Do the maths! : Do these GP’s know how to do the... - PMRGCAuk

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Do the maths!

madhouse1 profile image
40 Replies

Do these GP’s know how to do the maths?

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madhouse1 profile image
madhouse1
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40 Replies
MrsNails profile image
MrsNails

Sometimes you are just rendered speechless 😶 which is probably just as well!……

madhouse1 profile image
madhouse1 in reply to MrsNails

😂😂😂 it really is scary isn’t it and we are supposed to trust these clowns! Xx. The pharmacist is a daft as they’ve put the label on obviously knowing it dissent add up

MrsNails profile image
MrsNails in reply to madhouse1

Crazy!…..

madhouse1 profile image
madhouse1 in reply to MrsNails

Absolutely xx

PMRpro profile image
PMRproAmbassador

You couldn't make it up could you?????????

Longtimer profile image
Longtimer

I had something like this sent to me not long ago....nothing surprises anymore....and to expect doctors to do maths...come on....😂

madhouse1 profile image
madhouse1 in reply to Longtimer

😂😂😂😂 at least we could run rings round them which is why we know more about PMR that the lot of them from what we see

DRunnerchick profile image
DRunnerchick

It’s “New” math!🤦🏽‍♀️

Bcol profile image
Bcol

They would normally get away with it as we wouldn't be able to read their writing.

magmapearl3 profile image
magmapearl3

To be fair it may not be the fault of the doctor. The dispensing Chemist/Pharmacist may have misread the instructions and /or typed incorrect information. I worked as a Chemist Technician many years ago and scripts always needed to be checked by the Chemist before being given to the patient. It seems checks and balances in this pharmacy are absent.

mgrogers99 profile image
mgrogers99 in reply to magmapearl3

Here in the US, it is the responsibility of the pharmacist to monitor the physician's orders for accuracy....the pharmacist is the expert.

madhouse1 profile image
madhouse1 in reply to mgrogers99

It is here too but folk doing their job properly is another thing! Scary as could be fatal depending on the drug and the person

Viv54 profile image
Viv54

🙄

123-go profile image
123-go

So much for "Read the label"! Unbelievable!

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer

Did you get a box of 1mg (4 to be taken daily) as well to give you the 9mg a day? If so, then it might make sense?

madhouse1 profile image
madhouse1 in reply to DorsetLady

Yes I did x

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply to madhouse1

In that case, I get what the doctor means, but I guess the same label was on all boxes so maybe it’s a bit confusing. Trouble is, the pharmacy label has limited space - and just copies the wording from the prescription on related medication.

madhouse1 profile image
madhouse1 in reply to DorsetLady

I understand that but the message should relate to the strength prescribed amd that particular med. my 1 mg tabs have the same label message. Each message needs to be relevant to the tablet prescribed.

DorsetLady profile image
DorsetLadyPMRGCAuk volunteer in reply to madhouse1

In an ideal world yes I agree…….but a certain amount of automation in the pharmacy probably doesn’t help. If the prescription is not written to accommodate different size packs then, as I said they just duplicate the label.

No excuse, but I doubt some of the staff know you are on a tapering regime…they are much more used to supplying a constant dose and maybe assume you know what dose you should be taking….

…if you are worried about labelling then maybe speak to chief pharmacist and explain your concerns.

madhouse1 profile image
madhouse1 in reply to DorsetLady

I’m not worried for myself as have my wits about me but the pharmacy print what the GP has out in the script so it’s back to my ‘amazing’ GP again. I do think the pharmacist has a duty to check the labelling before dispensing. Will have words with both as could be lethal in some circumstances.

john140 profile image
john140

More likely the pharmacy at fault IMO. I was on 10mg Methotrexate based on 4x 2.5mg tablets once a week. When I got my prescription the tablets were 10mg and the instruction was to take 4x tablets once a week. Luckily I noticed but I did get a written apology from the Pharmacy.

PMRpro profile image
PMRproAmbassador in reply to john140

You should have had more than a written apology - I trust they reviewed their procedures - that dose could make someone ill.

madhouse1 profile image
madhouse1 in reply to PMRpro

Been like it for months. I’ll point it out next times I go and see what they say xx

MrsNails profile image
MrsNails in reply to PMRpro

Or Worse! That would have been 4x the Dose!

JanetRosslyn profile image
JanetRosslyn in reply to john140

When I got my first MTX prescription from the pharmacy they'd printed on it 15mg DAILY instead of once a week. I pointed it out straight away and it was literally snatched back off me, then I heard the pharmacist having strong words with someone behind the screen!

madhouse1 profile image
madhouse1 in reply to JanetRosslyn

It’s been like this for months

mgrogers99 profile image
mgrogers99 in reply to JanetRosslyn

Patients have taken it daily due to misunderstanding and have died.

MrsNails profile image
MrsNails in reply to mgrogers99

Exactly! What concerns me now is people don’t sign a Consent Form anymore for MTX - where it’s fully explained & you sign that you understand……

I did back in 2014 the first time l went on it & it’s very similar to the Consent Form for Chemo; also they don’t appear to issue the Blood Record Results Book either, the info is repeated & emphasised in there, I still have my original book……

MrsNails profile image
MrsNails in reply to JanetRosslyn

Ye Gods Janet! That is unacceptable! The Pharmacist should be making that ‘script up or at minimum checking it!

madhouse1 profile image
madhouse1 in reply to john140

😱

MrsNails profile image
MrsNails in reply to john140

Wow! That should NEVER have happened, Pharmacists & Prescribing Drs have an agreement to only ever prescribe & dispense 2.5mg MTX as a DMARD (in the U.K.) although they do warn you to Double Check as you rightly did. That would be classed as a Near Miss & there should have been a Full Review…..

pomeranion profile image
pomeranion

I understand the miss print of prescription but what is the picture of? It's to scary for words.

PMRpro profile image
PMRproAmbassador in reply to pomeranion

Looks like a wipe-down seat cover to me as the background for the box sitting for a photo.

madhouse1 profile image
madhouse1 in reply to PMRpro

It was my leather settee

PMRpro profile image
PMRproAmbassador in reply to madhouse1

I like leather ...

madhouse1 profile image
madhouse1 in reply to PMRpro

Me too!

madhouse1 profile image
madhouse1 in reply to pomeranion

My leather settee. Wanted a plain background so the label was clearer x

pomeranion profile image
pomeranion in reply to madhouse1

Thank you for the clarification.

madhouse1 profile image
madhouse1 in reply to pomeranion

You’re welcome

pata63 profile image
pata63

This article came through my stats feed. It may amuse.

rnz.co.nz/news/national/446...

We professionals can make mistakes and we can be ignored by innumerate managers or graphic artists. I've made my share of mistakes, the most embarrassing one in a graph in a report to the New Zealand Parliament on general population illicit drug use. What matters is that errors get fixed up when noticed by others. That is part of the virtuous cycle of science. Hopefully the Pharmacy and Doctors involved will see see this as a learning opportunity and will improve their procedures.

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