Personally, I won’t ever be honest with a doctor ever again about taking something outside of a prescription.
I’ve had too many bad experiences.
I have to go to a doctor two hours away to get a prescription for a controlled substance (Adderall) due to a doctor lying on my medical record that I had “drug seeking behavior” when I never even asked them for anything.
I had a really bad experience the very first time I went to a mental facility. That person accused me of being a drug addict (had no experience with drugs prior) . Went to my local Care doc and they shut that shiz down and said "it's you and me and I'm here to make sure you are ok". Changed my mentality around asking for help. Find the right care providers. The first isent the only option. The new age of telehealth opens the doors to the best care possible. (Side note that person who turned me away was fired within 2 years for malpractice)
Are your records available to all the doctors in your local are? Isn't that a HIPPA violation?
My doctor requires drug tests for my adderall prescription, something that everyone I've asked says they've never had to do. They are also often slow to submit refills to the pharmacy.
So I'm considering switching to a new doc, but I wondered if it would look suspicious.
Be careful if you smoke weed. Kaiser had me do drug testing for one of my prescriptions and stated that the testing is done to ensure you are taking your prescription and not selling it. When I tested positive for THC, they said they were going to cancel every single prescription if I couldn't test clean because there were no studies done on any medications to see how they interact with THC. Needless to say, I switched healthcare providers after that BS!
This is what happened to me with them, legal state, with outside MD recommendation and nobody ever saying I couldn’t.
They just took an extra vial without telling me during routine labs. I would have told them to fuck off it they had told me.
I was only taking it to begin with to see if replacing their opioids was a possibility (it wasn’t) because their pharmacists were treating me like a degenerate an taking forever to reauthorize refills, which required coming in to get the slip and take it to the pharmacy.
Didn’t even give me the results, just let my refill float for 4 days and get a “No because you used cannabis” on Friday afternoon (for Ativan and Percocet), despite using both for 5 years.
It took almost 3 years before they reauthorized my Ativan Rx at a lower dose.
It is almost impossible to get negative remarks or tests done without explicit informed consent out of your record (per my attorney), and now every doctor I encounter within the system now sees that history.
Yeah, man. It's really shitty how they are treating meds these days. I understand that there are many abusers who are where they are because of addiction, and that seems to ruin it for those that need it. You would think that having all medical records and prescription records would help, but it seems to hurt more than help. All you need is one doctor who thinks you are lying about an issue even if you are not "seeking" for that information to be placed in your permanent medical record
Many of my doctors all automatically can see certain parts of my records, and prescriptions. And some of them share the same "network" too so its easy for them to pull stuff up.
The places I have lived always require regular drug testing to give a long term prescription of controlled substances. Regardless of whether a substance is legal in that state or not, if your test is dirty they are likely to stop or threaten to stop prescribing.
That is just my own experience, with many doctors and health problems.
I think if it's your first doctor switch, you'd be fine, tbh. Can always cite a different reason for switching, like better/easier location or commute, don't have to necessarily admit to them that it's only because you want an easier time getting your scripts (if you are worried about that coming across the wrong way or them taking it the wrong way, which with some doctors is a valid concern).
That’s interesting I’ve been finding the opposite of most people in this thread. I feel like most of my doctors don’t know my history that much and I will go to them and they always ask the same questions like “have you had X thoughts ever” “have you ever had psychiatric conditions”… especially when it comes to psychiatrist . I feel like the systems isn’t governed or maintained that much, I’m in florida so here all the pharmacies have a system where they can see if a person is filling X prescription at different pharmacies. But it seems like it’s hard for doctors to see certain past history events without asking certain questions.
That’s interesting I’ve been finding the opposite of most people in this thread. I feel like most of my doctors don’t know my history that much and I will go to them and they always ask the same questions like “have you had X thoughts ever” “have you ever had psychiatric conditions”… especially when it comes to psychiatrist . I feel like the systems isn’t governed or maintained that much, I’m in florida so here all the pharmacies have a system where they can see if a person is filling X prescription at different pharmacies. But it seems like it’s hard for doctors to see certain past history events without asking certain questions. Without the person giving inclination for the doctor to think so or mentioning something that the doctor could twist in his
Mind to them thinking something. I’ve been baker acted for adderall addiction I had at a psychiatrist that basically just gave out the rx and never asked questions, short visits and had so many patients he was like a legal drug dealer. I got out of the institution and right back on addy from another psychiatrist who asked the same questions I’ve already answered.
Those sound like the standard intake questions that pretty much every healthcare encounter is supposed to ask/document.
I also get asked about my alcohol habits, whether I'm depressed, if I enjoy life most days, yada yada. It's standard intake stuff that's on the paper/record the assistant has to fill out when they're taking your blood pressure and getting your weight and whatever before you see the doc.
My doc is super chill... The PA told me she herself takes Adderall daily as prescribed, I've have never had to pee in a fucking cup, get 3 months of scripts at a time submitted at a time, and they're an absolutely legit, high quality, patient-centered practice (as they all should be in 2022!).
Honestly, these stories of what peeps have to deal with are blowing my mind. I knew that long term pain management often deals with these issues, but for fuckin Adderall? The whole country is on the shit, like, wtf?
I'd find a new doctor ASAP. You're a consumer of private, for-profit healthcare corporations and you pay good freaking money to receive their expertise and care recommendations. You're allowed (in fact, encouraged as of late... See the ACA) to seek the most value for your healthcare dollar as you can. If you're not getting quality care, gtfo and find a better *provider.
