DABMarkNig2019:

how do you want me to believe this when the duration and frequency of administration wasn't indicated? I insist you don't take antibiotics for long without doing labs and being monitored. I believe you visited one of these professionals running patent stores. look at the steriods, no pxcists will give you that for 2 wks straight

I don't want to go further on this, I might be forced to give up on my location and d location of the pharmacist.


So, I give up.

Cityguy:

Hahahaha... At his age?

hehe....age is just a number Mann,and as u can see from his tweet his also advertising his parents hospital

Lisaflex:


I was talking abt what pharmacists do not knw ,cos a pharmacist crossed his lane(4rm wot d op wrote)...If d pharmacist was going 2 offer a drug he considered better dan d one prescribed or asked 4,den he shld hv been able ask d relevant question seeing as d drug he offered d dude is contraindicated in asthmatics.

if you don't know there's what we call polypharmacy and if a particular brand is not available it can be substituted for the available brand. It is not even ethical to prescribe a medication using the brand names, you prescribe using generics. The OP is human and any human can react to drug. that's why your pxcist will tell you that all drugs are poisons, only the dose and your genetic makeup helps especially as regards drug reactions.

theuniqueone:

I am now a quack for insisting on verifying my own prescription. I have never seen an MD claiming to be a pharmacist but most pharmacists surreptitiously claim to doctors. I don't know who the quacks are?

Everybody goes around with steth now . That alone sends the signalmto the layman on the street you def are a doctor. It's used to make statements now in cars and I've even seen lab coats being worn in that market place. The thing strong gaan ni.

Seems the fellow involved finally divulged further info: he walked in and requested for Ciprofloxacin and was educated and offered azithromycin.
A pharmacist is the custodian of drugs and their appropriate use. Pharmacists also by their charge educate patients and promote responsible self medication, health promotion and rational drug use. However, the pharmacist shouldn't have condoned irrational use of an antibiotic given the current drive for antibiotic stewardship to reduce antimicrobial resistance.
A cursory look through appropriate clinical resource (central library of medicine- pubmed) however indicates that in asthmatic patients, Azithromycin use leads to lower primary end points i.e. reduces symptoms and exacebations. The best course of action would have been to discuss this with @Demilader's physician and seek an agreement to pursue this course. Barring an idiosyncratic reaction, the drug should actually have made @Demilader feel better. Pharmacists are able to provide generic substitutions for patients without recourse to the prescriber but are always required to discuss therapeutic substitutions with the physician (in practice settings where prescriptive authority exists for pharmacist prescribers, a short term intervention can be taken without consulting the physician but must be documented for review within a stipulated time).
I do hope @Demilader lives well and heartily, and wish we would all just look at the facts and make progress. This incident should ordinarily have been documented and a proper clinical and regulatory review done.

InyinyaAgbaOku:

Doctors study about drugs, in ways that you cant imagine. They have the primary ownership ofthe patient and as such study the pathological, investigative,/laboratory and pharmacological /non pharmacogical aspect of the patient.
A doc is expected toknow so much.
What is hard about side effects?
They read it up

jargons

DABMarkNig2019:

if you don't know there's what we call polypharmacy and if a particular brand is not available it can be substituted for the available brand. It is not even ethical to prescribe a medication using the brand names, you prescribe using generics. The OP is human and any human can react to drug. that's why your pxcist will tell you that all drugs are poisons, only the dose and your genetic makeup helps especially as regards drug reactions.

He can offer anoda brand quite alright and anyone can adversely react 2 any drug ,bt in ds case d drug in question (d particular drug he offered) had a known contraindication wc I expect him 2 knw as a pharmacist,buh he didn't do d needful by asking a question shld hv askd b4 giving d dude d drug...If u cm 4rm d angle dt he is jes human n is prone 2 mistks(maybe he forgot 2 ask d pertinent question),its understandable...Wot i don't agree wt, is trying 2 shift blames (eg "its not his fault,d dude shld hv told him he had asthma,bla bla bla..." )

Okesilas15:
Your knowledge of hospital set up seems to be very limited if you have any.Nobody calls the attention of the doctors to prescription other than pharmacists.They question and validate prescription before dispensing.Nurses call the attention of doctors to prescription errors out of their initiatives not out of responsibility.It is exclusively the responsibility of a pharmacist.That is the reasons why doctors love nurses than pharmacists in the hospital.

Lol. This is not about who has 'exclusive' duty of calling doctors attention or 'correcting' the doc as some will prefer . Anybody and I say ANYBODY including the clients themselves can do that!! A nurse called the attention of a very senior resident to make clarifications about a patient's prescription last Friday and I heard when the doc thanked her. What's this alien sense of entitlement about? This is strange to our culture of medical care.

