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  • GPs and prescription drugs

    It has always amazed me how GPs up and down the contry put their own slant on when and how much to prescribe in terms of prescription drugs.
    While some areas are well-covered for being treated, you hear of many people being frustrated when they cant get their doctor to play ball.
    In my line of work, Chemistry, we have recipes for making and doing things, there is usually only one proper way of handling an issue.
    My question therefore is this, how come doctors dont follow a strict code of when and how much of a drug to hand out ?
    Going to a GP is too much of a lottery !!

  • #2
    Medicine

    Doubledoc

    The difference between chemistry, and medicine, is that chemistry is a pure science, but medicine is not. A lot of medical decisions are made by the individual's own opinion. You can get two consultants, in the same area, which could have two different treatment plans for the same disease. This does not mean that one of them is wrong, but that his opinion is different to the other's. A person's decision process is influenced by many factors, and medical treatments are changing all the time.

    GP's do follow guidelines, and are encouraged to prescribe drugs a month at a time to reduce wastage. Having said that I still work in areas where their patients all seem to recieve three months supply of medication for their £6.50.

    The answer I guess is if you are not happy with your GP change! You should have a good trusting relationship with your GP, and be confident with the decisions he makes on your behalf.

    PS Have you lost any of that lard yet?

    Comment


    • #3
      lard loss

      ops: :cry:
      no my lard content index increases every year. weight is proportional to years in my case. i still look good though ..

      it strikes me as perverse that people are out there selling these quack pills to vulnerable people, they have no business ethic whatsoever. others are selling antibiotics and other stuff over the net, which is equally wrong it seems.
      GPs must be really worried about the net and its effect on people when they are vulnerable ?

      Comment


      • #4
        Drugs on the Net

        The problem of people buying drugs on the internet is worrying for all health professionals. They are often fakes, and the person buying them does not always know the potential dangers to themselves of taking these drugs.

        It's a sign of the times we live in I'm afraid. The internet is great for freedom, but it sometimes comes at a price.

        Comment


        • #5
          Drugs on the internet

          I'd just like to agree with Apothecary, and say that people who are tempted to buy drugs on the net should never do it.

          In the case of anti-biotics a lot of peope see them as a "cure all" for everything from a mild cold to flu! They only work on a bacterial infection, not a virus like the flu. Increased useage of anti-biotics is giving us a real problem with "super bugs" which are resistant to them. If you need an anti-biotic your GP will prescribe you one. If he does not, then that's because you don't need it. Never try to treat yourself with internet bought drugs.

          In the case of other drugs, like Viagra, even if you do get lucky and buy a "proper" viagra tablet, again it might not be suitable for you. It does have interactions with other drugs, and it not suitable for all men.
          Lively debate is encouraged but please respect the opinions and feelings of others.
          Please help keep the forum vibrant by spreading the work to friends and colleagues via word of mouth or social media.
          Thank you for contributing to this site.

          Comment


          • #6
            Re: Drugs on the internet

            Originally posted by Elaine
            In the case of other drugs, like Viagra, even if you do get lucky and buy a "proper" viagra tablet, again it might not be suitable for you. It does have interactions with other drugs, and it not suitable for all men.
            Elaine
            Have you any evidence of harm resulting from buying Viagra over the net? Is this really about patient safety or about protecting our income?

            Jeff

            Comment


            • #7
              Viagra etc on the net

              Hi Jeff

              Elaine wrote : -

              In the case of other drugs, like Viagra, even if you do get lucky and buy a "proper" viagra tablet, again it might not be suitable for you. It does have interactions with other drugs, and it not suitable for all men.
              From my viewpoint that looks like it means that the public don't know what is good or bad for them, as Viagra is not suitible for everyone ( I won't list interactions etc). The point is it might not be suitable for you, and unless you have some drug trainiig how are you going to know what you can take?

