mgriffiths Posted October 6, 2017 Share Posted October 6, 2017 So I recently inherited a massive number of patients that are on controlled substances, many are prescribed multiple (mostly benzos and narcotics). The previous provider was very lackadaisical when it comes to drug screens and paying attention to doses (one of several reasons she's not providing care at our clinic anymore) and several patients were started on narcotics or had doses of something increased inappropriately (think: "my back hurts" and without any workup patient started on fentanyl patches...skipping physical therapy, NSAIDs, norco, etc.; or regularly being prescribed three 10mg tablets of ambien daily for sleep). I am working diligently to decrease these inappropriate scripts and it's a nightmare, but I'm curious how others approach the conversation with patients regarding decreasing and discontinuing controlled substances? I'm also curious how hard nosed others are with drug screenings, pill counts, etc.? I'll be honest, I hate narcotics and most controlled substances (ADHD meds don't really bother me), but I also don't want to develop a reputation of being "unhelpful" or a "jerk" in the small town I provide care. Patients talk and I am already getting comments...don't need to destroy my practice, but of course I don't want to add to the street drug problem and patients come first. Thanks. Link to comment Share on other sites More sharing options...
This topic is now archived and is closed to further replies.