I have noticed over the past several years that there is an increasing frequency of patients wanting refills for Ultram (tramadol) pain pills early. I am concerned that it is the new drug of choice for addiction because it relieves pain, makes you feel good, and is readily obtainable from practically any prescriber.
An extreme case I had was a lady who goes to a different emergency room every 3 or four days to get a prescription for Ultram. It is usually written with a muscle relaxer and naproxen. She always only fills the Ultram. On this particular evening her newest emergency prescription was one day too early for insurance to cover it. It is out policy to never fill pain pills early if the insurance company denies the claim. Our computer systems do not process next day insurance claims until after 3am. She sat in the pharmacy with 3 young children, one in diapers for 3 hours before the youngest kept screaming and fussing because it was way past bedtime for young children. She finally left the pharmacy at 12am with her children when she had planned to stay until she could get her pills as soon as possible because she was getting fidgety and cranky.
Please re-evaluate Ultram for its potential for abuse and addiction. At the least give it a Schedule V so we can try to prevent some of this personal and child abuse.
Thank you for your attention to this matter.
Big N Tasty RPh