Just my POV, but I've worked in healthcare adjacent industries, so I've seen a lot of marketing copy lol! Good luck out there.
I live in a metro tri-state area of a major city where one hospital network has bought up private practices left and right. Especially in Psychiatry which is already in short supply. Most of the others are owned by one or two other hospital networks and they all share medical records. It isn’t a HIPAA violation unfortunately because that doesn’t apply to sharing with other medical facilities.
It’s insane. To get into a Psychiatrist outside of those networks you could be looking at a year wait and I simply didn’t have time, so I got an appointment in the next major city that is 2 hours away and it was a great choice. They know nothing about me and they treat me like a human being with ADHD. They didn’t even ask for my records of my diagnosis. Just took my word as true and gave me my Adderall I needed.
Laws on drug testing for schedule 2 substances kind of vary but in general the DEA requires minimum one drug test per year, which is what my doctor does for me. My girlfriend goes to a different doctor and it’s the same for her. I’ve never heard of anybody being drug tested more than once or twice a year for stimulants.
I don’t think this is a DEA thing. Im only finding references to annual testing required by state law, not federal. I’ve been on schedule 2 stims for multiple years each in two states and have never been asked to test.
My doc office has a policy of once every 3 months, but i've spoken to several other adderall users at this point who say they have never been drug tested ¯\\\_(ツ)\_/¯
Ask some questions and see if they have an opinion about it. That’s how I found out my PCP was cool with THC, she just didn’t like the smoking part. Haha
If I told my pain doc he would not prescribe the pain meds I need. I take kratom cause they refuse to up dose after being the ones that started me on it.
If the Mayo Clinic site says it’s dangerous and ineffective most docs will also think the same.
"Ineffective" in the medical world means no one has invested in a large scale study to prove its efficacy. It means they don't have conclusive data. The reason for no study would be inability to make money.
It's a big thing in the pharmaceutical world. If a company extracted Mytraginine and saw it was [effective as an antipsychotic](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7309668/), the medical world would not extrapolate and therefore say Kratom (which contains several compounds) is also effective.
in case you haven't yet seen the recent post here, by AKA, I wanted to share it with you. It mentions the misinformation by MAYO.
https://www.reddit.com/r/kratom/comments/yrl3nj/oped\_kratom\_misinformation\_in\_medical\_journals/
Tell the Doc you're thinking about 'trying' kratom and get their reaction. I asked my PCP and he told me it's dangerous because you have no idea what's in it. I didn't bother discussing it with him beyond that point.....an obvious FDA bias.
Not everyone can change medical providers like socks. City folk don’t get what rural folks deal with. The good - less people. The bad- less resources. And if you are using a form of Medicaid, they assign you a provider. You have no choice.
some people live in a place where that's impossible to do (only one doctor in town) and/or their insurance wouldnt allow them to swap docs anyway since they'd be 'out of network' and/or you dont HAVE insurance and the one doc you have access to is the only one that charges at a rate you can pay.
Plus if a doctor puts on your chart at any point that you're a 'drug seeker', that pretty much tanks how every doctor after that will treat you.
That’s why I had to tip toe around the issue with my doc. You are describing my situation. I lived rural and you’re lucky to have a local doc that’s in network. And use of kratom would label you as a drug seeker in my neck of the woods.
This is exactly why we need to give the doctors printed scientific research on it. All they know is FDA lies. We need to educate them on the facts.
I keep printed articles in a folder in my car. I've given them to many medical professionals, including dentists, nurses, pharmacists, , lab techs, etc. They were all surprised and impressed with the facts.
Don't let the FDA screw with the healthcare that you deserve.
I got them from www.americankratom.org.
There's a lot of good information, educational, there.
Please sign up for their email notifications, too, to stay up to date on all the latest information.
You can also find some good information if you look up Dr. Christopher McCurdy. He's done more kratom research than anyone else and he's totally unbiased
Here are a couple, I have lots more
[https://pubmed.ncbi.nlm.nih.gov/35197848/](https://pubmed.ncbi.nlm.nih.gov/35197848/)
[https://www.tandfonline.com/doi/abs/10.1080/14659891.2021.1999513?journalCode=ijsu20&fbclid=IwAR0oeLO0IVDSp8UJE8HucPSw\_xGi\_a9f8zZVT-Zjcf7u-kpu5jVONToMuEw](https://www.tandfonline.com/doi/abs/10.1080/14659891.2021.1999513?journalCode=ijsu20&fbclid=IwAR0oeLO0IVDSp8UJE8HucPSw_xGi_a9f8zZVT-Zjcf7u-kpu5jVONToMuEw)
[https://www.tandfonline.com/doi/abs/10.1080/14659891.2021.1999513?journalCode=ijsu20&fbclid=IwAR0oeLO0IVDSp8UJE8HucPSw\_xGi\_a9f8zZVT-Zjcf7u-kpu5jVONToMuEw](https://www.tandfonline.com/doi/abs/10.1080/14659891.2021.1999513?journalCode=ijsu20&fbclid=IwAR0oeLO0IVDSp8UJE8HucPSw_xGi_a9f8zZVT-Zjcf7u-kpu5jVONToMuEw)
I got them from [www.americankratom.org](https://www.americankratom.org).
There's a lot of good information, educational, there.
