Indicators of Drug Seeking Behavior
The best way to avoid drug seeking behavior is to check the Controlled Substances Monitoring Database (CSMD)
The best way to avoid drug seeking behavior is to check the Controlled Substances Monitoring Database (CSMD)
For more suggestions specific to physicians, please visit our SCAD health team website.
Indicators of Drug Seeking Behavior
Indicators of Drug Seeking Behavior
Typical requests and complaints
- Aggressively complaining about a need for a drug
- Asking for specific drugs by name
- Asking for brand names
- Requesting to have the dose increased
- Claiming multiple allergies to alternative drugs
- Anger or irritability when questioned closely about symptoms such as pain
Inappropriate self-medicating
- Taking a few extra, unauthorized doses on occasion
- Hoarding drugs
- Using a controlled substance for non-pain relief purposes (e.g. to enhance mood, aid sleep)
- Injecting an oral formulation
Inappropriate use of general practice
- Visiting multiple doctors for controlled substances (doctor shopping)
- Frequently calling the clinic
- Frequent unscheduled clinic visits for early refills
- Consistently disruptive behavior when arriving at the clinic
- Consistently calling outside of clinic hours or when a particular doctor who prescribes controlled substances is on call
Resistant behavior
- Unwilling to consider other drugs or non-drug treatments
- Frequent unauthorized dose escalations after being told that it is inappropriate
- Unwilling to sign controlled substances agreement
- Refusing diagnostic workup or consultation
Manipulative or illegal behavior
- Claiming to be on a waiting list for, or unable to afford, dental work and needing to manage dental pain
- Obtaining controlled drugs from family members (including stealing from older relatives)
- Using aliases
- Forging prescriptions
- Pattern of lost or stolen prescriptions
- Selling drugs
- Obtaining controlled drugs from illicit sources
Other typical behaviors
- Being more concerned about the drug than a medical problem
- Deterioration at home or work or reduction of social activities because of adverse drug effects
From Dealing with drug-seeking behavior. Adapted with permission from The Royal Australian College of General Practitioners. Prescribing drugs of dependence in general practice, Part A – Clinical governance framework. Melbourne: RACGP, 2015.http://www.racgp.org.au/your-practice/guidelines/drugs-of-dependence-a [cited 2016 May 1]