I am a Professor of Pharmacotherapy with over 30 years of pharmaceutical experience and several years as an expert witness, as well as licensed pharmacist in California, Idaho, and Washington. My research and professional expertise include chronic pain treatment; opioid and illicit substance misuse, abuse, and overdose; psychopharmacology in mental health; serum/urine/saliva drug/substance monitoring and assessment; adverse drug reactions; medication interactions; dietary and herbal supplements; complementary and alternative medicine.
I am a Certified Forensic Consultant and Fellow of the American Board of Forensic Examiners Institute. The Fellow designation is the highest honor ACFEI can bestow upon a member and is reserved for those with outstanding achievements and excellence. I am also a Fellow of the American Society of Health-Systems Pharmacists and the American Society of Consultant Pharmacist. I am a member of the American College of Clinical Pharmacist's (ACCP) Pain and Palliative Care Practice and Research Network (PRN).
I have been involved in several expert cases across the USA primarily involving chronic pain, narcotic use, illicit substance abuse, opioid overdose, urine drug testing, medication reactions and interactions, FDA Controlled Substances Act, and opioid prescribing / dispensing regulations. Some example cases include:
-Urine methamphetamine assessment (false positives due to legitimate medication use) in an elderly patient residing in a skilled nursing facility.
-Urine marijuana assessment in parents for a child custody case.
-Inappropriate dosing of transdermal fentanyl in an elderly woman with cancer.
-Physicians and Pharmacists involvement in hydrocodone and oxycodone prescribing and dispensing pill mill case
-Urine and hair alcohol testing in a child custody case
-Inappropriate prescribing of multiple opioids (transdermal fentanyl, morphine, hydromorphone, oxycodone) for the treatment of post-op low back surgery pain in a chronic pain patient.
-Role of benzodiazepines in suicide
-Inappropriate dosing of opioids, benzodiazepines, and muscle relaxants in a middle-aged man with back pain and chronic obstructive pulmonary disease
I look forward to helping you with your case, Dr. Tracy L. Skaer, PharmD, CFC, FABFE, FASHP, FASCP