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Medical Forum / General / Pharmacy / June 2006Questions on Sale of Syringes Without Prescription
I have a few questions for all pharmacists (or anyone who works in a pharmacy.) I am assuming that you are all aware of the law regarding sale of syringes without a prescription in your state. So my questions are: *-----------------------------------* *For those of you who live in a state that does NOT require a prescription to sell syringes: *-----------------------------------* -Do any of you still refuse to sell to someone who doesn't have a prescription or refuses to provide it? -Do you attempt to scare the person off by asking them lots of questions or otherwise making them uncomfortable? -Do you evaluate each person case by case to determine if you are going to sell to them? If so, what influences you? (ie: The way they are dressed, their race or age, whether or not they seem nervous, etc) -If you suspect someone is an injection drug user will that prevent you from selling to them? -If you refuse to sell to suspected drug users... Do you worry that they may resort to reusing syringes or sharing syringes? Do you think that refusing to sell them clean syringes will prevent them from using drugs? Do you not care either way? -Do you ever feel guilty about selling syringes to someone who doesn't have a prescription and might be a drug user? *-----------------------------------* *For those of you who work in a state that DOES require a prescription to sell syringes: *-----------------------------------* -Do any of you sell them anyways? -Do you try to report people who attempt to purchase them or notify authorities, etc? -Do you feel guilty about not being able to provide clean syringes to injection drug users? *-----------------------------------* *For everyone who works in a pharmacy: *-----------------------------------* -How often do people try to buy syringes without a prescription from you? -Do you think that making syringes available to injection drug users will help stop the spread of HIV, Hepatitis, and other diseases? -Do you think that making syringes available to injection drug users will encourage people to try shooting up? -------------------------------------------------------- Thanks in advance for anyone kind enough to respond. > I have a few questions for all pharmacists (or anyone who works in a > pharmacy.) I am assuming that you are all aware of the law regarding [quoted text clipped - 43 lines] > > Thanks in advance for anyone kind enough to respond. Does anyone seriously consider responding (with answers) to this? If this person is serious, he needs to be up front, i.e., state who he is and why he is seeking this information. I guess the same questions could have been asked 30 years or so ago about selling ETH&C, Robituss-AC, Novahistine-DH, & Paregoric. HankG I don't disagree that some of the questions sound a bit dodgy, but there are generalities that I think we can all agree on. The risk for transmission of communicable diseases, particularly hepatitis B/C, HIV, etc. should outweigh concerns for possible increased drug use. I don't believe that not making syringes is an effective means of stopping anyone from doing drugs. It's sort of like car companies not making lighters and cigarette trays available any more as a standard option in new cars; I doubt it ever motivated anyone not to smoke if they wanted to (except now they flick the ashes out the window which is even worse). Gregory > > I have a few questions for all pharmacists (or anyone who works in a > > pharmacy.) I am assuming that you are all aware of the law regarding [quoted text clipped - 52 lines] > > HankG >I guess the same questions could have been asked 30 years or so ago about >selling ETH&C, Robituss-AC, Novahistine-DH, & Paregoric. > >HankG GI Gin and Tincture of Opium Camphorated? LOL you have to be as OLD as I am.... Bob G. > >I guess the same questions could have been asked 30 years or so ago about > >selling ETH&C, Robituss-AC, Novahistine-DH, & Paregoric. [quoted text clipped - 5 lines] > > Bob G. It would make no difference in rural MS, where I live, if I sold syringes OTC or not. At the local feed store, there are syringes of all sizes, vitamin B12 injections, lincomycin, etc., but labeled for horses, goats, sheep, etc. My wife and I give our horses and goats injections as they need them. > > >I guess the same questions could have been asked 30 years or so ago about > > >selling ETH&C, Robituss-AC, Novahistine-DH, & Paregoric. [quoted text clipped - 11 lines] > sheep, etc. My wife and I give our horses and goats injections as they need > them. Since the feed store is not a regulated establishment, it can sell most anything it can get its hands on. Last time I checked, veterinary medicines were to be dispensed by vets or sold via prescription. Check the label. Is there any such statement? HankG <Snip> > Since the feed store is not a regulated establishment, it can sell most > anything it can get its hands on. Last time I checked, veterinary medicines > were to be dispensed by vets or sold via prescription. Check the label. Is > there any such statement? > > HankG Hank I am looking at a 200 ml bottle of Ivermectin (ivermectin) injection for Cattle and Swine. According to my vet it is used "off label" for goats also. My goats are still alive anyway! It is labeled "Warning: Not for use in humans" "For subcutaneous injection in cattle and swine only" "Consult your veterinarian for assistance in the diagnosis, treatment, and control of parasitism". It also has a warning that it should not be used in other animal species as adverse reactions including fatalities in dogs, may result. There is no label warning saying it can only be dispensed by vets or sold by Rx. It's interesting that even animal medication is used off label. I have a friend who uses it on dogs. I would not use it on my loving pet dogs but it works OK on Mr. and Mrs. barnyard goat. I will have to look at all the stuff in the feed store sometimes. I believe