Yes, it scares the crap out of you. Patient came into the store and presented a prescription for Serevent. Patient had been on Advair, but the steroid had caused his IOP to increase and the ophthalmologist wanted him off all glucocorticoids.
After consulting with the patient, I suggested he speak with the doctor about an alternative as his asthma was not severe enough to incur the risks associated with LABA w/o a corticosteroid. Patient asked what the alternatives might be and I said Singulair was one alternative, but he should contact the MD.
Patient calls the MD, who then called me and accused me of practicing Medicine with out a license. He freaked out and yelled and screamed and then he reported me to the State Board.
I had to meet the State Board Inspector and give a statement. Of course the jerk-off doctor would not meet with the Inspector. After a few months I get a letter from the Attorney General's Office saying I'm in the clear.
The patient was so pissed off he left the doctor and stayed with me.
Moral of the story, if you didn;t do anything wrong, it will all work out just fine....