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  1. #41
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    I took Panadeine forte during my first pregnancy as prescribed by my doctor. And the pharmacist had no issue. And given the other posts in here, it seems like your pharmacist had the "wrong" opinion. BUT as a medical professional they, as well as any other, should have a right to refuse something they feel is wrong or will cause harm. They are in control of the health and wellbeing of others and I think they shouldn't be forced to do something they don't agree with.
    I can also understand your confusion. And I would maybe look into some other forms of pain relief if you aren't comfortable but I agree with another poster that said perhaps going to talk to another pharmacist might help.
    I think it's a really grey area for which professional is "right". Yes the doctor knows the ins and outs of your specific case, as opposed to the pharmacist only going off what they see on your script. However, pharmacists are the specialist in this field, so their study would have concentrated more on this. So it's really and either/or in this case I think.
    But you can ask for a second opinion from somewhere else, as with other health professions.

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  3. #42
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    Quote Originally Posted by mummymaybe View Post
    I don't think we are discounting the knowledge and experience of pharmacists.

    In my role I have worked closely with pharmacists who are fantastic at their job and have clearly improved patient outcomes as a result.


    I agree any health professional has the right to decline care or specific interventions if they are concerned, I have done this myself. I am however an advocate for my patients and maybe that is showing in my response along with many others.

    It is well known or easily found that panadine forte is cat a in pregnancy. The OPs doctor has clearly made an assessment of what is best for her and as a result has prescribed a safe drug which she is to scared to take. I think this is a very unfortunate situation.
    I think your response is perfectly worded for what I am trying to say!

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  5. #43
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    Thank you everybody for your helpful replies, and for providing phone numbers and email addresses of people/organisations that can help I really, really appreciate it.

    I think my biggest issue is that the pharmacist did not explain what the actual risk was. In fairness, I didn't ask either (I guess I was caught off guard by her refusing to fill the script), but I feel like she probably should have explained *why* she wouldn't dispense the medication, as opposed to just giving me a blanket "it's unsafe for the baby". I would feel a lot more comfortable making a decision if I knew for sure exactly what her concern was.

    I am seeing my midwife face to face today, and I will have a discussion with her about it. If she is unable to answer my questions about what potential risks there are for the baby, I will try calling the numbers that have been provided here to find out.

    I know it probably seems like I should just get on with things and make do without it (and I do feel like no medication is the safest option), but I guess the constant pain and it's interference with my sleep has made me kind of desperate. Obviously not desperate enough to put my baby at risk, but desperate enough to want a clear answer as to whether the prescribed pain relief is a safe option for if I get to the point that it's just unbearable.

    Thanks again for your responses

  6. #44
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    Sounds like you had really crappy service from that pharmacist. It would have been appropriate for her to explain her reasoning and have a discussion with you & your Dr in order for you to make an informed decision.
    I've had mild SPD and that was bad enough so no you don't just need to get on with it you need to get some relief so you can have some rest!
    I do think it's worth a phone call to the store manager to provide feedback about your experience. It's all too common for health professionals to just say no you can't take this medication in pregnancy or breastfeeding, just because it's the easiest way out for them as they don't have to do any further research/phone calls etc and it's just not good enough!

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  8. #45
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    I asked my pharmacist husband if he would have filled the script, like someone else has mentioned he said the research suggests that there is a risk of respiratory issues if bub is born with it in your system. He said he may have still filled the script but given you are basically at term from 37 weeks he would have explained these risk before filling.

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  10. #46
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    As a couple of people have pointed out, I think it all comes down to the way they explain the risks and/or the reason they won't fill it.

    A generic refusal doesn't help the patient to understand, and in this case have a lot of unnecessary worry.

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  12. #47
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    Quote Originally Posted by Lanabananah View Post
    You would be hard pressed to have AHPRA find against (and put any significant penalty on) the pharmacist in such a situation. If she didn't feel comfortable with the risk of giving it to the patient, then she can't really be forced to take the risk on by supplying it (but she might be asked to undertake further education about the topic so that she may feel comfortable dispensing it in the future).

    I do however agree rural pharmacists might have more trouble saying no because there's less chance of another pharmacy being able to (willing to) fill the script.
    You're right, in that it wouldn't amount to unsatisfactory professional conduct, but as you said, they'd get counselled by the board, which is what they need. That's why I'd be making a complaint.

    I'm only speaking about this case, by the way. There's others where I'd hold a different view.

    Refusing to dispense medication is a serious decision and I think this pharmacist is being too liberal in its application.

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  14. #48
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    I haven't read all the replies but wanted to add, I had my gall bladder out when I was 6 months pregnant, after the first attack I was prescribed panadeine forte and also pethadine shots when in hospital. Caused no issues to my daughter. I've also been prescribed endone and forte after 3 of my caesarean's who were BF babies.

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  16. #49
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    Default Can a pharmacist refuse to fill a prescription?

    I thought I should come back and update. We had a midwife appointment yesterday where unfortunately we weren't able to see my usual midwife. However, the mw we did see checked the status of the medication on the MIMS database and printed me a copy. There are absolutely no warnings regarding its use during pregnancy, and it is a category A drug. There is, however, a warning that it is not suitable for breastfeeding mothers. Current advice is for pregnant women to use paracetamol for mild pain and codeine for severe pain, and breastfeeding mothers to use ibuprofen.

    I was satisfied with this information and explanation, so this morning I sent DH down to another chemist to fill the script. He had a chat to the pharmacist and told him that another chemist had refused to fill the script because I was 37 weeks pregnant. Just like the midwife, the pharmacist explained that it's considered safe in pregnancy but there is a grey area at the moment regarding its safety for breastfeeding mothers. This pharmacist said that if I was nervous about taking it now, then begin by taking just one at night if needed, however I am going to take just half to begin with and see if it is enough to take the edge off.

    Thanks again for all the replies and support. Here's hoping for a good night's sleep!
    Last edited by Shoopuf; 10-03-2017 at 09:12.

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  18. #50
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    I would trust the pharmacist over a gp and/or midwife, tbh.

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