Farmacéuticos Comunitarios. 2021 Apr 19; 13(2):49-52 DOI: 10.33620/FC.2173-9218.(2021/Vol13).002.08

Incidence in the dispensing of narcotic and psychotropic drugs. Does de cancer patient run out of analgesia?

Acuña Elvira N1
1. Licenciada en Farmacia. Doctora en Ciencias de la Salud. Farmacéutica comunitaria en Lanzarote.
Acuña N. Incidencia en dispensación de estupefaciente y psicótropo. ¿La paciente oncológica se queda sin analgesia? (con comentario bioético y legal de Fernando Abellán-García Sánchez). Farmacéuticos Comunitarios. 2021 Apr 19; 13 (2): 49-52 DOI: 10.33620/FC.2173-9218.(2021/Vol13).002.08
Abstract : 

36-year-old patient with a history of cancer prescribed Fentanyl 0.2 mg and Dormicum® 7.5 mg. She goes to our pharmacy office on a Saturday at 11:00 to pick up both medications because she doesn’t have enough for the weekend. When we enter your treatment plan, we verify that this plan is canceled and that all the medications appear as “not dispensable”. When dealing with medications that need a prescription, we refer to the health center with an emergency service that is open on Saturdays, asking the emergency doctor to update the treatment plan since we have verified that the patient does not have enough medication for the weekend and she tells us that no doctor has stopped your treatment. The patient goes to the medical center, after 1.5 hours she calls us crying telling us that the doctor who treated her does not update her treatment plan. We refer her to the hospital and since there is not enough time for her to pick up the medication because we close at 2:00 p.m. we call the pharmacies on duty to inform us if they have the medication, they do not have it and they would not have a way to get it until Monday . We give the patient the personal telephone number so that she can inform us of the situation, she calls us when she leaves the hospital, it is already 4:00 p.m., our pharmacy is closed. The hospital doctor informs us that the conduct of the emergency health center doctor is totally inappropriate, that the patient can under no circumstances gradually discontinue the medication. We decided to go to the pharmacy and dispense the medication.

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