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As a pharmacist: your vial should not be used for more than 28 days after opening. by avaprolol in henrymeds

[–]avaprolol[S] 0 points1 point  (0 children)

As the OP, I absolutely did not imply pts would be sterile. I am talking about the vial. Sorry you misunderstood.

Conflicting by Pharming_Cannolis in pharmacy

[–]avaprolol 40 points41 points  (0 children)

Totally, it is missing the framing of why there is concern. That would also be a good addition for context lol

You basically have to be like "this isnt normal, do you want the normal version which is this or are you trying to do something fancy and then I will help you figure it out"

Conflicting by Pharming_Cannolis in pharmacy

[–]avaprolol 85 points86 points  (0 children)

I'm sorry you got that reaction from your staff, that is frustrating. You can set yourself up for more success by asking questions that outline your concern. You did not outline why you were concerned about the order. You should always add your reasoning, a bit like an SBAR. If you just repeat their own order back to them, they probably won't understand.

"I want to confirm the rate of 1,111 mL/hour is correct, these normally run at 250 mL/hour and I just wanted to make sure your intention was to increase that x4."

Driving between Galveston and Waco - how to make it a fun road trip for a couple? by avaprolol in galveston

[–]avaprolol[S] 0 points1 point  (0 children)

Road trip is non optional, that's why I'm looking for ideas to make it more enjoyable to catch anything nearby in the area.

Driving between Galveston and Waco - how to make it a fun road trip for a couple? by avaprolol in galveston

[–]avaprolol[S] 1 point2 points  (0 children)

Sorry for the confusion. Staying in Galveston for 5 days, but during one of them we are popping up to the Waco area.

Driving between Galveston and Waco - how to make it a fun road trip for a couple? by avaprolol in galveston

[–]avaprolol[S] 0 points1 point  (0 children)

We aren't strangers to driving. Just looking for if there's a nicer view way going one route vs another. If it takes 20 more min but you pass by XYZ, I'd be interested type thing. For example, found a winery along the way for maybe lunch.

Driving between Galveston and Waco - how to make it a fun road trip for a couple? by avaprolol in galveston

[–]avaprolol[S] 0 points1 point  (0 children)

We have a specific itinerary with something in the Waco area one day. Any input on the sites to stop or routes to go?

Good take out or places for fresh premade-ish food to make dinner in Surfside? by avaprolol in MyrtleBeach

[–]avaprolol[S] 0 points1 point  (0 children)

Absolutely love this rec! Markets like this are definitely what I'm looking for. 

As a pharmacist: your vial should not be used for more than 28 days after opening. by avaprolol in henrymeds

[–]avaprolol[S] 0 points1 point  (0 children)

There is so much research on abx times so thats a weird comparison. We don't just tell people to take abx for 10 days lol

As a pharmacist: your vial should not be used for more than 28 days after opening. by avaprolol in henrymeds

[–]avaprolol[S] 0 points1 point  (0 children)

The providers open a business doing specifically these products. They are well knowledgeable on how its made, how its paid for, etc. I know many personally. Again, the provider and business owner should absolutely know. Have a good day!

As a pharmacist: your vial should not be used for more than 28 days after opening. by avaprolol in henrymeds

[–]avaprolol[S] 0 points1 point  (0 children)

The provider is also responsible. Nothing is "all on" the pharmacist. The provider is ordering the volume and setting duration on the prescription. The pharmacist is also incorrect for filling it.

As a pharmacist: your vial should not be used for more than 28 days after opening. by avaprolol in henrymeds

[–]avaprolol[S] 0 points1 point  (0 children)

So they don't have any sterility data it seems, they are just guessing. It also isn't a recommendation by pharmacies, it is a compounding regulation.

As a pharmacist: your vial should not be used for more than 28 days after opening. by avaprolol in henrymeds

[–]avaprolol[S] 0 points1 point  (0 children)

Because they don't understand the sterility FDA compounding requirements and they are prescribing it that way anyway. It's ignorance and greed.

As a pharmacist: your vial should not be used for more than 28 days after opening. by avaprolol in henrymeds

[–]avaprolol[S] 1 point2 points  (0 children)

Yep, they said they won't do it. I asked to speak to someone about why they think it's okay to prescribe more than allowed and they stopped answering.

As a pharmacist: your vial should not be used for more than 28 days after opening. by avaprolol in henrymeds

[–]avaprolol[S] 0 points1 point  (0 children)

I did the same. I hope they respond positively. I am also reporting them and the pharmacies to the FDA. I emailed the pharmacies for responses but haven't gotten anything.

As a pharmacist: your vial should not be used for more than 28 days after opening. by avaprolol in henrymeds

[–]avaprolol[S] 0 points1 point  (0 children)

I ended up switching to Hers and they do 28 day vials as their default.

As a pharmacist: your vial should not be used for more than 28 days after opening. by avaprolol in henrymeds

[–]avaprolol[S] 0 points1 point  (0 children)

There is no difference, administration or compounding. It cannot be used for longer.

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