they have an animal version of what is basically Bactrim, Procaine Penicillin, Vitamin B and B12, and phenylbutazone paste and normal saline IV. They don't have any animal morphine, pussy cat sedatives, horse Valium, or anything of that sort. I have a few questions for all pharmacists (or anyone who works in a pharmacy.) I am assuming that you are all aware of the law regarding sale of syringes without a prescription in your state. So my questions are: *-----------------------------------* *For those of you who live in a state that does NOT require a prescription to sell syringes: *-----------------------------------* -Do the drug addicts who come in to try to buy needles sometimes have an air of danger about them? -Do you think the people buying syringes make your legitimate patients uncomfortable? -Do you think addicts are more likely to try to shoplift than other customers? -Do you think addicts are more likely to try to rob you? -Have you ever thought you might get killed at your job because a junkie needs a fix? Do you want to do everything possible to discourage these people from associating you with the satisfaction of their cravings? -Do addicts discard used needles in your parking lot? -Has an innocent child ever received a needle stick because some dirt ball didn't care where he discarded his used paraphernalia? -Do you think society and the addicts themselves would be better off if they spent their time in more productive pursuits? -Has an addict ever gotten into an argument with you when you said you would not sell to them? -Do you waste your time attempting to scare the person off by asking them lots of questions or otherwise making them uncomfortable? -What's the best story someone ever gave you? -Do you lose sleep at night thinking some stupid fool might die of HIV or Hep because he made poor choices? *-----------------------------------* *For those of you who work in a state that DOES require a prescription to sell syringes: *-----------------------------------* Do you know a pharmacist dumb enough to sell syringes to addicts, and thereby jeopardize his license (which took YEARS OF HARD WORK to obtain) so some lazy pos can get a cheap thrill? -Do you give much thought to not being able to provide clean syringes to injection drug users, as you strain to hold your bladder a little longer to get caught up, as your sandwich goes untouched because you're too busy, as your boss tells you you should be able to do more work with less help? *-----------------------------------* *For everyone who works in a pharmacy: *-----------------------------------* -Has your exposure to the best drugs money can buy made you more conservative in your attitudes about recreational drug use? -Are addicts fun wonderful customers that you want to spend lots of time with, or are they more likely the detritus of society? -Do you think anyone who uses injectable drugs needs a new hobby? ---------------------------------------------- Thanks in advance for anyone kind enough to respond. > >I guess the same questions could have been asked 30 years or so ago about > >selling ETH&C, Robituss-AC, Novahistine-DH, & Paregoric. [quoted text clipped - 5 lines] > > Bob G. Older, I'll bet. HankG > Does anyone seriously consider responding (with answers) to this? If this > person is serious, he needs to be up front, i.e., state who he is and why he [quoted text clipped - 4 lines] > > HankG Why wouldn't someone answer these questions? I didn't feel the need to state why I was seeking the information because the reason is rather boring- simple personal curiosity. No one is under any obligation to answer any of the questions that make them uncomfortable. I was talking with some people who use drugs and got mixed reactions on their experiences in trying to buy syringes (all of whom live in a state where a prescription is not required.) I thought it would be interesting to get some opinions from 'the other side of the counter.' How about not responding unless YOU DO have answers...? > > Does anyone seriously consider responding (with answers) to this? If this > > person is serious, he needs to be up front, i.e., state who he is and why he [quoted text clipped - 14 lines] > interesting to get some opinions from 'the other side of the counter.' > How about not responding unless YOU DO have answers...? If they use drugs, and I assume you are talking about legally prescribed drugs, the prescriber would know whether or not an Rx for syringes would be required in your/their state. Also, if as you say an Rx is not required, the pharmacist would not have any qualms about selling them syringes. Your questions seem a little beyond simple curiousity, not unlike occasional posts that attempt to gain information on how to get around controlled substance regulations. HankG I work in a "graveyard" shift in a "bad" neighborhood in an urban setting...even though I work for a large chain, I don't sell syringes late at night...the only circumstance that I will if I can: find a RX for insulin in their profile or they can bring back a Rx bottle of insulin with their name on it (and show id in either situation)..that's it...for me anyway... there are needle exchange programs in the city that I practice in...I had one guy who I shot down come back to me and say "what if I want a clean needle"...and I told him to go find a needle exchange program...Jeof...if you want the "411" about your questions try being a little less rude and supply more information. If you want a health care professional to give you free advice, try being nice to a pharmacist...we give out free advice all the time... "Why do you think they call it Dope?"...unknown scholar >> Does anyone seriously consider responding (with answers) to this? If this >> person is serious, he needs to be up front, i.e., state who he is and why he [quoted text clipped - 14 lines] >interesting to get some opinions from 'the other side of the counter.' >How about not responding unless YOU DO have answers...? |
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