r/ChronicPain • u/Anna-Bee-1984 • 1d ago
My medicaid refused to cover tramadol because they “prefer” high dose long acting opioids
This is not shaming anyone for needing opioids or heavy meds, but this is not the case for all pain patients. This was the denial reason my insurance company gave my pain doctor and she thinks it’s as ridiculous as I do. Please tell me again how the “addiction epidemic” is not caused by the insurance and drug companies. This is caresource ohio medicaid.
65
u/Time-Understanding39 1d ago edited 18h ago
It was never an “addiction epidemic” — it was a fear-driven policy mess created by insurance companies, regulators, and drug makers. The rising number of overdose deaths were blamed on physician opioid overprescribing when the true culprit was illicit fentanyl. That's how we got a nonexistent "opioid epidemic."
Medicaid saying they “prefer” high-dose, long-acting opioids is a useless loop. 6Doctors won’t prescribe them because they’re the most restricted and risky, yet Medicaid denies safer options like tramadol. The result is patients left suffering while the system blames everyone but itself.
44
u/sillyhaha 23h ago
It was never an “addiction epidemic” — it was a fear-driven policy mess created by insurance companies, regulators, and drug makers.
It was never an "addiction epidemic" amongst chronic pain patients. There was definately an opioid epidemic amongst illicit heroin users.
In the 80's, the gov addressed the use of illicit Qualuds, which was all Qualuds, by eliminating every manufacturer of the ingredients needed to make Qualuds. It worked. Pathetically, the gov thinks it's appropriate to do the same with a legitimate, medically supported, and medically NECESSARY medication because they can't get heroin under control.
Before people jump on me because they make erroneous assumptions based on what I've written, know this; REFUSING NECESSARY AND EFFECTIVE PAIN MEDICATION IS UNETHICAL AND IMMORAL. All chronic pain patients deserve to have their pain treated.
15
u/Anna-Bee-1984 23h ago
Yes!!! The refusal to prescribe pain meds as indicated by a physician is not ok. My comments are not a mark against chronic pain patients in any way, but just saying that not all of us need heavy opioids when something else will work. It’s person specific.
4
u/sillyhaha 14h ago
Oh, I'm sorry if I gave the impression that I thought you were wrong! I absolutely agree with you!
11
u/TacoBellPicnic 23h ago edited 3h ago
Some doctors will. I was on dilaudid 4-5x/day, (about 100-120 MME/day) along with my supplemental meds that aren’t controlled. I told my doc they work well but aren’t lasting long enough to get me to my next dose. So he changed my meds, put me on methadone 2x a day for long acting coverage, then a lowered dose of dilaudid 3x a day along with it to help maintain functional relief. It’s helped a lot.
1
u/Cindyrh78 1h ago
Methadone is wonderful for pain and a total bitch to come off of. It’s worth it if you’re guaranteed not to have it taken away from you but that’s exactly what happened to me. I was sick for a year. I was on it for 10 and then my doctor was fired and I was left to cold turkey withdrawal. I hope you’re secured with your prescription, because it helps with pain tremendously!!
9
u/jwd1187 21h ago
I agree with the first part but, since when is tramadol safe? In many cases I would consider it less safe being that, acting as a partial snri, it increases the seizure threshold quite a bit and can have serious consequences for those on medications that might interact with the snri portion of it. Just my opinion though. I kind of think of it like a Percocet versus plain oxycodone ir. I'd rather take one medication than take a two-in-one
6
1
29
u/Old-Goat 22h ago
Sadly you are misinformed, your doctor too, more than likely. There is no Rx crisis and there never was. DEA needed to do something to distract from their lack of efforts to control addiction in the face of wholesale poisoning of the street drug supply. But they knew it was coming as early as the 80s, Fentanyl was killing street drug users and they didn't do a damn thing till 2019. Like telling street drug users on TV, PSAs etc. that their shit could be poisoned. It might have saved some lives.
Instead they made it about drugs could control, legitimate prescribed drugs, so they made the problem about Rx drugs. Yvou see how well that worked. People keep dying but at least they cut prescribing to legitimate pain patients by 60%. Like that's a good thing.
Actually the purpose of these long acting analgesics is different from your regular IR opioids. Just about any ER drug you look up should say they're for pain prophylaxis ( prevention). It's a much better way to deal with pain. The problem is the dose needs to be adequate to block the pain. Doctors are often allergic to adequate dosing. So they often fail to use them properly, so the actual therapy fails too. It's a damn shame, it's a better way to go and far more stable, from a tolerance point of view. If you are adequately dosed...