              I work as a locum for a few companies, and don't honestly think they make a lot of money from the sales of Viagra. If you mean all drugs should be without a prescription, then that would affect our income.
              Lively debate is encouraged but please respect the opinions and feelings of others.
              Please help keep the forum vibrant by spreading the work to friends and colleagues via word of mouth or social media.
              Thank you for contributing to this site.

              Comment


              • #8
                Re: Viagra etc on the net

                Elaine wrote : -


                From my viewpoint that looks like it means that the public don't know what is good or bad for them, as Viagra is not suitible for everyone ( I won't list interactions etc). The point is it might not be suitable for you, and unless you have some drug trainiig how are you going to know what you can take?
                And I thought paternalism was the province of GP's :wink:

                Imagine this - I've seen my GP - he's prescribed Viagra - but since I'm fortunate enough not to suffer from diabetes or polio he's written a private script. I wander down to the local chemist with my script in hand - it's a community pharmacy in the real sense - my sons girlfriend is helping out on the counter and collecting the scripts. I buy a toothbrush- have a chat and leave.
                When I get home I order the viagra over the internet (I haven't read yout T&C - who does - but do I get into trouble if I put a link in at this point)

                Regards

                Jeff

                Comment


                • #9
                  Buying Viagra

                  Jeff

                  I can see your point, and the temptation for people with private scripts. I have had e-mails from a guy (in his 70's) asking if I could recommend a site where he could buy viagra and slimming pills! Obviously I couldn't and wouldn't do that, but he says his GP can't prescribe him anything for weight loss as Xenical (the drug of choice) was considered by him to be a lifestyle drug.

                  One simple search in Google will show you all the hundreds (maybe thousands) of sites selling drugs at knockdown prices. A lot seem to be in Mexico, and you can purchase anything from methadone to dried opium poppies (complete with seeds) for your floral displays!

                  OK maybe most people can choose drugs for their hypertension/heart disease or whatever else as good as their GP, maybe we should just get the diagnosis from the GP and do the drug bit ourselves? I am not convinced that the outcome of this would be a good one though.

                  And Jeff we don't have any terms and conditions. We even allow the public (yuk I can hear some pharmacists say) use the forum, and people from strange foreign lands too. Unbelievable to some, but we haven't been harmed by this yet, so it seems to be ok. Most of them are actually very freindly and face the same issues we do.

                  If you put a link to a site selliing drugs, we'd have to consider removing that, for obvious reasons. But feel free to speak your mind, talk about your own website, anything. This is not the free masons, just a little forum that most people find easy to use and seem to like. And I have to admit that I do like talking to my friends in Iran and Italy in the chat room. I find it interesting, useful and most of all fun.

                  Lively debate is encouraged but please respect the opinions and feelings of others.
                  Please help keep the forum vibrant by spreading the work to friends and colleagues via word of mouth or social media.
                  Thank you for contributing to this site.

                  Comment


                  • #10
                    This forum never ceases to amaze me! This is an open forum - i.e. it is open to members of the general public, and not just pharmacists.

                    Moaning about the public, swearing in discussions, complaining about the stat committee... are just to name a few things discussed by supposedly registered pharmacists. Do these discussions in an open forum aid the professional image of a pharmacist? I think not! Below is an example -

                    admin wrote:
                    They are also probably the most rude bunch of people I have ever met!


                    ...and this is from the admin of this site.

                    "Pharmacists must ensure that they behave with integrity and probity, adhere to accepted standards of personal and professional conduct and do not engage in any behaviour or activity likely to bring the profession into disrepute or undermine public confidence in the profession."

                    The above is a KEY responsibility of a pharmacist as defined in the Code of Ethics - if you are unfamiliar with this, check out your MEP guide. Sorry I had to remind you of this, but I personally think that tarring a whole pharmacy's customer base as "probably the most rude bunch of people I have ever met!" hardly instills "public confidence in the profession" - this is just one example on this forum.