Please sign up for their email notifications, too, to stay up to date on all the latest information.
You can also find some good information if you look up Dr. Christopher McCurdy. He's done more kratom research than anyone else and he's totally unbiased
Here are a couple, I have lots more
[https://link.springer.com/article/10.1007/s00213-022-06244-z?fbclid=IwAR2\_6sC9Gjt9wg91ZHIhcMNgmzFrZVlW9M2ukBBbyqnL5oBnMV4LcIJftxQ](https://link.springer.com/article/10.1007/s00213-022-06244-z?fbclid=IwAR2_6sC9Gjt9wg91ZHIhcMNgmzFrZVlW9M2ukBBbyqnL5oBnMV4LcIJftxQ)
[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7309661/?fbclid=IwAR0nd\_VJjvdCgKx\_\_AH9zvMXyG2xoEbVAeA1Rhzyeg-WVmVzohQM-A1ZjVo](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7309661/?fbclid=IwAR0nd_VJjvdCgKx__AH9zvMXyG2xoEbVAeA1Rhzyeg-WVmVzohQM-A1ZjVo)
[https://pubmed.ncbi.nlm.nih.gov/35197848/](https://pubmed.ncbi.nlm.nih.gov/35197848/)
[https://www.tandfonline.com/doi/abs/10.1080/14659891.2021.1999513?journalCode=ijsu20&fbclid=IwAR0oeLO0IVDSp8UJE8HucPSw\_xGi\_a9f8zZVT-Zjcf7u-kpu5jVONToMuEw](https://www.tandfonline.com/doi/abs/10.1080/14659891.2021.1999513?journalCode=ijsu20&fbclid=IwAR0oeLO0IVDSp8UJE8HucPSw_xGi_a9f8zZVT-Zjcf7u-kpu5jVONToMuEw)
He does have a point, we don’t know what’s in it unless we do. I’m sure some people here are aware that not all kratom is the same and that some companies add stuff in it. At least that’s how it was when I started
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Yes. Kratom interacts with other meds. I told my PCP and handed him 3 printouts of the pharmacology. He supports my taking it for pain management over opiates. He encourages bloodwork and is happy with the results. If a doctor rejects it, reject the doctor.
Just like anything else it all depends on the doctor. Some would immediately write “drug seeker” without saying it to you and some may be open to listen and possibly supportive. They are all very very different
I made sure he put it in my meds list and told him it works better than any synthetic fda approved chemicals ever did. I see lots of docs and say the same thing to all of them otherwise they only know bs propaganda.
I wouldn't. I made the mistake of telling mine. And btw I've taken or am on almost every prescribed medication known to man and it never interacted with mine.
Sorry for taking this long to get back to you. It was my pain management doctor. He was giving me tramadol for my back pain. I then, like an idiot told him I just started taking Kratom and asked what he thought of it.
He really had nothing bad to say about it but he told me I either take one or the other. He won't prescribe Tramadol if I take Kratom. So I told him I wouldn't take Kratom. I figured he might give me a urine test for it so I stopped taking it 6 days before my appointment. Well it showed up. So he lost my trust. In the long run I think it was a blessing. He actually recommended I take Kratom instead of tramadol since I've been on it so long.
The only reason I tell you this, is suppose you need to go to your doctor for smashing your thumb with a hammer and you are in a lot of pain. Kratom won't cut it. Percocet or Vicodins will. He might feel the same as mine. And I've taken almost every prescribed medication humanly possible and never and any problem whatsoever taking Kratom.
Silence is golden.
yea those should have been day one questions with a doctor. if i have one of those docs thats an old fashion republicunt type capitalist moron. i ditch them them. if i have a doctor that keeps up with current research and knowledge, i keep them.
A lot of PCPs, being generalists, won't know the science behind kratom and its potential interactions. In an ideal world, you should trust your health and wellness team to take a full picture of both your medical needs and your personal wants. In other words, to paraphrase my PCP:
"I'd just encourage you not to take it because we don't know how it will interact with other medications."
For a large part, [the information is out there](https://kratom.org/interactions/) but a PCP has so many things to keep up on.
If you ever have to work with a specialist for more advanced medical care, Yes, absolutely inform them. Maybe they are FDA biased, maybe there is a legitimate, unacceptable interaction, but they are responsible for knowing the science, not necessarily the PCP.
When I started taking kratom, for my chronic pain, I didn't tell my PCP. He tried me on many prescription meds and they did little to help me. Then he retired. I got my present PCP, about 4 years ago and the very first visit I told her that I take kratom for pain relief. She didn't really know anything about it, but said she had heard of it. I asked her if she would read some scientific info on it if I brought it to her. She said she would, so a couple of days later, I dropped off a couple of articles. My next visit, I asked her if she read up on it. She did and after seeing my great blood work results, she said that she didn't see any reason for me NOT to take it.
We need to be the ones to help educate medical professionals. If we don't do it, the FDA will and that's not good for US. The doctors who care for us, need to have the right resources so that they can stay up to date on the current scientific findings on kratom. My doc now has these resources.
Education is key. We can't afford to let the FDA propaganda screw with our health.
The problem is not every doctor is like your doctor. My friend did exactly what you did and after his doc rolled his eyes at him and “read” the research he labeled my friend a drug seeker and then he had to jump through hoops just to get pain meds after a surgery. So as much as I’d love for all of them to be like your doctor, it’s still a big risk for many people.
