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Mrs. A is a 45 year old female with chronic LBP secondary to BBB. She has been taking Mobic :
mg PO QD and Tramadol 50 mg PO BID for the past 6 months with little to no pain
improvement. She is not a surgical candidate due to moderate to severe cardiovascular and
chronic kidney disease. She presents to your primary care clinic today complaining of continuen
pain with new onset of functional limitations. She is unable to maintain her ADLS or perform h:
daily chores due to her pain and would like "something stronger” to relieve her pain. 1. What drug(s) would this individual likely need? Explain why you chose this/these drug(s)?

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NSAIDS are first line, and she failed this (meloxicam). Second line therapy is duloxetine or tramadol. Tramadol is... View the full answer

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