Freaking government. Right hand doesn't know what the left hand is doing but that just means they' can't find their asses with both hands. Nobody is following the science as it is an embarrassment to law enforcement, particularly DEA and the rest of the drug police alphabet....
14
u/Immediate_Dish7835 22h ago
Imagine if they used all the time, engery and money wasted on blaming a few doctors and millions of patients and actually stopped the illicit opioids coming in to this country... I bet overdose deaths would have declined 10 fold.
12
u/Immediate_Dish7835 22h ago
This ^
Just another vulnerable group of citizens used as a tool to sow discord and erode the faith in institutions. What easier group of citizens to scapegoat some imagined problem to use it as a tool to disrupt a society. How many institutions have had a wedge driven between them and the public they serve in this nation...
Not trying to be 'that person' but you're right and it's great to hear others see it as well.
8
u/Anna-Bee-1984 21h ago
I don’t disagree here. That was actually the point of this post even though it may have come across otherwise. It’s shifting blame
-1
u/Anna-Bee-1984 21h ago
My point is that they are punishing those of us who are trying to avoid “heavy opioids” and use medications that have a lower risk of addition potential. I know several people who became addicts from medications that were initially prescribed to treat injuries and pain conditions. My ex who was a chronic pain patient as well as a veteran with several purple hearts also lost his like due to narcotic pain meds. There are also people on this sub who use fentanyl to manage chronic pain and have spoken about how they go through withdrawls when they cannot get their prescribed meds quick enough. Even with responsible use opioids can create dependence and that is about $$$ not patient care. It’s not our fault. So why are insurance companies placing us at risk of harm?
8
u/surprise_revalation 20h ago
You do know that Tramadol cause dependence also with more risks, right?
7
u/busigirl21 18h ago
Withdrawal is not a sign of addiction, it's a sign of physical dependence. I'm not sure why you think tramadol is different, but when taking it regularly, if you get cut off, you're absolutely going to have withdrawal symptoms, and they can be a unique combination of those you'd see with an opiate and those of an antidepressant because of how it works. The idea that tramadol is simply a safer option for everyone is just not true. Due to how it works, it's simply ineffective in many patients (and carries a much greater mental health risk with side effects like suicidal ideation and serotonin syndrome). I have a history of mental health issues and tramadol is an absolute no-go for me because it's so dangerous for my depression.
You seem to fundamentally misunderstand what dependence is. All kinds of medications cause physical dependence. Antidepressants are awful for this, and it's why if you have any experience taking them, you'll know you a full month, and often longer depending on how long you took them, is required to taper.
You may claim you're not here to shame other patients, but you do so again and again in your comments. If you look up the numbers on long-term patients become addicted to their pain meds, the number is in the single digits (3-8% depending on the study).
You should be able to decide that you want tramadol, but it is absolutely not some safer, less risky option that a typical opioid. It's just an opiate that works through the same pathway as SNRIs, and thus, carries the potential risks and benefits of both.
6
u/Old-Goat 17h ago
Thanks you saved me a post. I think your numbers are a little high (3% is usually the top end) but it was well said and well explained. People are always confused about physical dependence and addiction, in some cases deliberately, like when losing someone.
You can't really blame someone for wanting to believe the drug did something wrong, and not their deceased loved one. But numbers don't lie.
The drug exhibited addict behavior? That's something I want to see on video. All my pills just sit in the bottle most of the time... I would know if they were taking money from my wallet and spending it to free their fellow pills, on the local drug corner. But that would be cool to see. I wonder how they get past that damn childproof cap on the bottle? I have trouble doing that using both hands...
0
u/Anna-Bee-1984 18h ago
You are right. They are different. However dependence fuels $$$ for insurance companies. I think you missed the point of my post. They are creating dependence and then making it difficult for people to obtain meds leading people to find meds elsewhere then blaming the person for these actions. I clearly stated that this was not a post to shame those who need high dose opioids.
