I know with my own doctor, the way I ended up on serious pain meds was simple honesty, choosing what I said, how I said it, and *when* I said it. For me, it was migraines (and still is). I told my doctor they kept me up at nights, really affected my day to day functioning, made it so I was pretty much stuck home bound with a lot of pain, and that I tried every NSAID under the sun in large amounts and they didn't work, and I was afraid of organ damage. Was there *anything* else I could do? I also told him I was wondering if I should try alternative treatment (acupuncture) and that I tried diet modification but that didn't work much.
Point being, I covered a lot of the areas I knew he'd ask about outright. Then he told me he could write me a scrip for Vicodin. I asked him about it so I'd seem like a drug
naive newbie. I slowly progressed up the hydrocodone
chain until I said I was afraid of causing liver damage from all the APAP
, plus other NSAIDS I had to supplement the Hydro with. So bam, hydromorphone
. I didn't lie with any of this, but I also didn't jump the gun and raise any red flags by eagerly suggesting a certain opiate
, and I pretty much supplied fertile ground for an opiate scrip. I'd imagine one could do the same with their chronic back pain, and just tailor their plea to that as I did for migraines, etc. They just shouldn't outright ask for it by name, and be very careful about appearing too knowledgeable. If the doctor mentions opiates
, you can also supplement that with being worried about addiction
, but you *are* open to the treatment option if they think that'll work, etc etc.
Doctors are extremely vulnerable targets for the feds these days regarding opiate scrips, so they're even more wary than they were in the past, so prudence is extremely essential. And letting him/her know you're trying everything you can to get yourself as healthy as possible already, so they know you're actually worried about your overall health and don't just want a pill to lala land.