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Question to GP Maarten: GP no longer wants to prescribe opiates

By Submitted Message
Posted in Health, General practitioner Maarten
Tags: ,
December 4 2019

Maarten Vasbinder lives in Isaan. His profession is general practitioner, a profession that he mainly practiced in Spain. On Thailandblog he answers questions from readers who live in Thailand and writes about medical facts.

Do you have a question for Maarten and do you live in Thailand? Send this to the editor: www.thailandblog.nl/contact/ It is important that you provide the correct information such as:

  • Age
  • Complaints)
  • History
  • Medication use, including supplements, etc.
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  • Optional: laboratory results and other tests
  • Possible blood pressure

You can send photos to [email protected] everything can be done anonymously, your privacy is guaranteed.

Dear Martin,

Answer from the doctor. He doesn't want to prescribe Durogesic anymore, and he won't get around to drawing up the medical file either. According to him, I should move to Taiwan or go for a consultation there.

After a few months of apologies, I already realized that he was not competent to draw up a medical report…

  1. is there another solution? Some say to file a complaint for prescribing morphine for +25 years without ever trying anything else.
  2. moving back to Belgium is a (unfortunate) option. Leave everything back here ☹️
  3. I think, from January 1, just stop taking Durogesic 100 and see what the consequences are. Although this is not recommended because of the side effects.

But there isn't much choice.

What are your thoughts?

Regards,

N.

*****

Dear N,

Quitting opiates after 25 years is not that easy. To do this, you would have to go to a drug rehabilitation center in Belgium.

It is possible to suddenly stop, but there are major risks because you will not be up to date for a while. In such a period you can do the craziest things, which can, among other things, result in you coming into contact with the judiciary in Thailand, something I cannot recommend to anyone.

I think withdrawal is best. That means you go to Thailand a few months later with other painkillers.

Good luck,

Dr. Maarten

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