About the ads

  1. Free Financial Webinar with White Coat Investor! Monday evening at 7:00 PM EDT, hear about the Top 5 Financial Considerations for Starting Residents from White Coat Investor's Dr. James Dahle. Register here. Hope to see you there!

Statins...beta blockers...metformin....OTC!?!?

Discussion in 'Pharmacy' started by WVUPharm2007, Apr 30, 2012.

  1. SDN is a nonprofit organization. Services are made possible through the generous support of SDN members and sponsors. Thank you.
  1. WVUPharm2007

    WVUPharm2007 "I hear the WMD is the bomb."

    Joined:
    Jun 23, 2003
    Messages:
    11,323
    Location:
    Born: Parkersburg, WV | Now: Montgomery TWP, PA
    Status:
    Pharmacist
    Pharmacist SDN 10+ Year Member

    SDN Members don't see this ad. (About Ads)
    Whaaaa...?

    This is actually incredibly exciting if true...
    Last edited by a moderator: Apr 30, 2012
  2. WVUPharm2007

    WVUPharm2007 "I hear the WMD is the bomb."

    Joined:
    Jun 23, 2003
    Messages:
    11,323
    Location:
    Born: Parkersburg, WV | Now: Montgomery TWP, PA
    Status:
    Pharmacist
    Pharmacist SDN 10+ Year Member
    Yo, mods, I'm on my phone, clean that link up for me.
  3. All4MyDaughter

    All4MyDaughter SDN Mommystrator Staff Member Administrator SDN Senior Moderator Lifetime Donor Partner Organization

    Joined:
    May 7, 2005
    Messages:
    22,701
    Location:
    Cube Farm
    Status:
    Pharmacist
    Pharmacist SDN Partner SDN Published Author NCPA Kappa Psi SDN 7+ Year Member

    Not even a please? You can get it the next time you log in, Mr. Manners.
  4. WVUPharm2007

    WVUPharm2007 "I hear the WMD is the bomb."

    Joined:
    Jun 23, 2003
    Messages:
    11,323
    Location:
    Born: Parkersburg, WV | Now: Montgomery TWP, PA
    Status:
    Pharmacist
    Pharmacist SDN 10+ Year Member
    As usual, the mods leave me underwhelmed.
  5. PharmDstudent

    PharmDstudent

    Joined:
    Jan 8, 2007
    Messages:
    4,332
    Status:
    Pharmacist
    SDN 7+ Year Member
  6. CUpharmD2013

    CUpharmD2013

    Joined:
    Mar 20, 2010
    Messages:
    247
    Status:
    Pharmacist
    SDN 2+ Year Member
  7. pharm B

    pharm B Phar Noir Moderator Emeritus Gold Donor

    Joined:
    Jul 11, 2008
    Messages:
    8,401
    Location:
    Out to Pasture
    Status:
    Resident [Any Field]
    Pharmacist Rocket Scientist hSDN Member hSDN Alumni Navy SDN 5+ Year Member
    All accessible after you complete a survey online or at a friendly kiosk at your pharmacy. :laugh:
  8. WVUPharm2007

    WVUPharm2007 "I hear the WMD is the bomb."

    Joined:
    Jun 23, 2003
    Messages:
    11,323
    Location:
    Born: Parkersburg, WV | Now: Montgomery TWP, PA
    Status:
    Pharmacist
    Pharmacist SDN 10+ Year Member
    I see a door of opportunity opening.
  9. PharmDstudent

    PharmDstudent

    Joined:
    Jan 8, 2007
    Messages:
    4,332
    Status:
    Pharmacist
    SDN 7+ Year Member
    It's not really any different from Ameridoc
  10. glory4england

    glory4england

    Joined:
    Aug 20, 2008
    Messages:
    187
    Location:
    Dallas, Texas
    Status:
    Resident [Any Field]
    SDN 5+ Year Member
    /late
  11. Pharmpills

    Pharmpills Accepted Pharmacy Student

    Joined:
    Oct 26, 2007
    Messages:
    633
    Status:
    Pharmacy Student
    SDN 5+ Year Member
    There is aton of problems in letting patients buy these drugs OTC including the fact that doses aren't constant, labs need to be monitored, etc. This to me doesn't benefit doctors nor pharmacists nor patients. Pharmacists can be more liable now esp. with having to fill 300 rx with a lack of staff and cut backs plus vaccines, MTM's, etc and being the primary health care provider the patient sees before getting a drug. Doctors will have less patients and patients will most likely have to pay out of pocket for these drugs which doesn't come cheap.
  12. johnnydrama

    johnnydrama I'm no Superman

    Joined:
    Jun 13, 2006
    Messages:
    9,313
    SDN 7+ Year Member
    This only works if they allow patients to get monitoring tests (BMP, CBC, LFTs, Lipids) without a prescription too.
  13. owlegrad

    owlegrad Uncontrollable Sarcasm Machine Staff Member Administrator SDN Senior Moderator

