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SOMATIC PAIN (SPINE)

SOMATIC PAIN (SPINE). TYLENOL and 1-antiinflammatories. Failed. Successful. Need Adjunct. Tramadol 50 – 100 mg If no history of seizure, Relative CI with SWRI, SSRI. Successful. Failed. Consider Injection Therapy Consider Physical Therapy. Darvocet. Short Acting Opioid.

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SOMATIC PAIN (SPINE)

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  1. SOMATIC PAIN (SPINE) TYLENOL and 1-antiinflammatories Failed Successful Need Adjunct Tramadol 50 – 100 mg If no history of seizure, Relative CI with SWRI, SSRI Successful Failed Consider Injection Therapy Consider Physical Therapy Darvocet Short Acting Opioid UDS + Narcotic Medication agreement; stool softness Hydrocodone /acetaminophen 5-30 mg/325-500mg q6hr prn Not to exceed #120 in 30 days Oxycodone 5-30 mg q6hr prn Perceat (Oxycodone/acetaminpphen) 5-30 mg/325 mg Q6 Not to exceed #120 in 30 days

  2. Somatic Pain Algorithm • Anti-inflammatories • Tramadol • mg • Darvocet • UDS • Hydrocodone/acetaminophen • Morphine • Oxycontin • Fentanyl • Opana ER • Methadone • q6hr prn • Long acting • Membrane stabilizing medication if neuropathic component to pain

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