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Medical Forum / General / Pharmacy / August 2005

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Di-cal-D

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nospam@aol.com - 26 Aug 2005 19:24 GMT
My doctor gave me a prescription yesterday for Di-Cal-D.  Sixty tablets.  

I am really puzzled because this stuff is available OTC in bottles of 100
tablets.  Why would I need to use a prescription?

Ora
me - 26 Aug 2005 19:55 GMT
On Fri, 26 Aug 2005 18:24:58 +0000, nospam wrote:

> My doctor gave me a prescription yesterday for Di-Cal-D.  Sixty tablets.  
>
> I am really puzzled because this stuff is available OTC in bottles of 100
> tablets.  Why would I need to use a prescription?
>
> Ora

You should ask your doctor. Maybe the doctor had a reason for you to use a
specific product. Dical-D is not your ordinary calcium/vitamin-D
combination, since it uses calcium phosphate instead of the most common
calcium carbonate or calcium citrate. Maybe the doctor wanted the extra
phosphate. Who knows (other than your doctor)?
nospam@aol.com - 26 Aug 2005 22:15 GMT
>On Fri, 26 Aug 2005 18:24:58 +0000, nospam wrote:
>
[quoted text clipped - 10 lines]
>calcium carbonate or calcium citrate. Maybe the doctor wanted the extra
>phosphate. Who knows (other than your doctor)?

I was not asking about the ingredients.  I was wondering why,  if it is
available OTC in bottles of 100 tablets he would want me to get only 60 tablets.

Ora
Pumbaa - 27 Aug 2005 01:57 GMT
> >On Fri, 26 Aug 2005 18:24:58 +0000, nospam wrote:
> >
[quoted text clipped - 15 lines]
>
> Ora

Are you supposed to take it twice a day?  If so #60 would be a month's
supply. Doctors are used to writing for a month's supply as that is what
insurance companies and most people seem to want.  Doctors can't be expected
to remember how many tablets come in a bottle or even if it requires a Rx
as they do not see the bottles daily  like Pharmacists do. If you decide to
deduct it from your Form 1040, if you have enough medical bills, then a
prescription is proof that it was ordered for you by a doctor.
P T - 27 Aug 2005 19:05 GMT
ORA wrote:

>My doctor gave me a prescription
>...I am really puzzled because
>this stuff is available OTC ...
>Why would I need to use a prescription?

A prescription is a simple, fast, effective way for a doctor to convey
orders to a patients. If a doctor said to patients, take 1500mg daily of
CaCO3, over 90% of the patients would be confused and require a LOT MORE
counselling by the the doctor AND the pharmacist about what they are
supposed to do.  Many would still get it wrong.

For many patients, a pharmacist is wasting his time to tell them an OTC
equivalent is available.  Some patients receive their medicine at little
or no cost, and would rather wait 30 minutes for a bottle of Tylenol as
a prescription for $0 or $1,  instead of paying $3 and receiving it in 2
minutes. (Sometimes the cost differential is much greater.)

Also there is a magical element.  Some people think a prescription in
inherently better than an OTC product: A doctor writes a magical
incantation on a small paper,  strange people waving their fingers over
mysterious keyboards tell you the cost has been reduced, a woman in a
white jacket hiding in a room consecrates a vial of secret tablets:  How
can that NOT be better than some old OTC product?
 
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