In prisons, seroquel, trazodone, Wellbutrin, Benadryl, and many other meds have value and are floating around.
In high schools, cough medicine and cleaning solvents are abused.
Should we ban all of those?
Pill counts? That is a waste of time. Do you do this with lisinopril to ensure compliance? If the patient abused lisinopril and replaced the pills with a different pill altogether, are you familiar enough with all generic sizes and colors of lisinopril to ensure they weren’t all switched?
There is no indication to drug screen the average patient much like there is no reason to do full body MRI’s. You won’t find out how many the patient took via drug screen and if anything, you’ll discover a lack of abuse when patients forget to take it.
We have tons of data that we are under-treating ADHD and that stims reduce the risk of substance abuse overall.
Are there some clinics that make it too easy to get them? Sure. Just like there are too many urgent cares giving out abx for viral issues. We will never achieve med perfection, but the overall benefit with stims far outweighs negatives.