It unfortunately is often not recognized as a potential drug of abuse in the medical community at large. Depending on how it is abused, trazodone can be primarily sedating or primarily euphoric. Wellbutrin is an antidepressant with many acceptable substitutes such as venlafaxine (Effexor) and duloxetine (Cymbalta). Imodium is a commonly prescribed diarrheal treatment with opioid receptor activity.
Duloxetine (Cymbalta) has been shown to be a superior drug for use in treating neuropathic pain. Trazadone is a poor antidepressant and can easily be replaced with many others. Due to its high abuse potential, it should be rarely used. Imodium’s abuse potential should be considered when prescribing it, especially since most cases of mild diarrhea do not need any treatment.
These are medications that are not abused (or, at least, not thought to be abused) in mainstream medical settings.
Even if a particular inmate doesn’t care about getting high himself, he can still profit by selling these drugs to others who are.
Vulnerable inmates can be (and are) bullied into obtaining these drugs for distribution–if we make them available.
The practice of Correctional Medicine has many strange differences from medicine outside the walls.
It took me a couple of years to get comfortable with the various aspects of providing medical care to incarcerated inmates.