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ExpressMaiL

ExpressMaiL

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Unique Medications Actually Dispensed By Rph, ORLY?

So let's see them. The weirdest, craziest or downright scariest scripts you actually filled. Refused to fill / did not fill doesn't count!

fentanyl 100mcg patches: Apply #20 topically q48hrs
 
ExpressMaiL said:
Unique Medications Actually Dispensed By Rph, ORLY?

So let's see them. The weirdest, craziest or downright scariest scripts you actually filled. Refused to fill / did not fill doesn't count!

fentanyl 100mcg patches: Apply #20 topically q48hrs
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Literally what?


I've always been a stickler.

Anything I don't feel ok filling can be filled by the H1B pharmacist at Walgreens down the street
 
You'll actually get responses from the declined scripts, why would anyone fill these insane scripts?
 
Ive seen oxy 30 mg #240 plus an additional oxy 10 #120 dispensed for the same person

Not my initials on it though
 
Rukn said:
Ive seen oxy 30 mg #240 plus an additional oxy 10 #120 dispensed for the same person

Not my initials on it though
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I've seen oxycontin 80mg tid + percocet 10/325, so that's pretty close to yours.


Have a patient who uses Qvar nasally for some reason. Allergist insists on using it with some kind of adapter, rather than the myriad commercially available nasal steroids.
 
Ackj said:
I've seen oxycontin 80mg tid + percocet 10/325, so that's pretty close to yours.


Have a patient who uses Qvar nasally for some reason. Allergist insists on using it with some kind of adapter, rather than the myriad commercially available nasal steroids.
Click to expand...

Much better than Qnasl no doubt.
 
Probably the most ridiculous script I ever filled was for Methadone #1020. I don't recall the exact directions but it was a 30 day supply. I was floating, the patient was a regular, the PIC has a file on the guy that included a letter from the MD concerning the high dose. I can't recall anything else that crazy that I personally filled.

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MS-Contin 100 mg tablets 18 tablets every 12 hours....... Heroin Addict with prostate cancer and bone mets......
 
Lunesta 3 MG, 3 tabs at bedtime. Pt paid cash. Regular pt.

Norco 10/oxycodone 30 #720 for 3 months, not filling it... Family doctor and obgyn prescribed this.

Dexmethylphenidate 10 MG #360/month

Paroxetine 20 MG 1hr before sexual intercouse. Using it for the side effects? Priapism? Dunno...
 
One day at work I went to fill a standard norco 10 script and noticed my stock was surprisingly low. Check my scripts and saw the floater the previous day had filled #500 1-2 q 4-6 prn from an MD about 6 hours away. Was pretty ecstatic about that.

I had a psych MD erx me a script with 7-8 controls on it at max dose, including 3 different benzos. I don't pretend to be an expert in psych disorders, but yeaaaa.
 
Momus said:
Lunesta 3 MG, 3 tabs at bedtime. Pt paid cash. Regular pt.

Norco 10/oxycodone 30 #720 for 3 months, not filling it... Family doctor and obgyn prescribed this.

Dexmethylphenidate 10 MG #360/month

Paroxetine 20 MG 1hr before sexual intercouse. Using it for the side effects? Priapism? Dunno...
Click to expand...
I've seen the paroxetine or similar SSRIs one a few times, used to prevent premature ejaculation (i.e., used to encourage the sexual dysfunction side effects).

I've seen a weird one one somebody filled for Ambien...30 mg QHS. Patient had been taking it for some time at this dose and their prescriber claimed they were an ultra rapid metabolizer (doubt they included for which CYP), necessitating the high dose...
 
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LTC pharmacist here. I have seen some pretty crazy things going on in nursing homes.

Fentanyl 50mcg one patch daily

Citalopram 10mg Q6h

Fluoxetine 30mg BID

All for the same patient:
- Norco 10 give three tabs Q4h scheduled
- Hydromorphone 8mg give two tabs Q4-6h
- Oxycodone 30mg give two tabs Q4-6h
- Methadone 10mg give 5 tabs Qam and Qpm
- Fioricet give two tabs Q6h

Those are just in the last week!
 
I once chewed out a dentist for prescribing nasal steroids to treat sleep apnea.
He told me I needed to learn my law because Texas allows DDS to treat sleep apnea. I agreed and hung up.
Turns out he was basing an entire clinic on a single line saying a dds can use a piece of dental hardware to treat sleep apnea, then explicitly stated that they needed to refer them to an M.D.

I just faxed him the law.

Apparently this DDS was advertising a sleep apnea treatment clinic and had been at it for a while with no-one challenging it.
 
Wickett said:
One day at work I went to fill a standard norco 10 script and noticed my stock was surprisingly low. Check my scripts and saw the floater the previous day had filled #500 1-2 q 4-6 prn from an MD about 6 hours away. Was pretty ecstatic about that.

I had a psych MD erx me a script with 7-8 controls on it at max dose, including 3 different benzos. I don't pretend to be an expert in psych disorders, but yeaaaa.
Click to expand...

Reason #197 not to be the PIC. You are responsible for every stupid prescription filled by the part time per diem floater who gives zero f's about your store or license.


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Hydromorphone 68mg q4hprn
 
giga said:
PRN euthanasia?
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Almost? Long term hospice patient (maybe that's cheating in this thread). They ended up passing a week or two later, but had been on that/similar doses for a while.
 
OxyContin 240mg TID and Oxycodone 20 mg 2q4h

Was a long time patient on the same dose with numerous documents from the dr, filled it and moved onto the next script.
 
owlegrad said:
Probably the most ridiculous script I ever filled was for Methadone #1020. I don't recall the exact directions but it was a 30 day supply. I was floating, the patient was a regular, the PIC has a file on the guy that included a letter from the MD concerning the high dose. I can't recall anything else that crazy that I personally filled.

Sent from my SAMSUNG-SM-G920A using SDN mobile
Click to expand...
Had a pt that got over 1400 a month
 
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