I am a new graduate. I have being working for a community clinic for the last 3 months.
We get a lot of patients that are in pain meds for example I had one today that needed refills on
He broke his back 7ys ago and has being taking those meds since them. The MD (new MD for the patient) decided to refill only Ultram and flexeril and sent him to a pain management doctor.
The pt was very upset because he also wanted his vicoprofen. The worse part is this MD always send me as messenger to tell this pts that certain pain killers Rx won't be refill by the MD, so I am the one that has to deal with their fit.
Since I don't have experience dealing with long time user pain killers pt's. I am not sure if it was a good idea to get this pt out of vicoprofen. What I understand ultram and vicoprofen taken at the same time seems to be kind of a lot!
I will appreciate your advise