How many of you have been in this position:
You get an Rx for a medication; say, Effexor. Doctor has a strength; say 37.5. Doctor wrote directions; say once a day.
Now if you read this literally, you would dispense Effexor (standard release) once a day. However the sig suggests the extended release (XR) that is once a day and not the regular release that is usually given more than once a day (but sometimes given once a day as well). Do you dispense regular or XR? Does the doctor even know it comes in a regular and and XR?
Now you would think (common sense here), that the drug company would get their collective head out of their asses to make the XR product have a different miligram strength as to avoid this problem. You know, so if the doctor forgets the XR part on the Rx, you can tell its the XR by the strength.
Of course not. That makes sense, and if it makes sense (and totally fucks over the pharmacist), then its not worth doing. They need to do the paper work for the new formulation, why not change the miligram strength by 0.5? Why not have it be like percodet/percodan and have 0.45 mg of oxycodone salt A, 0.923423 mg of oxycodone salt B, and (5mg – (Salt A and Salt B)) of oxycodone salt C (to really confuse the fuck out of us).
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