The Stigma of Pill Pushers/Pill Mills

Prescription medication abuse is a very real problem. Shockingly, not all abuse is the result of theft of black market dealings. There are doctors and medical facilities that deliberately prescribe strong medications, even though these medications may not be the best option for the patient.

Medication absolutely has its place in treatment for many conditions for many patients. However every patient deserves personalized attention and unique treatment, and not all medications work for all patients. This is especially true with the two types of medications most commonly associated with pill pushers – painkillers and psychiatric medications. For people with chronic pain disorders and certain psychiatric disorders, like Depression, alternate therapies may need to be used alongside with or instead of medications.

It can be difficult to determine your physician’s reasoning for prescribing a particular medication. If your physician prescribes a popular medication without spending much time getting your medical history, something may be off. If your doctor discusses your medical history in detail and discusses a number of treatment options and together you decide on medication, however, it is likely he or she is prescribing medication because he or she genuinely believes it is the best form of treatment for your individual needs.

Many legitimate pain management practices will have long discussions with patients before prescribing narcotic painkillers, and some may even go so far as to have patients sign contracts laying out the rules of receiving narcotics. Such contracts may call for reporting of pharmacies at which prescriptions are filled or regular urine testing. Pill mills or pill pushers are not likely to take such steps. Many pain management specialists may require referrals from other doctors as well as health insurance for a patient to even be seen. Facilities that do not require referrals and/or will accept out of pocket payment may be regarded as suspicious by doctors, pharmacists, and the DEA (Drug Enforcement Administration).

If you suspect your physician does not have your best interests at heart in your treatment methods, speak with another physician or your pharmacist. He or she may be able to guide you to a doctor who will take your needs into consideration or even assist you in reporting illegal activity.


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