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#775242 - 09/29/08 12:40 PM Transferring refills
mentoramy05 Offline

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Registered: 02/15/06
Posts: 2064
Loc: In your Eyes
Just wanted some input on this. I have read it in the past but can't recall much about it.

Is it legal to get controlled substances (hydrocodone) transferred from one state to another states pharmacy?

Does this normally need approval by the original dispinsing pharmacy? or can one just give the out of state bottle to the new (in state) pharmacy and have them call?

Thanks much
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The only thing worth stealing, in life, is a kiss from a sleeping child.

ALWAYS Treat others the way YOU want to be treated

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#775255 - 09/29/08 12:53 PM Re: Transferring refills [Re: mentoramy05]
Bluefairy Offline
Pooh-Bah


Registered: 06/27/07
Posts: 1027
That is a loaded question!

Some will post that absolutely this or that is true, when there is so much that can vary.

1. State laws and regulations. - some states allow transfers of controlled substances, some do not. Some allow them to transferred just once in the life of the script. Some allowed them to be transferred to another store of the same chain and do not consider it a transfer, some states do not.
Mississippi no longer allows any transfers of controlled scripts, but each state has its own policies on this.

2. The original pharmacy does have to approve it, but you can let the new pharmacy do the work/calls/etc.
If your state allows the transfer but the pharmacy will not, sometimes the new pharmacy can call the doctor's office and have a new script called in there for the remainder of the fills and canceled at the old pharmacy.

3. Some doctors write on the script itself that it cannot be transferred without their permission. I have seen script pads with this actually printed on them.

So unfortunately, the answer is "depends".

You could call any pharmacy in your state and ask if they allow transfers of controlled substances from an in-state pharmacy to start with.
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#775256 - 09/29/08 12:53 PM Re: Transferring refills [Re: mentoramy05]
PatrickStar Offline
Newbie


Registered: 10/13/04
Posts: 26
I recently moved from Tennessee to South Carolina. I had a refill of Lortab on a prescription from my PCP. I had it transferred from the pharmacy in TN to a pharmacy in SC. The pharmacist told me that controlled meds can only be transferred once. I don't know if that is a SC rule or a Federal rule.

-PS

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#775308 - 09/29/08 02:19 PM Re: Transferring refills [Re: PatrickStar]
mentoramy05 Offline

GRAND Pooh-Bah


Registered: 02/15/06
Posts: 2064
Loc: In your Eyes
That is what the NC pharm. told me also, that it can be transferred one time and it is okay as long as the state it is coming from allows it.
_________________________
The only thing worth stealing, in life, is a kiss from a sleeping child.

ALWAYS Treat others the way YOU want to be treated

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#775358 - 09/29/08 03:21 PM Re: Transferring refills [Re: mentoramy05]
mentoramy05 Offline

GRAND Pooh-Bah


Registered: 02/15/06
Posts: 2064
Loc: In your Eyes
Another question, I have read it before, on the board, but can't remember where, but is it legal to get schedule 2 and schedule 3 meds. at the same time, since they are different schedules, right?? (hope that makes sense) \:\)

Edited by mentoramy05 (09/29/08 03:25 PM)
_________________________
The only thing worth stealing, in life, is a kiss from a sleeping child.

ALWAYS Treat others the way YOU want to be treated

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#775371 - 09/29/08 03:40 PM Re: Transferring refills [Re: mentoramy05]
illinifan Offline
Journeyman


Registered: 06/23/08
Posts: 69
I have a script for 1 mg 3X/day xanax from my doc in AZ, I just moved for new job Does any know a good doc in Orange County CA who woesn't have a problem refilling if I have my records?
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#775441 - 09/29/08 05:48 PM Re: Transferring refills [Re: illinifan]
mentoramy05 Offline

GRAND Pooh-Bah


Registered: 02/15/06
Posts: 2064
Loc: In your Eyes
 Originally Posted By: illinifan
I have a script for 1 mg 3X/day xanax from my doc in AZ, I just moved for new job Does any know a good doc in Orange County CA who woesn't have a problem refilling if I have my records?


