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  1. #51
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    Default Can a pharmacist refuse to fill a prescription?

    Quote Originally Posted by DT75 View Post
    I would trust the pharmacist over a gp and/or midwife, tbh.
    I would trust the mims which is what the doctors and midwife as well as all the nurses and midwives on this forum would use.

    It is the go to resource about what is and isn't safe, many of us use it on a regular basis.
    Last edited by Mum-I-Am; 10-03-2017 at 12:47.

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  3. #52
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    Default Can a pharmacist refuse to fill a prescription?

    I agree @mummymaybe, and I am comfortable with my decision to take the medication now.

    I've now had the same advice from a GP, two midwives, a pharmacist, AND the MIMS database. I think it's much more likely that the first pharmacist I encountered perhaps wasn't entirely up to date with her information, or maybe just prefers to err well on the side of caution in general when dealing with pregnant women, than all of these professionals AND a highly respected, independent medical resource having overlooked some well-known risk about the safety of the drug.
    Last edited by Shoopuf; 10-03-2017 at 11:07.

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  5. #53
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    Default Can a pharmacist refuse to fill a prescription?

    I hope you find some relief with the meds Shoopuf as SPD is horrible , I had it with my pregnancies too. Another thing which helped me was the SRC pregnancy shorts, they helped a lot.

    All the best, hope you get a better night's sleep soon!.

  6. #54
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    Sometimes it just helps to be informed yourself and do your own research. I've had issues with a pharmacy not wanting to sell me aspirin (which incidentally I could buy from the supermarket if I wanted to) as aspirin isn't recommended in pregnancy - I think it's a category B for memory. I explained I was taking it on advice of my obstetrician (and had been since the beginning) and that I was actually halving the tablets so not taking the full dose.

    Same thing with an over the counter sleeping tablet. I know it's a category A as I looked it up right at the beginning of pregnancy as what I would normally take was a category C. For me the risk of NOT taking something to help me sleep between night shifts was far greater than the risk of taking something that was a category A.

    Just because someone is in the medical profession doesn't make them an expert in every aspect of their profession. There will always be gaps in someone's knowledge.

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    I wonder if that pharmacist dispenses aspirin to pregnant women. It's prescribed for women with a history of clotting disorders and recurrent miscarriage but it's contraindicated for most other pregnant women. Refusing to dispense to pregnant women who need it in that scenario would be dangerous.

    Then there's anti depressants, sleeping aids, some heart medications etc that carry some risk to a developing foetus. The point is that the treating doctor weighs up the risks and benefits and makes a decision based on their knowledge of the patient.

    This pharmacist is a worry, IMHO.

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    Just out of interest the reason codeine is contraindicated in breastfeeding is due to how different people metabolise this drug. Some people are "super metabolisers" and end up with a huge amount of opioid circulating very quickly (codeine is converted to morphine in the body), leading to respiratory depression.
    So the mum may be a regular metaboliser and have no problems with codeine, but the baby could be a super metaboliser and suffer side effects from the drug. There has been a death reported in the states from this exact situation.
    So theoretically if you had a dose of panadeine forte, went straight into labour and gave birth within 4 hours and breastfed straight away there is a chance the codeine could pass through your breastmilk. Highly unlikely scenario and I think the OP is sensible enough to tell her care providers if this happens so it can be managed.
    It's about making an informed choice people!
    Hope you enjoyed that tidbit of nerdy science

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  12. #57
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    Quote Originally Posted by M'LadyEm View Post
    Sometimes it just helps to be informed yourself and do your own research. I've had issues with a pharmacy not wanting to sell me aspirin (which incidentally I could buy from the supermarket if I wanted to) as aspirin isn't recommended in pregnancy - I think it's a category B for memory. I explained I was taking it on advice of my obstetrician (and had been since the beginning) and that I was actually halving the tablets so not taking the full dose.

    Same thing with an over the counter sleeping tablet. I know it's a category A as I looked it up right at the beginning of pregnancy as what I would normally take was a category C. For me the risk of NOT taking something to help me sleep between night shifts was far greater than the risk of taking something that was a category A.

    Just because someone is in the medical profession doesn't make them an expert in every aspect of their profession. There will always be gaps in someone's knowledge.
    That's why it's so important to be able to say "I'm really not sure, how about I check for you?"
    And go look up your book, phone a friend, call the Dr whatever to find the right info!

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    Quote Originally Posted by rosey82 View Post
    That's why it's so important to be able to say "I'm really not sure, how about I check for you?"
    And go look up your book, phone a friend, call the Dr whatever to find the right info!
    Exactly. We have use the MIMS and have a pregnancy/breastfeeding drug book at work that we can look up categories of drugs if required. And sometimes we do question the doctors. Or we phone the pharmacists to clarify doses etc. It's about working in collaboration with each other, not against each other. In the case of the OP I'm more annoyed that the pharmacist called the doctor, discussed the prescription and still wouldn't dispense it without valid evidence of why.

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    I had it for a toothache in 3rd trimester. I was told I could take one strictly 6 hours apart. It was fine except it didnt hold my pain and DD was ok. The thing is not to take it for a prolonged period of time.

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    I once had a pharmacist refuse to sell me over the counter allergy eye drops when I was pregnant. My GP rolled his eyes when I told him lol!


 

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