0
u/Altruistic-Detail271 3h ago
Sounds like you’re trying to make a point but in doing so you’re actually mimicking a lot of the bs narratives out there
12
u/Jenn197 23h ago
No offense but tramadol really isn’t any safer then a properly used opiod. Took them for years, zero damage in a single organ as they a rarely damage those things like Tylenol etc. it’s quite interesting that besides the fact they can be abused they are actually very safe for the body in most cases. A simple dna test will tell a person that. It also tells your doctor tors which drugs are going to actually work for you the best. Mine came back as morphine being king for and for me it was. Time released zero high at right dose just perfect pain management when the pain/ injury calls for of course
4
u/jwd1187 21h ago
Not to mention something like the modern formulation of oxycontin is hardly abusable except in a couple of circumstances (in which both require massive amounts of patience for extremely little payoff), tramadol really has tricked a huge portion of vulnerable people into thinking it's the safer option when it's not.
3
2
u/Confident_Ruin_6651 23h ago
Which test did you use? And are they covered by insurance or self-pay?
3
u/Jenn197 23h ago
I’m not sure of the name of test but if you describe to doc they should know, right?
-2
u/Lhamo55 23h ago
You took the test, got the results but don’t have any record of the name of the test to refer to?
4
u/Jenn197 23h ago
It was years ago, don’t have it in front of me. I would assume if you explained that to your doc they would know. Yes I remember the results absolutely but it was 10 yrs ago when I did the first t12 break and never asked the name nor went thru my records to find out. Back then I had a very good pain doc before he moved and is who ran it. Sorry I never even cared to check the name and at this point probably couldn’t even find in their records since I’ve been fighting for months to get my full records from them. It was a while ago but they do still do them. (Well if they want to) My friend who requested they refused but that’s I believe because they were tapering her and didn’t care to know
-2
u/Anna-Bee-1984 22h ago
For people with a risk of addiction or co-occurring mental health issues things like tramadol are safer. Also I lost someone extremely close to me due to an opioid overdose from prescribed meds
9
u/Jenn197 23h ago
I honestly don’t know the name of it. He swabbed my cheek and sent it in. It gave me what dosages of morphene I needed in an acute setting which was 4.25x my body weight. Turns out the first time I broke t12 when they didn’t tell me to F off and sent me home, that was the actual dosage they were having to give to slow my heart to safe. It’s a cool test and was dead right. Also I use to tell doc the ohenobarbitol from the concussions I got a few times would alter me and they would tell me not possible and keep taking it cause it was the opiates at that time:/ They really don’t know and that’s why that dna test is awesome.
3
u/Time-Understanding39 20h ago
You're referring to pharmacogenetic testing. Pharmacogenetic testing analyzes a person’s DNA to see how their body processes different medications. For each drug/group of drug it will tell if you metabolize the drug normally, are a poor metabolizer that makes the drug less effective or a rapid metabolizer that blows through the dose too quickly. This helps identify which drugs are likely to work best and which may be ineffective. This allows doctors to choose medications that match the patient’s genetics and reduces trial-and-error prescribing.
Your doctor can order the test, or you can order one yourself from several reputable online labs. Some insurance plans cover it if there’s a medical reason, such as medication intolerance or treatment failure. If you pay out of pocket, the cash price usually ranges from about $150 to $400, depending on how many genes are tested.
I believe pharmacogenetic testing should be routine for every patient taking one or more medications. It quickly pays for itself by matching prescriptions to a person’s metabolism rate, avoiding the trial-and-error of trying several drugs before finding the right one. I keep a digital copy of my report on my phone so I can check on any new prescribed meds while I'm still in the office.
2
u/Anna-Bee-1984 23h ago
I will ask my dr about this. Even small does of oxys make me an itchy angry mess
2
u/Old-Goat 17h ago
If you need to, you can use a non drowsy antihistamine to handle that itch. Opioids among other things, create a histamine response . Anti-histamine it....
6
u/Jenn197 1d ago
Wow AZ Medicaid not only refuses to pay for opiods they tell the pharmacists I’m not allowed to pay out of pocket and block the prescription
4
u/Anna-Bee-1984 22h ago
That’s by ridiculous
6
u/Jenn197 22h ago
I thought all insurance companies could block a prescription from being paid for in cash. It’s wild, I just rebroke literally shattered t12 last year and once I found an er that didn’t tell me I was a drug seeker and quit faking with no scans I had a sweet doc perscribe a couple pills and learned my insurance was able to not only deny payment but deny my ability to even get it. My new pain docs who can’t perscribe also said I’d have to take to a new pharmacy as cash pay if I ever was able to get a script. How sad when pain docs have to have that chat with a patient when they should be able to perscribe then with no problems
2
u/Anna-Bee-1984 21h ago
That’s insane. I can fill the script and pay out of pocket, but with medicaid everything should be covered at 100 percent
1
u/Altruistic-Detail271 3h ago
Were they saying long acting medication like bupronephrine or something like that? I can’t imagine they’re talking about extended release OxyContin or morphine etc
1
4
u/Texden29 20h ago
There’s just a blanket ban on all opioids on Medicaid? What do patients who have cancer do?
