A patient who has chronic pain and who takes oxycodone (Percodan) calls the clinic to ask for a refill of the medication. The primary care NP notes that the medication refill is not due for 2 weeks
The patient tells the NP that the refill is needed because he is going out of town. The NP should: a. fill the prescription and document the patient's explanation of the reason.
b. review the patient's chart to see if this is a one-time or repeat occurrence.
c. call the patient's pharmacist and report suspicion of drug-seeking behaviors.
d. confront the patient about misuse of narcotics and refuse to fill the prescription.
B
When patients fill prescriptions early for drugs that have abuse potential, providers should be alert to possible abuse. The first step would be to see if this is a one-time occurrence or a pattern. Providers should do this before refilling the prescription. If this is a pattern, the pharmacist should be notified. Patients should be confronted if a problem is apparent, and practitioners should not refill the prescriptions.
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