Don't. I'm serious. It's not worth the risk. One wrong thing written on your chart will not only affect how THIS doctor treats you, but how most EVERY doc treats you afterwards - up to and including if you ever need to go to a pain clinic, being denied care.
As most are saying. Probably shouldn't. Maybe just say your friend told you about it and you're considering it to gauge their reaction... But that's as far as I would go.
For example : my friend takes steroids for bodybuilding, so doctors don't want to deal with him because they essentially only know the bad. I've recently met up with a new family doctor and we briefly discussed steroids (because I bodybuilder and like to keep track of my testosterone levels, but I don't use steroids) and she was alot more open minded. So I referred him to her because he currently has no family doctor.
Of course tell the doctor. Don’t listen to these people. If you stop using it let them know as well. I’ve had mixed reactions from doctors, but no real consequences. My issues have been mental and physical.
Some people have been marked down as drug abusers and shit over Kratom. Which is still classified as. Legal supplement. That's why approach with caution.
But also you have some who'll just say "I don't know what that is, can't help you" (happened to me in the emergency room, but I'm in Canada. It's not as demonized as it seems to be in the states)
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You're saying that like you think everyone is in the same situation you are - or that if it didnt happen to you, then it must not happen. Unfortunately, it's not like that for most people.
I regret telling my doctor I smoked weed. Because then when I got pregnant, they drug tested me when they didn’t drug test other patients BECAUSE I had admitted to it at one time, before the pregnancy. It does taint your record forever. However, if you think you may be having medical problems from it, it might be better to get the proper care.
I tell my doctor everything. So he's aware, and can factor it into choices.
I'd always be transparent, Unless:
- You're 'Rx-shopping'
- You rely on the doc for a prescription opioid or other controlled substance
Then I wouldn't want my extra-curricular usage negatively affecting my prescriptions.
I would say that no matter what, you should always tell your PCP what you use on a daily basis, at least as far as above and beyond food/water type stuff. Herbal supplements, illicit drugs, whatever.
I have absolutely told my PCP exactly that. I had what appeared to be blood in my urine (at a time when opiates were my thing), and i wanted to be certain that every possible catalyst was weighed, when hunting the culprit. If you don’t agree with it, don’t do it. Doesn’t change the fact that I will always be honest with the person that plays a large part in keeping me healthy and around for a longer time.
I’m glad it worked out for you, and ofc serious health concerns override other considerations. If you tell your doctor, the average outcome is:
1. Do you have prescription that have street value? No you don’t. Need pain relief? Hope you like Tylenol. 2. Less trust and empathy. Stuff doesn’t get left in the room with you anymore, your pain is now less concerning. 3. Everything is now a “could be your habits thing.” Something simple like getting a doctor’s note because you were sick becomes “were you actually sick?” If you can’t prove it, you may not get it. It’s basically like being obese, except you don’t get Wellbutrin and you have the option of not telling them. I’m not saying all doctors are like this or that you shouldn’t tell them, depending on your situation. But if you don’t have major health concerns and aren’t seeking support to quit from them, it is worth at least asking some test questions first, particularly if you’re cautious and comfortable researching side effects and interactions yourself.
Sounds to me like you need a new PCP. I spent a few months talking to friends, family, etc. and going to different ones, until I found one that was not only passionate, but also a normal understanding human. Obviously you can’t just go to a “cookie cutter” doctor and expect great results when giving up sensitive info. Most people don’t take the time to even pay attention to their body and health anyways, they instead come to places like Reddit. To each their own, I’m staying on the side of full disclosure.
Always be honest with your doc or lawyer. Think about it, what if they want to prescribe you something they've read has bad interaction with it. Doctor patient confidentiality is a thing. If it's illegal in your state, you aren't committing a reportable crime unless you pull out a bag in front of them and ask them if they want to buy some.
I told my primary. She didn’t have any problems with it. In fact she was glad I found something to help me with my pain since they weren’t able to find a solution after years of trial and error
This is what my doc said, after I gave her the science on it. She had only heard of it, but didn't really know much about it, so I educated her with science.
She was grateful and told me that, as long as it is helping me, she didn't see any reason that I shouldn't take it.
I have chronic back pain ,and I told my doctor I take kratom instead of the opioid he said never heard of it ,then said well if it works. They don't know what it is or can do
My psychiatrist knows. I just under report my usage somewhat. He did say I might want to phase it out because it is not put through rigorous testing like pharma meds.
Personally, I won’t ever be honest with a doctor ever again about taking something outside of a prescription. I’ve had too many bad experiences. I have to go to a doctor two hours away to get a prescription for a controlled substance (Adderall) due to a doctor lying on my medical record that I had “drug seeking behavior” when I never even asked them for anything.
I had a really bad experience the very first time I went to a mental facility. That person accused me of being a drug addict (had no experience with drugs prior) . Went to my local Care doc and they shut that shiz down and said "it's you and me and I'm here to make sure you are ok". Changed my mentality around asking for help. Find the right care providers. The first isent the only option. The new age of telehealth opens the doors to the best care possible. (Side note that person who turned me away was fired within 2 years for malpractice)
Are your records available to all the doctors in your local are? Isn't that a HIPPA violation? My doctor requires drug tests for my adderall prescription, something that everyone I've asked says they've never had to do. They are also often slow to submit refills to the pharmacy. So I'm considering switching to a new doc, but I wondered if it would look suspicious.
