Prescribed medications by doctor not reccommended by manufacturer

[ecmst12]

Yes, mom's doctor who is familiar with HER symptoms and HER history specifically knows more about what is best for her and her baby then some anonymous drug company.

 

[justalayman]

i have my own theory.....but ewww!

I was not inferring anything other than it took a guy to figure it out and even with that I am not inferring women are inferior, just not as smart as guys.




just kidding. Even if I did believe that, saying it with seriousness would simply prove it to not be true so I would never actually say it, regardless what I am actually thinking. I'm smarter than that.

 

[justalayman]

Yes, mom's doctor who is familiar with HER symptoms and HER history specifically knows more about what is best for her and her baby then some anonymous drug company.

I'll accept that but when you are speaking of contraindicative use, you must consult the manufacturers releases. That is how the doctor is going to determine if the risks (what risks? Oh, the risks the manufacturer published) are worth the benefits.

 

[ecmst12]

The doctor was aware of the risk and chose to prescribe anyway. Who are you to second guess him? Again, if the PATIENT had questions about the prescription, she should ask her DOCTOR.

 

[justalayman]

The doctor was aware of the risk and chose to prescribe anyway. Who are you to second guess him? Again, if the PATIENT had questions about the prescription, she should ask her DOCTOR.

and you never met a doctor that made a mistake? Who am I to second guess him? I'm not. I never said his scrip was wrong. I said the necessary prescribing and contra-indications are provided by the manufacturer, not the doctor.

I was simply disputing this post of yours:

Her doctor knows more then the drug company. If her doctor thought it was ok for her to take, then that is the advice she should go on. If she has questions, they should be directed to the DOCTOR.

and stand by that. The drug company is going to know more about when and why their medication should not be given to a patient. The doctor knows what he knows because of what the manuf. has published. He weighs the decision, of course, but he is basing it on info obtained from the manufacturer.

and I never disagreed that she should not be consulting her doctor and yes, I have met doctors that have made mistakes before and prescribed meds or doses they should not have. They are only human.


anyway, I provided a sure fire solution long ago and the doctor should have suggested it. That is where the doctor did make a mistake. Since the actions on an 11 month old child are not fully known or understood, the solution was to cease breast feeding for the duration of the treatment plus enough time for the meds to clear from the mother.

 

[lealea1005]

anyway, I provided a sure fire solution long ago and the doctor should have suggested it. That is where the doctor did make a mistake. Since the actions on an 11 month old child are not fully known or understood, the solution was to cease breast feeding for the duration of the treatment plus enough time for the meds to clear from the mother.

Except, it would seem from OP's posting, that she did not question the Doctor about taking the med while breastfeeding. Maybe she was sick as a dog and just wanted to feel better and wasn't thinking clearly enough to ask...who knows?

On the other hand, the Doc (probably thinking he's got a good working relationship with this patient...imagine such a thing!!!) doesn't have a crystal ball and cannot read minds. How could he know she had questions if she didn't ask? AND...it would seem from the first post she DID NOT have questions until she read the insert from the pharmacy. She should have immediately picked up her phone and called the office for confirmation.

Waaayyy back in post # 8 I said:

H/she is the one examining the patient and making the decision of whether the benefits outweigh any risk.

All the site states is that you should talk to your Doctor if your are pregnant or breastfeeding before taking Tamiflu. No different than the disclaimer to speak to your Physician if you are taking other medications before taking Tamiflu.

Even if you are a...*gulp*...guy, the suggestion that she stop breastfeeding while taking the Tamiflu is a good one.

One last thing to OP....once a medication leaves the pharmacy, even if it has not been opened, they are not permitted to take it back to restock.

 

[justalayman]

=lealea1005;2414539]Except, it would seem from OP's posting, that she did not question the Doctor about taking the med while breastfeeding. Maybe she was sick as a dog and just wanted to feel better and wasn't thinking clearly enough to ask...who knows?

and that is the doctor, being the trained and (ahem) informed person he is, should have said "hey, this medication is not recommended for children under 1 and even then, it has many precautions. Are you breastfeeding, by chance? (a question he surely should have already known the answer to since, as ecmst12 stated, this is his patient and he knows his patients). You should stop breastfeeding while you are being treated"

But NNNNNOOOOOOO!!!!! everybody wants to put this on the patient but a patient is a layman and is not expected to know all about the meds they are being given. Heck until about 30 years ago, it was deemed inappropriate to even question your doctor (God complex thing).

It is the doctors responsibility to diagnose, prescribe, explain, and seek to answer any questions the patient may have. It's just that simple.

On the other hand, the Doc (probably thinking he's got a good working relationship with this patient...imagine such a thing!!!) doesn't have a crystal ball and cannot read minds

. but he can read prescibing literature and should have known there was a caution regarding children with that med.

How could he know she had questions if she didn't ask?

HE is the trained professional. He is the one supposedly with the knowledge to prescribe. He is the one that is supposed to be nearly a psychic and anticipate questions, especially when the patient is known to have a very young child.

AND...it would seem from the first post she DID NOT have questions until she read the insert from the pharmacy.

Right. She was trying to be an informed consumer and trying to make sure her doctor told her everything she needed to know. I guess it is a good thing she can read.

She should have immediately picked up her phone and called the office for confirmation.

absolutely

All the site states is that you should talk to your Doctor if your are pregnant or breastfeeding before taking Tamiflu. No different than the disclaimer to speak to your Physician if you are taking other medications before taking Tamiflu.

the info also says that rats have shown to have reactions to Tamiflu at that age and there have been no human studies to rely on so, based on all the info known, caution should be used when prescribing in this situation. That is where the doc should have explained to his patient of the warning and his belief that it would be fine in this situation.

Even if you are a...*gulp*...guy, the suggestion that she stop breastfeeding while taking the Tamiflu is a good one.

One last thing to OP....once a medication leaves the pharmacy, even if it has not been opened, they are not permitted to take it back to restock

It's not like somebody is going to try and poison it or anything. Oh wait, somebody did do that.

nevermind.