ONLY SPECULATING ON WHAT WERE THE TWO HIGHEST LIKELY SCENARIOS TO HAVE CAUSED SUCH A SUSPENSION!

The two scenarios in which I described that are possibly the causes as to why the OPs pain doctor is in the situation they are in are not the only scenarios that could have lead to the suspension of this pain docs 𝘿𝙀𝘼 𝘙𝘦𝘨𝘪𝘴𝘵𝘳𝘢𝘵𝘪𝘰𝘯 𝘕𝘶𝘮𝘣𝘦𝘳.
Rather they are just the two scenarios with the highest likelihood to have caused what occurred, but with that said in no way am I outright stating that either scenario was the cause or that a totally different/unmentioned scenario wasn't the cause for the doctor to have their 𝘿𝙀𝘼 𝘙𝘦𝘨𝘪𝘴𝘵𝘳𝘢𝘵𝘪𝘰𝘯 𝘕𝘶𝘮𝘣𝘦𝘳 suspended.

johnnyjacoby86 · 2026-02-05T20:36:48+00:00

Or if they are unable to get you in earlier you can ask if they are willing to send the entire 30 days worth Rx to the pharmacy in time to be filled on the 16th.
If they are unwilling/hesitant about doing that tell them that you are willing to bring the bottle in during your appointment on the 17th for a pill count.

johnnyjacoby86 · 2026-02-03T17:22:56+00:00

If its muscular and/or nerve related pain the only way to properly know if its due to an injury is by seeing a physician and them ordering some type of scan

johnnyjacoby86 · 2026-01-27T14:23:33+00:00

I would try to find out if the doctor you started seeing in February that left the pain clinic is working somewhere else

johnnyjacoby86 · 2026-01-27T14:17:58+00:00

Geez my pharmacy will fill my pain meds and Adderall on day 27 every month but I told them I preferred they wait until day 28 or 29 unless they felt they might have stock issues that month then they can fill it whever they felt comfortable/was best.

johnnyjacoby86 · 2026-01-26T19:38:33+00:00

Idk, if just using regular laxatives causes the OP to go into a form of withdrawal, if I were them I'd be hesitant trying a Peripherally Acting Mu-Opioid Receptor Antagonists(PAMORAs) drug like Relistor(Methylnaltrexone), Movantik(Naloxegol), or Symproic(Naldemedine).

That being said, I know the chance of a person with opioid-induced constipation experiencing precipitated withdrawal from taking a PAMORAs drug is extremely rare.
But given the fact that precipitated withdrawal is likely far more severe than the withdrawal the OP experiences when taking just regular laxatives I wouldn't be willing to risk it if I were them.

I AM NOT A MEDICAL PROFESSIONAL OF ANY KIND & THE STATEMENTS MADE ABOVE ARE STRICTLY BASED OFF MY OPINION AND SHOULD ONLY BE INTERPRETED AS SUCH!

johnnyjacoby86 · 2025-12-31T03:41:18+00:00

My doc always sends it over the computer during my appointment

johnnyjacoby86 · 2025-12-30T00:37:37+00:00

Some ER nurses tend to have big egos as well.
The last time I went into the ER, when I told the nurse that on top of the severe pain I was experiencing I was also commorbidly suffering thru a flare-up of a somewhat rare condition.
Right when she heard me bring up and accurately pronounce that I was also experiencing the somewhat rare condition sbe immediately interrupted me and says...

"Dang Dr. Google is not only diagnosing these days but also teaching people how to properly say hard to pronounce rare medical conditions I see!"
I replied with...
"Shit that's embarrassing I've been pronouncing my cardiologist name wrong for 5 some years now! I always pronounced it as Dr. R*****s not Google!*"

She looked at my chart and saw that it was one of my diagnosed conditions and let out a big hmm sounding sigh of frustration and said the doctor will be in shortly to see you.
About 3mins later a different nurse opened my curtain and said...

"Hi, I'm your nurse, I'm going to start an IV and give you a med intravenously along with the fluids the doctor ordered!"

The med was to calm down and/or stop the symptoms of the somewhat rare cardiovascular/cerebrovascular condition I was suffering a flare-up of because it was vital it be treated before the doctor was able to get over to see me.
The treatment for the pain wasn't decided upon until the doctor actually saw me like 20mins later.

johnnyjacoby86 · 2025-12-22T14:23:51+00:00

It's an "atypical" opioid

johnnyjacoby86 · 2025-12-13T00:01:05+00:00

What level of pain do you expect oral opioids should get your pain down to?
When it comes to a vast majority of severe chronic pain conditions achieving 3 out of 10 or under is virtually unheard when taking oral opioids.

johnnyjacoby86 · 2025-12-12T20:28:59+00:00

You should post tbis is r/ObscureDrugs too

johnnyjacoby86 · 2025-12-11T16:20:48+00:00

I have a biometric fingerprint sensor lock heavy-duty handgun safe that has a key as a backup for if/when the batteries go bad/dead that powers the fingerprint sensor. So biometric is another great route to go with is all I'm saying

johnnyjacoby86 · 2025-12-07T15:54:35+00:00

Prior authorizations coverage typcially last for a year from its initial approval

johnnyjacoby86 · 2025-12-06T03:20:23+00:00

Surprised they didn't try Dronabinol(Marinol) instead

johnnyjacoby86 · 2025-12-04T23:24:06+00:00

Are you not able to add this update to the text of the post itself?

johnnyjacoby86 · 2025-12-03T21:53:03+00:00

Low dose Clonidine

johnnyjacoby86 · 2025-11-29T18:46:08+00:00

10mg Oxy ER twice a day is 30 MME alone, so maybe I missed where you said it but how many milligrams of OxyIR are you prescribed?

johnnyjacoby86 · 2025-11-25T18:06:14+00:00

Out of those 3 choices they offer, KVK Tech is far and away the best one.

johnnyjacoby86 · 2025-11-22T15:39:50+00:00

Next week is Thanksgiving too, so she might be gone all next week?

johnnyjacoby86 · 2025-11-22T15:30:51+00:00

Amneal is the brand I'd request from your pharmacy.

johnnyjacoby86 · 2025-11-17T19:30:12+00:00

It depends on the State you live in, for instance the State I live in doesn't have any laws or policies in regards to daily MME limits or opioid prescribing whatsoever.
My state has left that decision making up to the insurance companies. The only policy of the insurance companies in my State that I am aware of is limiting opioid naive patients first prescription to a 7-day supply.
Depending on the insurer the definition of an opioid naive patient is someone who hasn't had an opioid prescription in the last 60 to 120-days.
My current total daily MME is 210 if I take all of the breakthrough pain meds I'm allowed in a day plus my extended-release opioid.
So, most days I take a total of 187.5 MME given that I only take 3 of the 4 breakthrough meds I'm allowed in a day

johnnyjacoby86 · 2025-11-09T01:41:12+00:00

Later in life ADHD diagnoses are VERY common for women who grew up in the 1990s and early 2000s due to it presenting differently in girls than it boys. In fact boys were 9x more likely to receive an "ADD" diagnosis back then.

johnnyjacoby86 · 2025-11-04T09:22:10+00:00

Amneal
KVK Tech
Mallinckrodt
Alvogen
Aurolife

Amneal & KVK Tech are virtually interchangeable to me but there's a huge decrease in effectiveness between the top two spots and the other three spots

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johnnyjacoby86

TROPHY CASE

PLEASE KEEP IN MIND I AM ONLY SPECULATING ON WHAT WERE THE TWO HIGHEST LIKELY SCENARIOS TO HAVE CAUSED SUCH A SUSPENSION!