Wrongly Prescribed medication

baza52

VfM4meplse wrote: »

Correct - but what you will find is that nurses and other non-medical clinical staff in practices specialise in specific areas of care, and will take responsibility for that element of your treatment rather than everything else that is going on. Only the GP or pharmacist would have picked this up: the interaction is well known, although thankfully not something everyone will suffer from. It is something that should have been brought to your attention as a possibility, though.

What surprises me is that the nurse had no IT prompts to over-ride before issuing the script. Surely she didn't hand write the prescription?

I had not asked to see a Nurse. I just asked for an appointment with a GP and was told the nurse is a "Nurse practitioner".
I could have gone for any reason as they were not aware why I had booked an appointment.

The Script was printed not written.

The 2nd GP that diagnosed me with Asthma or COPD also missed the fact the Naproxen was the cause.

esuhl

I know many people who have been incorrectly/inappropriately given drugs, or been prescribed oxygen in hospital only to find that the nurse hasn't actually connected the tube to the O2 outlet... or where a diagnosis has been guessed leading to the death of the patient.

If you don't double-check everything the NHS do, and have someone fighting your corner, then the odds of your survival/recovery must plummet.

The Tories are slowly, but calculatedly killing the NHS so that it becomes a system that people want to get rid of. Something needs to be done. The NHS needs a modest bureaucratic overhaul, a fairer way of determining which treatments it will fund, and a lot more money.

baza52

Torry_Quine wrote: »

My relative has taken an SSRI and Naproxen for many years.

out of curiosity which SSRI?
I take Paroxetine.

DomRavioli

GPs are specialists in illness. Pharmacists are specialists in drugs.

Not sure what you want someone to say - it is a genuine mistake, and although you may say it is a common interaction, that may very well depend on dosage, length of time on dosage, titrations, underlying health conditions and previous issues with medications.

And I think you mean Nurse Practitioner.

baza52

DomRavioli wrote: »

GPs are specialists in illness. Pharmacists are specialists in drugs.

Not sure what you want someone to say - it is a genuine mistake, and although you may say it is a common interaction, that may very well depend on dosage, length of time on dosage, titrations, underlying health conditions and previous issues with medications.

And I think you mean Nurse Practitioner.

Edited the post before you replied.

Ok so a pharmacist specialises in drugs but they don't ask you what else your taking or have access to your records so how would it be picked up?

teddysmum

meer53 wrote: »

Always best to read the information regarding side effects before you start to take any medication.

Very often the side effects include the very problems for which you were given the medication .:)

Torry_Quine

baza52 wrote: »

out of curiosity which SSRI?
I take Paroxetine.

Sertraline. Has never been flagged up.

VfM4meplse

baza52 wrote: »

Edited the post before you replied.

Ok so a pharmacist specialises in drugs but they don't ask you what else your taking or have access to your records so how would it be picked up?

Stick to one pharmacy and they will have a full medication history. Shortly that will change - all pharmacists will have access to the GPs summary care record of your notes, as long as you give consent.

Alice_Walker

baza52 wrote: »

I had not asked to see a Nurse. I just asked for an appointment with a GP and was told the nurse is a "Nurse practitioner".
I could have gone for any reason as they were not aware why I had booked an appointment.

The Script was printed not written.

The 2nd GP that diagnosed me with Asthma or COPD also missed the fact the Naproxen was the cause.

NSAIDs do not cause asthma, they can trigger an already underlying condition. If you were not aware of the condition then presumably nor was the practitioner.

NSAIDs are commonly prescribed alongside SSRIs, the benefit usually outweighs the risk.

Do you use the same chemist for all your prescriptions? This helps the pharmacist check for any interactions.

Did you not read the patient information leaflet? This tells you to inform the clinician if you are taking an SSRI, and also not to take naproxen if you are experiencing any breathing difficulties.

I think there is fault on both sides here - the pharmacist should have checked whether you were on any drugs, but you should have read the (very important) leaflet that came with the naproxen.

agrinnall

VfM4meplse wrote: »

What surprises me is that the nurse had no IT prompts to over-ride before issuing the script. Surely she didn't hand write the prescription?

[STRIKE]But the Naproxen was prescribed first, so there would have been nothing for the Nurse Practitioner to see. It's the GP who is at fault.[/STRIKE]