Fluticasone 500mcg 3 puffs BD 6OP (accuhaler)

[kemzero]

Did a locum today and had to check off a prescription for a 77 year old man with COPD,the bloke was also on ipratropium , a xanthine and montelukast.......
It had been dispensed at least 6 times at the pharmacy but I felt that Fluticasone dose was way too high at 3000mcg daily....way above the BTS guidelines and equivalent to approximately 6000mcg of beclomethasone..GP surgery closed so I couldn't query it with GP

Any thoughts on this?

[Linnear]

Re: Fluticasone 500mcg 3 puffs BD 6OP (accuhaler)

I think you've got to chase it. Admin was in a similar situation the other day with a Rx.

If they've been on the dose for ages and the dose isn't life threatening I think you've got to take a pragmatic apprioach and dispense and then get the GP to authorise the dosage so it can be remedied next time if need be.

[Jeff]

Re: Fluticasone 500mcg 3 puffs BD 6OP (accuhaler)

Any thoughts on this?

Make sure he has a steroid warning card.

Jeff