Uro does not want to perscribe pain medication

[Carolyn M]

Does anyone know why it is my mothers Uro does not want to perscribe pain medication? The gal at the front desk told my mother that the Dr. doesn't like to perscribe pain medication and that she should talk to her primary, which she did and he did give her some pain medication, but was reluctant to do so since he was not the one who diagnosed my mother as having IC. Does pain medication interfer with Elmeron or does it hurt the bladder further in some way, or is it that her Uro thinks that she will eventually abuse the medication. Just curious since pain medication is the last thing my mother wants to do but can't think of anything else to try since her quality of life is now confined to her home because of pain and frequency. Any insite would be great. Merry Christmas, Carolyn

[ICNDonna]

Many urologists prefer to refer their patients to physicians with more experience/training in pain management. Primary Care physicians will frequently order pain meds for short periods, but will refer their patients to pain management specialists for long term pain management.

I hope your mother feels better soon.

Donna

[bob04951]

So sorry Carolyn

Uros typically will not prescribe long term pain meds. They just won't do it. Ummmm...they are supposed to heal I guess, so...

We have had much luck with our NP who has been more than helpful with pain control. You might want to consult with Mom's primary care. Good luck to you and happy holidays. :pray:

[some_guy]

Hi Carolyn,

It is sad but not unusual for urologist who of all doctors should know how painful this condition can be won't prescribe pain medicine. Fine if they don't want to do it long term but they should help for at least a few months and help refer to pain management doctor for long term. I always wish these people could feel it for just a week so they would know how bad it is and learn to be more humane with patients.

Anyway in answer to your questions, there is no evidence or even hint of suggestion anywhere that pain meds would interfere with elmiron. They are worried about abuse I guess and they are worried more about liability I guess but they are doctors and need live up to the oath they take about relieving suffering.

Mike

[kadi]

My urologist told me the DEA monitors how much pain medication is given out. I wonder how they'd do that? Anyhow, my primary care doctor prescribes my pain medication, which is fine because he can then justify it as for not only my IC, but also my migraines. And since both doctors are part of a multi-service clinic I go to, there's no question that I'm going to multiple doctors for it, because I have one giant medical file there they can all read.

[suzannes]

I am a Nurse Practitioner and our prescribing habits are monitored. On several occasions I have been called by a pharmacist or insurance company to inform me that the the patient I just gave a script for 20 percocet for their back pain, had already received 200 percocets in the past two weeks from other providers that were filled at various pharmacies. Patients that do this(and believe me their are many) make it difficult for patients who really need pain medications to get them.

If your Urologist is not comfortable managing your pain, ask to to sent to a Pain Clinic.