Diclofenac Overdose

[admin]

Hi All

Yesterday (I had a good day yesterday) I had yet again an overdose for diclofenac. The BNF says 150mg max daily dose by any route. I have seen this overdose maybe dozens of times in my job. I have seen 100mg BD, 50mg BD and 75m-mg nocte, on the same script and even 100mg TDS.

Do other people find this is a drug that is often prescribed in overdose?

[Zoggite]

I have never come across a diclofenac overdose in humans, but I do recall an article blaming diclofenac for an 80% decrease in numbers of vultures in India (yes, I'm serious!)...

[Linnear]

Originally Posted by Zoggite

I have never come across a diclofenac overdose in humans, but I do recall an article blaming diclofenac for an 80% decrease in numbers of vultures in India (yes, I'm serious!)...

I read that one too!

They give it to the cattle and it's killing the vultures who have no capability to remove it from their systems

I think they're trying to get the farmers to use Mobic instead!

[admin]

Well, you do learn something new everyday!

[Linnear]

Originally Posted by admin

Well, you do learn something new everyday!

You're so right.

My daughter's watching Nick Jr on the TV and did you know that cucumber is a fruit?

Well that's my new thing for today. Back to bed

[kemzero]

Dear Admin

Did you do anything about it, ie recorded it as a near miss, discuss with GP etc

..............we are still worth our weight in gold.....preventing hospital admissions etc..do you still think we are over qualified or a HNC qualification will suffice..I don't think so ,that was a clinical pharmacy intervention which has saved a patients' life

[Zoggite]

Originally Posted by kemzero

Dear Admin

Did you do anything about it, ie recorded it as a near miss, discuss with GP etc

Talking of significant interventions, I'm still waiting for the GP to get back to me about those ocytocin injections he prescribed to my 85-year-old male diabetic six weeks ago...
Do you think I will ever hear anything?

[admin]

Originally Posted by kemzero

Dear Admin

Did you do anything about it, ie recorded it as a near miss, discuss with GP etc

..............we are still worth our weight in gold.....preventing hospital admissions etc..do you still think we are over qualified or a HNC qualification will suffice..I don't think so ,that was a clinical pharmacy intervention which has saved a patients' life

Of course I did something about it, that's my job. I got it changed to the correct dose, and told the GP what the maximum dose for diclofenac was. I also write a little bit about what happened for my own intervention records. I didn't record it as a near miss, because I didn't miss it!

Mind you, it did impress the store manager, as he said most pharmacists he has working at his store never do anything like phone GP's etc.

Just because I think a HND would be enough for retail doesn't make me a bad pharmacist. I have a very good reputation, and the agency tell me I am one of the most sought after pharmacists they have in this area. I could work 10 days a week if I wanted to.

I have loads of interventions I have done. Shall we start an "intervention" section, maybe in the clinical pharmacy bit? I quite like the idea, but don't want to just list all mine if others aren't bothered. It could be a good learning tool though, and we could all share a few of our records on this.

Anyway enough of me, how about you? What do you think of me.......

[kemzero]

a great idea
by the way it never crossed my mind that you wouldn't have done anything about the diclofenac scenario..I've read all your threads and concluded that you are a credit to our profession

[admin]

Kemzero

Err thanks for the compliment, but I'm not sure about that. I know I sometimes stir things up a bit, but this is a forum! I still do the best job I can.

Ok I'll put a thread about interventions in the clinical pharmacy section and start it off with one.

Did you hear back from that GP Zo?