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OTC Imigran

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  • drpepper3k
    replied
    Re: OTC Imigran

    the public know the tricks. regarding childrens cough medicines etc, a while ago i had a grandparent come in looking a bottle of Dozol, i asked who for, he said 4 year old. i said sorry, only for over 6 now etc. he literally marched me out the side of the shop to his wife, granny, who demanded to know why it wasnt being sold. granda then said, oh well we can get it for our other fella johnny, he's 7 isnt he. to which i said, no, you've just told me you're going to give it to a 4 year old, im sorry im not selling it! then they got pissed off and left.

    2 weeks later came back in and the other pharmacist sold them it no questions asked. d'oh!

    Leave a comment:


  • Pharmanaut
    replied
    Re: OTC Imigran

    Originally posted by DavidS View Post
    I would have sold it too. You can just go so far.
    Exactly.
    Unless there is good reason to withold the product...
    Say to the customer "Do you understand that this product has potential for dependance and must be used carefully".

    Leave a comment:


  • DavidS
    replied
    Re: OTC Imigran

    I would have sold it too. You can just go so far.

    Leave a comment:


  • PHARMAC1ST
    replied
    Re: OTC Imigran

    The OTC products are not licensed for the treatment of addiction so would steer well clear.
    as a locum if i was told by the staff that there was someone in the store that they think is abusing some codeine for example i would intervene and ask appropriate questions such as what is it for? How long have you had the pain?

    I will usually refuse if i think they have tried it and the pain has not settled (even though it is probably for addiction).

    I would refer them to a doctor as they would need a better look at it.

    A patient came in wanting some chesty cough mixture but i told her it was unsuitable for her son as he was only 4. I told her of some alternatives.

    She then said i have taken it before and not been refused. I again told her sorry it is not approp. She then said her 8 year old son also has the same cough so i would like to take some for him?

    I could have still refused it but i sold it to her in the end and told her not to give it to her 4 yr old son as it can cause more side effects then good.

    What would you do?

    Leave a comment:


  • DavidS
    replied
    Re: OTC Imigran

    Originally posted by james1 View Post

    company’s marketing director for OTCs for consumer health Tim Brooks said:
    In 2007.

    If you want to repost that "drug rehab" link then PM admin. It seems a worthwhile link, I'm just a bit suspicious of you posting it on this thread...

    Leave a comment:


  • james1
    replied
    Re: OTC Imigran

    HI,

    company’s marketing director for OTCs for consumer health Tim Brooks said: “We didn’t really start the full launch to the consumer until the last few months of last year and if you ask me now how’s it going I would say it’s too early to say. However we are having a commercial impact and we are seeing a growth..


    Thank you...



    [Irrelevant link deleted by moderator]
    Last edited by DavidS; 1, December 2009, 01:10 PM.

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  • admin
    replied
    Originally posted by Amba
    Sorry Jeff but on this one i think you may have the right intentions but the wrong solution. I think that if we were before the Stat Comm they would view your actions rather reprehensibly and nothing more than a drug dealer. They would not even consider your good intentions as mitigating factors because as in the past you must have seen the articles in the PJ where pharmacists have continued to supply large amounts of OTC opiods etc (and the latest one with laxatives) with dire consequences for the professinal supplying. You will be doing your users a disservice by allowing them to continue with their adiction without seeking appropriate and CORRECT treatment for their affliction. I am with Admin on this. I can tell from your sincerity that you mean well but it will fall on deaf ears with the Stat Comm.
    I totally agree Amba.

    Leave a comment:


  • Amba
    replied
    Continuing addiction is not a cure

    Sorry Jeff but on this one i think you may have the right intentions but the wrong solution. I think that if we were before the Stat Comm they would view your actions rather reprehensibly and nothing more than a drug dealer. They would not even consider your good intentions as mitigating factors because as in the past you must have seen the articles in the PJ where pharmacists have continued to supply large amounts of OTC opiods etc (and the latest one with laxatives) with dire consequences for the professinal supplying. You will be doing your users a disservice by allowing them to continue with their adiction without seeking appropriate and CORRECT treatment for their affliction. I am with Admin on this. I can tell from your sincerity that you mean well but it will fall on deaf ears with the Stat Comm.

