1. I’m a community pharmacist. It’s Monday and I’m calling you because on Saturday, Mr. X came to the pharmacy after missing his doses at the counter four days in a row. He said that he hadn’t missed any because he had some of his own, that he had collect
Yes. A pharmacist should not provide buprenorphine after three missed doses even if the patient says he took his own medication. The same applies to methadone. It’s important to refer the patient to his health care team, which will have to reassess the patient before restarting the prescription. The dose will be lower, to be safe. The team will also look into the matter of the hoarded doses doses.
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1. I’m a community pharmacist. It’s Monday and I’m calling you because on Saturday, Mr. X came to the pharmacy after missing his doses at the counter four days in a row. He said that he hadn’t missed any because he had some of his own, that he had collected over time. Mr. X is currently on buprenorphine 16 mg. I decided not to give him any, without being able to confirm with you if this was the right decision because your services are closed on the weekend. Did I make the right decision?