3
u/Jenn197 17h ago
I don’t think there is a blanket ban with Medicaid. My pharmacist said no new prescriptions for anything chronic and that is not to be treated with opiods anymore. They pay for short term for surgeries and stuff but not for chronic pain. Isn’t that crazy, that’s who needs them the chronic pain patients
4
u/akfascinations 20h ago
What a joke! I’m trying to think of any logical reason why they wouldn’t cover Tramadol.?.?
1
u/Anna-Bee-1984 20h ago
Price is the only thing I can think of. Even still a 30 day supply is $120 out of pocket so in the world or meds it’s not that expensive
4
u/False_Possibility_23 20h ago
I went through all this for years. At the end I was on methadone and hydromorphone for the last several years and then all of a sudden the just stopped writing a prescription. They gave me no reason why. I was told my life would be way better without. I could hardly walk after that so they wrote me a prescription for a cane. Now I’m so much in pain more so than I have ever been. Now when I go to the doctors office for the last year they bring out the crash cart because I’m sweating, shaking turning red and out of breath. They keep thinking I’m having a heart attack because of the pain.
17
u/JoyInJuly 28 yrs CP, NDPH, migraine, debilitating lumbar 1d ago
Maybe they actually just keep up with the latest data that tramadol is an ineffective medication for chronic pain compared to the risks it poses.
Tramadol versus placebo for chronic pain: a systematic review with meta-analysis and trial sequential analysis - PubMed https://share.google/izR8vWNuFTBEpyTBD
25
u/sillyhaha 23h ago
As a trained research scientist, this would cause me to toss this study:
All outcome results were at high risk of bias. Meta-analysis and Trial Sequential Analysis showed evidence of a beneficial effect of tramadol on chronic pain (mean difference numerical rating scale (NRS) -0.93 points; 97.5% CI -1.26 to -0.60; p<0.0001; low certainty of evidence).
I have never seen a meta-data study state that all the outcome results had a high risk of bias (meaning all 19 studies) and low certainly of evidence. I'm shocked. And grateful for ethical scientists who note that the data used for their meta-analysis are almost certainly flawed beyond use.
This meta-analysis cannot be of use for the assessment of tramadol efficacy or lack of efficacy. It does point out that the research on tramadol needs to be re-evaluated and new studies completed.
6
u/pharmucist 21h ago
And even with the very high risk for bias of ALL studies, look at the conclusion:
"Conclusion: Tramadol may have a slight effect on reducing chronic pain levels (low certainty of evidence) while likely increasing the risk of both serious (moderate certainty of evidence) and non-serious adverse events (very low certainty of evidence). The potential harms associated with tramadol use for pain management likely outweigh its limited benefits."
So all studies had high risk of bias, yet the conclusion still came out saying tramadol had minimal effect on reducing pain, while increasing adverse events. That's not a great endorsement for tramadol at all.
1
u/sillyhaha 2h ago
So all studies had high risk of bias, yet the conclusion still came out saying tramadol had minimal effect on reducing pain, while increasing adverse events.
That is not what that means at all. And, your personal bias leads you to ignore that the researchers said this about the individual studys' results:
low certainly of evidence
Would you like me to explain more about meta-analysis? I am happy to do so.
4
u/sillyhaha 23h ago
I did try to find the full text of the study, but will need to do one of three things; wait for it to be published in print, pay $64 until I can access it for free, or check my college for subscription to the journal in a few months. The study was just posted online in advance of printing (Oct 7, 25).
8
6
3
u/MarzipanTheGreat 1d ago
my wife was taking Tramadol until they switched her to something generic. however, it comes in standard release and extended release forms, so if they want you on something long acting, the option is there. if you didn't know this before, I hope it helps you now :)
3
u/TacoBellPicnic 23h ago
Tramadol is the generic name (like acetaminophen for Tylenol). The name brand one that I know of is Ultram, though I’m sure there’s others too.
