I am looking for some feedback here. How would you manage this case?
A patient in her early 30s states that she has taken a Dulcolax tablet daily for over ten years. She states she spent most of that time in correctional facilities but never had any problem receiving an order for daily Dulcolax. She was out of jail for a time and continued to take OTC Dulcolax. She reports no abdominal work ups. Her only surgery was an appendectomy. Her only other medical problem is episodic asthma. Her physical exam is normal.
She now has arrived at one of my jails and wants me to continue her daily Dulcolax prescription. Should I? Here is my thought process: Continue reading