This must have been discussed before but just to gather your input on the best plan of action.
53 years old female with chronic pain and fibromyalgia on codeine contin tablets with no positive UDS s in the past now has cocaine metabolites in her urine. I had just increased her codeine dose due to insufficient pain control. Her current dose id 100 mg bid. She has bipolar disease on mood stabilizers and Crohn's disease.
Would you stop her narcotics with this urine result?
Thank you