A patient with a history of drug seeking behavior wants an opioid prescription from a friend's dentist while visiting out of town. The appropriate response is:

Correct answer: B. Give the patient ibuprofen for pain management instead

• A. Calling law enforcement immediately is excessive without confirmed diversion — refuse the opioid request and provide appropriate non-opioid management.
• B. Correct. For a patient suspected of drug-seeking behavior who requests opioids, the appropriate response is to manage pain with a non-opioid analgesic (ibuprofen, acetaminophen) and NOT prescribe opioids. Refer the patient to their own dentist for follow-up if there is a real dental problem.
• C. Prescribing opioids and scheduling follow-up without a legitimate dental diagnosis is inappropriate.
• D. Prescribing opioids to a patient who is drug-seeking without legitimate dental emergency indication is inappropriate.