I do not live in or around CA, but make certain you get a copy of your medical records and that is definately a good start.

Good Luck!
_________________________
The only thing worth stealing, in life, is a kiss from a sleeping child.

ALWAYS Treat others the way YOU want to be treated

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#775673 - 09/30/08 02:39 AM Re: Transferring refills [Re: mentoramy05]
PrivateRealm Offline
GRAND Pooh-Bah


Registered: 03/18/03
Posts: 3067
Loc: In my realm, I'm QUEEN
 Originally Posted By: mentoramy05
Another question, I have read it before, on the board, but can't remember where, but is it legal to get schedule 2 and schedule 3 meds. at the same time, since they are different schedules, right?? (hope that makes sense) \:\)


yes, perfectly legal.
_________________________
Anne~~~
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#775807 - 09/30/08 09:48 AM Re: Transferring refills [Re: PrivateRealm]
mentoramy05 Offline

GRAND Pooh-Bah


Registered: 02/15/06
Posts: 2064
Loc: In your Eyes
Thanks PrivateRealm, I thought so, but I wanted to verify \:\)
_________________________
The only thing worth stealing, in life, is a kiss from a sleeping child.

ALWAYS Treat others the way YOU want to be treated

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#776859 - 10/01/08 05:12 PM Re: Transferring refills [Re: mentoramy05]
illinifan Offline
Journeyman


Registered: 06/23/08
Posts: 69
Thanks mentor
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#779958 - 10/06/08 06:47 PM Tussionex Question [Re: illinifan]
mentoramy05 Offline

GRAND Pooh-Bah


Registered: 02/15/06
Posts: 2064
Loc: In your Eyes
How good is this cough syrup???

I dropped the RX off at the pharmacy today and asked the price and they said $104 for a 4 ounce bottle (tiny bottle!!!!)

Is it worth this????? It has been a while since I received Hydro. syrup and I don't remember theone I received being this expensive.


Edited by mentoramy05 (10/06/08 07:09 PM)
_________________________
The only thing worth stealing, in life, is a kiss from a sleeping child.

ALWAYS Treat others the way YOU want to be treated

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#780027 - 10/06/08 08:58 PM Re: Tussionex Question [Re: mentoramy05]
SoHoTribeca Offline

GRAND Pooh-Bah


Registered: 05/20/06
Posts: 1656
Does this still have 4mg codeine in it? That sounds like a whopping amount of money if you have bronchitis or a serious cough, it doesn't last very long if you do. I've been prescribed gel caps called benzonatate 100mg that don't contain codeine, but holds down a cough pretty well. I hope I had a better answer for you, but don't know why a generic version that's only 4 oz is at such a high end price.
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#780102 - 10/07/08 03:28 AM Re: Tussionex Question [Re: SoHoTribeca]
PrivateRealm Offline
GRAND Pooh-Bah


Registered: 03/18/03
Posts: 3067
Loc: In my realm, I'm QUEEN
Tussionex has hydrocodone in it, not codeine.
_________________________
Anne~~~
"A person's true identity is rarely apparent in the life that they lead."

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#780126 - 10/07/08 06:16 AM Re: Tussionex Question [Re: PrivateRealm]
mentoramy05 Offline

GRAND Pooh-Bah


Registered: 02/15/06
Posts: 2064
Loc: In your Eyes
The pharmacy said that there is no generic for it.

I know it contains Hydrocodone and it is a 12 Hr. extended relief.......I basically want to know if anyone has tried it because that IS a ton of money for such a small bottle!
_________________________
The only thing worth stealing, in life, is a kiss from a sleeping child.

ALWAYS Treat others the way YOU want to be treated

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#780369 - 10/07/08 11:18 AM Re: Tussionex Question [Re: mentoramy05]
jpbp Offline
Threadhead


Registered: 09/23/07
Posts: 867
Loc: okie
It is by far the best cough medicine you can get. Yes, it is expensive but it does the job.

