How would you counsel him regarding treating his pain


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A 53-year-old male is presenting to you with a 4-week history of low back pain. He does not have an identified traumatic event. He is requesting something for pain. He has history of alcohol abuse but has abstained for 5 years. He has a 25-pack year smoking history and is a current smoker. He takes fluoxetine 20 mg po daily for depression. How would you use the Opioid Risk Tool resource to determine his risk for opioid abuse? How would you counsel him regarding treating his pain?

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