license. Their ability to continue working as a nurse depends on the outcome of this hearing. The nurse stated that they had a standing Hydrocodone prescription for back injuries. Every month the nurse was given thirty Hydrocodone tablets for the pain associated with their injuries. They had become addicted to the Hydrocodone, and it came to a point that the hydrocodone wasn’t helping any longer. Incidentally the nurse decided to try Morphine to see if that would help alleviate her back pain.…
sustained injury to his low back while he was carrying 70-75 pounds money upstairs. Office notes dated 04/22/2016 revealed that the patient complained of chronic back pain with spinal stenosis. He has been managing with oral medications which include hydrocodone/APAP, ibuprofen, wherein these medications seem to keep things under control. Office Notes dated 05/23/2016 revealed that the patient has a history of spinal problems with spinal stenosis. He had his most recent epidural steroid…
Methadone is a potent Schedule 2 opioid developed by German scientists to treat battle wounds during the Second World War due to limited access to morphine. Use and Abuse Methadone treats moderate-to-severe pain. It is inexpensive, making it more accessible for patients who can’t afford the more expensive brand name painkillers. It is a highly effective but potentially dangerous painkiller. Besides treating pain, methadone plays an important role in the treatment of opioid addiction. Opioid…
Zohydro is an opioid analgesic hydrocodone that no contains acetaminophen is a 12-h extended-release formulation. Its approval was against the FDA’s expert panel recommendation. Opioids have been widely used as treatment for non-cancer chronic pain. However, it may be some misunderstanding in the efficacy and safety of this drugs because of their potential misuse, abuse and addiction. In the early 90s opioids were widely used because their few adverse effects and low abuse potential,…
medial femoral condyle chondroplasty on 05/23/14 and right total knee replacement surgery on 8/3/15. Urine drug screen dated 05/06/16 showed positive findings for hydrocodone and hydromorphone. Per the medical report dated 07/22/16, the patient presented for bilateral knee pain. Current medications include Lidoderm 5% patch; hydrocodone/acetaminophen 10/325mg; hydrochlorothiazide 25mg; omeprazole delayed release (DR) 20mg; Aleve 220mg; and Zanaflex 4mg. Based on the medical report dated…
painkillers oxycodone, hydromorphone, and fentanyl. Combinations Hydrocodone is available as a stand-alone formulation (only hydrocodone) and in combination with acetaminophen, aspirin, and other non-opioid pain relievers. Toxicity Acetaminophen can be toxic to the liver (http://bit.ly/1d7c6C0). The risk of liver damage increases as the daily dose of acetaminophen increases. As tolerance to hydrocodone develops, addicts will use more of the hydrocodone-plus-acetaminophen product, exposing the…
Morphine (MS Contin®, Avinza®, Kadian®, Embeda®, others) Morphine treats moderate-to-severe pain and is a Schedule 2 opioid. Although once available only as a rapidly acting formulation, long-acting products are now routinely prescribed to treat chronic pain. Morphine is the most prominent and active ingredient in opium. It was first extracted from opium some 200 years ago. Morphine is as easy to abuse as heroin and carries the same risks as heroin. To reduce the potential for abuse, the newer…
been considered as a first-line treatment for neuropathic pain. The patient has chronic neuropathic lower back pain, which radiates down her right leg. Medical necessity of Gabapentin has been substantiated. Recommend certification. Regarding Hydrocodone 5/325mg #90 and Ultracet 37.5/325mg #60, Norco 5/325mg #130 and Butrans Patch 120mcg #20, CA MTUS Chronic Pain Medical Treatment Guidelines do not support ongoing opioid treatment unless prescriptions are from a single practitioner and are…
Arthroscopy with partial lateral meniscectomy, tricompartmental synovectomy, lysis of adhesions, & debridement on 10/23/15 11/13/15 UD testing report indicates negative results for the prescribed opioids that the patient has been inconsistent with Hydrocodone and Tramadol. 8/25/15 progress report described that the patient presented with ongoing left knee pain despite conservative treatments including PT and pain medications. She experienced swelling, clicking and popping in the left knee.…
considerable attention to the side effects of an interaction as well. However, “This list is not complete and other drugs may interact with chlorpheniramine, hydrocodone, and phenylephrine. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products” (chlorpheniramine, hydrocodone, and phenylephrine, 2015) Alcohol/Food Interactions It is crucial that you avoid alcohol consumption with Highland HC due to the major interaction that…