While getting meds from your doctor which are insufficient and then going to an OP to get some real help is understandable. It might be considered a little unethical, but Im sure a lot of us have done it at one time or another. I wouldn't do that with two different doctors, because the pharmacies have the computers that can see what you are prescribed and by whom...and cause you a lot of trouble. Lets just say that if you have two different scripts from two different docs, use two different pharmacies, and pay cash. I have done that when the ER doc gave me a script for 10 on Friday night for an injury and then my doc saw me on Monday and gave me a better supply. That is really not double dipping, and you using an Op is like that situation. I always wonder if Im breaking the law when I use an OP. I use them for adequate breakthrough meds. MY doc is giving me a three month methadone trial. Its a very low dose-5mgs, and all I am allowed is three a day. I get Ultram for breakthrough pain. That does nothing. So I use an OP for hydro- which works wonders with the methadone. I have tried asking my doctor for this combo, but he won't have it. He just writes me another script for an antidepressant or other weird med like methotrexate (for fibro?!!) So I am going to my PCP and getting a referral to a pain clinic. Then I probably won't be able to use OP's since they make you sign a contract. I just wouldn't feel right about that. But if they won't medicate me, then I will use Op's for my pain control.

Q