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J. Kimber Rotchford

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  1. I am a 1980 graduate of the University of Washington's School of Medicine. I am a long time specialist in non-procedural based pain management and long term member of the American Academy of Integrative Pain Management. I am a Fellow of the American Academy of Medical Acupuncture as well as a Fellow of the American College of Preventive Medicine. I have several publications regarding the use of opioids in chronic pain management. I have authorized medical cannabis in Washington State for over 15 years. I am one of the first physicians to be a Diplomat of the Board of Addiction Medicine
  2. This is the clarification/confirmation I sought, that is: "From a regulatory perspective, full mu agonist opioids (e.g., fentanyl) can be prescribed for pain in patients who have an OUD." The patient in question has been on high dose methadone for her pain and co-morbid OUD. Because of limited access to methadone prescribers for pain, particularly patients with comorbid SUDs, I decided to make a switch to buprenorphine. Fentanyl patches while proving effective for her pain management are an effective bridge to buprenorphine based on pharmacology and some case examples in the literature
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