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Old 11-20-2010, 07:16 AM   #1
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Drug Database: going national??

I've been following up on information about the drug database. I recently heard (correct me if I'm wrong) there are 39 states now using this. From what I understand, this allows pharmacist to keep track of who fills schedule II meds or any narcotic, anywhere in the state. I don't think it crosses over from one state to the other. For example; if you fill at pharmacy "A" in one town and go to pharmacy "B" in another area, the pharmacist will be alerted to your filling habits. Does anyone know how to find out what states are involved? My only concern with this is: If you have multiple problems or need to have surgery, your going to have an over-lapping of treatment at times. I know your chronic pain physician should be in charge of: your pain meds., but what happens if your under a doctor's care and need to have surgery? Doesn't this "trump" your pain doctor?

 
Old 11-20-2010, 08:34 AM   #2
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Re: Drug Database: going national??

It depends on your PM doctor. If you are having surgery, you must notify your PM doctor and s/he can either:

--agree to prescribe sufficient post-surgical medications
--consult with the surgeon, telling him/her what to prescribe after surgery

Either way, both doctors need to know about everything. Your surgeon must know that you are in pain management, and your PM doctor and primary doctor must know that you are having surgery.

Also, it's a good idea to document all of the communication that you have with all of the doctors.

Also, you mentioned having multiple problems. Regardless of your health problems, your PM doctor should really be the only one prescribing narcotics and all specialists should know that you're in pain management.

Finally, some PM doctors actually tell the patient's primary doctor what medications they recommend, which means that some people have their primary doctor prescribing pain medications.

It gets confusing!

 
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Old 11-20-2010, 01:56 PM   #3
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Re: Drug Database: going national??

If in any duube, a note to the pharmacist detailing the reasons for the extra script should sort out any hastles (Dear Pharmacist, I am aware that Ms X is in pain management and recievex Oxycontin 80mg bid, however, she has just had an impacted molar removed, and i have decided to prescribe Percacet 10/500 q4h for 3 days to cover the immidiate post surgical period)
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The desire to take medicines is what seperates man from the lower animals - William Ostler

Multiple anecdotes do not equal evidence - Me

 
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Old 12-01-2010, 02:38 PM   #4
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Re: Drug Database: going national??

Thanks for the info. guys! I especially love the quote at the end of your post! That's about it --in a nutshell!! hahah

 
Old 01-22-2011, 06:33 AM   #5
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Re: Drug Database: going national??

I like the one I first heard on Mark Crislip's quackcast:
The pural of "anecdote" is not "data"
:-)

 
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