Question

A 58-year-old taking oxycodone 20 mg/day (30 MME) for chronic back pain requests dose increase. Function unchanged; risks high. According to CDC guidance, what should you do?

Accepted Answer

Carefully reassess benefits/risks before any increase; avoid dose escalation when risks outweigh benefits

Answer

Escalate to ≥90 MME/day

Answer

Switch to fentanyl patch routinely

Answer

Add benzodiazepine for anxiety

Answer

Continue indefinitely without reassessment

Practice question

A 58-year-old taking oxycodone 20 mg/day (30 MME) for chronic back pain requests dose increase. Function unchanged; risks high. According to CDC guidance, what should you do?