More threads by Daniel E.

Daniel E.

daniel@psychlinks.ca
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ID now required to get and fill certain prescriptions
November 3, 2011

Doctors and pharmacists now require patients to provide ID when seeking prescriptions that involve controlled substances...

It's a key part of the Ontario Narcotics Strategy which went into effect November 1.

A couple examples of common narcotic medications include acetaminophen with codeine (Tylenol 3), and oxycodone (OxyContin). Controlled substance medications include: methylphenidate (Ritalin), benzodiazepines (Valium) and barbiturates (Phenobarbital).

Click to view the list of monitored drugs

"Your doctor or dentist will ask you for an acceptable form of ID when you are being prescribed your medication. A unique number from your ID will be recorded on your prescription," according to the Ministry of Health Fact Sheet. "You may be required to present the same piece of ID to your pharmacist in order to receive your medication. The information you provide will be recorded in the Narcotics Monitoring System, once implemented, to ensure proper prescribing and dispensing practices are being followed."

Below are a few examples of acceptable ID:

  • Ontario Health Card or other health card issued by a Province or Territory in Canada.
  • Valid Driver's Licence or Temporary Driver's Licence.
  • Ontario Photo Card.
  • Birth Certificate from a Canadian province or territory.
  • Government-issued Employee Identification Card.
  • Valid Passport - Canadian or other country.

Until now, prescription narcotic or other controlled substance medication were obtainable without showing ID. The new policy also ends prescription renewal of these drugs, by telephone.

The changes are coming ahead of the computer monitoring system that isn't expected to be available until the spring 2012. In the meantime, pharmacists are recording the information on paper and filing it.

"Information collected will be used to detect unusual or inappropriate behaviour, identify trends, enhance education initiatives and develop harm reduction strategies," according to the Ministry. "The abuse and misuse of prescription narcotics and other controlled substances is a serious public health and safety issue in Ontario. The monitoring of these medications through law exists to protect people from the harm that these drugs can do, while ensuring that the people who need them continue to do so."

Alliston pharmacist Randy Greenman, of Wray's Guardian Pharmacy on Victoria Street, told Free Press Online this morning in an email reply for this story, he believed the changes are a step in the right direction.

Wray's Pharmacy, Alliston Family Pharmacy, and Shopper's Drug Mart have all been victimized by armed robbers over the past few years seeking the highly addictive drugs like Oxy. Last summer, a methadone clinic opened in Alliston to treat opiate addictions.

"It is a positive thing if it does indeed slow down the abuse of narcotics," wrote Mr. Greenman. "Will it stop the street use? Time will tell. If someone has come home from hospital and is not able to come to the pharmacy, their agent must have the patient's ID and we will need their permission to provide the medication to the agent. This will certainly slow down the process."

More info:

Ontario’s Narcotics Strategy - FAQ
 
I wonder if, when tracking these trends, they'll give brownie points to those who fight against taking their pain medication?

I once had a doctor who prescribed 900 mg of morphine a day. He eventually lost his license for his careless prescribing of narcotics. By the time he got in trouble I had been away from him for 1 year.

I didn't like the high doses he had me on so I fought tooth and nail to get off it. He wouldn't cut it down at all.

I finally managed to talk my Family Doc into taking over the prescribing of the medication (all my medication, including the psychiatric). She was agreeable to tapering down the psych meds (about 50 pills a day) but she was not agreeable to playing with the morphine at first. She referred me to someone else. The new pain specialist saw me for 15 minutes, said I was a drug addict and reported back to my doctor that he couldn't help; I must go to Detox.

She (my family doc) blew a gasket, created her own tapering off plan, and started me on it. I doubled the tapering off speed and now I take nothing on a regular basis. I got off all the psych meds in 2002, and have been symptom free of a mental illness ever since, and I got off all but 10 mg of short acting morphine to take on an as-needed basis.

If the pain gets bad, I get busy with positive pursuits. If that alone doesn't work, I try taking 2 Advil. If that doesn't work, then, and only then, will I submit and take the 10 mg of Statex (short acting morphine) that my doctor says I must take when the pain gets too bad. My blood pressure goes too dangerously high if I leave the pain unchecked for too long. The prescription is for 20 tablets and it says I can take 4 tablets per day. One prescription will generally last for 2 months.

Yet, despite all this history with the health care system, I'm still treated as an addict by the doctors who don't know me and who won't take the time to read my medical history.
 
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