Period007:

hehe....age is just a number Mann,and as u can see from his tweet his also advertising his parents hospital

Toor. Lol

UNLTD51:
Seems the fellow involved finally divulged further info: he walked in and requested for Ciprofloxacin and was educated and offered azithromycin.
A pharmacist is the custodian of drugs and their appropriate use. Pharmacists also by their charge educate patients and promote responsible self medication, health promotion and rational drug use. However, the pharmacist shouldn't have condoned irrational use of an antibiotic given the current drive for antibiotic stewardship to reduce antimicrobial resistance.
A cursory look through appropriate clinical resource (central library of medicine- pubmed) however indicates that in asthmatic patients, Azithromycin use leads to lower primary end points i.e. reduces symptoms and exacebations. The best course of action would have been to discuss this with @Demilader's physician and seek an agreement to pursue this course. Barring an idiosyncratic reaction, the drug should actually have made @Demilader feel better. Pharmacists are able to provide generic substitutions for patients without recourse to the prescriber but are always required to discuss therapeutic substitutions with the physician (in practice settings where prescriptive authority exists for pharmacist prescribers, a short term intervention can be taken without consulting the physician but must be documented for review within a stipulated time).
I do hope @Demilader lives well and heartily, and wish we would all just look at the facts and make progress. This incident should ordinarily have been documented and a proper clinical and regulatory review done.

this dude is one stubborn he goat his parent should have told him that anyone can react to drugs. from his writing it's possible the dude is a doctor who is frustrated and has something against pxcists. just like I said earlier, you will still need a pharmacist today, tomorrow and till death do you part from this world. even in the mog you'll still need pharmaceuticals.

LisaFlex go to bed

Cityguy:
Toor. Lol

ur still a baby no wonder

thorpido:
There was nothing wrong with what the pharmacist did.If there is no particular drug,the pharmacist can give alternatives.It's what they are trained to do.
The problem was not taking history and the victim here not volunteering such information.

And did the post say the drug the patient asked for wasn't available?

Period007:

ur still a baby no wonder

Lol. That is more daft than I thought

princey83:

Pharmacists are actually the professionals that advise doctors on the side effects of drugs. Pharmacist spent years learning about interactions of drugs with patient not doctors.

In the US, the FDA which oversees all new drug applications, depends on clinical trials conducted by the "drug companies" to determine the drug’s therapeutic advantages and disadvantages.

Maybe things work differently in Nigeria. You can google the articules below.

Just had to comment, couldn't stomach it anymore! what you have up there is grossly inaccurate. Where in this world is there a doctor that knows nothing about the drug he is giving his patients? gosh! if u want to be bias pls go right ahead but those screen shots are untrue. it's even illogical.

AdoraAmadi:
Demilader pictured below nearly lost his life today after a pharmacist didn't give him a drug he came to his shop to buy and instead, asked him to buy the 'better' one he prescribed.


Read Demi's story below.

http://www.lailasblog.com/2016/07/you-are-not-doctors-nigerian-man-who.html

lalasticlala

/
It is normal to have adverse reactions to medications.

This guy is making unnecessary noise.

If you read the side effects of some medications (some worse than the original ailment) sometimes you will be forced to avoid taking any medications.

Everyone reacts differently to medications. He is being ignorant.
/

Ayoswit:
some pharmacists are damn gud, i cant remember d last time i went to d hospital nor my family cos i have pharmacists who knows d right drug to give for a particular ailment, he was just unfortunate to meet a quack.

My dear you are ignorant.

There are idiosyncratic reactions to drugs. Sometimes people react unusually to drugs and it is not the doctors' or the pharmacist's fault.

The Azithromycin that was given to the guy was not supposed to cause status asthmaticus (in fact, it was supposed to prevent it according to some research).
It could be that the asthma attack just coincided with the time he started the medication and he is now putting the blame on the drug (and the pharmacist)
Certain things can trigger acute asthma so we need to know all the circumstances surrounding the attack that he had.

I am prepared for this kinda insult. You don't need to tell me I am not a doctor. I already know!!

Okesilas15:
Your knowledge of hospital set up seems to be very limited if you have any.Nobody calls the attention of the doctors to prescription other than pharmacists.They question and validate prescription before dispensing.Nurses call the attention of doctors to prescription errors out of their initiatives not out of responsibility.It is exclusively the responsibility of a pharmacist.That is the reasons why doctors love nurses than pharmacists in the hospital.

LWKMD4H. Ooooooo .

DABMarkNig2019:

I challenge you to call the name of the teaching hospital whee you practice. It's now about you comparing nurses to pharmacists. have you ever heard about pharmaceutical care? that's the in thing in the world and Nigeria is not being left behind not to talk about the unit dose systems of dispensing. stop being stupid be you a doctor or a nurse. so a nurse knows more about drugs and can identify medication errors and potential dangerous medication interaction better than the pharmacist?
I will never fill a prescription I noticed any form of error and I don't call the nurses attention. lf i noticed a problem on a prescription, I alert the GP and if he insist i fill such, I don't cos I can be sued for negligence by my patient. stop misinforming the public. you are probably scared about the knowledge the pharmacists has.
i pity your generation of professionals.