Hope this helps.
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#794070 - 10/29/08 10:54 AM Re: Tussionex Question [Re: jpbp]
mentoramy05 Offline

GRAND Pooh-Bah


Registered: 02/15/06
Posts: 2064
Loc: In your Eyes
Can this be mixed with Sprite for the immediate release version? This is not lasting 12 hrs., as it states. I also have Hycodan, but have not taken both in the same day because of the controlled release on the Tussionex.....is there such a way to make it immediate release instead of controlled? (that way I could take both within 3-4 hrs. of each other and see what helps best)

I have taken the immediate release Tussionex in the past and it seems to have helped better than this controlled release.
_________________________
The only thing worth stealing, in life, is a kiss from a sleeping child.

ALWAYS Treat others the way YOU want to be treated

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#794104 - 10/29/08 12:05 PM Re: Tussionex Question [Re: mentoramy05]
Repteur Offline
GRAND Pooh-Bah


Registered: 06/08/05
Posts: 2875
Loc: Suburban Chicago (Southwest)
 Originally Posted By: mentoramy05
How good is this cough syrup???

I dropped the RX off at the pharmacy today and asked the price and they said $104 for a 4 ounce bottle (tiny bottle!!!!)

Is it worth this????? It has been a while since I received Hydro. syrup and I don't remember theone I received being this expensive.


104 for 4 ounces tussionex is outradeous. Its 93 here for 6 ounces. Download a discount prescription drug card walk through the door with that. It should bring the price down around the 70's mark.


Edited by Repteur (10/29/08 12:07 PM)
_________________________
CAN I GET A REFILL ON THAT

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#794107 - 10/29/08 12:08 PM Re: Tussionex Question [Re: mentoramy05]
Repteur Offline
GRAND Pooh-Bah


Registered: 06/08/05
Posts: 2875
Loc: Suburban Chicago (Southwest)
 Originally Posted By: mentoramy05
The pharmacy said that there is no generic for it.

I know it contains Hydrocodone and it is a 12 Hr. extended relief.......I basically want to know if anyone has tried it because that IS a ton of money for such a small bottle!


yes its the best hydro on the market. Blows away norco 10/325
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CAN I GET A REFILL ON THAT

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#794229 - 10/29/08 02:52 PM Re: Tussionex Question [Re: Repteur]
Stacy Offline

GRAND Pooh-Bah


Registered: 11/15/02
Posts: 2010
Loc: USA
When my doc has given it to me he says I can take 1-2 tsps every 8-12 hours.

The pharmacist will tell you not to, but that's how my doc writes it and I have taken it that way before.

BTW, it is the strongest cough med available.

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#794267 - 10/29/08 03:46 PM Re: Tussionex Question [Re: Stacy]
nitemoon Offline

Pooh-Bah


Registered: 12/01/04
Posts: 1260
Loc: AL
 Originally Posted By: Stacy
When my doc has given it to me he says I can take 1-2 tsps every 8-12 hours.

The pharmacist will tell you not to, but that's how my doc writes it and I have taken it that way before.

BTW, it is the strongest cough med available.


Stacy, I can't say for sure if it is the strongest, but it is definitely the most popular. The group Three Six Mafia did a song about it called "Sippin on Some Syrup."

Here is a link to the lyrics if you want to read them

http://www.metrolyrics.com/sippin-on-some-syrup-lyrics-three-6-mafia.html
_________________________
Cant I take away all this pain. (you wanna see the light)
I try to every night, all in vain... in vain.

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#794276 - 10/29/08 04:10 PM Re: Tussionex Question [Re: nitemoon]
Stacy Offline

GRAND Pooh-Bah


Registered: 11/15/02
Posts: 2010
Loc: USA
Oh that's a nice song. No wonder people have a hard time getting docs to write scripts for this.

That's what the pharmacist told me, now short of things that are generally given for cough. I mean dilaudid will stop a cough, but it's not generally written for coughs.

My dad was given some kind of morphine liquid that he would use like a breathing treatment, but that too is not the normal 'cough med' written.

