Just got this email today...Tramadol and Black Box warning...

Who is Brian?  Is that the OP's name IRL?  Is this a copy of a letter someone sent him?  A little clarification by the OP as to what we are looking at would be helpful.

I have been on this website since before surgery...10/06.  I was asked to be "Friends of OH" years ago...But declined.

 I'm not very rebellious, but want to speak my mind without getting approval from "Big Brother".  Brian

Thanks for the clarification.  I'm horrible with names.  Even people that I know here on OH in real life I still think of by their usernames or avatars most of the time.  I "know" you as cabin111 so the Brian thing just threw me.  =)

I understand that it is a PITA to have to hand carry a paper script for Tramadol.  My PCP prescribes it for arthritis in my back (and whatever else I might ordinarily take an NSAID for).  I understand that your doctor is retiring, but NO doctor should be basing any prescription (let alone an opiod) when it has been 10 years since the last diagnostic work.  If it is arthritis, a simple X-ray is sufficient not an MRI. 

I am in a similar position: my PCP is decreasing his medical hours and increasing his "medical spa" hours (Juvederm, laser peels, Botox, etc.), so it is much more difficult to get an appointment. As already mentioned, though, you just need to be sure to schedule your followup appointments well in advance. It really isn't that bug a deal.  Also, most PA's can have the doctor write scripts for patients who need one, so it isn't like you cannot GET a script if only a PA is available.

I see no harm in a black box warning.  They have already changed the wcheduling of teh drug. So what difference does it make if it has a warning just like all other opiates?

Personally, I have been taking it for about 5 years and I have never gotten any kind of a "buzz" from it, even at a high dose for a few days, so I have a hard time imagining anyone getting addicted, but whatever. I don't notice that is particularly more potent than an Aleve, so I think it is all much ado about nothing, but since it has already been rescheduled, what's done is done.