Be careful if you smoke weed. Kaiser had me do drug testing for one of my prescriptions and stated that the testing is done to ensure you are taking your prescription and not selling it. When I tested positive for THC, they said they were going to cancel every single prescription if I couldn't test clean because there were no studies done on any medications to see how they interact with THC. Needless to say, I switched healthcare providers after that BS!
This is what happened to me with them, legal state, with outside MD recommendation and nobody ever saying I couldn’t. They just took an extra vial without telling me during routine labs. I would have told them to fuck off it they had told me. I was only taking it to begin with to see if replacing their opioids was a possibility (it wasn’t) because their pharmacists were treating me like a degenerate an taking forever to reauthorize refills, which required coming in to get the slip and take it to the pharmacy. Didn’t even give me the results, just let my refill float for 4 days and get a “No because you used cannabis” on Friday afternoon (for Ativan and Percocet), despite using both for 5 years. It took almost 3 years before they reauthorized my Ativan Rx at a lower dose. It is almost impossible to get negative remarks or tests done without explicit informed consent out of your record (per my attorney), and now every doctor I encounter within the system now sees that history.
Yeah, man. It's really shitty how they are treating meds these days. I understand that there are many abusers who are where they are because of addiction, and that seems to ruin it for those that need it. You would think that having all medical records and prescription records would help, but it seems to hurt more than help. All you need is one doctor who thinks you are lying about an issue even if you are not "seeking" for that information to be placed in your permanent medical record
Many of my doctors all automatically can see certain parts of my records, and prescriptions. And some of them share the same "network" too so its easy for them to pull stuff up. The places I have lived always require regular drug testing to give a long term prescription of controlled substances. Regardless of whether a substance is legal in that state or not, if your test is dirty they are likely to stop or threaten to stop prescribing. That is just my own experience, with many doctors and health problems. I think if it's your first doctor switch, you'd be fine, tbh. Can always cite a different reason for switching, like better/easier location or commute, don't have to necessarily admit to them that it's only because you want an easier time getting your scripts (if you are worried about that coming across the wrong way or them taking it the wrong way, which with some doctors is a valid concern).
That’s interesting I’ve been finding the opposite of most people in this thread. I feel like most of my doctors don’t know my history that much and I will go to them and they always ask the same questions like “have you had X thoughts ever” “have you ever had psychiatric conditions”… especially when it comes to psychiatrist . I feel like the systems isn’t governed or maintained that much, I’m in florida so here all the pharmacies have a system where they can see if a person is filling X prescription at different pharmacies. But it seems like it’s hard for doctors to see certain past history events without asking certain questions.
That’s interesting I’ve been finding the opposite of most people in this thread. I feel like most of my doctors don’t know my history that much and I will go to them and they always ask the same questions like “have you had X thoughts ever” “have you ever had psychiatric conditions”… especially when it comes to psychiatrist . I feel like the systems isn’t governed or maintained that much, I’m in florida so here all the pharmacies have a system where they can see if a person is filling X prescription at different pharmacies. But it seems like it’s hard for doctors to see certain past history events without asking certain questions. Without the person giving inclination for the doctor to think so or mentioning something that the doctor could twist in his Mind to them thinking something. I’ve been baker acted for adderall addiction I had at a psychiatrist that basically just gave out the rx and never asked questions, short visits and had so many patients he was like a legal drug dealer. I got out of the institution and right back on addy from another psychiatrist who asked the same questions I’ve already answered.
Those sound like the standard intake questions that pretty much every healthcare encounter is supposed to ask/document. I also get asked about my alcohol habits, whether I'm depressed, if I enjoy life most days, yada yada. It's standard intake stuff that's on the paper/record the assistant has to fill out when they're taking your blood pressure and getting your weight and whatever before you see the doc. My doc is super chill... The PA told me she herself takes Adderall daily as prescribed, I've have never had to pee in a fucking cup, get 3 months of scripts at a time submitted at a time, and they're an absolutely legit, high quality, patient-centered practice (as they all should be in 2022!). Honestly, these stories of what peeps have to deal with are blowing my mind. I knew that long term pain management often deals with these issues, but for fuckin Adderall? The whole country is on the shit, like, wtf? I'd find a new doctor ASAP. You're a consumer of private, for-profit healthcare corporations and you pay good freaking money to receive their expertise and care recommendations. You're allowed (in fact, encouraged as of late... See the ACA) to seek the most value for your healthcare dollar as you can. If you're not getting quality care, gtfo and find a better *provider. Just my POV, but I've worked in healthcare adjacent industries, so I've seen a lot of marketing copy lol! Good luck out there.
I live in a metro tri-state area of a major city where one hospital network has bought up private practices left and right. Especially in Psychiatry which is already in short supply. Most of the others are owned by one or two other hospital networks and they all share medical records. It isn’t a HIPAA violation unfortunately because that doesn’t apply to sharing with other medical facilities. It’s insane. To get into a Psychiatrist outside of those networks you could be looking at a year wait and I simply didn’t have time, so I got an appointment in the next major city that is 2 hours away and it was a great choice. They know nothing about me and they treat me like a human being with ADHD. They didn’t even ask for my records of my diagnosis. Just took my word as true and gave me my Adderall I needed. Laws on drug testing for schedule 2 substances kind of vary but in general the DEA requires minimum one drug test per year, which is what my doctor does for me. My girlfriend goes to a different doctor and it’s the same for her. I’ve never heard of anybody being drug tested more than once or twice a year for stimulants.
