Almost a huge mistake

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sandi123goat
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Hi Everyone,

I just wanted to remind everyone, no matter how long you have been in pain management to always check your prescriptions when you pick up your new month's supply. I did just that yesterday, and unfortunately for me, two of my meds are similarly shaped. There are only minor differences in them but I always have had the habit of opening the new bottles and boxes, just to confirm that the meds are there in the right bottles and the right amounts since a pharmacy error many years ago caused a trip to the ER for me. Anyway, yesterday my baclofen and my zanaflex bottles contained exactly the same pills. After I checked and double checked again, I called my pharmacy and talked to the pharmacist who realized that they had indeed put zanaflex into both bottles instead of baclofen in it's proper bottle. Thankfully, they sent me the correct med and took the other bottle back after many apologies over the phone.

I have been in pain management since 1993 on and off, and most recently since 2006 and my first forays into back surgery. Thankfully I caught the error or I might have had problems with taking double doses of muscle relaxants and not taking my normal baclofen dose.

Sandi

quincy
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Thanks for the Heads Up . . . .

Hiya Sandi,

We can never be told too often to "Check Our Meds". You really dodged a bullet there, Girl. Thank you for sharing it with us . . . Q

mebehindu
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oooooooooooo man

has this been a problem with my CIV meds.  I've had #30 given when #60 have been prescribed, thank god my pharmacy has an awsome inventory computer system.  and i've also had #110 instead of #150 given to me.... and then i had a #58 when i should have had #60 given to me and they told me they triple counted.  well we 4 counted that one and the pharmacist was wrong!  preaching to the choir.

 

 

 

o i couldn't remember my PW for 2gm lirtoviR

its me!

sandi123goat
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Hi Quincy

Thanks. I did get really lucky by finding the error before I started the new bottles.

The pharmacist was really apologetic, and I am sure that they will be double checking the meds for everyone for a while to make sure it doesn't happen again.

Normally, they are really good about not making mistakes, but these meds are both very, very similar in shape and size, and exactly the same color, which is one of the reasons that I always open the bottles to check to make sure they are correct in the first place. I'm just glad that it didn't become a problem with my taking too much zanaflex and no baclofen.... I've heard baclofen withdrawal is unpleasant when stopped abruptly. Frown

sandi123goat
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HI Mebehind U

I'm sorry that you have had to deal with shortages and other pharmacy problems. We all should be checking our meds before we leave the pharmacy anyway, especially for those of us who take regular meds.

Were the errors miscounts or was there some theft going on at the pharmacy? With repeated miscounts on their part, I would be more concerned about someone stealing those type of meds and be looking for a new pharmacy or having a serious talk with the pharmacist in charge before getting any more scheduled meds filled there.

Sandi

gm2 LirtoviR
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mebehinu... this is my other account

mebehindu account has been blocked because i made that account because i lost the pw to this account.

now back to what you were saying.... the Rx shortages that I have had didn't seem because of any theft or fraudulant causes, they were honest mistakes.  Like i had said they didn't seem to give me a problem when i told them "hey you shorted me this month,"  the pharmacist has a neat inventory software program that monitors what comes in and out and then with an actual physical count.  He and I have a great history so he knows that if i tell him that I am missing X amount of medication he'll always get to the bottom of it.  Now when i've missed 2 out of 60 caps, that is more of a possible theft.

Herrball
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Two of us in the same pharmacy

that have the same Doctor and what do you know?  They walked out with my scripts.  True.  Happened about two months ago when they never checked their bag to see if it was even the right meds.  Luckily, they (pharm) caught it and called those people to return to the pharmacy and they did but I had to wait another hour for them to return.  The kicker here is that this guy that ran off with my meds, he and his girlfriend wanted money from me for returning my scripts.  Gas money, he stated and then he threatened to kill me if I didn't give him 20 bucks for gas.  Are you kidding me?  What have we come to?  What a nut case.  To shorten this up, I told the Dr. and the pharmacist about this incident and they (the idiots) are no longer patients of that Dr. nor are they allowed in the pharmacy anymore.

sandi123goat
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Wow Herrball

That's truly frightening.  I am glad that they are no longer patrons of the pharmacy or the doctor's office. I can't imagine what would make anyone think that that kind of behavior is somehow acceptable?

Sandi

Herrball
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Well, I would tend to agree but

with one exception.  The guy that checked them out at the pharmacy was asked if this ----- was ready yet and because it sounded a little like my last name, the guy said yes and rang it up.  Here's what I don't get.  After going to the same pharmacy for years, they didn't see that the amount was different?  The guy at the cash register was new.  OK, he made a huge mistake in not checking the name.  The other folks made a mistake by not even looking at the bag or what was inside of it.  Plus, I get this rather large box of gel tubes (Testosterone) that was in the bag and they never even noticed it.  How whacked to you have to be?  I was so angry at them and to have them return and ask me for money because they brought it back was insane.   They wanted gas money because it cost them about ten dollars in gas so they said.  People never look at what they're getting anymore.  That's the whole problem here.  The guy ringing it up was new, he learned a lesson that day but they never even looked at what they purchased.  How stupid is that?

Pain-n-TnLady
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After being shorted once and

thankfully having a good relationship with the pharmacist himself, I did get the shorted meds. Before speaking with the pharmacist, I was told in no uncertain terms that my meds were TRIPLE counted and NO  I would not be given my meds as I had already left the store.

After that day, I always check my bottles for the right med and all my pain meds are counted by a pharm tech and myself before I leave the store.

This is a great reminder and another "booster" for when I'm in a hurry or don't want to deal with the eye-rolling lazy #&# who doesn't want to do the counting. Too bad- we're counting anyway!!! Thanks Pharmers!

goat
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A friend

 Who is much older noticed his scripts seemed short and I took a look at his pain meds for him.
  First thing I noticed was the size of the bottle which was filled near to the top and then noticed it said 150 tablets.
No way could 150 tabs fit in that size bottle..he was 30 tabs short for a total of 120 tabs.
 He happens to save his old bottles and this had been going on around 3 months..
 He goes to his pharmacy and they said the remaining 30 were put into seperate bottles each time but the bottles were never marked one of 2 like they do .

  He is not quick thinking and does not want to make a scene. I  told him to report it to the management but he wont.
    Always count your meds....