Controlled Dangerous Substances (CDS) Policy

This section only applies to Controlled Dangerous Substances (CDS). All other appropriate prescription medications can be prescribed without any special restrictions.

Baltimore Psychiatry may prescribe CDS in the treatment of certain psychiatric disorders when medically appropriate and the benefits outweigh the risk. This information is provided so prospective patients can determine if we can meet their treatment needs. The decision to prescribe or not prescribe CDS is still always at the discretion of the provider, but they cannot override these practice policies. We will never guarantee CDS prior to completing an evaluation. We do not prescribe more than one controlled substance per patient or prescribe dosages higher than the FDA has approved. Anyone receiving CDS from this practice must be able to pass an at-home drug screen (demonstrating no illegal substances are being used, including prescription medications that were not prescribed). Patients receiving CDS from this practice must be seen at least once per month for the first 90 days after starting CDS medication. After this, we may prescribe up to 90 days at a time when appropriate.

 

  1. Stimulants: We want to make access to medication as convenient and hassle-free as possible for those with legitimate ADHD. At the same time, we are keenly aware of the high volume of individuals without ADHD who attempt to inappropriately obtain these medications. We may prescribe stimulants in the treatment of ADHD but only after a trial of a non-controlled substance has been found ineffective or completion of a drug screen. If you have taken medication for ADHD previously and would like to receive immediate consideration for stimulant use, we will require that you have your medical records sent to us prior to considering the prescribing of a stimulant. We must also agree with the diagnosis.
  2. Benzodiazepines and barbiturates: We never prescribe these medications at this practice under any circumstances. These medications are generally only indicated for short-term use in crisis situations. Long-term use is counterproductive as it will alter brain chemistry and contribute to worsening baseline symptoms. They also carry serious safety and health risks. 
  3. Hypnotic sedatives/sleep aids: We often prescribe NON-controlled substance sleep aids. Before considering the use of short-term controlled substance sleep aids, we must have record of a completed sleep study. Non-controlled substance sleep aids must have proven ineffective and the medication must be deemed to have a highly favorable benefit to risk ratio.