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Medical Forum / General / Pharmacy / September 2005Format for scripts that require compounding?
Hi! I'm a doctor and I'm writing a compounding prescription; I just want to know, is there any special thing I need to do to let the pharmicist know that it needs to be compounded? Thanks for the help!!! > Hi! I'm a doctor and I'm writing a compounding prescription; I just > want to know, is there any special thing I need to do to let the > pharmicist know that it needs to be compounded? Thanks for the help!!! Hmmm. Are you sure you're a doctor? If you are a doctor and licensed to write prescriptions, you should know (at this point) how to write a prescription. Why don't you just tell us what you would like compounded? HankG >Hi! I'm a doctor and I'm writing a compounding prescription; I just >want to know, is there any special thing I need to do to let the >pharmicist know that it needs to be compounded? Thanks for the help!!! The only thing "special" would be to list the amounts of each ingredient using only one unit of measure... And write plainly so I can read the darn thing... other then that it would be a poor pharmacist who could not figure out he or she had to compound the Rx... Bob G. Write "to be compounded" on the script? Please post your intended prescription here on this thread or describe here what you wish to order. > Hi! I'm a doctor and I'm writing a compounding prescription; I just > want to know, is there any special thing I need to do to let the > pharmicist know that it needs to be compounded? Thanks for the help!!! OK (Is the pharmacist smart enough to divide the ingredients by the number of pills and put the quotient into each pill?): For Mr. Douglas I. Pereira 09/13/05 Rx: Gris-PEG 21g itraconazole voriconazole fluconazole posaconazole ravuconazole flucytosine 15g aa Amphotericin B 3g Disp.#60 cap. Sig. sum.tal. m.et.n 2hr p.c. in.d for three and a half months. Refills: 2.5 Dispense as Written To be Compounded He/she may be smart enough, but you will be very hard pressed to find a local community pharmacy that has raw pharmaeuticals such as you specify on the shelf. Or who will want to go through the exercise of hand-filling 60 capsules. You will be much better off just prescribing each one individually, as you will also have the possible physical incompatability of the ingredients to consider. AND, you are at 1900 mg per capsule, I can't comment on the density of these agents, but I doubt you'll get it all in even a 000 capsule. ok Then, double the number of capsules, halve the amounts in each, and take two twice a day .... I can't > comment on the density of these agents, but I doubt you'll get it all > in even a 000 capsule. hee... Squiggles  Signature"Ordinarily he was insane, but he had lucid moments when he was merely stupid." -- Heinrich Heine This prescription would make history---legal history, mostly. If it could be successfully compounded, and if it was dispensed, I would certainly see the details from the various trials in Larry Simonsmier's legal column in the trade journals. "Doctor,", what is the rationale behind treatment with eight antifungals simultaneously? In 30 years of practice, I have never heard or read of such a shotgun approach, not even in acute care. Do you have a literature reference for this? > OK (Is the pharmacist smart enough to divide the ingredients by the > number of pills and put the quotient into each pill?): [quoted text clipped - 17 lines] > Dispense as Written > To be Compounded > Hi! I'm a doctor and I'm writing a compounding prescription; I just > want to know, is there any special thing I need to do to let the > pharmicist know that it needs to be compounded? Thanks for the help!!! Dear "Doctor," If you are a doctor then I am a bricklayer. |
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