Hi, I'm a pharmacy student and intern. At class, there was mention of some very popular medication that came off patent recently. I decided to make a post, figuring it would be a hot deal for those who don't know about them, or their physician/pharmacist forgot to tell them about it.
The big one that we got very recently is Coreg's generic - carvedilol. It's a beta blocker that also blocks alpha adrenergic receptors. It's commonly used to treat hypertension. So if you are currently on Coreg, this would be a hot deal for you.
And one of my classmate mentioned that her place of internship, WalMart, it's only $4. Which I thought was pretty surprising.
Also worth of note: Norvasc (amlodipine) and Lotrel (amlodipine + benazepril) went off patent earlier, Zyrtec will go off patent in December, so is Clarinex and Meridia. So hot deals for those who are on it.
Also, definitely a cold deal, but something diabetics should know: If you are taking Avandia or Actos, and haven't spoken to your doctor/pharmacist recently, do so. About 3 months ago, FDA mandated a black box warning on Avandia and Actos, due to data showing it increases chances of heart attack/failure in patients. If you haven't spoken to your doctor for a while, it's possible that your doctor may want to switch your meds. These 2 drugs are both PPAR-gama agonists, using same mechanism of action, and there are no other drugs of that class on the market. So it's no cause for alarm if you are taking other diabetic medication.
P.S:
I don't work for WalMart or have WalMart stocks, that would be conflict of interest.
Thanks for the price information. Is amlodipine a $4 drug at WM as well ?
As for the medical information ..
I have never prescribed, or even seen Carvedilol prescribed for isolated hypertension. It's claim to fame, and widespread use, came after a clinical trial that showed superior results in heart failure. However, if memory serves me it did not go head to head with other beta blockers so I personally have always been skeptical of it's benefit/cost. My patients that are willing to pay attention to cost and require a class beta blocker are switched to atenolol, and I pass on the tip that for this drug Costco is even cheaper than WM. Other really inexpensive hypertension drugs at Costco include hctz (a diuretic) and lisinopril (an ACE inhibitor). Also good to know that Costco pharmacy use does not require membership, at least for the stores. I think online ordering does.
Heart failure from fluid retention has been a long time known complication of glitazones, and in fact is a relative contra-indication to their use. The "new" data concerns CAD and rosiglitazone. It is a mistake to conclude that the entire class will have similar adverse effects, because of the differential signal transductions seen in different PPARs. A good discussion is available in one of the recent NEJM issues. Possible ? sure. Data ? none I am aware of. Whether to use Pioglitazone is a tricky question, and IMO well outside of the expertise of a pharmacist to decide.
EricGo07 said: Thanks for the price information. Is amlodipine a $4 drug at WM as well ? I've been switching patients from Amlodipine to Felodipine because its been generic for more than two years. Neither is on the WalMart list yet and Felodipine will probably get there first. Another money saver for folks is that while WalMart doesn't carry higher strengths of some meds, paying $8 for #60 Lovastatin 20mg ($4 for 30 20mg tabs x 2) is still going to be cheaper than what they'd pay elsewhere for #30 Lovastatin 40mg. Similarly, breaking higher strength tabs in half can cut the cost to $2/month for other meds.
For people who don't have WalMart and Costco, giving them prescriptions for a stock bottle will save them money. A stock bottle of 100 Atenolol is $12 in our area-- cheaper than $4 for 30 ($12 for 90)at WalMart.
Many pharmacies have a "minimum fill charge" so even if the pills are only $2, if the minimum fill charge is $7 that's what the patient pays. Its worth calling around to ask if a pharmacy has a minimum fill charge. Using Atenolol again with a minimum fill charge of $7 the patient would pay $21 for 90 pills vs. $12 for 100 pills.
youngchemist2003 said: Zyrtec will go off patent in December THANK YOU for that tip on Zyrtec! My wife has been asking pharmacists around here about it for quite a while. We can't wait to start saving money on that one.
Lexapro (escitalopram) is still branded but its mirror image molecule citalopram (Celexa) has been generic for more than a year. Its not on the WalMart list but your copay is probably less for a generic than a branded med. Check w/ your pharmacy, they can tell you if it would be cheaper for you and if so, ask your doctor whether it would be ok for you to switch.
