I am a relatively new FNP (worked as a surgery NP for first 1.5 yr, just switched to primary care 2 months ago).
The family practice I work has a physician who prescribes diet meds like phentermine for patients, and these patients are scheduled with me for either continuation or re-initiation of these meds. I am personally against the use of appetite stimulants. Is it right for me to refuse to prescribe these meds? Some providers don't do chronic pain management, but they could. Isn't this a similar situation? What type of specialist can I refer the pt to if they insist on using these meds? I am just not comfortable, but feel badly disappointing these patients.