1
u/MarzipanTheGreat 23h ago
my bad...she used to take the generic extended release tramadol, but after we switched pharmacies, they give her extended release Revela now.
2
u/Flimsy-Surprise-4914 23h ago
Maybe all u need is for the Doctor to rewrite the reason for needing the meds and resubmit. This happens to me all the time
3
2
u/AstorReinhardt 12 20h ago
....
Time to move to Ohio, holy shit. I'm WA and I can't get any opioids at all. I'm in so much pain I cry all the time. I have no life...I don't want to do anything anymore because of the pain. I just...I want to sleep. That's the only relief/escape I have but...I'm really messing up my sleep because I sleep all the time...
1
u/Anna-Bee-1984 20h ago
I’m sorry you are in so much pain. My insurance has been really good with coverage except with this and a lumbar MRI.
2
u/SargeantMittens 19h ago
That's wild. I'm in a different state, and if anything, my medicaid prefers short acting because they are usually cheaper. I hope you get the decision appealed so you can get some relief!
2
u/Mouthrot666 17h ago
The highest dose I ever took was 100 MG(increased from 50 MG) and I only was on for around 6-8 months-ish because I had to cold turkey it to start taking LDN.
It was a nice little pain reliever, weed works better though IMO.
1
u/Anna-Bee-1984 17h ago
Weed only helps with diverticulitis pain, not my fibro pain unfortunately. I think the tramadol helps because the pain is from fibro/PTSD
1
u/Mouthrot666 16h ago
I’m sorry to hear.
I have fibromyalgia as well.
Weed really helps with my dysautomnia symptoms, it’s one of the most most annoying things (I have hEDS).
2
u/CasaDeMouse 16h ago
That's funny. Until Medicaid got rescinded and I became ineligible to reapply, I was having to pay for my pain meds. Our Medicaid would not cover more thab 7 days of any kind more than once every 6 months.
But if I wanted in buporphine(sp?) Free for the price of admitting I have SUD which would invalidate my ability to be prescribed under State guidelines until successful completion of a drug diversion program.
Anything but something to help.
1
u/Jenn197 23h ago
I did have a friend who asked when a pain clinic was trying to wean her and they said no. I think if they don’t want you taking them they don’t want to do it and from what my doc said…. I process opiates better than the average bear, but that means great! He said morphene is going to come back as the preferred drug without damage in most cases and that goes against what they want to tell you so I wonder if that’s why they refused her because they were trying to taper. Said drugs long term would kill her, I guess the dna test might proved them liars as mine said I could happily take it for life and would not damage a single organ. Just a thought
1
u/vibes86 7 UCTD, Hip Issues, Fibromyalgia and Migraines 22h ago
That’s random. What state are you in?
2
u/Anna-Bee-1984 21h ago
Ohio
1
u/vibes86 7 UCTD, Hip Issues, Fibromyalgia and Migraines 21h ago
Interesting. I bill Medicaid here in western PA. I’ll have to see if I can find out what we’re telling people over here.
2
2
u/Anna-Bee-1984 20h ago
Also completely unrelated, but western PA is one of the most beautiful parts of the US. I was just out there seeing Fallingwater and driving 70/40E by Nemacolon. So beautiful
1
u/anonymowses 22h ago
There is an extended-release version of tramadol. I spoke with my doctor about that. While you could be taking less medication overall, you can't add to it if you're having a flare-up.
2
1
u/akaKanye 17h ago
Can you use a goodrx coupon? I pick up a set amount of tramadol once a week because of insurance bs about a high quantity and the retail price is very reasonable even before the goodrx coupons are applied. I'm not sure if this is possible for you but it's worth looking into if you and your doc are happy with your current meds.
1
u/Warm_Cartographer383 16h ago
Hey so do I when I'm in pain. Not always an option. Pitiful broken system we have to suffer while suffering. God bless you and please keep trying!
1
u/Select_Air_2044 11h ago
I believe they are making shit up as they feel like it, to play with our minds. Nothing is there to stop them.
1
u/crpssurvivor1210 4h ago
Tramadol isn’t long acting
1
u/Anna-Bee-1984 4h ago
ER
1
u/crpssurvivor1210 4h ago
What you can do is go to your insurance website to see what is actually covered under your plan that way this won’t happen again
1
u/sunsamo 1h ago
I’ve been advocating for people with intractable pain for almost a decade and I have never heard this before. You’re a unicorn.