I think it has 10 mg of hydro per tsp, but that is extended release.

I did find this info on it:

 Quote:
The treatment of exhausting or non-productive cough; associated with cold or with upper respiratory allergic condition that does not respond to non-narcotic antitussives. It is an effective antitussive which acts for approximately 8 to 12 hours.


And

 Quote:
Tussionex suspension must not be diluted with fluids or mixed with other drugs because this alters the resin-binding and changes the absorption rate, possibly increasing the toxicity.


And this that seems to contradict itself:

 Quote:
Adults: 5 mL of suspension or 1 tablet every 8 to 12 hours. Maximum daily dose is 10 mL of suspension or 2 tablets. May be adjusted to individual requirements.


You can take 5 ml every 8 to 12 hours, but no more than 10 ml daily. If you take it every 8 hours then that would be 15 ml daily.

The pharmacist did warn me the first time I ever had it to not just 'take a sip like many people do with cough meds, measure it'.

I've never found that it last 12 hours, but generally 8 hours. I've also had the doc give it to me when something like hycodan wasn't working and he said he would give me something better.

Maybe 'strongest' isn't the correct word, but 'best' because my experience has been 1 tsp (10 mg of hydro) for eight hours works better than 2 tsp of hycodan (10 mg of hydro) for four hours.

Maybe it is the antihistamine that is in it that makes it work better and being extended release at least generally lets you sleep 8 hours straight.

It knocks me out when hycodan doesn't do that.

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#794283 - 10/29/08 04:19 PM Re: Tussionex Question [Re: Stacy]
nitemoon Offline

Pooh-Bah


Registered: 12/01/04
Posts: 1260
Loc: AL
I had one old doctor (he was cool) that would just give me Lortab everytime I had an upper-respitory infection. He told me that it was cheaper than all that expensive cough syrup.

Someone once told me that the doctor was once addicted to hydrocodone and now he just enjoyed writting it for other people. Isn't that wierd? The DEA investigated him some years back, but they found no wrong doing. They interviewed a friend of mine about him and they asked questions like "Did he actually exam you?" and "Did he take cash only for the appointment?"

He finally had to retire for medical reasons about a year ago. A lot of people were very dissappinted. I know I was because he was writing my xanax with 5 refills. The new doctor would only give me one refill.
_________________________
Cant I take away all this pain. (you wanna see the light)
I try to every night, all in vain... in vain.

Top
#794296 - 10/29/08 04:47 PM Re: Tussionex Question [Re: nitemoon]
Stacy Offline

GRAND Pooh-Bah


Registered: 11/15/02
Posts: 2010
Loc: USA
I wish I had a doc that enjoyed writing scripts for other people. If I had that I wouldn't need to supplement online.

Maybe one of us needs to find a doctor to marry. lol

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#794314 - 10/29/08 05:33 PM Re: Tussionex Question [Re: Stacy]
sarahte Offline
Old Hand


Registered: 09/04/08
Posts: 442
Loc: MidWest
 Originally Posted By: Stacy
Maybe one of us needs to find a doctor to marry.


........couldnt we just restrain one... or .. YOU Marry one Stacy and I will just pay you for His service.
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#794321 - 10/29/08 06:04 PM Re: Tussionex Question [Re: sarahte]
mentoramy05 Offline

GRAND Pooh-Bah


Registered: 02/15/06
Posts: 2064
Loc: In your Eyes
I was reading above about not altering it with liquids and so on and what gets me is the fact that I currently am being prescribed Endocet 10/325, Xanax and Tussionex and the Dr. didn't say not to take together or what not.....

I do space them though \:\)
_________________________
The only thing worth stealing, in life, is a kiss from a sleeping child.

ALWAYS Treat others the way YOU want to be treated

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#794347 - 10/29/08 06:59 PM Re: Tussionex Question [Re: mentoramy05]
Stacy Offline

GRAND Pooh-Bah


Registered: 11/15/02
Posts: 2010
Loc: USA
I'm surprised they didn't tell you not to take it together. The Endocet will help with coughing also.