KingUltra
Senior Member - 2K
posted: Sep. 28, 2007 @ 9:36p
Zyrtec generic !!!! I just paid like $80 a few months back.
rehr0001
Member
posted: Sep. 28, 2007 @ 9:57p
I have never prescribed, or even seen Carvedilol prescribed for isolated hypertension. It's claim to fame, and widespread use, came after a clinical trial that showed superior results in heart failure. However, if memory serves me it did not go head to head with other beta blockers so I personally have always been skeptical of it's benefit/cost. My patients that are willing to pay attention to cost and require a class beta blocker are switched to atenolol, and I pass on the tip that for this drug Costco is even cheaper than WM. Other really inexpensive hypertension drugs at Costco include hctz (a diuretic) and lisinopril (an ACE inhibitor). Also good to know that Costco pharmacy use does not require membership, at least for the stores. I think online ordering does.Heart failure from fluid retention has been a long time known complication of glitazones, and in fact is a relative contra-indication to their use. The "new" data concerns CAD and rosiglitazone. It is a mistake to conclude that the entire class will have similar adverse effects, because of the differential signal transductions seen in different PPARs. A good discussion is available in one of the recent NEJM issues. Possible ? sure. Data ? none I am aware of. Whether to use Pioglitazone is a tricky question, and IMO well outside of the expertise of a pharmacist to decide.
It appears it may be outside of your expertise as well. You may want to read the COMET trial. Coreg was compared head to head w/ metoprolol tartrate in the treatment of heart failure. There were problems w/ the trial ... dose of metoprolol used, metoprolol tartrate has never been proven effective in heart failure, metoprolol succinate Toprol XL (which is now also generic) has. Whether carvedilol truly is superior to metoprolol tartrate in CHF was not overwhelmingly clear, at $4/month, though, there is 0 reason to use any other B-Blocker. If you're giving atenolol to people w/ heart failure, you're crazy. If you're giving it to all of your patients needing a beta blocker I would urge you to reconsider. Bisoprolol, Metoprolol succinate, and carvedilol are the only beta blockers w/ good data for use in HF (and w/ studies of bucindolol showing negative results in patients w/ HF its safe to say the B-blockers do not exhibit a class effect). Have you reviewed the meta analysis of atenolol published in the lancet in 2004? I think it may change your opinion about using it as your B-Blocker of choice.
youngchemist2003 said: Hi, I'm a pharmacy student and intern. And one of my classmate mentioned that her place of internship, WalMart, it's only $4. Which I thought was pretty surprising. .
I won't TC the $4 WalMart generics,,,, but you (as a soon to be pharmacist) need to realize that WalMart's $4 generic program simply leads to dangerous workloads for the pharmacist, little or no patient interaction/consultation and an assembly line atmosphere. I hope you feel you have more to offer with 6 years of education than that. It may help the blue hairs that complain they are on a fixed income and never prepared for their retirement, but I personally feel it will cause a new retail pharmacist to quickly become disgruntled with the profession. Luckily the independent retail pharmacy will continue to thrive, since there are still people out there that feel their pharmacist has more to offer than how fast they can count and pour.
So robby69, you've decided that the more you pay the better the service? YMMV for sure. Paying more for a prescription at an "independent" pharmacy is just paying more. It guarantees nothing. As busy as the WalMart pharmacy is, there is a big upside. They get much more feedback from customers about their own reactions to their meds. A small, "independent" just doesn't have enough customers to get clinically significant feedback. Which is exactly why they have NOT continued to "thrive".
EricGo07 said: Thanks for the price information. Is amlodipine a $4 drug at WM as well ?
As for the medical information ..
I have never prescribed, or even seen Carvedilol prescribed for isolated hypertension. It's claim to fame, and widespread use, came after a clinical trial that showed superior results in heart failure. However, if memory serves me it did not go head to head with other beta blockers so I personally have always been skeptical of it's benefit/cost. My patients that are willing to pay attention to cost and require a class beta blocker are switched to atenolol, and I pass on the tip that for this drug Costco is even cheaper than WM. Other really inexpensive hypertension drugs at Costco include hctz (a diuretic) and lisinopril (an ACE inhibitor). Also good to know that Costco pharmacy use does not require membership, at least for the stores. I think online ordering does.
Heart failure from fluid retention has been a long time known complication of glitazones, and in fact is a relative contra-indication to their use. The "new" data concerns CAD and rosiglitazone. It is a mistake to conclude that the entire class will have similar adverse effects, because of the differential signal transductions seen in different PPARs. A good discussion is available in one of the recent NEJM issues. Possible ? sure. Data ? none I am aware of. Whether to use Pioglitazone is a tricky question, and IMO well outside of the expertise of a pharmacist to decide.
