It seems DEA is always looking at physicians for over prescribing opioids. My hero pain doc, Dr William Hurwitz told me treating pain patients was as much about being a psychiatrist as a physician.
For a hundred years we've know stimulants potentiate pain medicine from aspirin to opioids. Anacin has had caffeine for many years.
Some physicians use stimulants like Dextrostat to potentiate opioids and reduce the opioid dose by as much as half.
Dextrostat also helps patients who have problems with being lethargic on opioids.
There are numerous studies on this but most pain physicians don't know how to treat pain. Most have little training in pain management, and fail to listen to patients.
One in a hundred pain physicians understand pain, its finding the one in a hundred.
Jay