A patient calls into the office asking for a new prescription for a narcotic medication that he has been taking for six

[answerhappygod]

A patient calls into the office asking for a new prescription
for a narcotic medication that he has been taking for six months.
You bring up his chart and notice that he has been requesting new
prescriptions every 23 days, whereas the medication should last 30
days. Additionally, the patient also mentions that he feels that he
is in need of a higher dose and gets agitated and irritable when
you tell him that he will need an appointment. What do you think of
this? What should you do?