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kimbuka - If your friend's prescription was filled (and you indicated it was) it is very unlikely that her prescribing physician would ever find out that she'd altered the prescription. Unless your friend had been getting multple prescriptions or there was something else about this particular prescription that was suspicious, pharmacists would very rarely question the way the prescription was written after the fact. Usually, if they think the prescription has been altered in any way they will defer filling it right away until they call the dr. Sooo... I doubt your friend has anything to worry about.
In general, though, I agree with you - it is not a good idea to alter prescriptions! (My sister once changed "20 tablets" to "30 tablets" for some Ambien and got into quite a bit of trouble for it because the pharmacist could see that it looked fairly obviously like it had been erased and rewritten ... How stupid, huh?!} But just adding ES to Vicodin probably didn't attract any attention.
MANY pharmacies ROUTINELY fax back to the prescribing doctor ALL prescriptions for controlled substances. If they do it for Klonopin, they will sure as heck do it for hydrocodone. It takes a few days and not all the doctors look at them ... but it can happen. If a doctor recognizes an altered scrip, they can call the police ... or drop you as a patient. If your doctor doesn't write for Vicodin ES, your friend could be in trouble. Altering a scrip to obtain a controlled substance is at least one felony. Tell your friend that what she did could get her several years in state prison, theoretically at least.
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