Doctors made run on prescribing themselves HCL before the state stepped in

5,777 Views | 39 Replies | Last: 5 yr ago by Bocephus
P.U.T.U
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The state had to step in since doctors were writings prescriptions for hundreds of pills of HCQ for themselves and family. Add that to a reason why we have a shortage...
TAMUallen
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What's the problem? Doctors certainly need to be treated ASAP

I mean yea that's sucky but there's a benefit to it as well.
goodAg80
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If true they should lose their licenses.
RXAggie02
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It was stopped quickly! My pharmacy did not approve any of those prescribed like that unless the patient had pre-existing need for it.
HouAggie2007
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They aren't sick
Fenrir
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Hoarding a treatment that does nothing for you until you get sick sounds like a great way to ensure other high risk people (including other medical professionals) that actually have the illness may not get the treatment.
RXAggie02
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Fenrir said:

Hoarding a treatment that does nothing for you until you get sick sounds like a great way to ensure other high risk people (including other medical professionals) that actually have the illness may not get the treatment.
Exactly!
vettmaster99
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Had several rxs come through for #270 tablets of HCQ 200mg PO TID...even had one Doctor that made his staff call in one script for himself. That type of prescribing behavior is appalling. Thank god for those Pharmacists that talk to each other about the situation and made their own professional judgments before the media and government stepped in!
chris1515
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I hope the state of Texas can and will review all prescriptions for these drugs during this period.

I'm not sure what they can do, but I'd at least publicize some of the doctors that are abusing this.
RCR06
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Calling in a small amount pills for yourself or someone in your family is one thing. Calling in 100's is another. If and when someone needs it, it should be available not just for people that can write prescriptions.
nortex97
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Politicians, Somalis, and Doctors are the three classes of individuals I trust less than lawyers. No particular order.
bay fan
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S
I don't begrudge them that.
JW
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Hundreds of thousands of people with prescription authority in the US. No doubt a few them are complete scum bags and make a good story.
swc93
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I don't deal with that many Somali's so I would put auto mechanics in my list.
Badace52
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I had a colleague offer to write me a script for hydroxychloroquine when they discovered I was exposed to a confirmed Covid-19 patient but I refused. I told them am not showing any symptoms, and I felt it was unneccessary and should be reserved for those who could potentially benefit more. Additionally, I have probably been exposed to far more than the one confirmed case of Covid and so have all the people who work in my ER with me.

I felt it was unethical, but there are a lot of docs out there who are really scared right now and they do have a right to be. Healthcare workers have been shown to get much sicker and die at a higher rate than their age cohorts. I would not do it, but I will say I had to think about it for a minute. No one is perfect, and scared people make bad decisions.

Additionally, the data regarding efficacy of Hydroxycholoroquine use is suspect at best right now. We may be getting riled up over a drug that turns out in the long run to have marginal or no benefit at all.
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ttuhscaggie
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Hope you can find a good midwife to treat you in case you get covid pneumonia. There are doctors And other healthcare providers who are putting themselves and the health of their families at risk in order to combat this pandemic. Thanks for keeping them in your prayers
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P.U.T.U
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Writing scripts for 100+ pills for yourself is BS and you should lose their license. Enough to cover yourself, yes. Enough for 50 people that you know that percentage wise will never have any serious issues breaks the oath of your profession. I know of several people that paid the doctor cash for pills and got them. Reported all that I could but doubt anything will happen to the doctors. So the doctors friend gets the pills right now but the person that needs them in the ICU gets them a day too late. POS
P.U.T.U
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Last I have read 100-270 200mg pills will kill you many times over...
Old Sarge
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Doctors treating and diagnosing this ought to have enough for themselves and their immediate family. They are the most exposed, and in turn their families. Which, if they get it and infect their families, could infect more, being new launch points.
adairtexas
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Sorry but hcl can be prescribed without any malarial disease. As long as a doctor prescribes it you are good to go.
vettmaster99
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adairtexas said:

Sorry but hcl can be prescribed without any malarial disease. As long as a doctor prescribes it you are good to go.


Any doctor prescribing you Hydrochloric Acid needs to not be practicing medicine.
Sandman98
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Doctors are humans which means they're going to suck in as many ways as the rest of us. Part of the journey.
Not a Bot
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adairtexas said:

Sorry but hcl can be prescribed without any malarial disease. As long as a doctor prescribes it you are good to go.


Hydroxychloroquine is not prescribed for malaria. It is prescribed for people who have life-altering autoimmune diseases such as lupus. People who have been on it for a long time cannot suddenly stop taking it without risk of having very serious complications. they need to be able to be on this medication.

