[Verified Answer]: Ms

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 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 can 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? 2. What tools and/or resources could you use to safely manage this patient’s-controlled substances? 3. What other treatment plan options would you discuss with this patient?4. Write the prescription(s) for her as you would on your prescription pad.