dentist prescribing benzaclin

[ancienbon]

Jesus Christ...I can't believe we're having a heated discussion over this. Use your professional judgement. This is the reason why this profession is going down the toilet; they let anyone graduate with a pharmD now that can't make a simple clinical decision.

Though this is an old post,i am completely in agreement with you. I can't believe what i am reading here. Some pharmacists are really out of touch

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[ancienbon]

No, you are 100% wrong. Just because you specialize in Sports Medicine, you can still treat ADHD just like any other MD. As long as the prescriber is treating the patient and keeps medical records it is allowed. You are just wrong. If you suspect something, you call and document. A blanket refusal is unprofessional.

Thanks for schooling these rphs old timer. I cant believe someone with a pharm d has no idea what scope of practice is.

 

[CetiAlphaFive]

Since these threads and multi year bumps are fun.

I had a dentist argue they should be able to prescribe doxy to their daughter to treat suspected Lyme becaue it can affect joints and the jaw is a joint. He also claims he didn't know his scope was restricted. Sigh.

To make matters worse. The old pic filled all things for him, cipro, ery eye oint, lidex cream, etc.

So who did you call first:
Dental board or CPS?

 

[owlegrad]

Truth is most RPH don't give a **** and are just getting through the day

This. I wouldn't have cared about an MD calling in a script for their pet. The upside to filling it is I don't annoy a prescriber or have to deal with arguing about if it is allowed. The downside is...one more script to fill, I guess? I wouldn't hesitate to fill it. It's not a controlled substance and they have a valid license? Yeah, I am not making my life any harder by trying to discern if they are writing outside their scope of practice.

 

[PharmDminus]

i had a phone in refill for Tamiflu. i wasn't sure why the previous pharmacist filled it with multiple refills. so i check on the doctor. he's a cosmetic surgeon from the other side of the country. and yea its a cash paying. it amazes me the incompetent level of my PIC.

cosmetic surgeon is an MD....any MD (regardless of specialty) can write for Tamiflu and be well within their scope of practice. i dont see why they would feel the need to put refills on it though

 

[zelman]

cosmetic surgeon is an MD....any MD (regardless of specialty) can write for Tamiflu and be well within their scope of practice. i dont see why they would feel the need to put refills on it though

Yes, a cosmetic surgeon is an MD. But appropriate prescribing also requires appropriate diagnosis and monitoring. Go to a cosmetic surgeon and ask then to do a nasal swab to diagnose influenza. I'd bet that they do not have the necessary POC testing available in the office. I had a dentist write an RX for an antiinfective once that I refused to fill. Antiinfectives are within their scope of practice, but this was chloroquine to be taken while traveling in a malarial area. They may have been a DDS, but there was no way they were doing bloodwork to monitor for bone marrow suppression with long term use.

 

[owlegrad]

Not to pile on, but endorsing the practice of veterinary medicine without a valid license has to be a HARD NO.

Oh you can feel free to pile on, I still wouldn't care.

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[PharmDminus]

Yes, a cosmetic surgeon is an MD. But appropriate prescribing also requires appropriate diagnosis and monitoring. Go to a cosmetic surgeon and ask then to do a nasal swab to diagnose influenza. I'd bet that they do not have the necessary POC testing available in the office. I had a dentist write an RX for an antiinfective once that I refused to fill. Antiinfectives are within their scope of practice, but this was chloroquine to be taken while traveling in a malarial area. They may have been a DDS, but there was no way they were doing bloodwork to monitor for bone marrow suppression with long term use.

Tamiflu is also indicated to prevent influenza, not only to treat it. No swab or lab needed in a case like that

 

[CetiAlphaFive]

Oh you can feel free to pile on, I still wouldn't care.

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The snark is 2 real 4 me.
LOL

(I would reject a script from an MD for a non-human too, fwiw.)

 

[sosoo]

Tamiflu is also indicated to prevent influenza, not only to treat it. No swab or lab needed in a case like that

when u see a lot of red flags and you're closing your eyes, that is a problem.

 

[VA Hopeful Dr]

Yes, a cosmetic surgeon is an MD. But appropriate prescribing also requires appropriate diagnosis and monitoring. Go to a cosmetic surgeon and ask then to do a nasal swab to diagnose influenza. I'd bet that they do not have the necessary POC testing available in the office. I had a dentist write an RX for an antiinfective once that I refused to fill. Antiinfectives are within their scope of practice, but this was chloroquine to be taken while traveling in a malarial area. They may have been a DDS, but there was no way they were doing bloodwork to monitor for bone marrow suppression with long term use.

How long of a trip? Cause I wouldn't monitor for anything less than 2 months. A chloroquine script for a week in Mexico doesn't really need any lab work.

I also don't even do flu swabs. Fever and body aches during flu season? You've got the flu, here's your Tamiflu.

 

[CetiAlphaFive]

How long of a trip? Cause I wouldn't monitor for anything less than 2 months. A chloroquine script for a week in Mexico doesn't really need any lab work.
I also don't even do flu swabs. Fever and body aches during flu season? You've got the flu, here's your Tamiflu.