Prescribing this relatively rare drug prophylactically and without direct evidence of disease is irresponsible.
nortex97
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Really?

74OA
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If front-line docs are sold on it, why isn't the FDA? Doc Reveille is, see page 29 of his post up top.

Without FDA approval, no company will ramp up production to meet the huge need and shortages will persist.

Is perfection the enemy of good enough during a national emergency?
TXAggie2011
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Quote:

Doctors treating and diagnosing this ought to have enough for themselves and their immediate family. They are the most exposed, and in turn their families. Which, if they get it and infect their families, could infect more, being new launch points.

I get that.
Folks who actually need effective treatment, but cannot get it, will cause their own waterfalls that include more and longer exposure of medical professionals and their families to the virus.

I've spoken with doctors, residents, and nurses. They're all rightfully scared and I feel for all of them. I feel really bad for those poor residents who are being thrown into the fire. But, individuals making runs on pharmacies isn't the right solution.

Institutions (hospitals, regulatory agencies) really need to take charge here and develop plans that will help protect their staffs and build confidence within their staffs, without a bunch of unused bottles sitting around homes all over the country.
cisgenderedAggie
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74OA said:

If front-line docs are sold on it, why isn't the FDA? Doc Reveille is, see page 29 of his post up top.

Without FDA approval, no company will ramp up production to meet the huge need and shortages will persist.

Is perfection the enemy of good enough during a national emergency?


I think you're putting too much importance on FDA approval. Companies will ramp up production in response to demand, for which there clearly is. The only thing lack of FDA approval will prevent is the sponsor companies being allowed to market this for COVID-19 treatment. I'd argue that there's not much need for that right now.

I think the bigger bottleneck I'd question is how much dependence there is on China and India for the raw API. Even if tablets are produced elsewhere, you have to be able to access the API.
HotardAg07
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Probably to avoid stuff like this:



As Dr. Fauci said, it's one thing to give someone a treatment who may die without some sort of intervention. It's another thing to give people who are otherwise healthy or have a good outlook something that may make their situation worse. So they have to be methodical.
Not a Bot
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nortex97 said:

Really?




I was referring to doctors prescribing this to people who don't have symptoms. There was a run on pharmacies over the last few days because people with prescriptive authority who have nothing to do with treating coronavirus were prescribing it to family and friends, just in case.
74OA
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HotardAg07 said:

Probably to avoid stuff like this:



As Dr. Fauci said, it's one thing to give someone a treatment who may die without some sort of intervention. It's another thing to give people who are otherwise healthy or have a good outlook something that may make their situation worse. So they have to be methodical.
"It a sign of sheer stupidity for people to do self prescription by consuming chloroquine without knowing the right dosage to take. The fear of coronavirus may kill some people before it gets to them."

This. No one is advocating self-medication. That's crazy. But taking the well-established dosage prescribed by a doctor is perfectly safe. Thousands in the US have been doing so for many decades.
G Martin 87
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Sandman98 said:

Doctors are humans which means they're going to suck in as many ways as the rest of us. Part of the journey.
Yep. q.v. former physician Jacqueline Cleggett. https://heavy.com/entertainment/2020/02/jacqueline-cleggett/

I'd rather the authorities spend their investigative time putting hard core drug pushers like Cleggett out of business than going after panicky doctors prescribing hydroxychloroquine.
dermdoc
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No HCL for me or my family. And neither of my partners have done that either.

So I may be a turd, but I do not always stink.
No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment. See full Medical Disclaimer.
Mordred
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Moxley said:

adairtexas said:

Sorry but hcl can be prescribed without any malarial disease. As long as a doctor prescribes it you are good to go.


Hydroxychloroquine is not prescribed for malaria. It is prescribed for people who have life-altering autoimmune diseases such as lupus. People who have been on it for a long time cannot suddenly stop taking it without risk of having very serious complications. they need to be able to be on this medication.
I have direct knowledge of someone who cannot get a refill of his Hydroxychloroquine scrip. CVS told him they only had enough to get through April 13th, but the manufacturer would not be restocking.
mazzag
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And it's the President's fault. Sorry. Please delete if political.

https://www.propublica.org/article/lupus-patients-cant-get-crucial-medication-after-president-trump-pushes-unproven-coronavirus-treatment
bigtruckguy3500
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This is ridiculous. Politicians need to stay out of determining what EXPERIMENTAL meds could potentially have a benefit and what should be further studied, and let actual researchers (who know how to analyze the quality of scientific studies) determine what needs further studies.

Also, any physician that is found to be hoarding any drug at this time, or prescribing it for their rich patients (actors, athletes, etc), should suffer a reprimand from the state medical board on their license.

Thank you pharmacists for noticing this and putting a stop to it.
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