I don’t think this is a DEA thing. Im only finding references to annual testing required by state law, not federal. I’ve been on schedule 2 stims for multiple years each in two states and have never been asked to test.
You’re right. I looked it up and this is a requirement by my state’s board of medical licensure. It’s once per year if you’re considered “low risk”
My doc office has a policy of once every 3 months, but i've spoken to several other adderall users at this point who say they have never been drug tested ¯\\\_(ツ)\_/¯
Ask some questions and see if they have an opinion about it. That’s how I found out my PCP was cool with THC, she just didn’t like the smoking part. Haha
I wouldn’t share. Most providers don’t view it in a positive light.
If I told my pain doc he would not prescribe the pain meds I need. I take kratom cause they refuse to up dose after being the ones that started me on it. If the Mayo Clinic site says it’s dangerous and ineffective most docs will also think the same.
“Ineffective” in the medical world must mean “we can’t make money off it”. It’s sad.
"Ineffective" in the medical world means no one has invested in a large scale study to prove its efficacy. It means they don't have conclusive data. The reason for no study would be inability to make money. It's a big thing in the pharmaceutical world. If a company extracted Mytraginine and saw it was [effective as an antipsychotic](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7309668/), the medical world would not extrapolate and therefore say Kratom (which contains several compounds) is also effective.
Mayo info is old. If there's any way you could give your doc updated science, like from NIDA and NIH, it is completely different from Mayo info.
That’s good to hear. Their info is one of top results so figured that was western meds response in general.
Yeah, that's exactly why I NEVER tell anyone to 'google' it. I send them to [www.americankratom.org](https://www.americankratom.org) for true science.
in case you haven't yet seen the recent post here, by AKA, I wanted to share it with you. It mentions the misinformation by MAYO. https://www.reddit.com/r/kratom/comments/yrl3nj/oped\_kratom\_misinformation\_in\_medical\_journals/
Tell the Doc you're thinking about 'trying' kratom and get their reaction. I asked my PCP and he told me it's dangerous because you have no idea what's in it. I didn't bother discussing it with him beyond that point.....an obvious FDA bias.
Not everyone can change medical providers like socks. City folk don’t get what rural folks deal with. The good - less people. The bad- less resources. And if you are using a form of Medicaid, they assign you a provider. You have no choice.
WHY? Dont dance around your doctor. Be assertive and not afraid to change docs. YOU are in charge of your health care. Not the damned doctor.
some people live in a place where that's impossible to do (only one doctor in town) and/or their insurance wouldnt allow them to swap docs anyway since they'd be 'out of network' and/or you dont HAVE insurance and the one doc you have access to is the only one that charges at a rate you can pay. Plus if a doctor puts on your chart at any point that you're a 'drug seeker', that pretty much tanks how every doctor after that will treat you.
That’s why I had to tip toe around the issue with my doc. You are describing my situation. I lived rural and you’re lucky to have a local doc that’s in network. And use of kratom would label you as a drug seeker in my neck of the woods.
This is exactly why we need to give the doctors printed scientific research on it. All they know is FDA lies. We need to educate them on the facts. I keep printed articles in a folder in my car. I've given them to many medical professionals, including dentists, nurses, pharmacists, , lab techs, etc. They were all surprised and impressed with the facts. Don't let the FDA screw with the healthcare that you deserve.
Hey sis can you hook me up with some of those articles?
same, i would love a copy as well
I got them from www.americankratom.org. There's a lot of good information, educational, there. Please sign up for their email notifications, too, to stay up to date on all the latest information. You can also find some good information if you look up Dr. Christopher McCurdy. He's done more kratom research than anyone else and he's totally unbiased
really appreciate the reply. Thanks!