Definite thumbs up for generic notice - cheaper meds = increased access
And a second on the cheapness of Costco when dealing w/ a multitude of generics - but of course if you are something that is still branded, your insurance copay is typically cheaper (note, I said "typically)
That meta-analysis/review had some merits, but it had all sorts of problems too - no matter what our statisticians did, they couldn't reproduce their numbers and were given the cold shoulder when they pressed for details. Also, note a funder of that review...(GSK - Actos owner) But that's common.
Robby and daddy: The fact of the matter is, WalMart Pharmacy is vastly different in goals and mission compared to other pharmacies, like Walgreens or independent. The former is definitely not a significant source of revenue or focus for the company, thus it makes sense to draw customers with enticements such as this. I agree that the work load is definitely dangerous to the spirit of "pharmaceutical care," as many pharmacists are calling it, but bear in mind that pharmacists who work there choose to work there. They had the option to work elsewhere, and chose to work there, knowing what they were getting in to. But I also agree that high prices do not equate high standards of service. If that were the case, FW wouldn't exist .
Watching all of this, it'll be interesting what all the pharmacies will do in the face of phasing out AWP reimbursement.
Oh, and for those that wanna keep an eye out on drugs that are going generic, I enjoy perusing this site:
robby69 said: I won't TC the $4 WalMart generics,,,, but you (as a soon to be pharmacist) need to realize that WalMart's $4 generic program simply leads to dangerous workloads for the pharmacist, little or no patient interaction/consultation and an assembly line atmosphere. I hope you feel you have more to offer with 6 years of education than that. It may help the blue hairs that complain they are on a fixed income and never prepared for their retirement, but I personally feel it will cause a new retail pharmacist to quickly become disgruntled with the profession. Luckily the independent retail pharmacy will continue to thrive, since there are still people out there that feel their pharmacist has more to offer than how fast they can count and pour.
Well, I work at one of the largest pharmacy chain. Most pharmacists don't count and pour any more. That's what we interns and pharmacy techs do. Their duty is really checking to making sure all the prescriptions are correct (dose, use, side-effect, drug-drug interactions, insurance...) Yes, pharmacists are busy. But that's not really due to $4 or any other sales pitch. It's because there is a shortage of pharmacists. That shortage is due to (1) the switch to a 6 year degree, (2) only 90 accredited pharmacy school in the US, (3) the number of medications keep on shooting up, and (4) pharmacy profession is now mostly female, many of whom don't work full time.
On the flip side... how busy a pharmacy is has a lot to do with how unhealthy a population is. If each patient only comes in with 1-3 drugs, it'll be relatively easy. But what we often see is this: A patient is overweight, which results in hypertension, so he gets an ACE inhibitor, a beta-bloker, a diuretic, and a statin to manage his cholesterol. Some of the side effect include weakness and fatigue, so even less chance of him exercising. So all that sugar in his unhealthy diet make him diabetic. Now he adds insulin and metformin. Being diabetic, makes his "thing" not work so well, so he now asks for Viagra. But not before he gets depressed and loses sleep over the medical bill (and sex life), so now here's a prescription for sertraline...
Yes, it gets maddening at times. The insurance companies, medicare part D, and drug addicts don't help make life easier either. And of course, my personal favorite, the drive-thru window... now meds are fast food.
EricGo07 said: Thanks for the price information. Is amlodipine a $4 drug at WM as well ?
As for the medical information ..
I have never prescribed, or even seen Carvedilol prescribed for isolated hypertension. It's claim to fame, and widespread use, came after a clinical trial that showed superior results in heart failure. However, if memory serves me it did not go head to head with other beta blockers so I personally have always been skeptical of it's benefit/cost. My patients that are willing to pay attention to cost and require a class beta blocker are switched to atenolol, and I pass on the tip that for this drug Costco is even cheaper than WM. Other really inexpensive hypertension drugs at Costco include hctz (a diuretic) and lisinopril (an ACE inhibitor). Also good to know that Costco pharmacy use does not require membership, at least for the stores. I think online ordering does.
Heart failure from fluid retention has been a long time known complication of glitazones, and in fact is a relative contra-indication to their use. The "new" data concerns CAD and rosiglitazone. It is a mistake to conclude that the entire class will have similar adverse effects, because of the differential signal transductions seen in different PPARs. A good discussion is available in one of the recent NEJM issues. Possible ? sure. Data ? none I am aware of. Whether to use Pioglitazone is a tricky question, and IMO well outside of the expertise of a pharmacist to decide.
You're also forgetting that it has some alpha effects.