Scopes, standards, and legal requirements notwithstanding, why does anyone write for Tamiflu anyway?

 

[VA Hopeful Dr]

Scopes, standards, and legal requirements notwithstanding, why does anyone write for Tamiflu anyway?

Because patients demand it and get furious if they can't get it.

2 years ago I worked urgent care and only prescribed it to high risk patients. My satisfaction scores were the lowest in the hospital system - cost me the job I really wanted.

So now unless I have a compelling reason not to, I'll do what the patients want so long as it's reasonably safe.

 

[Rouelle]

I never thought I would be the stickler for the rules out of a group of people, but here I am. For me to fill it, it has to be:

1. For a physician, the script has to be for a human, no pets.
2. For a vet, the script has to be for an animal, no humans.

To me, 1 is just as obvious as 2.

Furthermore:

3. For a dentist, the script has to be reasonably explainable as being for something between the lips and the esophagus.
4. For an optometrist, the script has to be for the eyes.

This isn't difficult.

 

[Sine Cura]

FYI some dental boards permit the prescribing of smoking cessation products, including Chantix:

Dentist prescribing Chantix? • r/pharmacy

 

[CetiAlphaFive]

I never thought I would be the stickler for the rules out of a group of people, but here I am. For me to fill it, it has to be:

1. For a physician, the script has to be for a human, no pets.
2. For a vet, the script has to be for an animal, no humans.

To me, 1 is just as obvious as 2.

Furthermore:

3. For a dentist, the script has to be reasonably explainable as being for something between the lips and the esophagus.
4. For an optometrist, the script has to be for the eyes.

This isn't difficult.

An optometrist call in PO prednisone once, and my floater filled it the day before while I was off.
I called them up to let them know that wasn't legal, and was met with a bunch of scoffing.

"He's a ~~~ therapeutic~~~~ glaucoma optometrist, don'cha know"


I faxed them the list of meds they're allowed to prescribe, and wrote "where's the prednisone?" At the bottom. Lol

 

[beautifulrobot]

I faxed them the list of meds they're allowed to prescribe, and wrote "where's the prednisone?" At the bottom. Lol

snarky pharmacist faxes would be an awesome tumblr. just sayin.

 

[zelman]

snarky pharmacist faxes would be an awesome tumblr. just sayin.

Most of mine are just pages from statutes with the law they're trying to break circled.

 

[Apotheker2015]

Because patients demand it and get furious if they can't get it.

2 years ago I worked urgent care and only prescribed it to high risk patients. My satisfaction scores were the lowest in the hospital system - cost me the job I really wanted.

So now unless I have a compelling reason not to, I'll do what the patients want so long as it's reasonably safe.

Tamiflu is annoying and the perfectly fine adults that refuse to swallow capsules, are worse. Then you gotta order the suspension, bla bla bla.

 

[BidingMyTime]

FYI some dental boards permit the prescribing of smoking cessation products, including Chantix:

Interesting. But since smoking 1) yellows teeth and 2)increases risk of mouth cancer (which my dentist checks for), then it seems clear that Chantix falls within scope of practice for a dentist. I suppose bupropion would be a bit more of a gray area...

 

[TanMan]

The hate is strong against dentists in this thread . Although I can see why - you guys are the gatekeepers and it's your license on the line too. I'm sure you guys see enough prescriptions from each field to see what's out of the ordinary, but doesn't hurt to ask what medical condition they are treating either do determine if it's within their scope of practice (especially if the rx is not common to what that specific specialty/profession tends to prescribe).

 

[Lexington2012]

What about an urgent care doctor prescribing Adderall XR? Is that appropriate?

If the person has been on it in the past and the new RX is for short-term use, I'd fill it. Lots of medicaid people go to urgent care if they can't get an appointment with a regular doctor.

 

[Sine Cura]

I've even had ED prescribers write for long-acting opioids for 30 day supply.

 

[CetiAlphaFive]

I've even had ED prescribers write for long-acting opioids for 30 day supply.

An ED prescriber?

Do they normally only write for boner pills?

 

[npage148]

I heard priapism can be painful

 

[owlegrad]

I heard priapism can be painful

Heard it from a friend?

 

[WVUPharm2007]

I heard priapism can be painful

WTF happened to him, anyway? Someone bring him back.

 

[Dr.p53]

I never thought I would be the stickler for the rules out of a group of people, but here I am. For me to fill it, it has to be:

1. For a physician, the script has to be for a human, no pets.
2. For a vet, the script has to be for an animal, no humans.

To me, 1 is just as obvious as 2.

Furthermore:

3. For a dentist, the script has to be reasonably explainable as being for something between the lips and the esophagus.
4. For an optometrist, the script has to be for the eyes.

This isn't difficult.

Oral and Maxillofacial Surgeons are Dentists who are allowed to treat defects/diseases in the regions of the Face, mouth & jaw. Some OMS even do fellowship in facial cosmetic surgery. Dentistry in not all about teeth/mouth, especially in case of Oral & Maxillofacial surgeons. So are they really not allowed to prescribe benzaclin?

