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Scared of flying - Walk-in clinic for Xanax?

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  • Dec 11th, 2011 12:40 pm
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Scared of flying - Walk-in clinic for Xanax?

So I have a flight coming up, and the whole thing would go a lot smoother for everyone involved if I was drugged up on benzos for the ride. I don't have a family doctor, so basically I need to go to a walk-in clinic, explain my situation and ask for some schedule IV drugs. I know other people do it with their family physicians, but I'm not sure how well this will be received from some guy off the street.

Can anyone give me advice or experience on how to best go about this?
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Good Luck! I think every walk in clinic around here has signs at the door or desk that they will not prescribe controlled drugs under any circumstances, even emergency refills. And now with the new tracking system and record requirements for docs, they will be even more adamant about not writing those scripts.... Due to all the changes my doc made it a point to tell me to make sure I make my appt's early for refills as I won't get them anywhere else now in all likelihood, no matter the circumstance...
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Thanks for the reply.

I really don't want to waste my time (and the doctor's) if they are not willing to help me, but the chances of me getting on a plane without drugs aren't good and I really need to make this flight. Of course, I can procure these drugs by other means and hide them, but I'd really rather not deal with the stress of bringing illegally obtained drugs with me on a flight. I want to do this the proper way. So any help is really appreciated here.

CSK, I don't think that the tracking system is meant in any way to prevent doctors from prescribing controlled substances, it just makes the source more accountable if those substances are abused or misappropriated. So really, the problem I'm having is one of simple private policy, not legality. (I know that you know this, I'm just clarifying for the readers)

I think that clinics are doing themselves and their patients a massive disservice by refusing to treat pain and anxiety. It has gotten so bad, that some people allow their symptoms to worsen, rather than suffer at the hands of incompetent doctors whose answer for severe pain is dangerous amounts of NSAID drugs, and severe anxiety is pointless breathing exercises. At least assess these things on a case-by-case basis, rather than bury you head in the sand because you're worried about reputation and potential liability. There are austerity measures a doctor can take without wholesale failure to treat entire spectrum of illnesses.

Rather than say, "We don't treat" at least say, "We refer to specialists for.."
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Syne wrote:
Dec 3rd, 2011 10:58 am
Thanks for the reply.

I really don't want to waste my time (and the doctor's) if they are not willing to help me, but the chances of me getting on a plane without drugs aren't good and I really need to make this flight. Of course, I can procure these drugs by other means and hide them, but I'd really rather not deal with the stress of bringing illegally obtained drugs with me on a flight. I want to do this the proper way. So any help is really appreciated here.

CSK, I don't think that the tracking system is meant in any way to prevent doctors from prescribing controlled substances, it just makes the source more accountable if those substances are abused or misappropriated. So really, the problem I'm having is one of simple private policy, not legality. (I know that you know this, I'm just clarifying for the readers)

I think that private clinics are doing themselves and their patients a massive disservice by refusing to treat pain and anxiety. It has gotten so bad, that some people allow their symptoms to worsen, rather than suffer at the hands of incompetent doctors whose answer for severe pain is dangerous amounts of NSAID drugs, and severe anxiety is pointless breathing exercises. At least assess these things on a case-by-case basis, rather than bury you head in the sand to avoid potential liability.

I actually think you are right. I wonder about all the folks without a family doc who may very well have legitimate issue and can't get the drugs they need. If I didn't have a family doc I'd be screwed and have a considerably diminished quality of life during flares. To know that there is no way I'd be getting my pain control drugs other then through my family doc is actually kind of scarey to me... Thank gawd the pharmacist royally screwed up last month and actually tripled my script!!! I now have enough to always have access when needed and not have to worry about getting in right away for a refill, well other than my anti inflammatory. I actually saw a pharmacy here the other day with a large sign at the doors saying all controlled drugs would only be filled by special order starting the 1st of this month. They are no longer carrying any stock in store. They are saying 3 days to fill a script in most cases. Crazy!

Maybe you can try scoping out several walk-ins? If there isn't a sign at the door or desk maybe they will do it. I certainly wouldn't call on the phone though, your luck you'll have a narco team at your door when they trace the caller id! LOL! What about a campus clinic as well?
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Xanax (alprazolam) is probably one of the nastiest, most abused benzos out there. I would suggest asking for Ativan (lorazepam) instead, which has far less of an abuse connotation (although certainly is quite abusable).

As for how to do it, simply go in, explain that you have a flight scheduled in the future, and that you would like to get some sleep. Bring your ticket and be prepared to describe your trip, if asked. Most doctors have no problem writing a small prescription for 10-15 tablets.

Now, if you go in there, and demand a large prescription of the highest dosage possible (2mg for lorazepam or alprazolam) -- that sets off huge red flags.
I actually saw a pharmacy here the other day with a large sign at the doors saying all controlled drugs would only be filled by special order starting the 1st of this month.
Narcotics that have to be locked in the vaults are a giant pain in the a** for the pharmacists -- but benzos, now come on... I suspect the pharmacy just doesn't want someone showing up with a (legitimate) prescription for 480x80mg oxycodone (an actual prescription that I've seen....) and expecting that the pharmacy will have stock on-hand to fill it.
CSK, I don't think that the tracking system is meant in any way to prevent doctors from prescribing controlled substances, it just makes the source more accountable if those substances are abused or misappropriated. So really, the problem I'm having is one of simple private policy, not legality. (I know that you know this, I'm just clarifying for the readers)
Very true. A doctor that can check the system may feel more comfortable prescribing controlled substances to legitimate users as the doctor can review the entire medication history record, including references to the use of other practictioners for controlled substances.
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Mark77 wrote:
Dec 3rd, 2011 2:40 pm
Xanax (alprazolam) is probably one of the nastiest, most abused benzos out there. I would suggest asking for Ativan (lorazepam) instead, which has far less of an abuse connotation (although certainly is quite abusable).

