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Ms. S is a 54 year old female comes to you to establish care. She tells you she typically takes MS
Contin 30 mg PO TID and Norco 10/325 mg PO Q 4 hours for breakthrough pain and has taken
those for more than one year continuously. She tells you her pain management doctor stopped
all of her drugs because of her “liver issues” and told her told to establish care with a PCP for further evaluation. She reports having chronic LBP and fibromyalgia. Her other drugs include Lexapro 20 mg PO QD and Ativan 2 mg PO TID, of which were also
stopped for “liver reasons” and she reports she needs a refill of these as she ran out this morning.
She requests that you also fill her pain drugs until she is able to return to pain management. 1. How would you approach this patient's medical management? Would you refill her MS
Contin and/or her Norco? Would you refill her Lexapro and/or her Ativan? What is your logic for your decision making regarding these refills?

Top Answer

I will approach this case based on the urgency of the patients problem. Since this patient is in chronic pain, i will... View the full answer

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