Ethics question

Discussion in 'Off The Beaten Track' started by mikey, Jan 25, 2011.

  1. mkats

    mkats New Member

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    Oh no, no, no, thank goodness. I was just pointing out that antibiotics can interfere with coumadin, as well. :) (or maybe that isn't really the right smiley :lol: )
     
  2. Prancer

    Prancer Jawwalking Staff Member

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    I can't speak for her, but I think agalisgv was actually asking what the rationale was for making antibiotics OTC in some places, not asking for the rationale for why we don't in the US :).

    The same problems would exist elsewhere, after all.
     
    agalisgv and (deleted member) like this.
  3. agalisgv

    agalisgv Well-Known Member

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    ^^^Yes, thank you :)
     
  4. Twilight1

    Twilight1 Well-Known Member

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    I think in this case, I find it unethical for a friend to prescribe meds.

    Small towns it is unavoidable to have a friend/ family member etc be a prescribing doctor but in this case, that is not the issue.
     
  5. mikey

    mikey ...an acquired taste

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    This particular situation is both unethical (because it occurred outside of an established doctor-patient relationship, and I am sure there is not documentation in the patient's chart regarding the patient encounter) AND illegal (because it is a violation of the Texas Dental Practice Act, which states that a dentist can only prescribe medications that directly pertain to dental practice- upper respiratory infections and/or pneumonia do not qualify).

    However, I am equally at fault because I haven't done anything about it. The people involved are a friend's boss and her dentist friend. My friend asked that I drop the issue because it could affect his job and because I shouldn't know about the situation in the first place. What I should do is report the case to the state dental board- there would likely be a fine involved, as well as a mandate for the dentist to complete extra ethics training under supervision.
     
  6. danceronice

    danceronice Corgi Wrangler

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    Honestly, it depends on the drug. My friend, who is an OB/GYN with extensive familiarity with a particular autoimmune condition I have (it can create a very high-risk pregnancy, which hasn't been an issue for me yet as I've never been pregnant, but she's treated several patients with it) would probably write, say, a birth-control refill or prednisone scrip for me--she knows my history, she knows what I would have either for (no, the BC in my case isn't necessarily for the primary reason you'd think!) OTOH, if I asked for Cipro or Vicodin or some such, she'd say no and want to know what the heck I was doing. (Not that I would ask for either--I have to be practically browbeaten or in total agony to take an Advil, and I have actually been on Cipro once and it gives me headaches. I'd have to be exposed to anthrax before I'd take it again.)
     
  7. Twilight1

    Twilight1 Well-Known Member

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    There is no depends if the action is illegal.

    Also, ethics in anyone's respective field is IMHO, non negiotiable. I also think their is no grey area (except in the small town scenario that I gave). If someone can go to a walk in clinic or personal GP for a rx then they should. Why compromise the integrity of a friend for something like this? (even if the general view is it is no big deal??)
     
  8. IceAlisa

    IceAlisa Épaulement!!!

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    I remember penicillin being available OTC in the old country. Not sure if it's still the case. I can't say about the presence or absence of superbugs there as such data would have been suppressed if it existed. As to rationale, again I am not sure there was any rationale behind this (as in strong scientific evidence). A lot of things in medicine are based on tradition. It is a mistake to assume that every single aspect of medical practice is based on solid research.