title: Prescription Medication Obtainment Methods and Misuse.
abstract: BACKGROUND
  Abuse of prescription medications is an ever-expanding epidemic in the United States.
  
  
  OBJECTIVE
  This study intends to help provide physicians with more knowledge about the behaviors that patients with a substance use disorder may exhibit in an effort to obtain medications.
  
  
  METHODS
  Patients who were willing to participate in the survey were interviewed by a physician.
  
  
  METHODS
  Patients were screened, selected, and interviewed while participating in an inpatient rehabilitation program.
  
  
  RESULTS
  Thirty-six patients completed the survey. There was a mean of 50.2 prescriptions per person. An average of 1.2 states was utilized by the surveyed patient population. There was an average of 2.11 providers seen per patient. Data show that 78% of patients surveyed utilized more than one pharmacy. The type of medications obtained by respondents were as follows: opioids, 35 (97.2%); sedative-hypnotics, 17 (47.4%); and amphetamines, 2 (5.5%). Seventy-five percent of patients (27 of the 36) stated that they feigned symptoms in attempts to obtain prescriptions. Two patients used a falsified (via mislabeling) magnetic resonance image of injury. Two patients paid a physician outright for the prescription. Three patients (8.3%) stated they would physically harm themselves in an attempt to obtain prescription medications.
  
  
  CONCLUSIONS
  It may be noted that patients seeking prescription medications tend to utilize more than one physician and more than one pharmacy. On the basis of survey results, it seems that primary care and pain management physicians are considered the easiest venues to obtain prescription medications. It suggests that patients will go to great lengths to obtain prescription medications.
authors.affiliation: From the Marworth Treatment Facility, Waverly, PA.
authors.forename: Daniel Tyler
authors.initials: DT
authors.lastname: Bouland
authors.forename: Eric
authors.initials: E
authors.lastname: Fine
authors.forename: David
authors.initials: D
authors.lastname: Withers
authors.forename: Margaret
authors.initials: M
authors.lastname: Jarvis
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000662:Amphetamines / Q000627:therapeutic use*; D000701:Analgesics, Opioid / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D063487:Prescription Drug Misuse / Q000706:statistics & numerical data*; D055553:Prescription Drugs / Q000627:therapeutic use*; D019966:Substance-Related Disorders / Q000453:epidemiology*; D055815:Young Adult
chemical_list: D000662:Amphetamines; D000701:Analgesics, Opioid; D006993:Hypnotics and Sedatives; D055553:Prescription Drugs