We continue with the second part of our seventh PsychoFarm Commandment.

Controlled substances shall be controlled.

Welcome to the Carlite Psychiatry Podcast.

Kimmy Psychiatry Honest since 2003.

I'm Chris Aiken, the editor-in-chief, and the author of the Depression and Bipolar Workbook.

And I'm Kelly Newsom, a psychiatric MP and a dedicated reader of every issue.

Last week, we entered the hidden vaults of the DEA website,

where they keep a list of red flags that pharmacists are supposed to resolve or report

when filling controlled substances. Let's recap them. But first, a preview of the CME quiz for this

episode.

1. Which elite medication is considered relatively safe in the elderly by the Beers criteria?

A. Trazadone, Desiril. B. Lemberaxant, Davigo. C. Amitryptylene, Eleville, D. Lodosolpidum, Ambien.

Here's a recap of last week's red flags. One, patients who avoid insurance when filling controls using cash check or credit.

2.

Patients on high doses or multiple controls that tend to be misused together, particularly the Holy Trinity, a combination of benzos, opioids, and a muscle relaxant like soma that produces rapid euphoria.

Three, patients who get early refills.

And four, pharmacists also look out for clinicians who prescribe high volumes of controls or prescribe

a lot of controls to patients who fill them from out of state.

And here are some more on the DEA's list. Getting controls for multiple providers or filling them

at multiple pharmacies, driving long distances to fill their prescriptions and picking up controls

filled in another patient's name.

Also, patients who ask for specific brands or refuse XR formulations.

...