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Updated: Aug 3, 2026

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Novel Apparatus and Method for Drug Reinforcement
Published on: August 20, 2010
Responsible prescribing of controlled substances
E A Voth1, R L Dupont, H M Voth
1University of Kansas School of Medicine, Kansas City.
American Family Physician
|November 1, 1991
Summary
Physicians faced disciplinary actions for prescribing controlled drugs, highlighting the need to identify patients at risk of overdose or addiction. Recognizing warning signs like early refills is crucial for preventing drug abuse.
Area of Science:
- Medical Ethics
- Pharmacology
- Public Health
Background:
- In 1990, one-third of physician disciplinary actions were linked to controlled or abusable drug prescriptions.
- Prescribing controlled medications poses risks including overdose, dependence, and diversion to drug abusers.
Purpose of the Study:
- To highlight the challenges physicians face in identifying patients at risk of controlled medication misuse.
- To outline key indicators that may suggest drug abuse or addiction.
Main Methods:
- Analysis of disciplinary actions against physicians.
- Review of common scenarios and patient behaviors associated with controlled medication misuse.
Main Results:
- Prescription of controlled drugs was a significant factor in physician disciplinary actions.
- Specific patient behaviors serve as potential red flags for drug abuse.
Conclusions:
- Physicians must be vigilant in identifying potential overdose victims and addicted patients.
- Warning signs such as early refill requests, lost prescriptions, and intolerance to non-narcotic analgesics warrant suspicion of drug abuse.
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