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For core clinical content designed to help you safely and effectively manage patients with chronic pain, when appropriate, with opioid analgesics, please visit our sister site, SCOPE of Pain.

 

  1. Massachusetts Laws
  2. Educational Program Making Sense of Massachusetts Opioid Prescribing Laws and State and National Guidelines Program CME Post-Test Evaluation
  1. Dental Pain
  2. Educational Program Safe Opioid Prescribing for
    Acute Dental Pain
    Program CME Post-Test Evaluation
  1. Prescribe to Prevent
  2. Educational Program Prescribe to Prevent: Overdose Prevention and Naloxone Rescue Kits for Prescribers and Pharmacists Information Program CME Post-Test Evaluation
  1. Military Modules
  2. Module 1 Military SCOPE of Pain: Safe and Competent Opioid Prescribing For Providers Working with Veterans and Military Service Personnel Information Video CME Post-Test Evaluation
  3. Module 2 Military SCOPE of Pain: Safe and Competent Opioid Prescribing For Providers Working with Veterans and Military Service Personnel Information Video CME Post-Test Evaluation
  1. Video Modules
  2. Module 1 Case Studies In Practice: Applying Principles
    of Safe Opioid Prescribing
    Information Introduction Cases Case I Case II Case III Certification CME Post-Test Evaluation
  3. Module 2 Complex Convrs. High Dose Opioids
    & Illicit Drug Use
    Information Introduction Cases Case I-A Case I-B Case II Certification CME Post-Test Evaluation
  4. Module 3 Using the PDMP PMP Questionable Activity Information Introduction Cases Case I Case II Certification CME Post-Test Evaluation

Case II: PMP Questionable Activity, New Patient Case II: PDMP Questionable Activity, New Patient

Lisa Andrews is a 26 year old female, new patient, who is transferring her care to this primary care physician because she did not like her previous physician. She states that she is prescribed oxycodone 20 mg 5 times per day for chronic shoulder pain. She presents without medical records and states that she has run out of oxycodone this morning.

Upon review of the Prescription Drug Monitoring Program the patient has filled multiple prescriptions for oxycodone from multiple prescribers at multiple pharmacies over the past 3 months.

Pain history:
Her pain started after a rotator cuff injury while playing basketball 12 months ago. She had surgery and has been on opioids ever since. Her orthopedic surgeon prescribed opioids for the first 3 months but then stopped.

Other medical history:
None.

Substance use history:
None.

Social history:
She lives with college friends in an apartment. She has a good job in Information Technology, but is worried about losing it, and then being unable to pay her rent.

Physical exam:
She appears anxious. No significant findings on exam.

Will you prescribe oxycodone on this first visit in this patient with questionable activity on the Prescription Drug Monitoring Program?