 Interaction
I was wondering how people deal with the interaction between warfarin and antibacterials. The pharmacist I work with refers all such cases to the prescriber - however, I have yet to see a single script changed. The usual response is "Yes, I am aware of the interaction...all antibacterials interact with warfarin." Is there a better way of dealing with these cases? When asked to query such interactions with the doctor, I have in the past been faced by the prescriber asking "What would you like me to do about it?" or "What else could I prescibe?" - to which we usually reply "It's up to you doctor - we just wanted to let you know." I recognise that this is a potentially serious interaction with clinical significance - it just seems unavoidable. I would appreciate people explaining how they deal with such cases so that I can develop a way of 'managing' the interaction rather than just 'phoning the doctor 'to let them know'. (They're usually aware of it anyway!)
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