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Medications We CANNOT Prescribe

What medications can we not prescribe? 

  • Any controlled substance (other than buprenorphine containing medications) 
  • Any high risk medication (use your judgment). These could include new Rx for nitroglycerine for new chest pain, remodulin pumps, biologicals, abortion medications, non corticosteroidal immunosuppressants, injectable drugs (other than insulin and naloxone) 
  • Accutane
  • Adderall
  • Alprazolam
  • Ambien
  • Armodafinil
  • Butabital
  • Butrans patches – approved for chronic pain but opioid use
  • Clomid – worked up and determined. This has s/e and it has to be monitored closely with the fertility specialist usually an OBGYN
  • Clonazepam
  • Codeine
  • Dilaudid
  • Fioricet for migraine
  • Isotretinoin (uncontrolled)
  • IV Benadryl (Although Benadryl is not a controlled substance some patients may abuse the form of benadryl – makes people euphoric)
  • Other IV meds (except for epi pens, naloxone injector and insulin)
  • Klonopin
  • Lorazepam
  • Lunesta
  • Lyrica
  • Methadone
  • Nuvigil
  • Oxycodone
  • Phentermine
  • pregabalin
  • Provigil (modafinil)
  • Qysymia
  • Soma (Carisoprodol)
  • Vyvanse (amphetamine)
  • Xanax
  • In addition, no cancer drugs, no biologicals/immunomodulators, no immunosuppressants (other than corticosteroids), no injectable medication (other than insulin), no antibiotics for TB treatment, no initiation of HIV treatment (needs tons of labs etc–but PrEP ok and PEP okay)

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