Shoreline

Hey Rec, A nurse passing out compounded class 11 meds , compounded for another patient has got to break all kinds of DEA laws. Personally I wouldn't put anything into my body without knowing exactly what it was and the concentration.

This link explains the pitfalls of compounding meds or duplicating meds already in existance. It also goes over regulations for labeling and dispensing medication. All kinds of laws and regs were trampled when the nurse gave you that pop. It really is kind of scarry. The dose difference between MSIR and the weakest Aqtiq pop is about 6 fold. I wonder what ensured the nurse that you were tolerant enough to give a sample of Actiq too or whatever happened to be in that compounded pop. Did she write the compounding instructions to know you were not allergic to any of the components useed?. If it was actiq, the stick is labeled with Cephelons trade name and the pops strength, the wrapper is labeled, the container is labeled etc.

A compounded pop, is designed for a specific person with specific tolerance, not to be dispensed to all that may possibly benefit. Sounds like these may have been compounded for someone else and returned to the DR for some reason. The patient that the pop was compounded for ceratinly has different needs and different tolerance and medication exposure than yourself.

It could have been anything and I wouldn't be comfortable just trying something because a nurse gave it to me without the docs knowledge.

If it has oxycodone in it, it's a class 2 med regardless if it's compounded or a brand product.How many mgs of Oxy and ativan did it contain? The new manufacturer of the Actiq pops is cephelon , she has overstepped her her own abilities to dispense medication even if she was a NP. They still operate under the strict supervision of a DR with a valid DEA #.

Dispensing a med compounded for another individual is no diferent than you sharing your meds with your wife. She had no right to do this, she couldn't even explain what it was so how would she know that the meds in that pop wouldn't have a serrious adverse reaction to your meds or to a patient with your unique tolerance.

As far as I know there are no other Comercially made pop formulations but like I said a compounding pharmacy could make any sort of pop they wanted.

This is an interesting link that warns a pharamcy about compounding Fentanyl pops for individual patients and explains all the laws the pharmacist is breaking by doing so. First and foremost. Actiq is FDA aproved for cancer patients only. Yes meds are used for off label purposes but who knows what was in that pop. I think I would talk to the doc about that pop. A NP's behavior while practicing under a PM docs licence can get the doc in trouble just as quickly as a patient selling the meds the doc prescribes.
[url]http://www.fda.gov/foi/warning_letters/g4057d.htm[/url]
Good luck, Shore