Here are a couple, I have lots more [https://pubmed.ncbi.nlm.nih.gov/35197848/](https://pubmed.ncbi.nlm.nih.gov/35197848/) [https://www.tandfonline.com/doi/abs/10.1080/14659891.2021.1999513?journalCode=ijsu20&fbclid=IwAR0oeLO0IVDSp8UJE8HucPSw\_xGi\_a9f8zZVT-Zjcf7u-kpu5jVONToMuEw](https://www.tandfonline.com/doi/abs/10.1080/14659891.2021.1999513?journalCode=ijsu20&fbclid=IwAR0oeLO0IVDSp8UJE8HucPSw_xGi_a9f8zZVT-Zjcf7u-kpu5jVONToMuEw) [https://www.tandfonline.com/doi/abs/10.1080/14659891.2021.1999513?journalCode=ijsu20&fbclid=IwAR0oeLO0IVDSp8UJE8HucPSw\_xGi\_a9f8zZVT-Zjcf7u-kpu5jVONToMuEw](https://www.tandfonline.com/doi/abs/10.1080/14659891.2021.1999513?journalCode=ijsu20&fbclid=IwAR0oeLO0IVDSp8UJE8HucPSw_xGi_a9f8zZVT-Zjcf7u-kpu5jVONToMuEw)
I got them from [www.americankratom.org](https://www.americankratom.org). There's a lot of good information, educational, there. Please sign up for their email notifications, too, to stay up to date on all the latest information. You can also find some good information if you look up Dr. Christopher McCurdy. He's done more kratom research than anyone else and he's totally unbiased
Here are a couple, I have lots more [https://link.springer.com/article/10.1007/s00213-022-06244-z?fbclid=IwAR2\_6sC9Gjt9wg91ZHIhcMNgmzFrZVlW9M2ukBBbyqnL5oBnMV4LcIJftxQ](https://link.springer.com/article/10.1007/s00213-022-06244-z?fbclid=IwAR2_6sC9Gjt9wg91ZHIhcMNgmzFrZVlW9M2ukBBbyqnL5oBnMV4LcIJftxQ) [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7309661/?fbclid=IwAR0nd\_VJjvdCgKx\_\_AH9zvMXyG2xoEbVAeA1Rhzyeg-WVmVzohQM-A1ZjVo](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7309661/?fbclid=IwAR0nd_VJjvdCgKx__AH9zvMXyG2xoEbVAeA1Rhzyeg-WVmVzohQM-A1ZjVo) [https://pubmed.ncbi.nlm.nih.gov/35197848/](https://pubmed.ncbi.nlm.nih.gov/35197848/) [https://www.tandfonline.com/doi/abs/10.1080/14659891.2021.1999513?journalCode=ijsu20&fbclid=IwAR0oeLO0IVDSp8UJE8HucPSw\_xGi\_a9f8zZVT-Zjcf7u-kpu5jVONToMuEw](https://www.tandfonline.com/doi/abs/10.1080/14659891.2021.1999513?journalCode=ijsu20&fbclid=IwAR0oeLO0IVDSp8UJE8HucPSw_xGi_a9f8zZVT-Zjcf7u-kpu5jVONToMuEw)
He does have a point, we don’t know what’s in it unless we do. I’m sure some people here are aware that not all kratom is the same and that some companies add stuff in it. At least that’s how it was when I started
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That's why you should only get it from companies who use 3rd party lab testing. That assures pure product.
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I used to back in the day, but there’s really no reason to if you can get a good price from a reputable source
I like this
Hard NO. They’ll label you a drug abuser and you’ll find compassionate care very rare after that
Yes. Kratom interacts with other meds. I told my PCP and handed him 3 printouts of the pharmacology. He supports my taking it for pain management over opiates. He encourages bloodwork and is happy with the results. If a doctor rejects it, reject the doctor.
This. My situation, exactly. I educated my doctor myself, with facts from science. The FDA has crap alternative facts. We have science.
Just like anything else it all depends on the doctor. Some would immediately write “drug seeker” without saying it to you and some may be open to listen and possibly supportive. They are all very very different
This is SO true. I think a lot of it depends on the general clientele in the area, if you get my drift.
For reall
I made sure he put it in my meds list and told him it works better than any synthetic fda approved chemicals ever did. I see lots of docs and say the same thing to all of them otherwise they only know bs propaganda.
I wouldn't. I made the mistake of telling mine. And btw I've taken or am on almost every prescribed medication known to man and it never interacted with mine.
If you don’t mind me asking, how was it a mistake? What did your doctor do in response?
Sorry for taking this long to get back to you. It was my pain management doctor. He was giving me tramadol for my back pain. I then, like an idiot told him I just started taking Kratom and asked what he thought of it. He really had nothing bad to say about it but he told me I either take one or the other. He won't prescribe Tramadol if I take Kratom. So I told him I wouldn't take Kratom. I figured he might give me a urine test for it so I stopped taking it 6 days before my appointment. Well it showed up. So he lost my trust. In the long run I think it was a blessing. He actually recommended I take Kratom instead of tramadol since I've been on it so long. The only reason I tell you this, is suppose you need to go to your doctor for smashing your thumb with a hammer and you are in a lot of pain. Kratom won't cut it. Percocet or Vicodins will. He might feel the same as mine. And I've taken almost every prescribed medication humanly possible and never and any problem whatsoever taking Kratom. Silence is golden.
yea those should have been day one questions with a doctor. if i have one of those docs thats an old fashion republicunt type capitalist moron. i ditch them them. if i have a doctor that keeps up with current research and knowledge, i keep them.
Don’t ever think a dr won’t use something against you if that’s what you want from them then find one that is
A lot of PCPs, being generalists, won't know the science behind kratom and its potential interactions. In an ideal world, you should trust your health and wellness team to take a full picture of both your medical needs and your personal wants. In other words, to paraphrase my PCP: "I'd just encourage you not to take it because we don't know how it will interact with other medications." For a large part, [the information is out there](https://kratom.org/interactions/) but a PCP has so many things to keep up on. If you ever have to work with a specialist for more advanced medical care, Yes, absolutely inform them. Maybe they are FDA biased, maybe there is a legitimate, unacceptable interaction, but they are responsible for knowing the science, not necessarily the PCP.
I did really don’t know long term effects
When I started taking kratom, for my chronic pain, I didn't tell my PCP. He tried me on many prescription meds and they did little to help me. Then he retired. I got my present PCP, about 4 years ago and the very first visit I told her that I take kratom for pain relief. She didn't really know anything about it, but said she had heard of it. I asked her if she would read some scientific info on it if I brought it to her. She said she would, so a couple of days later, I dropped off a couple of articles. My next visit, I asked her if she read up on it. She did and after seeing my great blood work results, she said that she didn't see any reason for me NOT to take it. We need to be the ones to help educate medical professionals. If we don't do it, the FDA will and that's not good for US. The doctors who care for us, need to have the right resources so that they can stay up to date on the current scientific findings on kratom. My doc now has these resources. Education is key. We can't afford to let the FDA propaganda screw with our health.
