Comments on: The lesser of 2 evils

By: RJS

RJS — Fri, 04 Apr 2008 01:21:12 +0000

The cynic in me wishes we'd just let natural selection run its course. Cheaper, and the problem is self-limiting. Being a medical professional, however, I'm expected to be a bleeding heart and think the opposite, otherwise I'm a terrible human being.

But yes, I've heard talk of Narcan being added to first aid kits and whatnot. I'm not against the idea, but I've not got a fire in my belly to git 'er done, either.

It's important to note that Narcan would only be temporary, since while you can sober someone up nigh instantaneously, they don't stay sober very long. It basically amounts to an opioid Epipen: a stopgap before emergency treatment, otherwise it's just a futile gesture.

By: GruntDoc » Blog Archive » Forged Scripts

GruntDoc » Blog Archive » Forged Scripts — Thu, 03 Apr 2008 06:29:48 +0000

[...] their own preferred method of dealing with forged prescriptions. Ryan at EclecticEsoteric recently asked what I would do. It so happens that Andrew at PharmCountry has a related post, so it seems an [...]

By: Doug

Doug — Wed, 02 Apr 2008 05:33:04 +0000

I've heard reports they want to make Naloxone more accessible so when people overdose they won't die. Though they say when they almost die is when they "wake" up and attempt to sober up.

It's a two way street, I think. On one hand, I think since death can be rather rapid on an over dosage a way of treating maybe a not bad idea in home first-aid kits… Yet having that, people would be more willing to do heroine to begin with since now they know they won't get seriously hurt.

I don't know what to make of it let them die is one way of fixing the problem, though if them dying on smack will cause others to die then obviously they should be treated immediately.

Do you have any takes on this? I read this in the paper, but heard nothing since.

By: CardioNP

CardioNP — Thu, 21 Jun 2007 05:27:56 +0000

Not at total delusion.
I once cared for a guy with a hx of >10 years doing IV drugs.
He was Hep C and HIV negative. I was surprised and asked him about his habits. He ALWAYS used clean needles and did not share. I congratulated him on having the insight to do so.

OTOH, had another pt who didn't understand why he kept getting infections from using his femoral vein to shoot up his lemon juice and cocaine cocktail.

By: RJS

RJS — Sun, 17 Jun 2007 09:27:35 +0000

I'll post something about forgeries on Monday or Tuesday.

By: Ryan

Ryan — Sat, 16 Jun 2007 23:40:50 +0000

just found out today that she got the damn thing filled at another one of our chain stores. I knew I should have warned other pharmacies in the area…. sheesh, whatever.

By: Ryan

Ryan — Sat, 16 Jun 2007 07:32:19 +0000

Sort of on the same topic: how do you deal with forgeries? I had a lady come in one night (after the doctor's office closed of course), with a man's driver's license from Hawaii (we're in Oklahoma), wanting to fill a script for 360cc of promethazine/codeine syrup. These scripts are almost always fake. I just told her I'd have to call the doctor to confirm. I tried the doctor, but the office was closed (duh), and told her I wouldn't fill it.

Also, we had a copy of a forgery with the exact same handwriting on a different doctor's Rx pad.

Just curious how you handle this.