When doctors ask if you do drugs are you more inclined to lie or tell the truth?

I tend to deny drug usage because I feel it's not important for them to know.

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It is important, they're not asking just out of curiosity, they need the informatiom either to explain some symptoms or to see if there are any possible interactions with other meds they might prescribe or if they will need to alter the dose before a surgery etc. There's patient confidentiality which means they will not use that information against you in any way.