I'm aware those who are educated in character and learning present their arguments with decorum rather than validating their foolishness in the public by resorting to abuses and insults.
I'm equally aware that the best prescription for oral diarrhea is silence.

princey83:

Pharms do not change prescription anywhere in the world, but they act as safety net when doctors make wrong prescriptions by calling the attention of the doctor/clinic to errors.

I agree with you, 100%.

thorpido:
You can ask for relevant info before dispensing drugs.

You're right, especially when the pharmacist is in doubt of the accuracy of such prescription.

Ayoswit:
some pharmacists are damn gud, i cant remember d last time i went to d hospital nor my family cos i have pharmacists who knows d right drug to give for a particular ailment, he was just unfortunate to meet a quack.

No doubt, pharmacists are good... what if he prescribes d right drug for a particular ailment, buh contraindicated cos of a co morbidity the patient has Doctors do extensive studies as to this regard because it can send a man who is hale and hearty, to his seemingly early grave. Thank you!!!

DABMarkNig2019:
Get out of here! Are you saying there's no collaborative practice between your pharmacist and your doctor? pharmacists produce the drug your doctor prescribe for you so don't react as if they no nothing. who knows maybe you visited a patent medicine dealer. pharmacists know lots about medications than your doctors. No pharmacist will ever give you a drug you'll adversely to because they know so well about drug reactions.
Before you take any drug make sure you talk to the pharmacist. They are the best resource you can ever get on drugs.

This should not turn to pharmacists vs others bashing thread though!

hypocrite... Am just curious, what does the statement "pharmacists know lots about medications than your doctors" depicts, if not the bashing your were advocating against mtchewwww

The information given by this patient is vague. No name of drugs initially prescribed and eventually given... No information about the Pharmacy premises etc... How do you expect us to assess and believe all these craps. Pharmacists are trained experts in drugs and you can't take that away from them. There are countless occasions where they have positively helped correct or modify Doctor's prescription that has helped the patient. Why bring this kind of post to defame a profession?

Lisaflex:


I was talking abt what pharmacists do not knw ,cos a pharmacist crossed his lane(4rm wot d op wrote)...If d pharmacist was going 2 offer a drug he considered better dan d one prescribed or asked 4,den he shld hv been able ask d relevant question seeing as d drug he offered d dude is contraindicated in asthmatics.

And you know the Pharmacist did not ask relevant questions because you were there? Besides, how did you know that the drug was contraindicated in asthmatics, when the OP did not mention the name of the drug? Have you heard of idiosyncrasy? This might be one of such cases o.

thorpido:
There was nothing wrong with what the pharmacist did.If there is no particular drug,the pharmacist can give alternatives.It's what they are trained to do.
The problem was not taking history and the victim here not volunteering such information.

And wat happened to directing the man to check another pharmacy? paracetamol and ibuprofen are not always alternatives to each other, as the patient may have peptic ulcer which rules out ibuprofen. u dont give alternatives wen u dont have patient medical/drug history.This is just greed

Ayoswit:
some pharmacists are damn gud, i cant remember d last time i went to d hospital nor my family cos i have pharmacists who knows d right drug to give for a particular ailment, he was just unfortunate to meet a quack.

and u are proud to say this? pls u shud b ashamed. wen u get appenticitis also let that pharmacist do appendicectomy on u. Its only in africa that pharmacist who know zero about making diagnosis treats patients. SAD!

DABMarkNig2019:

what do you know about drug interactions? when we talk about drug interactions, you should know we have different types Viz; drug-drug interaction, drug-food, and drug- organ interactions and drud-disease interaction. there's this course called ethical dispensing in pharmacy school and screening for drug interactions is one of the components of the course, there's no such thing in medical school so stop saying what you know nothing about. even the pharmacology and toxicology they do is taken in pharmacy faculty by pharmacist. The pharmacists knows everything about medications more than any health personnel and real doctors know that but not the ones flaunting ignorance on nairaland.

Pharmacology covers thesethigs and the knowledge is on the net as well.
Doctors are aware of them.
Pharmacists only know about the chemical structure and drawings more

onlykas:
The information given by this patient is vague. No name of drugs initially prescribed and eventually given... No information about the Pharmacy premises etc... How do you expect us to assess and believe all these craps. Pharmacists are trained experts in drugs and you can't take that away from them. There are countless occasions where they have positively helped correct or modify Doctor's prescription that has helped the patient. Why bring this kind of post to defame a profession?

Are u saying they shud rather cover up such unethical practice by some pharmacists who dont know their boundaries? patient management is never the duty of a pharmacist, they only dispatch drugs prescribed by a doctor and according to the prescription only. Any modification is fraud