Lamisil (terbinafine) used to be $250 for a 30days supply and treats fungal toenail, and it's now $4. All Warfarin generics are $4, Sprintec/Tri-Sprintec, the first BCs is also $9/month but only available to 41 states. Only 25 drugs we're added to the list, and prices went into effect as of 9/27.
rehr0001
Member
posted: Sep. 29, 2007 @ 12:02a
That meta-analysis/review had some merits, but it had all sorts of problems too - no matter what our statisticians did, they couldn't reproduce their numbers and were given the cold shoulder when they pressed for details. Also, note a funder of that review...(GSK - Actos owner) But that's common.
Which meta analysis? The original Avandia analysis by Steve Nissen? That wasn't sponsored by a drug company. Also, GSK makes Avandia, Takeda makes Actos.
Note that you can get a 90 day supply at Target (I think that WalMart will only give you a 30 day supply).
Costco also has a "cheap" generic program, but they don't have a price list. You have to call or go to the store.
Target = Me2 Company
If you bring in a Rx from your doctor for 365 days worth of fluoxetine 20mg, Wal-Mart will fill it. Many Kaiser pts transfer their Rxs to Wal-Mart because of this $4 rx plan.
On another note, Target had recently re-structured the pharmacy, and had gotten rid of DMs and Regional/Divisional Managers. All Store Managers now staffs the pharmacy and here's the kicker, they also do the eval for the Pharmacy Managers. Many pharmacist/managers are in the process of looking else where for jobs. Most future rxs filled at Target would be filled by some agency pharmacist.
I take atenolol for SVT and I just got 413 tablets (I take 1 in AM and .5 at night)for 12.27 from Costco (shipped, I am NOT a member). WalMart would have been $55.00. My co pays would have been over 32.00.
daddyweiss said: So robby69, you've decided that the more you pay the better the service? YMMV for sure. Paying more for a prescription at an "independent" pharmacy is just paying more. It guarantees nothing. As busy as the WalMart pharmacy is, there is a big upside. They get much more feedback from customers about their own reactions to their meds. A small, "independent" just doesn't have enough customers to get clinically significant feedback. Which is exactly why they have NOT continued to "thrive".
The reason that independent pharmacies are not thriving has nothing to to with the Walmarts of the world. It is simply the fact that more insurance companies are either requiring their customers to get meds by mail, or not allowing a local pharmacy to participate in an insurance contract. Any independent that has closed his doors will tell you that, not that they cannot compete with the big box chains.
My point is that you should choose your pharmacist like you would your doctor, dentist. If you want to get your $4 generics at WalMart, great, you have my blessing.
DocKramer
Member
posted: Sep. 29, 2007 @ 10:13a
hellyea81 said: How many MD's on FW? Add me to the list, but wow! I feel like i'm in my M2 year again learning pharm... Count me in!
fentonpcrackshell
Senior Member - 3K
posted: Sep. 29, 2007 @ 10:15a
rxethan said: Lamisil (terbinafine) used to be $250 for a 30days supply and treats fungal toenail, and it's now $4. All Warfarin generics are $4, Sprintec/Tri-Sprintec, the first BCs is also $9/month but only available to 41 states. Only 25 drugs we're added to the list, and prices went into effect as of 9/27.Wow, WalMart is really f'ing w/ things now. its one thing to sell $4 older drugs, but going after drug before AWP drops is gonna totally change things. Which brings me to another point- We really shouldn't need a thread for every drug that goes generic. If you are on a drug that goes generic you should automatically be switched, or at the very least, be asked. Unless the pharmacy is not following orders from their corporate, or they are just too busy to care. They should be pushing the generic very hard, as first to market generics are generally gravy for a pharmacy. At every retail pharmacy I worked for, the first to market generic was automatically shipped to the store from their warehouse. the quantity sent was even based on that stores average volume of the brand name dispensed. We were then instructed to automatically switch people. at one chain we were even provided with reports of who was on that drug, and we were to call every single person on it and inform them there was a "cost saving" generic available. Speaking of lamisil- anyone remember that commercial? That was like the epitome of irresponsible pharmaceutical marketing. taking a pill that could tear thru your liver and making it run over a cartoonized dermatophyte. what was that little guy's name?
the only thing worse I could think of would be the personification of genital warts for a Valtrex commercial.
EricGo07 said: Thanks for the price information. Is amlodipine a $4 drug at WM as well ?
As for the medical information ..
