MUR's and/or script interventions

[Zoggite]

How's this for a starting point for an MUR:
"R/ Pravastatin tabs 40mg: one to be taken as required;
R/Lansoprazole capsules (gastro-resistant) 15mg:1-2 once daily;
R? Zopiclone tablets 3.75mg: half to one tablet at night -to counteract lansoprazole"
Now what the Dickens am I supposed to make of that?
Is the patient supposed to "feel" how much cholesterol is sticking to his arteries and to adjust his dosage accordingly?
Aaarrgh....!

[admin]

Zoggite

How did the Dr explain that cock up ? LOL

[Zoggite]

he still hasn't, and as this is the fifth month in a row that I've queried the script, I'm getting a little bit fed up, borderline disillusioned...

[Zoggite]

come to think of it, I think it was the same GP who prescribed for many months "latanoprost eye drops: apply to the infected eye BD as directed";in the beginning, I'd correct the instructions on the drug label, but one month while I was on holiday it must have got labelled exactly as written on the script, as I discovered when I got a snotty letter from the patient's consultant Ophthalmologist pointing out "my" labelling error...[massive sigh]

[Linnear]

This is the problem. Do you just correctly label Rxs and pretend the Dr got it right knowing that you're probably causing trouble alter down the line or do you ring the prescriber and try to get the records changed.

This has three possible outcomes:

1. The prescriber apologises and amends their records (very very rare)

2. The prescriber half heartedly apologises but nothing gets done to the records (common)

3. The prescriber says "That's what I was told by *Specialist/patient/Easter Bunny (highly likely)

*please delete as applicable

[admin]

Hi

Personally I try to get through to the Dr. If he says it's what the specialist prescribed, yet outside normal doses, you have to check it with the specialist. If you don't you will carry ALL the blame if it's an error.

When patients contact their "no win no fee" lawyers, I believe they are told it is easier to go after the pharmacy/pharmacist as it's virtually impossible to get a Dr prosecuted, unless it's a Dr Shipman!

If you can't get through to the specialist (impossible after 5pm) you only have the other choice of refusing to dispense it. Then you are into the area of denying the patient his much needed medication. It's a minefield, and I honestly don't know any more what you can do.

Because of these type of situations I joined the Pharmacist Defence Association, as this seemed to me the only people who are on MY side and help me.