 

[CetiAlphaFive]

Oral and Maxillofacial Surgeons are Dentists who are allowed to treat defects/diseases in the regions of the Face, mouth & jaw. Some OMS even do fellowship in facial cosmetic surgery. Dentistry in not all about teeth/mouth, especially in case of Oral & Maxillofacial surgeons. So are they really not allowed to prescribe benzaclin?

Are the eyes considered part of the face?

 

[Dr.p53]

Are the eyes considered part of the face?

OMS do treat Orbital floor fractures but not the eyeball.
Back to the topic. If the question is about the use of benzaclin for pimple, then an Oral & Maxillofacial Surgeon which is still a Dentist especially those with cosmetic fellowship in the face maybe allowed to prescribe it.

 

[CetiAlphaFive]

OMS do treat Orbital floor fractures but not the eyeball.
Back to the topic. If the question is about the use of benzaclin for pimple, then an Oral & Maxillofacial Surgeon which is still a Dentist especially those with cosmetic fellowship in the face maybe allowed to prescribe it.

Hahaha, everything is maybe with you guys.

Tell me, if an OMS can maaaaybe prescribe Benzaclin, can they prescribe Claravis?

It's only an acne med, right?

 

[quickpic007]

Hahaha, everything is maybe with you guys.

Tell me, if an OMS can maaaaybe prescribe Benzaclin, can they prescribe Claravis?

It's only an acne med, right?

I'd fill claravis from a dds, but only if the patient donated to the hurricane harvey relief fund at point of sale.

 

[npage148]

how about 5-fu cream for lesion on the face?

 

[CetiAlphaFive]

I'd fill claravis from a dds, but only if the patient donated to the hurricane harvey relief fund at point of sale.

LOL.

I once had a specialist surgeon from California try to call in scripts for Absorica for his kids.

I ask if he registered them etc... And he had no idea what I was talking about.
I have him the Cliffs Notes ™ and he, no joke, says, "I don't have time for that. Sign me up, and fill the prescriptions."
He then hung up.

I Michael Jordan tongue out dunk'd the scripts into the shred bin, and walked away.

A couple weeks later, I found out the brats showed up when a floater was there and threw a fit that the meds weren't ready. Told store manager the law was the law and to eat ****.

Over the next month, ***** Dad, MD calls back about 5 times trying to figure it out.
I then ask how the hell he did the testing and he tells me to mind my own business.

Eventually he does, and gets them set up.
However, I happened to Google him and call his office to ask a relevant question.

His nurse says, "what? Dr. ***** has been overseas for the last month and won't be back for 2 more months."

b
r
u
h

 

[Rouelle]

Honestly, a script for zit cream seems perhaps even more suspect coming from an OMS specializing in cosmetic and reconstructive surgery than it would coming from a general practice dentist. Just my opinion, others will likely disagree. I think we can all agree that this thread has outlived its usefulness.

 

[CetiAlphaFive]

Honestly, a script for zit cream seems perhaps even more suspect coming from an OMS specializing in cosmetic and reconstructive surgery than it would coming from a general practice dentist. Just my opinion, others will likely disagree. I think we can all agree that this thread has outlived its usefulness.

It's pretty standard procedure for dentists when I'm calling them out for trying to treat non dental stuff.
It's like interviewing a new grad gunner trying to impress a panel.
The more almost-doctory they can make something sound, the better. I guess.

 

[Sine Cura]

Just another data point here. The Dental Board of California apparently will take action against dentists only if there is a blatant violation of the Dental Practice Act and not the Medical Practice Act, as apparently violations of the Medical Practice Act do not apply to non-physician health professionals in the eyes of the Dental Board (though you could theoretically face criminal prosecution). Thus pharmacists in California bear more liability, due to the broad nature of the "unprofessional conduct" definition under the pharmacy law, for filling inappropriate prescriptions from dentists or other licensees practicing outside their license (link) than than the offending dentist who literally engages in unprofessional conduct (prescribing outside of the license that permits him to practice his profession)

The above is based on the result of a complaint I filed a few months ago.

 

[CetiAlphaFive]

Just another data point here. The Dental Board of California apparently will take action against dentists only if there is a blatant violation of the Dental Practice Act and not the Medical Practice Act, as apparently violations of the Medical Practice Act do not apply to non-physician health professionals in the eyes of the Dental Board (though you could theoretically face criminal prosecution). Thus pharmacists in California bear more liability, due to the broad nature of the "unprofessional conduct" definition under the pharmacy law, for filling inappropriate prescriptions from dentists or other licensees practicing outside their license (link) than than the offending dentist who literally engages in unprofessional conduct (prescribing outside of the license that permits him to practice his profession)

The above is based on the result of a complaint I filed a few months ago.

This is precisely what the "MUH VAGUE DENTAL REASONS" crowd don't get.

Just because dental boards are incompetent and refuse to take action, does not mean that your board will be so kind