Ethics & Law · single question

All of the following are signs of opioid addiction in a dental patient EXCEPT:

  1. Missing or canceling follow-up appointments
  2. Requesting a specific opioid medication by name
  3. Knowing the composition/mechanism of the opioid
  4. Coming to the clinic in person to request refills
Show answer and explanation

Correct answer: D. Coming to the clinic in person to request refills

D) Coming to clinic in person — CORRECT (this is NOT specifically a sign of addiction).
Visiting the clinic in person to request refills is actually APPROPRIATE behavior and shows the patient is engaged with care. Red flags for opioid addiction/misuse include: requesting specific drugs by name, knowing detailed drug composition (drug-seeking behavior), missed appointments, multiple prescription sources, early refill requests, and using opioids for non-pain purposes.
A) Missing appointments: A red flag — disengagement from legitimate care while continuing to seek opioids.
B) Requesting specific opioid by name: Strong indicator of drug-seeking behavior.
C) Knowing drug composition: While not definitive, it suggests familiarity with opioids beyond normal patient knowledge.

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