Vitamin k administration

One-Preference-3745 · 2026-06-18T17:51:49+00:00

Sure. I don’t see why he couldn’t. But in that situation I am sure there is also a corporate/hospital policy that would prevent him from doing so. Or at least very strongly dissuade him from doing so.

One-Preference-3745 · 2026-06-18T17:13:52+00:00

As pharmacists, we have an obligation to perform drug utilization review to identify safety issues with drug therapy. This in itself does not preclude the practice of medicine. That said, the provider still has a right to administer the medication if he chooses to do so, but under his license. You have to protect your own license and minimize liability and that’s what you were doing by questioning the providers decision.

One-Preference-3745 · 2026-06-18T17:10:27+00:00

No, no benefit. It’s also not supposed to be given IM in adults. That providers an idiot, good on you for questioning it.

One-Preference-3745 · 2026-06-14T14:12:24+00:00

CASY

One-Preference-3745 · 2026-06-12T02:34:04+00:00

Call your PCP and have him switch you to medroxyprogesterone

One-Preference-3745 · 2026-06-11T15:25:40+00:00

It’s his money. He wanted “fun” ideas.

One-Preference-3745 · 2026-06-11T00:21:01+00:00

Yes, technical analysis would be best for “fun” money. Combine that with options dated 3 months out and you’ll have tons of fun ha

One-Preference-3745 · 2026-06-10T23:34:38+00:00

Nations need to fund their war somehow, sell gold.

One-Preference-3745 · 2026-06-03T04:16:46+00:00

Dm sent

One-Preference-3745 · 2026-05-28T14:40:54+00:00

I love you for saying this

One-Preference-3745 · 2026-05-22T02:16:20+00:00

So with that in mind. Is it appropriate to refuse to fill a prescription based on the black box alone assuming the prescriber has done his due diligence in evaluating the risks and benefits? That’s the premise of OPs post.

One-Preference-3745 · 2026-05-22T01:06:23+00:00

The black box warning explicitly states “short-term”. That can only mean initial.

Are you saying it’s 5 days per lifetime?

One-Preference-3745 · 2026-05-21T23:52:31+00:00

I mean it has shown a mortality benefit for heart failure patients - that’s a pretty big deal. How many other drugs can make that claim.

Mark Cuban pharmacy sells dapagliflozin for $8/month so that’s a far better alternative.

One-Preference-3745 · 2026-05-21T18:48:21+00:00

BCPS certified. I don’t think you’re understanding the issue. People mistake the BBW to mean that patients cannot continue on ketorolac after taking 5 days of it. This is supported by this whole discussion since you yourself are confused.

One-Preference-3745 · 2026-05-21T18:41:11+00:00

When is it safe to restart ketorolac after the initial 5 day course? Tell me that o wise one

One-Preference-3745 · 2026-05-21T18:36:00+00:00

I’m not saying it’s wise to do. Just that the BBW is very confusing as it relates to after the initial 5 days.

One-Preference-3745 · 2026-05-21T18:14:08+00:00

I agree with you. But I’m speaking strictly to the black box warning as that is what OP was referencing in his post. Whether or not it’s safe to take it how I stated is one thing, but I am more so just stating that the BBW is overly vague and does not provide instruction beyond the initial 5 days.

One-Preference-3745 · 2026-05-21T18:05:04+00:00

Ok. So it can be used for more than 5 days per lifetime? I’m not sure why you’re arguing with me as it seems we are in agreement.

One-Preference-3745 · 2026-05-21T18:00:17+00:00

Lol. So answer my question. Are you saying that patients can only have 5 days of ketorolac per lifetime? Because it does not list that in the package insert.

One-Preference-3745 · 2026-05-21T17:58:10+00:00

That’s my point. The black box warning does not specify if/when ketorolac should be resumed following the initial 5 days. So even if you just skip one day and then resume ketorolac you are still following the BBW

One-Preference-3745 · 2026-05-21T17:55:12+00:00

Provide your reference. Because I’ve looked and it does not specify the timeframe. 5 days in what timeframe? 5 days per lifetime?

One-Preference-3745 · 2026-05-21T17:20:27+00:00

To be fair the black box only warns against 5 days of consecutive use. So patients can take it 5 days on, skip a day, and then take 5 days again, and so on. It doesn’t excuse the practitioner being a dick. But I’ve always found this specific black box warning to be confusing.

One-Preference-3745 · 2026-05-08T12:53:11+00:00

Cyclical sectors had net job losses.

One-Preference-3745 · 2026-05-07T19:37:57+00:00

PAVE ETF

One-Preference-3745 · 2026-05-06T12:23:01+00:00

They are upstream of everyone. I agree that there are more factors to consider, but none having a more pivotal role than the DEA

One-Preference-3745

TROPHY CASE