Susan's Place Transgender Resources

Community Conversation => Transgender talk => Topic started by: annaleaver on June 21, 2018, 09:24:08 am

Title: Pharmacist reduce dose of HRT
Post by: annaleaver on June 21, 2018, 09:24:08 am
Hi,

Has anybody experienced their medication dose of Evorel being reduced without proper/full consent from the patient?

It occurred to me recently.

anastasia
Title: Re: Pharmacist reduce dose of HRT
Post by: Alaskan Danielle on June 21, 2018, 09:47:09 am
Hi,

Has anybody experienced their medication dose of Evorel being reduced without proper/full consent from the patient?

It occurred to me recently.

anastasia
@anastasialea
Hmmm... the rule that I understand is that only your doctor(s) can adjust your dosages of prescribed medications....  the pharmacist can't change the doctor's orders.
Danielle
Title: Re: Pharmacist reduce dose of HRT
Post by: pamelatransuk on June 22, 2018, 03:43:24 am
No, I havn't but I noticed last month the Evorel being amended to Estraderm which same dosage/strength but I understand this is just an amendment from particular brand to similar but this month I asked my GP to revert to Evorel which he happily did.

Pamela
Title: Re: Pharmacist reduce dose of HRT
Post by: Dani on June 23, 2018, 05:59:59 am
Hi,

Has anybody experienced their medication dose of Evorel being reduced without proper/full consent from the patient?

It occurred to me recently.

anastasia

What are the specific details, please?

Was your previous dose not available? Is this a generic substitution? Is there a possibility of a dispensing error?

Pharmacists do, as part of their job requirements, evaluate the possibility of prescription errors. If a possible error is noticed, then the Pharmacist must ask the prescribing doctor to verify the dose or adjust it to a recommended dose. This may be done verbally between the Pharmacist and the prescriber and the patient never know about it.

In the US, Pharmacists are not allowed to change a drug dose on their own, unless there are written protocols between a specific doctor and pharmacist. This usually happens in a hospital or clinic setting where doctors and pharmacists work together.

In my working life as a Pharmacist, I routinely monitored every order for a select group of very troublesome drugs where the dose was critical due to bad side effects and the need to get the dose high enough to be effective. The protocols I worked under mandated a consultation with the prescriber before any changes were made.
Title: Re: Pharmacist reduce dose of HRT
Post by: annaleaver on June 23, 2018, 08:58:51 am
Evorel reduced by 25%, though the doctor re-prescribed at my most recent visit. I don't think it's an issue anymore.

anastasia