                    I implore pharmacists who post on this forum to think before they write. I am sure that they would not say such things to somebody in their shop - please do not express these opinions in an open forum. It does not portray an exemplary image of a professional pharmacist.

                    Comment


                    • #11
                      Originally posted by mt
                      This forum never ceases to amaze me! This is an open forum - i.e. it is open to members of the general public, and not just pharmacists.

                      Moaning about the public, swearing in discussions, complaining about the stat committee... are just to name a few things discussed by supposedly registered pharmacists. Do these discussions in an open forum aid the professional image of a pharmacist? I think not! Below is an example -

                      admin wrote:
                      They are also probably the most rude bunch of people I have ever met!


                      ...and this is from the admin of this site.

                      "Pharmacists must ensure that they behave with integrity and probity, adhere to accepted standards of personal and professional conduct and do not engage in any behaviour or activity likely to bring the profession into disrepute or undermine public confidence in the profession."

                      The above is a KEY responsibility of a pharmacist as defined in the Code of Ethics - if you are unfamiliar with this, check out your MEP guide. Sorry I had to remind you of this, but I personally think that tarring a whole pharmacy's customer base as "probably the most rude bunch of people I have ever met!" hardly instills "public confidence in the profession" - this is just one example on this forum.

                      I implore pharmacists who post on this forum to think before they write. I am sure that they would not say such things to somebody in their shop - please do not express these opinions in an open forum. It does not portray an exemplary image of a professional pharmacist.
                      mt,

                      Openess, honesty, transparency - three things that a profession is best keeping behind closed doors

                      If the profession is so dissolusioned with it's current role that it is more interested in SOP's than in patients then don't let the general public know.

                      If the stat com is so afraid of big business that it will only act against individual pharmacists and not against companies that place those pharmacists in impossible positions we mustn't let the public know.

                      Regards
                      Jeff (reg No 68666 - if stat com wanna come for me)

                      Comment


                      • #12
                        Mt

                        All I can suggest is that you go and work there yourself, and like EVERY other pharmacist I have spoken to, you'll probably find the people there are a very rude bunch of people! During my time as a pharmacist I have: -

                        1. Been spat at fully in the face
                        2. Been Attacked - twice
                        3. Had to hold down a drug addict until the police arrived to stop her attacking shop staff
                        4. Been told to f**k off more times then I can count because there is a 5 minute wait for scripts
                        5. Had my car damaged by customers - right in front of my nose outside the shop I was working at, because we didn't have the drug in stock they had a script for, and we would have had to order it
                        6. Had people "waiting" outside after work to thump me
                        7. Been threatened with being covered in petrol and set alight
                        8. Been to court 3 times as a witness
                        9. Seen 2 of my friends have nervous breakdowns due to the stress of the job
                        10. Stopped two men fighting in the store because one jumped in front of the other in the Post Office queue
                        11. Stopped a guy who had his hand around a shop assistant's throat
                        12. And yes been before the Stat Comm and survived it!

                        Oh a nice little side effect of the statt comm thing is that they very kindly put your home address on the internet, so when a man who blamed for lowering his Olanzapine dose saw my name on my certificate, he just typed it into Google and bingo he knew where I lived. His Dr of course lowered the dose, and told me so when I rang him up.

                        This gave me and my husband 4 months of phone calls, threats etc. The calls were usually in the middle of the night of course. He also said he was going to tell my employer I was selling crack cocaine from the shop. A nice one was he was going to rape me in front of my husband and then slit my throat. We gave police witnesses etc etc etc - all part of the punsihment I guess?


                        Do these discussions in an open forum aid the professional image of a pharmacist?
                        No they are our honest thought's and feelings. Nothing more, nothing less. This is not the free masons, anyone can join. Maybe if some of the issues raised here were addressed by the multiples and certain bodies, we all might be a bit happier?


                        This forum never ceases to amaze me

                        You only joined on April 4th!

