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Prescription writing legal question

Discussion in 'BBS Hangout' started by Xerobull, Apr 19, 2012.

  1. Xerobull

    Xerobull ...and I'm all out of bubblegum
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    My cousin recently graduated as a certified nurse practitioner. This means she can (and does for work) write scripts. I asked her the other day for a z-pack script and she got all nervous and said no....which kind of tweaked me off because I'm her and her husband's free IT support several times a year.

    Is it illegal for her to write me a script for a perfectly legitimate reason?
     
  2. SuperBeeKay

    SuperBeeKay Member

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    You can write for family, it's not even a controlled med, just a Zpack...
     
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  3. trustme

    trustme Member

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    Idk about illegal but I know a few friends who get their dads to call it in to the local pharmacy. Even if it's illegal it can't be too risky.
     
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  4. SuperBeeKay

    SuperBeeKay Member

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    It's legal, you can get audited or maybe ina bit of trouble if you are known for prescribing alot of controlled medications to family members, but something like Z-pack you should be perfectly fine...
     
  5. updawg

    updawg Member

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    She probably didn't want to give it to you because you didn't need an antibiotic

    People use the **** out of antibiotics when they won't help them.

    I know it pisses off some of the docs I know when people ask them for it
    Ask her for some oxy
     
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  6. Xerobull

    Xerobull ...and I'm all out of bubblegum
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    I don't think that was the case. She's pretty forthcoming with medical advice. I think it may be the recent Hippocratic oath or something along those lines.
     
  7. Yonkers

    Yonkers Member

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    I believe she has to work under a MD's license. Since she just graduated maybe she hasn't done that yet? Or is she already working and prescribing?
     
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  8. juicystream

    juicystream Member

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    Have you considered that to her it felt unethical and she did not want to violate her personal code of ethics?
     
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  9. Xerobull

    Xerobull ...and I'm all out of bubblegum
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    She is already working and prescribing.

    Of course I considered it; I don't think that's the case in this scenario.
     
  10. Yonkers

    Yonkers Member

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    If it was a controlled substance then maybe. What else would it violate? Because he's not officially her patient or that he didn't officially visit her in an office setting? He's family. You really going to ask for a co-payment?
     
  11. Yonkers

    Yonkers Member

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    No idea then. My wife is graduating NP this December. And even though two of my bros are doctors it'll be even easier now to get medicine. Woot.
    But not sure why she would hesitate unless she has something against antibiotic abuse, like updawg said.
     
  12. Xerobull

    Xerobull ...and I'm all out of bubblegum
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    May have just been nervous about it. Good to know it's legal.
     
  13. juicystream

    juicystream Member

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    I'd assume because he isn't really her patient. Ethics mean different things to different people. In a case of being recently given responsibility, you are less likely to put yourself at any risk. I would never ask a family member for a prescription without an exam, but that is me.

    It isn't much of an inconvenience, so I wouldn't think that would be her hangup, unless she fears that he, and other family members will regularly request them.

    She may also just be unsure of the consequences.

    I don't even know what a Z-pack is. I never get Rx.
     
  14. IBTL

    IBTL Member

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    when he has to clean child donkey p*rn off her hard drive AGAIN he should ask the same question.
     
  15. bobrek

    bobrek Politics belong in the D & D

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    Personally, I don't fault her at all. I would be hesitant to prescribe anything to someone when I don't know their medical history, unless I have been asked to by their doctor.

    If you want compensation for being their IT guy ask her to take you to dinner.
     
  16. trustme

    trustme Member

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    I'm sure he's taken zithromax before. All she had to do was ask if he's taken it before and had any reactions to it. If not, then prescribing zithromax is as safe as prescribing tylenol.
     
  17. Yonkers

    Yonkers Member

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    Exactly. All she has to do is ask a few questions. It takes 15 minutes at the most if she wants to be thorough in her questioning/examination of him.
     
  18. cdeezballz

    cdeezballz Member

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    Next time they ask for IT support, ask her for a prescription in trade. :)
     
  19. azoghbi

    azoghbi Member

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    1. it's not illegal.

    2. she might not be doing it for several of the aforementioned reasons such as: doesn't think it's indicated or liability. you don't have to have an anaphylactic reaction to a medication to have a complication from it. she can ask you up and down about your medical history but at the same time, if something bad happens from this administration of the medication for whatever reason, she is liable. the percentage chance of that happening is infinitesimal, but if she does not want to take that risk, that's absolutely her call. many, if not most physicians would prescribe the antibiotic if they believe it's indicated and wouldn't worry about that 0.0001% chance of a disaster. the truth of the matter is prescribing an antibiotic unnecessarily IS a problem and creates resistance in the community. one instance of doing so will do no harm, but it is the collective mentality to give out antibiotics like candy that gets a community in trouble.

    3. physicians and NP's face pressure from close friends like this a lot, it's not the same as doling out free IT advice. i'm not saying that you are, but it wouldn't be fair to pressure her as this is obviously her call.
     
  20. moose

    moose Member

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    Just curious to know. Are any of you pharmacists?
     

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