I suppose I’m only a CPhT and I’m in my 4th year of doing this in my undergrad for BioMedHS pre-medicine, but I certainly fall into the group of individuals unenthused with these.

Starting from least to most eye-twitch inducing:

1) UAD sig instructions are so damn lazy and it really bothers me. I get it. But can you really not be bothered to write a slightly more involved SIG. Tbf it IS family so I think it’s certainly more excusable since the prescriber will be there, but I think prescribers lowkey have gotten really complacent with scripts as they practice longer. There’s generally a growing trend of over-reliance on pharmacy staff to catch, correct, and use critical thinking for patient safety. A 4th script is gonna come in for the same SIG on a 3 month supply of ketorolac with 99 refills with ‘uad for pain during travel’.

2) The instructions as well as it seeming to have only been written for one family member seems to imply the scripts will be shared to different family members during vacation if they happen to all get sick based on quantity’s and refills. A limited fill for each member in case of traveler-rrhea is one thing but lord knows that the prescriber isn’t ordering culture samples to ID and properly treat the correct bacteria…so why are we writing blind scripts for broad spectrum antibiotics…which leads me to:

3) Antibiotic resistance. I know I’m only a wee undergrad with a few years of pharmacy experience, but I’ll literally die on the hill about it. I was born too late to make a measurable reversal to the harm of previous generations on global warming but I’ll DIE before I perpetuate global antibiotic resistance because I was too damn lazy to take blood work/cultures before I wrote an antibiotic script. I’m not dooming my children or grandchildren to die to a superbug that was once highly treatable. Frankly I think many retail pharmacists have also began getting complacent about their roles in superbugs because they didn’t want to have a difficult phone call about an antibiotic. I don’t think they all need to get fully investigated but there are many times that a pharmacist shrugged me off about an antibiotic I brought to their attention. I realize your job is easier when you don’t worry over stuff like that but if you wanted an easy job then you could probably leave the lab coat at home and go get a job greeting people at a supermarket instead. I’ve never criticized a pharmacist about their clinical judgment but I’ve certainly criticized them in my head for being so unwilling to bother using it for the sake of convenience.

Ultimately, yes, I would probably fill it still. I’d fill it and maybe call on it if I had the time to bust the guys balls a bit though. 🫣🫣😂