Grouch, Grumble, Whine....

A frustrating and tiring few days put me in a dark mood this week.

Acquiring a refill of my pain medication - a generic of the brand Norco - is becoming more difficult by the month. I obtained the paper prescription, signed in ink by my temporry oncologist, as required now by law when medications involving opioids are refilled. We took the prescription to the pharmacy we've used for the past 15 years. On being presented with the written prescription the rather unhelpful young lady at the drop-off counter told me "Sorry we can't fill that, we are getting a new wholesaler and we have none in stock. You'll have to go to another pharmacy." "Well", said I, "I could wait for a day or two, I still have a some tablets left. Would you have the medication available in a few days' time?" "No, we don't know when, or if, we'll have them". A bit fishy, that!

We drove to CVS pharmacy just across the road, to be told by a kindly young guy at their drop-off desk. "Sorry, we're all out of those tablets, people coming from the pharmacy across the road have cleaned us out. We might have some by early next week. I'd try Walgreens - not Walmart as they'd likely send you away as you're not a regular customer."

Onward to Walgreens. These pharmacy visits entail a fair amount of walking, and I, the painfully walking wounded one, was not delighted by the fact that pharmacy counters in the large stores are right at the back, farthest away from the entrances - so lots of painful steps for me. Even dosed up with the pain pills, using a quad-cane, walking far is not easy for me.

Walgreens, after checking my identity and Medicare details, seemed willing to fill my prescription. They were very busy - lines forming at the pick-up and drop-of counters all the time. They said to come back to pick up the tablets in around 45 minutes. We returned over an hour later. Medications not yet ready for me, so we decided to wait until the next day to collect - to avoid yet another trail to the back of the store that day. Later on, a phone call from the pharmacist at Walgreens told me that I would need the doctor's further authority for the number of pills required by the prescription. (I'd have thought that the prescription itself was that authority!) The doc had allowed for 8 tablets per day (for a month) instead of 6 per day. New regulations mean that extra authority from the doctor will be required for that amount of tablets. I told the pharmacist that, as I take only 6 tablets per day, could he please just fill the prescription for that amount? He agreed to do this, and changed the number of pills stated on the prescription. So, yet another trip to Walgreens the next day, though with rested legs.

At last, I had the tablets in my hot sticky hands. I say hot and sticky advisedly. It was around 95 degrees in town during these adventures, adding to my annoyance and discomfort.

I had hoped that Walgreens might deal with a different generic manufacturer than the one used by our usual pharmacy. Sadly no, that didn't happen - same generic manufacturer, who shall remain nameless. I am convinced, as are many people online, that the generic of Norco made by this particular manufacturer is not as effective as the brand medication itself, or pills made by several other generic manufacturers. It is thought, by regular users of this medication, that not long after December 2017, when panic erupted over deaths by addiction to opioids in the USA, especially in Oklahoma, the effectiveness of these tablets as pain relief medication took a nosedive. Those who had been taking the medication before and after the opioid crisis suspect that some manufacturers have adjusted make-up of these tablets, possibly by changing additional ingredients used in their manufacture. I suspect (a wild guess on my part) that the way the tablets were being used by addicts for purposes other than pain relief, may have been the reason for change. Addicts crushed the tablets. Perhaps some generic manufacturers added an ingredient to prevent easy crushing which, in turn, could also prevent proper digestion of the pain-relieving ingredients. So those of us who genuinely need pain relief go to the back of the queue, we don't matter!

Pain relief from the pills, for me, is minimal but better than nothing. Morphine at the strengths tried already brings even less relief. I'll be asking the temporary oncologist, next time I see him, if there's something else I could try. I'd buy the brand name Norco tablets, even just to try, if they weren't so ridiculously expensive - in the order of $500 + per month!

Whinge, whinge, grouch and grumble! A wheelchair beckons!