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patient comes to the clinic seeking help in acquiring opioid pain medication for a back injury. States her current generic drug is not working as

patient comes to the clinic seeking help in acquiring opioid pain medication for a back injury. States her current generic drug is not working as well, so she is seeking name-brand medication. States her pain is 9.5 on a pain scale of 10. How should the clinician respond to this request?

 
Prescribe brand-name drug

Prescribe a higher dose for 1 week and ask the patient to return for follow-up

Refused to prescribe the medication and advised that she may have developed medication tolerance

Provide additional medication that augments the action of the opiate

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