I don't. I don't refill without followup, but I am only doing sports medicine. So i rarely use meds and when i do, they don't get refills without coming in. For me too many patients want to treat the symptoms and not the issue.
I have a couple rules that keep my patients honest to themselves. 1. they know i don't like meds 2. you have to fix the issue and go to rehab 3. you follow up when you are supposed to and you do what you need to to help your self.
You can lead a horse to water...but. . .
I know if i was doing HTN and DM i would need to refill meds but i don't need to do it. And I in the last 3.5 years in practice have given out 5 or 6 total vicodin/percocet scripts. And no one gets a refill on those ever.
I know this limits who will see me, but i don't wnat the patient in here who wants to just get meds to be pain free.