You might want to take the Tussionex every 8 hours, but if you are taking the Endocet I wouldn't try 2 tsps first, just 1 tsp.

If you take the cough med every 8 hrs and the Endocet every 4 hours, then that might take care of the cough. If you are taking the Endocet, I don't know that I would mix it with the sprite though.

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#794385 - 10/29/08 08:14 PM Re: Tussionex Question [Re: Stacy]
mentoramy05 Offline

GRAND Pooh-Bah


Registered: 02/15/06
Posts: 2064
Loc: In your Eyes
Is the mixing with Sprite what breaks the controlled release ingedient, in the Tussionex?

I always space these hours apart
_________________________
The only thing worth stealing, in life, is a kiss from a sleeping child.

ALWAYS Treat others the way YOU want to be treated

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#794394 - 10/29/08 08:21 PM Re: Tussionex Question [Re: mentoramy05]
Stacy Offline

GRAND Pooh-Bah


Registered: 11/15/02
Posts: 2010
Loc: USA
That's what it looked like to me, but it doesn't have to be sprite I don't think.

 Quote:
Tussionex suspension must not be diluted with fluids or mixed with other drugs because this alters the resin-binding and changes the absorption rate, possibly increasing the toxicity.


It looks like if it is diluted, it is no longer controlled release.

The thing you need to remember though...while you might be opiate tolerant enough to do that, there is the antihistamine in there and it is strong evidently. I take phenergan pretty regular due to my migraines and I can take 25 mg and it doesn't knock me out, but 1 tsp of the Tussionex DOES knock me out. If I take hydro at night, I have to have something with it to sleep, it tends to keep me awake.

Please be careful with whatever you do, if it were me, I would take the 1 tsp of Tussionex and then maybe 4 hours later take 1/2 to one of the Endocet and see if 4 hours after that you need another tsp of the Tussionex or if you just took 1/2 the Endocet take the other half instead of the Tussionex.

Remember you don't want to cough, but you also don't want to stop breathing when you go to bed.


Edited by Stacy (10/29/08 08:22 PM)

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#794400 - 10/29/08 08:27 PM Re: Tussionex Question [Re: Stacy]
nitemoon Offline

Pooh-Bah


Registered: 12/01/04
Posts: 1260
Loc: AL
 Originally Posted By: Stacy
That's what it looked like to me, but it doesn't have to be sprite I don't think.

 Quote:
Tussionex suspension must not be diluted with fluids or mixed with other drugs because this alters the resin-binding and changes the absorption rate, possibly increasing the toxicity.


It looks like if it is diluted, it is no longer controlled release.

The thing you need to remember though...while you might be opiate tolerant enough to do that, there is the antihistamine in there and it is strong evidently. I take phenergan pretty regular due to my migraines and I can take 25 mg and it doesn't knock me out, but 1 tsp of the Tussionex DOES knock me out. If I take hydro at night, I have to have something with it to sleep, it tends to keep me awake.

Please be careful with whatever you do, if it were me, I would take the 1 tsp of Tussionex and then maybe 4 hours later take 1/2 to one of the Endocet and see if 4 hours after that you need another tsp of the Tussionex or if you just took 1/2 the Endocet take the other half instead of the Tussionex.

Remember you don't want to cough, but you also don't want to stop breathing when you go to bed.


I have to agree with Stacy, especially since you are taking other meds. It might cause an adverse reaction.
_________________________
Cant I take away all this pain. (you wanna see the light)
I try to every night, all in vain... in vain.

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#794572 - 10/30/08 05:19 AM Re: Tussionex Question [Re: nitemoon]
mentoramy05 Offline

GRAND Pooh-Bah


Registered: 02/15/06
Posts: 2064
Loc: In your Eyes
Thanks guys. I will keep the Tussionex, as prescribed \:\)

I definately want to wake in the morning \:\)

I may try to dilute it if I do not take the Endocet that particular day.
_________________________
The only thing worth stealing, in life, is a kiss from a sleeping child.

ALWAYS Treat others the way YOU want to be treated

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