For example, benzodiazepine class drugs have a very defined dosage reduction schedule and it's never discontinued right away just because of drug seeking behavior. Same with anti-depressants(the Wellbutrin kind) where dependance Is very real and expected.
Exactly. If someone shows up at your clinic wanting drugs that you think they're addicted to -- especially ones that are cheap generic -- are you really preventing harm by not giving it to them?
PS: based on my personal experience in Australia, not for opioids but for other controlled substances like amphetamines or ritalin.
Yes, you can get medical records. They're not as easy to get in an emergency situation, which is how drug-seeking (and I assume pseudoaddiction) presents itself. Sometimes the bizarre extremeness of the situation makes you skeptical enough. For example, "The dog needs the meds for a trip tomorrow from Georgia to a remote part of the Pacific Northwest and it will be in excruciating pain and anxiety if you don't prescribe three months worth right now," and it's 6pm on a Friday evening.
PS: I'm not in the states, but in Australia, where things are quite different.
Edit: fix grammar and typo