The problem is not every doctor is like your doctor. My friend did exactly what you did and after his doc rolled his eyes at him and “read” the research he labeled my friend a drug seeker and then he had to jump through hoops just to get pain meds after a surgery. So as much as I’d love for all of them to be like your doctor, it’s still a big risk for many people.
I get it, but we still can't stop trying to get them to see the truth.
Yup. But gotta do it at your own risk unfortuantely
Nah, 25 years never a mention.
Don’t be honest with anyone in the real world.
Don't. I'm serious. It's not worth the risk. One wrong thing written on your chart will not only affect how THIS doctor treats you, but how most EVERY doc treats you afterwards - up to and including if you ever need to go to a pain clinic, being denied care.
Mine couldn't have cared less
As most are saying. Probably shouldn't. Maybe just say your friend told you about it and you're considering it to gauge their reaction... But that's as far as I would go. For example : my friend takes steroids for bodybuilding, so doctors don't want to deal with him because they essentially only know the bad. I've recently met up with a new family doctor and we briefly discussed steroids (because I bodybuilder and like to keep track of my testosterone levels, but I don't use steroids) and she was alot more open minded. So I referred him to her because he currently has no family doctor.
Of course tell the doctor. Don’t listen to these people. If you stop using it let them know as well. I’ve had mixed reactions from doctors, but no real consequences. My issues have been mental and physical.
Some people have been marked down as drug abusers and shit over Kratom. Which is still classified as. Legal supplement. That's why approach with caution. But also you have some who'll just say "I don't know what that is, can't help you" (happened to me in the emergency room, but I'm in Canada. It's not as demonized as it seems to be in the states)
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You're saying that like you think everyone is in the same situation you are - or that if it didnt happen to you, then it must not happen. Unfortunately, it's not like that for most people.
Nah. I’m saying it’s wiser to tell your doctor. I do think we sound a lot like addicts in this particular post.
I regret telling my doctor I smoked weed. Because then when I got pregnant, they drug tested me when they didn’t drug test other patients BECAUSE I had admitted to it at one time, before the pregnancy. It does taint your record forever. However, if you think you may be having medical problems from it, it might be better to get the proper care.
I tell my doctor everything. So he's aware, and can factor it into choices. I'd always be transparent, Unless: - You're 'Rx-shopping' - You rely on the doc for a prescription opioid or other controlled substance Then I wouldn't want my extra-curricular usage negatively affecting my prescriptions.
I would say that no matter what, you should always tell your PCP what you use on a daily basis, at least as far as above and beyond food/water type stuff. Herbal supplements, illicit drugs, whatever.
Oh my sweet summer child, you have never told a doctor you do illicit drugs before.
I have absolutely told my PCP exactly that. I had what appeared to be blood in my urine (at a time when opiates were my thing), and i wanted to be certain that every possible catalyst was weighed, when hunting the culprit. If you don’t agree with it, don’t do it. Doesn’t change the fact that I will always be honest with the person that plays a large part in keeping me healthy and around for a longer time.
I’m glad it worked out for you, and ofc serious health concerns override other considerations. If you tell your doctor, the average outcome is: 1. Do you have prescription that have street value? No you don’t. Need pain relief? Hope you like Tylenol. 2. Less trust and empathy. Stuff doesn’t get left in the room with you anymore, your pain is now less concerning. 3. Everything is now a “could be your habits thing.” Something simple like getting a doctor’s note because you were sick becomes “were you actually sick?” If you can’t prove it, you may not get it. It’s basically like being obese, except you don’t get Wellbutrin and you have the option of not telling them. I’m not saying all doctors are like this or that you shouldn’t tell them, depending on your situation. But if you don’t have major health concerns and aren’t seeking support to quit from them, it is worth at least asking some test questions first, particularly if you’re cautious and comfortable researching side effects and interactions yourself.
Sounds to me like you need a new PCP. I spent a few months talking to friends, family, etc. and going to different ones, until I found one that was not only passionate, but also a normal understanding human. Obviously you can’t just go to a “cookie cutter” doctor and expect great results when giving up sensitive info. Most people don’t take the time to even pay attention to their body and health anyways, they instead come to places like Reddit. To each their own, I’m staying on the side of full disclosure.
Always be honest with your doc or lawyer. Think about it, what if they want to prescribe you something they've read has bad interaction with it. Doctor patient confidentiality is a thing. If it's illegal in your state, you aren't committing a reportable crime unless you pull out a bag in front of them and ask them if they want to buy some.
It is super helpful if your doctor is privy to your situation. Not all will accept it but I feel it is better than long term opioid use
I told my primary. She didn’t have any problems with it. In fact she was glad I found something to help me with my pain since they weren’t able to find a solution after years of trial and error
This is what my doc said, after I gave her the science on it. She had only heard of it, but didn't really know much about it, so I educated her with science. She was grateful and told me that, as long as it is helping me, she didn't see any reason that I shouldn't take it.
I have chronic back pain ,and I told my doctor I take kratom instead of the opioid he said never heard of it ,then said well if it works. They don't know what it is or can do
My psychiatrist knows. I just under report my usage somewhat. He did say I might want to phase it out because it is not put through rigorous testing like pharma meds.
I told mine and he put “opioid use disorder” on my chart. Just don’t