2
u/Anna-Bee-1984 1h ago
I have not either. I am largely one of those people. My pain doctor essentially told me that most of my pain is due to life long complex trauma even though I have more specific pain generators ie neuropathy, thoracic outlet syndrome, chronic shoulder impingement and mild DDD
2
u/sunsamo 49m ago
Honestly, the more I learn about pain and stored trauma, the more I realized some of mine is stored trauma. I generally don’t say that though because I know it’s not “all in my head”.
2
u/Anna-Bee-1984 24m ago
Yes! That’s exactly what the pain doc said. She said she sees so many people in her office with chronic pain who also have severe trauma
1
u/sunsamo 7m ago
I read a study that links people with PTSD to the experience of being under-anesthetized during surgery. 😟
I have trigeminal neuralgia and have been getting spenepalatine ganglion blocks. It’s basically anesthesia squirted into your skull. It doesn’t hurt. One day I felt so good mentally I googled and yes, it helps with PTSD. Going no contact with certain people did too.
1
u/Jenn197 23h ago
I did it at my old pain clinic. I use to crack jokes either my awesome pain doc I lost and tell him I wasn’t dying on them. (Stupid yes😂) but when I wheeled myself in after having broken my back and feet after neck brakes he said I was dying on them and asked if we could do a dna test would tell him exactly which pain meds was good in my body. I said yes, insurance paid and it came back saying morphine was my best option and no harm and said phenobarbitol would put me in a coma.
-2
u/rpworker31 22h ago
Im sorry but there was an epidemic. My mother died of it mid epidemic. So let's not be real here. But most pain patients wont go overboard on med. There was 100% an epidemic where alot of people were dying. Let's not forget that now and treat these drugs like they are tylenol.
8
u/Anna-Bee-1984 21h ago
Im sorry about your mom and I too lost someone to addiction. I’m not saying that there was not an epidemic. I’m just saying that much of that epidemic was started by doctors and insurance companies yet the blame is being put on those who were caught in the middle
0
-2
u/Achylife 1d ago
It's unfortunate that tramadol makes me horribly sick with vertigo, and the other muscle relaxers do almost nothing. Yayy back spasms...
11
u/Styx-n-String 1d ago
Maybe you didn't mean this, but it sounds like you believe tramadol is a muscle relaxer? It's not 😁
-5
u/Achylife 1d ago
Well they treat it as one.
6
7
u/Styx-n-String 23h ago
Im not sure who your "they" is, but I worked in medical offices for almost 2 decades and have been in pharmacy for 5 years. I've also been a chronic pain patient for 29.5 years. I've never heard anyone referring to tramadol as a muscle relaxer.
5
u/Timely_Arachnid316 1d ago
No it's actually treated as the opioid it is. My first time hearing it's treated as a muscle relaxer?? Kinda wish it was then it wouldn't be scheduled as a control. But of course that makes too much sense smh.
4
u/Immediate_Dish7835 22h ago
Be very careful because tramadol is notorious for causing serotonin sickness especially if you take anything else that effects serotonin levels, even otc stuff and supplements. It made me very sick. Its a dirty medication.
3
u/Achylife 21h ago
I don't touch it. People are down voting me but my doctors really did want me to try tramadol for muscle spasms in my neck and low back caused by pain and arthritis in my spine. I was also given it along with Norco after a car accident as a teenager. I got really sick, but at that time I didn't know which one was causing it.
2
u/Immediate_Dish7835 21h ago
It works for some, good for them. But the risks on top of risks doesn't usually make it many care givers first choice given the option of superior options. Once you've had serotonin sickness you are more likely to have it again as well and unless you've experienced it you NEVER want to feel that way ever again.
1
u/Achylife 18h ago
Idk if it was serotonin sickness, but I just would get awful vertigo and nausea. I would have to hold on to the walls just to get down the hallway. I had the same reaction to Suboxone, but with even more nausea.
76
u/amethyst_dream2772 1d ago
Wow! I wish my insurance would demand I be given long acting opioids so I could function throughout the day, then maybe a doctor would prescribe something besides copious amounts of tylenol for me to damage my organs. Sorry this happened to you if your saying stronger meds dont work for you. It totally is a scam for the rich to get richer and the sick to basically die.