1. 37-year-old Sam is a new patient to your practice. He comes to see you for his regular medication as he is unable to see his GP. He tells you that he suffers from chronic lower back pain. He is currently on the following medications. Oxycontin 40 mg bd, Lyrica 300 mg bd, and Endep 10 mg nocte. He tells you that he has sufficient Lyrica till next week but has run out of his oxycontin.

Question 1

What sources of information you can use before deciding to entertain Sam's request? Write (4) in note form

2. 37-year-old Sam is a new patient to your practice. He comes to see you for his regular medication as he is unable to see his GP. He tells you that he suffers from chronic lower back pain. He is currently on the following medications. Oxycontin 40 mg bd, Lyrica 300 mg bd, and Endep 10 mg nocte. He tells you that he has sufficient Lyrica till next week but has run out of his oxycontin.

Question 2

You get more information and concluded that Sam is likely a Drug seeker. You decide to prescribe him a short prescription of oxycontin. What are the potential dangers of prescribing him his medication? Write (6) in note form

3. 37-year-old Sam is a new patient to your practice. He comes to see you for his regular medication as he is unable to see his GP. He tells you that he suffers from chronic lower back pain. He is currently on the following medications. Oxycontin 40 mg bd, Lyrica 300 mg bd, and Endep 10 mg nocte. He tells you that he has sufficient Lyrica till next week but has run out of his oxycontin.

Question 3

What are the possible indicators that will alert you towards drug-seeking behavior? Please write (4) in note form.