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.
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:
Substance use 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.
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?