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Effectivepractice. org/site/ywdeffectivepractice/assets/pdf/OpioidChartFeb2011B4. pdf TREATMENT HISTORY tried in the past MEDICATIONS Please include reason for discontinuing and doses if possible Antidepressants SNRI Dose Achieved 90 no improvement SSRI TCA Anti-Epileptic Medications Dose Achieved NSAIDs Tylenol Opioids meq 22. 5 INJECTIONS/INTERVENTIONS Surgeries Effective Yes No PSYCHOSOCIAL/PSYCHIATRY Cognitive Behavior Therapy/ Counseling/ other Ongoing COMPLEMENTARY ALTERNATIVE MEDICINE...
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