Medication reconciliation: Who do I talk with to review all my meds?

Posted by gcranor @gcranor, Aug 27, 2022

Has anyone just got tired of taking so many medicines that they want to see what drug is causing other sign effects?
I am currently takeing;
Gabapentin 1800 mg daily
Metronic’s drug pump
Sumatriptan
Migraines monthly injections
Sterling
Purple pills for stomach
Tylenol 3000 mg daily

I want to stop all of them to see what I really need.

Any suggestions?

I know what the medical staff will say talk to you doctor, however I have 4 different doctors and I know they do not really read all the other doctors notes.

Interested in more discussions like this? Go to the Chronic Pain Support Group.

@budo7

Part of your Primary care Doctors job is to keep up-to-date records of all the meds you are taken and then review them with you at least every 6 months. If for some reason they are not networked with all the other Doctor offices you can have your pharmacy print out your records. Worst case bag the bottles up and take them with you.
It's your life or the life of a loved one you are trying to help, if your current PC won't do that it's time to find a new one. Some of NP that do this for them.

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@budo7 The pharmacist where I used to live, was instrumental in helping me move between medications if there were reactions to watch. That was when my list of meds were fewer, and from the same health system. No, I have moved, have more meds, different records systems, etc. But I still rely on taking a list to my now-favorite pharmacist to review everything. Apparently there are programs they have access to, to assist them when filling different prescriptions. He is able to look at the big picture, both over the counter and Rx.
Ginger

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@gingerw

@budo7 The pharmacist where I used to live, was instrumental in helping me move between medications if there were reactions to watch. That was when my list of meds were fewer, and from the same health system. No, I have moved, have more meds, different records systems, etc. But I still rely on taking a list to my now-favorite pharmacist to review everything. Apparently there are programs they have access to, to assist them when filling different prescriptions. He is able to look at the big picture, both over the counter and Rx.
Ginger

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Mine is great as well, with that said He does not know my full medical history.

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Talk to a pharmacist, and maybe your pcp.

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Your insurance company will have a coach that is assigned to you. Maybe he/she can offer suggestions.

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I would contact your primary care physician, but first make sure the Doctor has the latest list of your medications.

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Chronic pain since July 1996. I was on Brand Gabapentin (Neurontin) no generic at this time May 2000. Pain Management Seattle, WA. I was up to 1,200mg 4X a day. PM doctor said no limit to the dose. There is an awesome Face book group to help getting off of this medication. So much compassionate understanding and help. Please get off. I was also taking Brand Lyrica 300mg 2X daily a year ago. I was able to stop these 2 reducing fairly quickly. Many others go thru pure hell getting off. Group is Gsbapentin/Lyrica Withdrawal. Join for the support you need. In my opinion the Tylenol is worthless. Only destroying your liver and Kidneys. I understand the pain pump. If it has Baclofen in it get rid of it if you value your liver. That med is bad news. I assume the pain med is Hydromorphone? I take it orally 8mg 4X daily as needed for Complex Regional Pain Syndrome Neuropathy and other bone on bone destruction that they won't do surgery on for fear of neuropathy spread. Ketamine compounded nasal spray is used for migraines with a lot of success. It may not work well with Gabapentin or Fentanyl. You might want to check it out.
A protective bladder protocol should be followed as it is known to damage bladders. Another group on Face book for Ketamine is Ket-amine
For Better Health(CRPS, Chronic Pain, & Mental Health). Be sure to read the rules. They are strictly enforced. The word ketamine must not be spelled out. Use K, Ket, Ket@mine. May help you. It is not a cure only a tool. I have CRPS and get much relief from it. Do not just stop taking Gabapentin. You could have a Pseudo Seizure. Have to reduce slowly. I hope you find answers soon. Take Care

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Maybe a consultation with a pharmacist would help.

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@mikaylar

Your insurance company will have a coach that is assigned to you. Maybe he/she can offer suggestions.

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I had good luck with this recently

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Your primary doctor is supposed to be managing your care. All your doctors should be sending reports to him. I would check with him/her at your wellness visit. Make sure you take a list of all your meds.

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I spoke to a pharmacist and it was a revelation. I was having seizures and found drugs that were conflicting. Then I spoke to my primary and they stopped two drugs

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