Well, now you know your meds aren't safe unless they're locked up. How many pills were there? If it's been a month, maybe you could have taken "enough" (or can "last" long enough) to need/want a refill? I get anxious about my asthma meds. I guess I'd be honest, make an appointment to talk with my doc and tell him what happened and ask his advice (other than locking up my meds from now on which I'd do for sure but I'd ask him "how" to do that too). I think if you're matter-of-fact about explaining as if you "expect" to be believed, not overly emotional, etc. I would expect most people who know me at all to help me. Call and explain you have a "problem" that needs to be discussed. The worst he can do is say "no" to more and then you're just in excrutiating pain for awhile longer (I know, not "funny"). But maybe, you can have a few suggestions if he appears to be "wavering" like writing a smaller perscription and making you come back sooner for a refill, etc.? I'm sure you're not the first patient he's had who has had this problem? You have integrity, ARE honest, bank/insist on it.