I have never prescribed, or even seen Carvedilol prescribed for isolated hypertension. It's claim to fame, and widespread use, came after a clinical trial that showed superior results in heart failure. However, if memory serves me it did not go head to head with other beta blockers so I personally have always been skeptical of it's benefit/cost. My patients that are willing to pay attention to cost and require a class beta blocker are switched to atenolol, and I pass on the tip that for this drug Costco is even cheaper than WM. Other really inexpensive hypertension drugs at Costco include hctz (a diuretic) and lisinopril (an ACE inhibitor). Also good to know that Costco pharmacy use does not require membership, at least for the stores. I think online ordering does.
Heart failure from fluid retention has been a long time known complication of glitazones, and in fact is a relative contra-indication to their use. The "new" data concerns CAD and rosiglitazone. It is a mistake to conclude that the entire class will have similar adverse effects, because of the differential signal transductions seen in different PPARs. A good discussion is available in one of the recent NEJM issues. Possible ? sure. Data ? none I am aware of. Whether to use Pioglitazone is a tricky question, and IMO well outside of the expertise of a pharmacist to decide.
fentonpcrackshell said: Speaking of lamisil- anyone remember that commercial? taking a pill that could tear thru your liver and making it run over a cartoonized dermatophyte. what was that little guy's name?
His name was "Digger". FDA made Novartis pull the ad for being "false or misleading because they overstate Lamisil's efficacy, minimize risk information and make an unsubstantiated superiority claim (over other drugs)."
rehr0001 said: That meta-analysis/review had some merits, but it had all sorts of problems too - no matter what our statisticians did, they couldn't reproduce their numbers and were given the cold shoulder when they pressed for details. Also, note a funder of that review...(GSK - Actos owner) But that's common.
Which meta analysis? The original Avandia analysis by Steve Nissen? That wasn't sponsored by a drug company. Also, GSK makes Avandia, Takeda makes Actos.
Whoops my mistake - late night forum perusing + a cold Fat Tire = absent mindedness
But yes, was referring to Nissen's study that sparked the public hoopla this past June. I plead the fifth/fat tire in using such a strong word as "funded." I personally just found the entire study a little odd that it concentrated on solely Avandia. I mean, why not throw in Actos, save for time - which is our country's limiting factor. Just my own ramblings and annoyances, which were only amplified when media blew it out of proportion. B/c of that wonderful CNN front page coverage, we had ~80% of our patients in our clinic panic and request to switch over to Actos.
But honestly, from a consumer mindset, I don't blame them at all. If my own parents were on Avandia, I most likely would have requested that they change too, pending a work up.
But I digress - I like and semi-agree with the post above mine (maybe several above) that there isn't really a need to make a new thread w/ every Brand who's patent evaporates - the majority of pharmacies are guranteed to inform the person their next pick-up. But it is also nice to have a heads up for those who do not peruse media/pipeline/health care websites.
March on, FW, march on. =)
TexDoc
Member
posted: Sep. 29, 2007 @ 1:23p
hellyea81 said: How many MD's on FW? Add me to the list, but wow! I feel like i'm in my M2 year again learning pharm...
I think quite a few ...
also, with regard to Coreg for isolated HTN. It is worth a try. I've had some success with it. The reps were really pushing it about a year ago to broaden the uses for it and increase sales. No good reason it wouldn't work and it might actually be better than some of the b-blocker choices.
TexDoc
Member
posted: Sep. 29, 2007 @ 1:29p
nikkai said: But yes, was referring to Nissen's study that sparked the public hoopla this past June. I plead the fifth/fat tire in using such a strong word as "funded." I personally just found the entire study a little odd that it concentrated on solely Avandia. I mean, why not throw in Actos, save for time - which is our country's limiting factor. Just my own ramblings and annoyances, which were only amplified when media blew it out of proportion. B/c of that wonderful CNN front page coverage, we had ~80% of our patients in our clinic panic and request to switch over to Actos.
Reasons why not add in Actos 1) it hasn't had any question marks about possible increased mortality or CV events in prior studies like Avandia has. 2) Nissen analyzed the data for Actos as well. It was published a couple of weeks ago and shows it as pretty safe. Or at least, a lot safer than avandia. [JAMA. 2007 Sep 12;298(10):1180-8. Pioglitazone and risk of cardiovascular events in patients with type 2 diabetes mellitus: a meta-analysis of randomized trials.]
Coreg Time Release (one-a-day) is the new version of that drug. I'm taking that now and it's f'in expensive (thank heaven for my for my $5 prescription coverage).youngchemist2003 said: Hi, I'm a pharmacy student and intern. At class, there was mention of some very popular medication that came off patent recently. I decided to make a post, figuring it would be a hot deal for those who don't know about them, or their physician/pharmacist forgot to tell them about it.