                        If you are truly so happy with your job why not write a bit about yourself? Give an alternative view. Just doing a copy/paste job does nothing. I can remove ALL posts by you at a click of a mouse, I have to say though that you are making the stats look good for the site, so thanks for that!

                        All I can think is that you don't actually do this job? Or you have a nice little shop in a village, where you know everyone's name etc and the same nice customers visit you all the time? Have you ever worked in a 150 methadone addict/needle exchange pharmacy? Do you ever do 10 hour days with only a 10 minute break? Try it, it may open up your eyes to the working conditions most of us have to put up with.
                        Lively debate is encouraged but please respect the opinions and feelings of others.
                        Please help keep the forum vibrant by spreading the work to friends and colleagues via word of mouth or social media.
                        Thank you for contributing to this site.

                        Comment


                        • #13
                          Admin

                          Mt

                          Just a quick note about admin. At the current time there are three people who have administrator access to this site. I do most of the posting, true, but there can be as many as we feel we need to moderate the site.

                          ...and this is from the admin of this site.
                          The site is not the work of just one person. I don't own a server, am not a computer programmer etc. Post a time to chat live if you want, and we can all have a debate in real time about this if you want.

                          See how nice we really are........
                          Lively debate is encouraged but please respect the opinions and feelings of others.
                          Please help keep the forum vibrant by spreading the work to friends and colleagues via word of mouth or social media.
                          Thank you for contributing to this site.

                          Comment


                          • #14
                            Originally posted by admin
                            Mt

                            All I can suggest is that you go and work there yourself, and like EVERY other pharmacist I have spoken to, you'll probably find the people there are a very rude bunch of people! During my time as a pharmacist I have: -

                            1. Been spat at fully in the face
                            2. Been Attacked - twice
                            3. Had to hold down a drug addict until the police arrived to stop her attacking shop staff
                            4. Been told to f**k off more times then I can count because there is a 5 minute wait for scripts
                            5. Had my car damaged by customers - right in front of my nose outside the shop I was working at, because we didn't have the drug in stock they had a script for, and we would have had to order it
                            6. Had people "waiting" outside after work to thump me
                            7. Been threatened with being covered in petrol and set alight
                            8. Been to court 3 times as a witness
                            9. Seen 2 of my friends have nervous breakdowns due to the stress of the job
                            10. Stopped two men fighting in the store because one jumped in front of the other in the Post Office queue
                            11. Stopped a guy who had his hand around a shop assistant's throat
                            12. And yes been before the Stat Comm and survived it!

                            .
                            Blimey !

                            Where did this all happen ?

                            R
                            The spirit of the time hath taught me speed- Wm Shakespeare- "King John"

                            Comment


                            • #15
                              Our lovely new member

                              Racer

                              This guy had been attacking the site for a couple of days now. Today he posted the same message in every forum! I can't even see what point he is trying to make, except to try to shut us all up???

                              His e-mail is from John Moores Uni so he's either a lecturer or a student. If it's the former he has a lot to learn. If he's a lecturer no wonder he doesn't know what the real pharmacy world is like out there!

                              All the stuff I describe in the above post is 100% true. It all happened in the East Yorkshire region. A lot of it was when I worked at a needle exchange store. In inner cities the job is a lot different to being in say a nice village, where everyone knows you. Zoggite works in a Wales in a store that sounds great.

                              The above things are nothing. Someone went into a store in Hull recently with a knife and told the staff it was a robbery. One of them said "you're having a laugh aren't you, I know your mother!"

                              My friend once had a knife held to his throat.

                              I know of a guy (retired now) who used to pride himself on grabbing a handful of shop lifters hair, even if they did get away!

                              Send a message to Mister Pharmacist. He runs a store with 150 methadone addicts, and a needle ex scheme. He also has a few tales to tell.



                              Lively debate is encouraged but please respect the opinions and feelings of others.
                              Please help keep the forum vibrant by spreading the work to friends and colleagues via word of mouth or social media.
                              Thank you for contributing to this site.

                              Comment

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