Silk Road forums

Discussion => Newbie discussion => Topic started by: thebaine on February 03, 2013, 04:03 am

Title: benzos and the kickback doctors get for what they prescribe.
Post by: thebaine on February 03, 2013, 04:03 am
I'm looking for a decent benzo vendor for clonazepam 2mg.  If theirs a canadian vendor thatd be great.

i'm so sick of my doc giving me terrible paxil pills with terrible side effects when all i need is a few benzos a day. when i ask for them i either get the addict treatment for specifically asking for them or i get a prescription for 5 pills.  What happened. A year ago doctors were handing them out like candy.  Now your lucky to get 5 pills?  Thank god for SR. Thats all I got to say  on that.

I think doctors are prescribing ssri's instead of benzos now because if they prescribe enough brand name paxil and zoloft they get a all paid cruise to the bahamas for "work related" stuff like a one hour conference on anxiety disorders.

I think it was the same up into the 90's with benzo's. but now the patents are up and generics pretty much rule the market benzo wise.

Look at oxycontin. Look what they've done to ensure there the only company with longlasting oxycodone.  They've swindled and fucked the american ppl. from the addict right up to the tax payer. In canada right when oxycontins patent was about to expire Health Canada "suddenly" appoves oxyNEO. a non abusive form of oxycontin, extending the monopoly on that. Fuckers.  Atleast now i can get what i need when i need it here at sr.

Tell me what you think of the situations at hand. :-\
Title: Re: benzos and the kickback doctors get for what they prescribe.
Post by: Iris on February 03, 2013, 05:40 am
I don't think there's been a massive shift in benzo prescribing. They're still broadly prescribed - go look at national frequencies/units prescribed. If you've been getting them a long time, maybe they don't want to keep prescribing them because there's not good evidence that they're appropriate monotherapy for long term use and/or you've reached their comfort threshold. Maybe your province has a better controlled substance database or something now. Maybe the information about risk for dementia with long term use is spreading through the community, I think that might have made some larger publications.  Maybe your OD rate in your area is unacceptable or your docs all work hospital hours too. I can think of a ton of reasons...

It's easy as hell to keep a patient in treatment for YEARS with chronic benzodiazepines because, well, they'll keep coming back - it's a much better financial deal for the prescriber - but it's not always in the patient's best interest.  Your logic here is flawed. A doc could just see you and auto-prescribe the benzos for a short period and have you keep returning, you'd be an established patient, it's MUCH easier for them and it would be a better financial bet than the cruise (that they're not getting anyway.) You'd be happy and shut up and go away, after all. They're not doing that for a reason.  Maybe they in fact don't think it's the right treatment for you, maybe they're mean, maybe they're just addiction-phobic, maybe you need a better specialist - I have no idea.
The docs I know take the time to do it right, and sometimes they rx benzos and sometimes they don't - but they don't prescribe benzos to make people shush up and go away, they genuinely worry about addiction, and they do prescribe them short term when they think they're necessary. Sometimes even long term.

But they are NOT declining benzos because they're pimping Paxil. Essentially all the SSRIs are now generic. Most of the antidepressants that are also anxiolytics are now generic. I've been kicking drug reps out of hospitals and clinics for a long time. Even at the worst situations I've seen, no one was getting a cruise to the Bahamas for a 1 hour anxiety disorder lecture. There's not a kickback of some dollar amount per prescription. It's more subtle and insidious than that - go read Danny Carlat's book Unhinged if you really want to know more about this, it's an outstanding book. His blog is good too. 
At this point in time, your typical community FP is not getting a whole lot of anything from their drug rep beyond maybe samples and a cheapie lunch. Maybe Canada's different.
THAT would be a conversation starter with your doctor, though... ask if she's read the Carlat book. Ha.

What does your doctor say when you ask her why she doesn't prescribe the clonazepam?

Anyway, it looks like you've found the solution you were looking for.