    Joined:
    Mar 19, 2009
    Messages:
    16,641
    Location:
    Locked in the basement
    Status:
    Pharmacist
    Pharmacist SDN Published Author hSDN Member SDN 5+ Year Member
    I took care of the link for you. :thumbup:
  14. joetrisman

    joetrisman

    Joined:
    Mar 9, 2009
    Messages:
    1,873
    Location:
    Developing rickets
    Status:
    Resident [Any Field]
    Pharmacist SDN 5+ Year Member
    I guess this means I might actually use the cholesterol machine that is currently collecting dust at my wags :D
  15. eagles22

    eagles22

    Joined:
    Nov 29, 2010
    Messages:
    475
    Status:
    Medical Student
    SDN 2+ Year Member
    How does a kiosk know what your A1c or cholesterol levels are?

    OTC meds have one thing in common: they treat conditions that produce visible symptoms (i.e. runny nose, itching, pain, cough). Last time I checked, hypertension didn't produce these kinds of unique symptoms. This is just a pipe dream of the pharmaceutical companies.
  16. notafraid87

    notafraid87 Member

    Joined:
    Jul 4, 2008
    Messages:
    99
    Status:
    Pharmacy Student
    SDN 5+ Year Member
    I was wondering the same thing...I don't feel that the majority of the public have a good understanding about statins and such. Remember the tragedy involving with Bengay? You're going to see a lot of people misusing these dangerous medicines, despite advice from pharmacists. They could just come to the pharmacy and buy it w/o any objections. Accidents happen and I believe that you're going to see many cases involved with these drugs in the future.

    I'm not a pharmacy student yet and don't have much experience, so I have trouble understanding the advantages of this situation. Someone care to help?
  17. chuckle beast

    chuckle beast

    Joined:
    Jul 2, 2009
    Messages:
    87
    Location:
    New England
    Status:
    Pharmacist
    SDN 2+ Year Member
    Why check cholesterol, high dose statin for all and be done with it.
  18. CUpharmD2013

    CUpharmD2013

    Joined:
    Mar 20, 2010
    Messages:
    247
    Status:
    Pharmacist
    SDN 2+ Year Member
    Yep. I heard that before we know it, Lipitor is going to be a part of the public water supply.
  19. WVUPharm2007

    WVUPharm2007 "I hear the WMD is the bomb."

    Joined:
    Jun 23, 2003
    Messages:
    11,323
    Location:
    Born: Parkersburg, WV | Now: Montgomery TWP, PA
    Status:
    Pharmacist
    Pharmacist SDN 10+ Year Member
    I'm imagining a situation where they aren't in the aisles, but they are behind the counter like Plan B or Sudafed. Bring in your labs...the pharmacist will look at them. You have to read between the lines and see where this sort of thing would wind up if they went down the path...and that's pharmacists potentially gaining access to providing in-depth medication management.
  20. CUpharmD2013

    CUpharmD2013

    Joined:
    Mar 20, 2010
    Messages:
    247
    Status:
    Pharmacist
    SDN 2+ Year Member
    Does the increase in OTC sales equate to more pharmacists? If not, there's no way we'll have time for this. Great in theory, but not sure about the practicality. Where are these labs done? Are they going to be more readily accessible than going to the doctor? Are these OTC preparations going to be much more expensive than prescription equivalents? I guess the primary motivation for patients to buy these over the counter will be to avoid having to go to the doctor and be able to get refills when they need them. I know that doctors are overburdened and this is one way to reduce that burden, but will there still be some requirement for patients to routinely see their doctor? Will compliance decrease because people will have to "answer to their doctor" less? I would think, too, that this would increase the licensing requirement for pharmacists as they would have to be more knowledgeable and stay up to date on disease states and medication management. I think there are too many variables and too little extra compensation to make this a reality any time soon.
  21. Pharmpills

