For those of my readers that treat pain and various psychiatric conditions, it is important to be aware that the CDC and all state licensing administrative bodies frown upon mixing opioids with benzodiazepines. Both are respiratory depressants. Many prescribers still mix these two medications. Has the patient been using both for a long time with satisfactory results? Is there some medical reason why the mix must occur? Since the practice guidelines uniformly come down against this combination, your chart must give the rationale for the mixture. This is a hot button issue.

Courtesy of Frier Levitt, Attorneys at Law