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Originally Posted by Steve G I had a script on friday (15/9) for methadone, 36ml daily, dispense 252ml on 14/9 for a patient I know fairly well. What to do? Could I find the appropriate section in the MEP? No. So I phoned my former pre-reg tutor, who said that he had reduced the amount accordingly plenty of times in the past, so that was what I did (he also happens to be the professional services manager for the group I work for). I've now found the section in the MEP where it says about CD scripts being dispensed only in accordance with the prescribers directions (so I take this to read that I shouldn't have dispensed it).
What would others have done? |
Steve
There was a Statt Comm case not too long ago where the pharmacist did exactly that. You are not supposed to take away one dose, and give the rest, unless the script says so. I tried to find it on the PJ web site but haven't - maybe someone else remembers it?
As I remember, the judge gave him only a reprimand, but said he was lucky.
I would have not given it, unless it said so on the script. I know that is a ridiculous thing to do, but I still think that's what you have to do. Some Dr's practices are getting stamps so you can dispense it if they miss the actual day, but if that's not on it I don't supply.
I must add that I personally think this is a ridiculous state of affairs. I have worked at places where somebody is getting their life back on track, at work, and paying for their scripts. To have to refuse to supply the rest of this persons methadone, if they are at work late etc and find the shop shut that night so therefore come the next day is just silly.
I am still more scared of the society then the patient, or the correct thing to do I'm sorry to say.
