Voth E A, Dupont R L, Voth H M
University of Kansas School of Medicine, Kansas City.
Am Fam Physician. 1991 Nov;44(5):1673-8.
One-third of the disciplinary actions against physicians in 1990 involved prescriptions for controlled or abusable drugs. Problems involving the prescribing of controlled medications may occur because of overdose, dependence or use by known drug abusers. A common problem facing the physician is the identification of potential overdose victims and addicted patients. Requests for early prescription refills, claims of lost prescriptions, frequent after-hours calls and patient intolerance to nonnarcotic pain-relieving drugs should raise suspicions of drug abuse.
1990年针对医生的纪律处分中有三分之一涉及管制药品或易滥用药物的处方。由于用药过量、药物依赖或已知吸毒者的使用,可能会出现与管制药品处方相关的问题。医生面临的一个常见问题是识别潜在的用药过量受害者和成瘾患者。提前要求处方续配、声称处方丢失、频繁的非工作时间电话以及患者对非麻醉性止痛药物不耐受,都应引起对药物滥用的怀疑。