As for how to do it, simply go in, explain that you have a flight scheduled in the future, and that you would like to get some sleep. Bring your ticket and be prepared to describe your trip, if asked. Most doctors have no problem writing a small prescription for 10-15 tablets.

Now, if you go in there, and demand a large prescription of the highest dosage possible (2mg for lorazepam or alprazolam) -- that sets off huge red flags.



Narcotics that have to be locked in the vaults are a giant pain in the a** for the pharmacists -- but benzos, now come on... I suspect the pharmacy just doesn't want someone showing up with a (legitimate) prescription for 480x80mg oxycodone (an actual prescription that I've seen....) and expecting that the pharmacy will have stock on-hand to fill it.



Very true. A doctor that can check the system may feel more comfortable prescribing controlled substances to legitimate users as the doctor can review the entire medication history record, including references to the use of other practictioners for controlled substances.


They system doesn't work like that yet Mark at the doctor level. It's just been implemented at the pharmacy level that a controlled script brings up a screen with the patients full history of controlled drugs, prescribing docs (to prevent doctor shopping), refills at all pharmacies in the province no matter the source of payment, etc. Now just added last month, govt issued ID must be presented as well. I'd be willing to bet though as we move more towards electronic health records doctors will have access to that info. I know what my doc has to do when writing my script.. duplicate script, a copy on a separate ledger sheet, etc. I can see why so many walk-ins refuse to even consider writing scripts for controlled drugs. They don't want the additional paperwork or the accountability either...

As for the vault issue, I know. My BIL is a pharmacist with a couple of stores till very recently. He says many stores are opting to go the "special order" route because of drug robberies and drug break and enters. They figure if they don't have them on site and publicize it, they can reduce their chances of a drug robbery which is becoming a real issue now.
Thinking seriously about the 4 S's...Sun, Sand, Surf and ... Booked for Sept in Mexico and booked Samana DR for Jan!
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We should consider ourselves lucky in a way, that our big opiate problem in Canada is prescription pills and not bathtub chemist-grade heroin, like they have in the US. While heroin still exists to some degree here, it's not nearly as prolific, and OC use in comparison is much safer.
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Mark77 wrote:
Dec 3rd, 2011 2:40 pm
Xanax (alprazolam) is probably one of the nastiest, most abused benzos out there. I would suggest asking for Ativan (lorazepam) instead, which has far less of an abuse connotation (although certainly is quite abusable).
Xanax makes sense for a plane ride, specifically due to the shorter half-life (the flight is only a couple hours). Believe me, I would take Ativan too, but it doesn't fit the profile as well. But whatever the doctor prescribes I will be happy with. Unfortunately, playing stupid seems to be a bit part of getting what you want from a doctor.
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Syne wrote:
Dec 4th, 2011 12:09 pm
Xanax makes sense for a plane ride, specifically due to the shorter half-life (the flight is only a couple hours). Believe me, I would take Ativan too, but it doesn't fit the profile as well. But whatever the doctor prescribes I will be happy with. Unfortunately, playing stupid seems to be a bit part of getting what you want from a doctor.

Maybe you need a fear of flying course instead.

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Yeah, I think a course would be better in the long term too. Why take such powerful meds if you don't need to? And all this for a 2 hour flight? I thought OP was going on some 20 hour flight to Asia or something based on the seriousness of the post.
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Talamasca wrote:
Dec 4th, 2011 1:17 pm
Yeah, I think a course would be better in the long term too. Why take such powerful meds if you don't need to? And all this for a 2 hour flight? I thought OP was going on some 20 hour flight to Asia or something based on the seriousness of the post.

Maybe he's going to Winnipeg. And if that's the case, I think he just might need the whole pharmacy-sized bottle of Xanax to put up with how lame that place is... :lol:
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Talamasca wrote:
Dec 4th, 2011 1:17 pm
Yeah, I think a course would be better in the long term too. Why take such powerful meds if you don't need to? And all this for a 2 hour flight? I thought OP was going on some 20 hour flight to Asia or something based on the seriousness of the post.

Not powerful really. The LD-50 is insanely high on all benzos. Teenage girls have been trying to "commit suicide" with entire bottles of benzos since the advent of Valium. They ultimately fail to do anything but give themselves a 24 hour nap.

The controversy surrounding benzos is addiction, specifically the dangers of withdrawal when taken over a long period of time - thus the logic behind the one-shot prescription.

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Syne wrote:
Dec 5th, 2011 10:27 am
Not powerful really. The LD-50 is insanely high on all benzos. Teenage girls have been trying to "commit suicide" with entire bottles of benzos since the advent of Valium. They ultimately fail to do anything but give themselves a 24 hour nap.

The controversy surrounding benzos is addiction, specifically the dangers of withdrawal when taken over a long period of time - thus the logic behind the one-shot prescription.

Image

The issue isn't addiction in your case if a doc were to prescribe it, it is abuse of the drug (using it recreationally, selling it to someone else, etc...).
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I sat next to a guy on a flight once who was afraid of flying. Young guy my age too. He pulled his hoodie over his head, pulled the strings TIGHT to block everything out, wore a sleep mask, and took a bunch of pills. I felt for the guy going through such anxiety and fear over something so mundane for so many other people.
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Syne, you might actually do better on a stimulant (ritalin, dexedrine, etc.) than a depressant, as the stimulant will help your brain respond rationally to the whole idea of getting on an airplane.
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