200 isnt outrageous, my ah gets 180 alongwith 100 mcg.of pain patch (a little morhpine here and there too),plus ER pain shots, plus all his bipolar meds, no wonder he is a mess. and get this his pain dr.brother in law is in detox/rehab for pill addiction!! I spoke to our pharmacist the other day about this problem, he said he is shocked at the amount of oxy's prescribed now, people with minor issues, young, old..etc..he said this about my ah pain dr." he is a quack", so Im sure he sees alot scripts from this doc yet what can he say or do? and I discussed how real patients with legit pain might suffer down the road from this problem and he also agreed with me that cancer patients he knows arent on that level.
sadly I have see many,many patients die of cancer and they werent on 100 mcg of fentanyl and 180 pills and they truly suffered in pain.