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  1. A staff member in my primary care practice asked me to see one of her family members to discuss starting suboxone. She was concerned that his pain med use was problematic and told me that he was willing to come see me to discuss. When I asked her what she meant by problematic she told me "He's been on it forever and he won't come off. It's not normal. He has an addictive personality and a hx of alcohol abuse (now sober 30+ yrs)." When I saw him and reviewed the state PMP, he is regularly prescribed 7.5 mg of hydrocodone TID from a pain clinic in town, for a total MME of 22.5. When I
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