Would you ever fill...

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ericn2k3

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Would you ever fill Tramadol 50mg 6/day standing x 90 days? Pt have been on it for a few years with ever increasing dosages. Under what conditions would you fill it?
 
It's below the max dose. The patient has been slowly titrated up over the course of a few years, too? As long as I don't suspect major abuse and there are no weird red flags, I'd be fine with it.
 
Same MD/clinic, not early, not doctor shopping? Probably ok.
 
Yeah, why wouldn't you fill it? Assuming no red flags, and that your state law allows it, there is no reason not to fill a 90 day supply of a controlled medication
 
had a patient 400mg/day taking it for depression/insomnia
 
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