As you said, there are some bad apples in every profession.  This includes
physicians as well, whose professional purpose is to serve patients and
pharmacists by providing written authorization for pharmaceuticals and
devices.  Once that's done, nurses and pharmacists can actually help the
patient.  For whatever reason, there are more than a few physicians who
display arrogance towards other health care providers as well as their
patients.  This seems counter to the purpose of their job, yet examples
abound.

Maybe you should just chalk it up to the other guy having a bad day, rather
than broadening it into some sweeping charge against a profession.  Maybe
the guy's just a jerk.  Maybe the patient said "But my doctor told me to do
that", and he figured you for a nitwit.  There are lots of maybes, but I'll
certainly defer to your considerable wisdom, experience, and knowledge,
Doctor, for I exist only to serve you.

this from a doctor who admits to treating HIS own  headaches with 200
injections of said drug in 6 weeks.

how is YOUR rebound??

intro

BTW pharmacists are not out "to serve you"....

Matt & Everyone Else,
Sounds like, Mierda-el-Torro.  I am not a physician. However, I have been a
sufferer of migraines since late 99 early 2000.  But, here in the eastern
US, the only restriction I encountered before I had to stop taking Imitrex
(pills and injection) was that my insurance at the time, didn't want to
purchase more than 9 a month-shots that is.  I had the option, of taking a
form to my neurologist from the insurance company each month and get him to
fill it out and then he could request me having more than 9 per month.

I have done much research online using a meta-search tool to educate myself
about migraines, using Copernic from www.Copernic.Com.  My migraines are
very bad now.  I sometimes have Basilar Artery Migraines.  I do not work now
because of their frequency and duration.  I am now on oxygen for my
headaches, which really helps.  Many things I have researched.  HOWEVER, I
have never heard of, "Facts & Comparisons," up to this point.  BUT, it seems
to me that it would be the FDA to put such a restriction on any certain
drug.  Of course, I will research Facts & Comparisons after I've sent this,
but is it in any way affiliated with the FDA?  If not, it seems like this
pharmacist that you mentioned could be giving some bad advice here.

IF, he's given the wrong advice here and the FDA has no problem with us
migraine sufferers taking Imitrex more than 4 times in a month, it is in my
mind a very likely possibility that this pharmacist is giving opinions and
not facts.  I would hate to see anyone die over bad advice.  I really hate
the attitude of people when they think they know everything.  I often say, I
don't know.  Even my neurologist, when I asked him why my hands and feet go
numb with the bad migraines; his reply was, " I don't know - let's do some
tests."  I don't know, is much prefered to bullshit or mierda-el-torro if ya
speak spanish.

Now, the first thing I thought was when I read what you wrote what is the
difference of taking one triptan vs. the others like Maxalt, Axert, or
Almotriptan? (maybe misspelled)?  With all the triptans that I have taken,
the only constant is seems to me is that, " Your not supposed to take more
than 2 in a 24 hour period!"  Having said that, this reason alone is in my
mind why the pharmacists actions was puzzling and motivated you to post your
message? Please do tell.

Just so that you know,  when I was taking Imitrex, I had 9 shots a month
plus ( 18 ) 50mg pills.  I used different pharmacies, depending on where I
was, I was working then and sometimes had to travel.  None of these
pharmacies ever said anything like what you have written.

I would really like you to respond to my email.  As I am always trying to
learn more than I already know.
Thanks,
R.Byrd

I'll just make a general comment. My experience is that people
don't enter the profession because of their outstanding
communication skills =) I've felt for years that pharmacy
schools underrate the value of good verbal communications.

Could be true with the medical arts, as well.

mjs