Hi, Dr. Smith:

Quote: "Sometimes rotation is forced upon a patient with the same results."

Does this mean a doctor can force a patient to have opioid rotation even if the patient does not agree? Of course, this patient might benefit from opioid rotation, but it might also not help him/her, especially if the opioid the doctor wants to give this patient has already been tried by this patient and has not worked. The worst case is when the doctor does not believe the patient. I know so many of them, to whom this happened.

Quote: "She switched to MSER as a less expensive alternative, and found that she needed only 2/3 of the "equivalent" dose of oxy she had been taking."

Was this person then tolerant to MSER since she needs only 2/3 of the "equivalent" dose of Oxycontin she had been taking before?

Thanks.