Woman came in at the end of a shift to drop off a Methadone Rx for her mother. Her mother has been a patient of ours for decades, so we knew her quite well. She had been in a nursing home the past three months and had only recently been released. What I recieved the Rx I noticed right away that something was wrong. It was written as:
Methadone 10mg, 1tQID
With our Methadone patients I take a special note as to what they usually get and I immediately recognized that this was an increase. Previously she had been on:
Methadone 5mg, 1tTID
So I ask the patient's daughter if there had been a dose increase. She stated that there wasn't, the doc refilled it with the same directions as before. I decided to give the doc a call to see what was up. And do you know what she told me?
She couldn't remember what she was on so she just guessed.
Fucking guessed. On Methadone.
Never mind the fact it would take literally two minutes to check past records, this doc simply decided to take a shot at what it was previously.
How Methadone is legal in this country I have no idea. It is probably the most dangerous prescription medication on the market. The last few years, docs are handing this shit out like candy. We have several patients that are on 600+ tablets a month (our current record holder gets #900 a month) and have been on those doses for what seems like ever. Half the time they show up shit faced to pick it up. Brilliant idea, no?
I just do not understand the lax standards when it comes to Methadone lately. The pharmacist and I both told the patient that she may want to consider a new doc after what occured.
At least we'll prevent one dumbass Methadone prescription.