    Pharmpills Accepted Pharmacy Student

    Joined:
    Oct 26, 2007
    Messages:
    633
    Status:
    Pharmacy Student
    SDN 5+ Year Member
    lol so pharmacists have to fill all those scripts, find time to counsel patients and give vaccines and to interpret lab results?? Whose gonna pay for us to interpret these results because doing it free would make no practical sense and even if patients are charged the pharmacist will still get the same salary bc of all the new grads.
  22. joetrisman

    joetrisman

    Joined:
    Mar 9, 2009
    Messages:
    1,873
    Location:
    Developing rickets
    Status:
    Resident [Any Field]
    Pharmacist SDN 5+ Year Member
    Could a clinical services oriented pharmacist not develop in community pharmacies? If the demand is there, why not split off the job into separate niches. This has developed with inpatient pharmacy so why not community? As it is, many of the older rphs I work with have no desire to do anything beyond dispensing while a lot of the newer grads are interested in clinical services.
  23. awval999

    awval999 New Member

    Joined:
    Oct 30, 2005
    Messages:
    664
    Status:
    Pharmacist
    Pharmacist SDN 7+ Year Member
    I could see a role for BCPS certified ambulatory care and/or pharmacotherapy cerfified pharmacists. Still, they would have to compete with NP wages. Then again maybe they would have their own clinic space at Walgreens and some would take the $80-90K salary to do it. We are still not diagnosticians though. And never will be.
  24. notafraid87

    notafraid87 Member

    Joined:
    Jul 4, 2008
    Messages:
    99
    Status:
    Pharmacy Student
    SDN 5+ Year Member
    This is why our profession will never make progress. I chose to become a pharmacist to be an expert in medicine, but sometimes I wish the pharmacy school curriculum would give us some training in diagnosing patients. Whenever we would come up with an idea to add more roles for our profession, it seems as if other health professionals would snatch it away from us...:(
  25. mipharmd

    mipharmd PharmD/M.P.H

    Joined:
    Jun 12, 2009
    Messages:
    47
    Status:
    Pharmacist
    SDN 2+ Year Member
    Instead of jumping to OTC shouldn't FDA, Lawmakers, Boards of Medical/pharmacy practices maybe consider pharmacist being able to if at the very least prescribe the medication for a month until the patient can see the doctor.
  26. awval999

    awval999 New Member

    Joined:
    Oct 30, 2005
    Messages:
    664
    Status:
    Pharmacist
    Pharmacist SDN 7+ Year Member
    We're just not diagonisticians.

    I mean the best, realistic theory is for an MD to write a diagnosis on the prescription and then then PharmD to prescribe the medication to conform with patient's allergies, insurance, brand/generic desire, etc. But it's just not ever gonna happen.

    And personally the idea of Joe Sixpack patient being able to buy beta-blockers without an Rx is just laughable. The general public thinks OTC meds are completely safe and taking 4-5 or even 6 of any of them is no big deal. Why is Tylenol the #1 cause of liver failure admissions in this country?
  27. ACE Rx

    ACE Rx Super Senior Member

    Joined:
    Nov 19, 2011
    Messages:
    308
    Status:
    Pre-Health (Field Undecided)
    SDN 2+ Year Member
    Depends on what your pharmacy school emphasizes. At my school, they are preparing us for basic diagnosis....excuse me evaluating of patients so definitely more emphasis on clinical here.

    But yeah. Stagnant pharmacists who refuse to change are the ones who are ruining our profession right now.
  28. meister

    meister Senior Member

    Joined:
    Aug 24, 2004
    Messages:
    1,794
    Status:
    Resident [Any Field]
    Physician SDN 10+ Year Member
    yeah let's shift more drug payment responsibility onto patients
  29. eagles22

    eagles22

    Joined:
    Nov 29, 2010
    Messages:
    475
    Status:
    Medical Student
    SDN 2+ Year Member
    I wish this would happen since it makes sense to have the med experts do the med decisions.

    Problem is you'd need a full chart. Patient just comes to the pharmacy with a rx saying "HTN", you have no clue what else is happening with that patient. You don't have the labs or the history or a physical exam. I, for one, wouldn't feel comfortable just prescribing to the diagnosis without seeing the reason the diagnosis was made. And patients can't be trusted to bring an insurance card, so they're sure as hell not going to bring a chart. Maybe this could work in a hospital setting. No way it flies in retail.
  30. awval999

    awval999 New Member

    Joined:
    Oct 30, 2005
    Messages:
    664
    Status:
    Pharmacist
    Pharmacist SDN 7+ Year Member
    Agreed.

Share This Page


About the ads