    Leave a comment:


  • admin
    replied
    Jeff

    I personally refuse the sale, as I believe it would be considered unprofessional by the society, to supply someone with codeine linctus etc when you know they are abusing it. I don't think they would see that in the same way as operating a needle exchange system, which as you know I have previously done.

    I have attempted to talk to these people and push them in the right direction, but find they are quite often middle aged middle class housewives that do not take kindly to this.

    I won't pretend I have the answers to this problem, but I don't feel it's my job to cure these people. Yes I do personally try to give them advice, but I believe that if you continue to supply them, a defense of harm minimisation would not hold up with the society. I suspect they would just believe you were too afraid to say no, or were just selling for profit regardless of the patients problems.

    Leave a comment:


  • Guest's Avatar
    Guest replied
    Originally posted by admin
    I would think the treatment options for OTC opiate addiction are the same as for any other opiate addiction. You go visit your GP, and he and you go about making a treatment plan for you. You then gradually wean off it. Do you sell people who you know are abusing the thing they are buying - of course not!
    Provided your GP is willing to tackle addiction - many don't feel able to.
    It also involves substituting opiates - as the OTC brands are often blacklisted.
    There are he addiction units which will treat - at least here - but also accept that the average OTC addict wouldn't be seen dead in an addiction unit.

    or there's Over-count

    http://overcount.b0x.com/

    or

    http://www.solpadeinehelp.org.uk/

    Medical professionals have by and large abdicated responsibilty for OTC addiction.
    Politicians (and PCTs) refuse to acknowldge the problem - because to acknowledge it would mean that they'd have to do something about it.

    So do I supply known abusers? Yes - with the acknowledgement of their problem and signposting to organisations that offer help.

    It's the same harm minimisation basis on which I operate a needle exchange.

    Do you advise on locally available treatment options for OTC addiction or just refuse the sale?

    Jeff

    Leave a comment:


  • admin
    replied
    Originally posted by Jeff
    So what treatment options are available for OTC opiate addiction?
    Refusal to supply is NOT a treatment.

    Jeff
    So do we take from that comment that you just carry on selling it to them? Refusal to supply is not a treatment, but we are not there to treat opiate addiction are we. Or should we supply smaller and smaller quantities of Kaolin and morph or whatever it is they're into.

    I would think the treatment options for OTC opiate addiction are the same as for any other opiate addiction. You go visit your GP, and he and you go about making a treatment plan for you. You then gradually wean off it. Do you sell people who you know are abusing the thing they are buying - of course not!

    Leave a comment:


  • Guest's Avatar
    Guest replied
    Originally posted by drh785
    Do you do the same for people who keep buying Nurofen Plus, Co-codamol or Kaolin and Morph as this is a real problem at my local supormarket pharmacy (i won't reveal who it is!) and the pharmacists there just let it go on!!
    So what treatment options are available for OTC opiate addiction?
    Refusal to supply is NOT a treatment.

    Jeff

    Leave a comment:


  • admin
    replied
    Originally posted by ramroum
    Dear Admin,

    What are the questions you are supposed to ask customers requesting it? and what is the criteria for selling it as OTC please?

    Another question please; what isharmaceutical companies merger? what are the reasons for it? is it like Boots and Alliance merging???
    Thanks.
    There is a quite large pack that comes from the manufacturer of OTC Imigran. I can't put it all on here - get a copy of the pack - ring up the manufacturer if necessary.

    The merging of two companies is when they join, and becone just one much larger company. A bigger company makes more money, owns more shops etc so I guess that's why they do it.

    Leave a comment:


  • ramroum
    replied
    companies merger.

    Dear Admin,

    What are the questions you are supposed to ask customers requesting it? and what is the criteria for selling it as OTC please?

    Another question please; what isharmaceutical companies merger? what are the reasons for it? is it like Boots and Alliance merging???
    Thanks.

    Leave a comment:


  • admin
    replied
    Originally posted by drh785
    Well done Admin!!
    Its a pity there are not many more pharmacists like you!
    I agree the general public have been pandered to for far too long!
    Do you do the same for people who keep buying Nurofen Plus, Co-codamol or Kaolin and Morph as this is a real problem at my local supormarket pharmacy (i won't reveal who it is!) and the pharmacists there just let it go on!!
    Hi

    Yes I do the same for people who are obviously abusing OTC medication, as well as refusing to supple methadone addicts if they appear to be intoxicated. They don't like it, but I tell them to come back later when they've sobered up!

    Leave a comment:

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