The big one that we got very recently is Coreg's generic - carvedilol. It's a beta blocker that also blocks alpha adrenergic receptors. It's commonly used to treat hypertension. So if you are currently on Coreg, this would be a hot deal for you.
And one of my classmate mentioned that her place of internship, WalMart, it's only $4. Which I thought was pretty surprising.
Also worth of note: Norvasc (amlodipine) and Lotrel (amlodipine + benazepril) went off patent earlier, Zyrtec will go off patent in December, so is Clarinex and Meridia. So hot deals for those who are on it.
Also, definitely a cold deal, but something diabetics should know: If you are taking Avandia or Actos, and haven't spoken to your doctor/pharmacist recently, do so. About 3 months ago, FDA mandated a black box warning on Avandia and Actos, due to data showing it increases chances of heart attack/failure in patients. If you haven't spoken to your doctor for a while, it's possible that your doctor may want to switch your meds. These 2 drugs are both PPAR-gama agonists, using same mechanism of action, and there are no other drugs of that class on the market. So it's no cause for alarm if you are taking other diabetic medication.
P.S:
I don't work for WalMart or have WalMart stocks, that would be conflict of interest.
stisev
Ancient Member
posted: Sep. 29, 2007 @ 1:56p
RN, BSN here. I'm glad to see $4 ($8 in CA) prescription generic drugs. As long as you avoid MAOI inhibitors, Xanax and meds your allergic to like the plague, you'll be fine.
DealinDar
Addicted Member
posted: Sep. 29, 2007 @ 2:19p
Reubin said: Are there any cheaper solutions to Renagel and Plavix? When are these going off-patent?
Plavix had a generic(Clopidogrel)for a few months. Due to legal actions the generic was cancelled til further notice.
I have not seen nor heard the generic for Coreg yet being available right today.
I'm not a DR. nor a pharmacist but one of those evil people that has to manage peoples prescriptions plan!
I will referr anyones copay for a generic that is more than $4.00 to WalMart or a pharmacy that price matches WalMart. I always said my mouth would get me in trouble...LOL
also, with regard to Coreg for isolated HTN. It is worth a try. I've had some success with it. The reps were really pushing it about a year ago to broaden the uses for it and increase sales. No good reason it wouldn't work and it might actually be better than some of the b-blocker choices.
Another MD here.. just my thoughts... For Heart Failure, I agree 100% with using coreg. For isolated hypertension, I tend to start with HCTZ or atenolol. The data is so strong for both of those medications that you're going to be hard pressed to convince me that you should START with coreg for isolate HTN.
fentonpcrackshell
Senior Member - 3K
posted: Sep. 29, 2007 @ 6:14p
stisev said: RN, BSN here. I'm glad to see $4 ($8 in CA) prescription generic drugs. As long as you avoid MAOI inhibitors, Xanax and meds your allergic to like the plague, you'll be fine.that is so not true. I wont touch on whether one pharmacy is more prone to misfills than another, but no matter what drugs you are on, you should always be cautious. I've never been near a serious error, but they happen all the time. I've heard of a verbal order filled for doxepin 100mg BID #20 that was supposed to be for doxycycline, a written Coumadin 1.0mg order that was filled for coumadin 10mg, etc. True, the MD could stand to do a little reading about jcaho or ismp, but in the end its all on pharmacy, and these mistakes could've even been caught had there been time for consultation. Oh, and despite being horribly abused, xanax has helped countless numbers of people, and is generally very safe. and selegiline is still used to this day for Parkinson's. I think they were even gonna come out w/ a patch so you don't have to worry about cheese syndrome. oh, and MAOI inhibitor is redundant.
youngchemist2003
Senior Member
posted: Sep. 29, 2007 @ 10:22p
robby69 said: fentonpcrackshell said: Speaking of lamisil- anyone remember that commercial? taking a pill that could tear thru your liver and making it run over a cartoonized dermatophyte. what was that little guy's name?
His name was "Digger". FDA made Novartis pull the ad for being "false or misleading because they overstate Lamisil's efficacy, minimize risk information and make an unsubstantiated superiority claim (over other drugs)."
Dealin dar, Tell me why I must pay 4.00 for 4 amoxicillin tablets when I should also be able to get 30 pills for the same charge (through WalMart). I take prior to teeth cleaning 2X year.
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