Filling rx for holly trinity
Started by mona2004
Refuse to fill if you have suspicion that it is not for legitimate purposes.
I thought the holy trinity was methergine, doxy, and ortho evra
nope, it is zithromax 1 gram, rocephin 250 IM, and flagyl 2 grams
OK I'm stumped. What's the indication for this trifecta? Trying to cover gonorrhea and other stuff at the same time?
Clamydia, BV and the clap
And isn't it a little early for Christmas talk?
And isn't it a little early for Christmas talk?
gonorhea, tric, and chlamydia
When I was working in pharmacy 7 years ago we flat out refused to fill those triple cocktails. We were always "out of stock" or "on backorder" considering those people shot a pharmacist in our area.
"holly"?
Lol I didn't even notice that. Just automatically corrected it to "holy"
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I just assumed he was writing scripts for a stripper. Holly Trinity? That name is gold.
Hahaha. Yea this could be it.
We call this the "dirty girl/boy cocktail"
We call it the "awwwwww yeaaaaaa cocktail"
my favorite is when I filled it for a married person - SOMEBODY"S GETTING IN TROUBLE
Or a divorce!
chlamydia - the gift that keeps on giving
Most popular STI in the US if I am not mistaken.
I've been told it's basically the common cold of genitalia.
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Interesting way to put it. Haha.
an the yellow discharge replaces the snot
Leaving all the STD discussion aside,
Are we really assuming that no patient in the united states actually has a medical need for these three drugs in combination? I am all for refusing anything you truly suspect to be illegitimate, but we also should be careful not to put up unnecessary barriers for patients with real needs.
Are we really assuming that no patient in the united states actually has a medical need for these three drugs in combination? I am all for refusing anything you truly suspect to be illegitimate, but we also should be careful not to put up unnecessary barriers for patients with real needs.
How many patients need:
- Norco 10/325 or Percocet 10/325 120 1 qid
- Fkexeril 10 1 tid
- Xanax 1 mg qid
When I see a holy trinity it's oxy 30, soma 350, Xanax 2mg.
If there is a doctor who writes for this combo exclusively, the appropriateness of the therapy in those instances would be entirely coincidental.
If the issue is that the physician is writing this a lot then, yes I would consider this suspect by default. However, if the combo is of a low proportion to the number of normal prescriptions you get from this doctor then you would be hard pressed to refuse solely base on the fact that the prescribing doctor is not a pain management specialist. We have so many "pain" doctors that do only that but don't have any special certification that I would suspect them just as much.
Agreed, at recent district discussion in 2014, a Pharmacy District Manager stated the same idea: as pharmacist, we should watch out for classes of med, we watch out for people looking for having fun with B.A.R.
B = Benzodiazepine: Alprazolam, Clonazepam, Diazepam (Valium)...
A = Analgesic (Narcotic Analgesic)...Oxy, Oxy-combo (Oxycodone+Acetaminophen), Hydrocodone...
R = Relaxer (Muscle Relaxer): Carisoprodol, Methocarbamol...
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