A nurse from the pain clinic answers your questions

2. I’m a community pharmacist. What should I do when a user asks me to refill his opioid medication earlier than scheduled?

It’s important to find out why the user wants his medication earlier than scheduled. If he’s leaving on a trip and the refill is scheduled for when he is away, his request is legitimate.

There’s also a possibility that the user didn’t understand the prescription. So it’s important to check if he took his medication as prescribed, if he’s afraid of being in pain and is taking too much medication or, on the contrary, if he’s waiting too long, until his pain is unbearable, and then doubles or triples the dose.

1. I’m afraid to ask my pharmacist for help when my pain is worse than usual. I felt that my previous pharmacist suspected I was a junkie and I had to find a new pharmacy. And what if he was right ? Could I really have an addiction problem?

To find out if there’s a loss of control with the medication, check for the following behaviours: