What would you do?
If you are a floater and get a script for norco, xanax, and soma, you see it’s been filled before. Would you fill it? You don’t want to lose a customer but you also don’t want to hurt the patient or get in trouble (Source: Student Doctor Network)
Source: Student Doctor Network - December 9, 2017 Category: Universities & Medical Training Authors: PharmProfit Source Type: forums
Nucynta
inherited a patient on nucynta..100mg ER q12h and IR100mg q12h for breakthrough. Continued it last visit as it is helpful for him. Been on it for a year. Now patient says it's too expensive for him, how would transition him? Slow taper off and add tramadol at the same time? I don't want to escalate to norco or other narcotic, but if I did, what is the equivalent? Couldn't find much online about it
Thanks in advance (Source: Student Doctor Network)
Source: Student Doctor Network - September 7, 2017 Category: Universities & Medical Training Authors: painfree23 Source Type: forums
Control early refill?
Would you fill controlled substance rx 30 days supply, 8 days early if it goes through insurance? I am not comfortable if a patient keeps filling CS early where they can stock pile meds...
I had customers pretty much scream and yelled at me because I would not fill if it is way too early, I told them 2-3 days early is ok...
California
Say Vicodin #180 tabs/30 days, 8 days early (48 tab extra/month) (Source: Student Doctor Network)
Source: Student Doctor Network - August 14, 2017 Category: Universities & Medical Training Authors: Momus Source Type: forums
Would you fill these rxs?
Hi everyone,
Would you question/fill these rxs?
Scenario 1: Only medications on file are ambien cr 12.5 mg (#90), norco 10 mg (#180) and soma 350 mg (#120). They are all written by the same doctor.
Scenario 2: Is prescribed soma 250mg and oxycodone 15 mg (#120) from the same doctor, who is a visiting physician (i.e sees patients at their homes.)
Scenario 3: Fills methadone 10 mg (#320)- prn dosing and klonopin 1 mg monthly. They're both written by the same doctor, an internist. (Source: Student Doctor Network)
Source: Student Doctor Network - July 25, 2017 Category: Universities & Medical Training Authors: mimi06bg Source Type: forums
Methadone & Norco 4 neuropathy?
Has anyone seen methadone and Norco by the same doctor for peripheral neuropathy? Would you fill that? (Source: Student Doctor Network)
Source: Student Doctor Network - July 4, 2017 Category: Universities & Medical Training Authors: Mambo#5 Source Type: forums
Would you fill this C-II Rx?
Received a Rx for Lortab 7.5/325/15ml . Would you fill this Rx?
I refused to fill it as in my pharmacy system only recognize Hycet 7.5/325/15ml but for Lortab was 7.5/500/15ml, now is 10/300 I believe... however, If I direct type in generic as hydro/APAP 7.5/325/15ml , will consider " changed name of the medication" ???
I talked to the Dr. over the phone later, and He said he has been written the same drug in same way for many years, no one has refused to fill them...so am I over...
Would you fill this C-II Rx? (Source: Student Doctor Network)
Source: Student Doctor Network - June 30, 2017 Category: Universities & Medical Training Authors: rx201605 Source Type: forums
Doctor removed from United Airlines had opioid RX'ing issues
http://www.state.ky.us/agencies/kbml/finalorders/22439.pdf
http://nypost.com/2017/04/11/doctor-dragged-off-flight-convicted-of-trading-drugs-for-sex/
"Dao’s own medical license was suspended in 2003 following his arrest on charges including unlawful prescribing and trafficking in a controlled substance. He was accused of providing prescriptions for Vicodin and other narcotics to a former patient he later hired as his office manger, who was identified in news...
Doctor removed from United Airlines had opioid RX'ing issues (Source: Student Doctor Network)
Source: Student Doctor Network - April 14, 2017 Category: Universities & Medical Training Authors: drusso Source Type: forums
Prescribing Tramadol and Norco together!
Just wanted to know you guys thought on this increased habit of physicians prescribing Tramadol and Norco together. I see this more and more often and technically being both short acting pain medications that work by similar mechanism it is not a proper treatment for pain. I don't think it was this bad when tramadol was a non controlled but since it became controlled doctors for some reason keep overprescribing it with other short acting pain stuff. Would you fill Tramadol and Norco together? (Source: Student Doctor Network)
Source: Student Doctor Network - September 13, 2016 Category: Universities & Medical Training Authors: Albo Source Type: forums
Doctor's self Rx. your state's policy & your educated stance
So I am currently a resident physician and read an article discussing about self prescribing among residents. I was talking among colleagues and many of them admit to self prescribing or having a friend or wife/ husband write them an Rx. Several even admit to having prescribed class IV medications for themselves (valium, vicodin, ambien) were some of the examples.
What is the teaching from your pharmacy school and what is your state pharmacy boards policy?
On a personal note I have...
Doctor's self Rx. your state's policy & your educated stance (Source: Student Doctor Network)
Source: Student Doctor Network - August 5, 2016 Category: Universities & Medical Training Authors: geldrop Source Type: forums
I'll take the norco but I don't want the antibiotic
Happens sometimes even when the antibiotic is like $2. Usually like a one week supply of norco out of an urgent care. Patient profile is littered with various pain meds throughout the last couple years.
I see it happen kind of often with different people but it really pisses me off, have you ever straight up denied someone at the register over this kind of situation and returned the script?
Or are they just too stupid to realize that the pain med does nothing to help an infection? (Source: Student Doctor Network)
Source: Student Doctor Network - July 18, 2016 Category: Universities & Medical Training Authors: ldiot Source Type: forums
Help with a Little Conumdrum
Hey All,
I am currently a floater at a retail chain where half of the stores I go to are OK and the other half are pretty rough. I would say that for the majority of the past 6 months I have been at the rougher stores (high medicaid population, high percentage of scripts are Norco/Perc's, extra DEA compliance). Currently there is an opening at a store that I believe is the least desirable store in the district (rougher store, 45 minutes away from my house, extended hours store, weak staff)....
Help with a Little Conumdrum (Source: Student Doctor Network)
Source: Student Doctor Network - May 17, 2016 Category: Universities & Medical Training Authors: TLaw8860 Source Type: forums
Fake norco, anyone know how?
Just read this article on yahoo and a dozen people ingested fake norco. Anyone here know how to press the norco tablet or generic with the proper markings? I have made aspirin before but that did not have a good shape. This could be a good money maker to make some aspirin with the norco markings and do some street dealing. Pain will be covered for sure. Not sure about getting high though....
Fake norco, anyone know how? (Source: Student Doctor Network)
Source: Student Doctor Network - April 28, 2016 Category: Universities & Medical Training Authors: MrBonita Source Type: forums
What would you do?
I have a patient who came to me about a month ago as a consult. 65 female, right humerus displaced fracture, evaluated by ortho who recommended sling and non operative management. She fell because she was overtaking her opioids for FMS. On consult pain 10/10 and pt with severe anxiety restless. Arm has obvious deformity and massive bruising. They sent her home with some meds but she burned thru them too quick and was out; I don't remember but I think she was taking 8 norco per day. I...
What would you do? (Source: Student Doctor Network)
Source: Student Doctor Network - April 15, 2016 Category: Universities & Medical Training Authors: SpineBound Source Type: forums
Chronic pain, opiates, and working?
I have a unique situation being that I'm 28 years old and suffering from chronic pain. I have confirmed bulging discs in my neck with bone spurs, degenerative disc disease, torn right hip labrum, post-op for left hip labral tear, and hypermobility syndrome. If you've never torn your hip labrum, it can be incredibly painful and disabling. It has made me couch-bound for the past few years. I could barely walk around to even do the household chores :(
I've had two surgeries on my hips, and will be needing another one in a few months. I have been going through this for the past 4 years, so I'm hoping this is the last h...
Source: Student Doctor Network Forums - February 9, 2013 Category: Universities & Medical Training Authors: chibipinkneko Tags: Pharmacy Source Type: forums
Alternative Pain Medicine
Hi all!
I posted in the Adult Section just now - but wanted to post here as well.
Looking for some alternatives to pain medicine - my BF is currently taking VICODIN (6-8 pills per day) to manage his chronic pain from CF and also to deal with the pain that comes with his recent lung surgery (left lung had collapsed recently)
His current pain doctor feels that he is abusing the pain medicine, he is a 26 year old male (BF)
Looking for some suggestions/help! We are in the process in looking for a new doctor for a second opinion but I would love to hear some alternative pain medicine that helps with the pain in the inner ...
Source: Cystic Fibrosis Alternative Medicine Forum - January 31, 2013 Category: Respiratory Medicine Authors: Nicole Emily Buckley Tags: Alternative Medicine Source Type: forums
