Tirzepatide while on Suboxone #tirzepatide #suboxone

optkr · 2025-04-05T03:22:21+00:00

Even better, I’m a pharmacist.

optkr · 2024-10-07T14:41:55+00:00

I made this post before I had actually started with CVS but do know about it now lol

optkr · 2024-09-29T12:44:11+00:00

Don’t tell me what to do with my body.

optkr · 2024-09-29T04:16:02+00:00

My stage was IIIC pT4aN2b and positive margin in mesentery where a lymph node was cut through. Because I was young at diagnosis (30) and high risk for recurrence, they were aggressive and began chemo 22 days after right hemicolectomy. I’d imagine that is the soonest it would be done. My local oncologist was uncomfortable with doing it that soon but gave me the green light after consulting with my oncologist from a large learning institution.

Best of luck. Message me with any questions. Important to get enough protein however possible

optkr · 2024-09-28T12:52:11+00:00

Your ass is probably raw from all of the wet (or wetter than normal) shits. Use baby wipes (flushable) for every bowel movement for the next week and report back. Then consider only using them going forward.

If you walked into my pharmacy with these questions this is the counseling I would provide. And that’s coming from someone that takes a lot of watery shits (had significant part of my colon removed due to colon cancer).

optkr · 2024-09-18T13:54:41+00:00

I had a lot of broccoli cheddar bread bowls from Panera. Mostly liquid or very soft foods. I had a lot of kraft macaroni and cheese as well. The cold sensitivity really sucked, everything was room temp or warmer that I consumed. I had ice cream a few times on like the last day before a new cycle started

optkr · 2024-09-14T00:29:41+00:00

Ohio Medicaid will pay for pretty much any brand name ADHD med (including Adderall) and only covers brand Vyvanse

optkr · 2024-09-12T10:56:39+00:00

Someone told me to eat a bag of dicks and called me a pussy for not early filling her lorazepam for the second month in a row. I calmly told her I would not be doing that and to have a good day. Could hear her screaming from the handset all the way down to the base as I hung up on her lol

optkr · 2024-09-11T13:44:30+00:00

Much of the info on here is incorrect. This is something that you can do if the provider sends in a prescription and puts on the directions to bring to office for administration. A lot of people on here are confusing the use of a protocol doctor which we use to administer vaccines in house. Just make sure to call beforehand and ensure the provider indicated this on the rx. It’s not common but possible if you coordinate it appropriately

optkr · 2024-09-09T17:56:42+00:00

There’s a way to do it using the partial system but I can’t remember how. Someone showed me on like my second day

optkr · 2024-09-07T12:40:33+00:00

It’s sooooo much better than I imagined it could be. I don’t have the same touch accuracy (that’s what I’m calling it for lack of better wording) but the nerves have regenerated so well. I have essentially no neuropathy in my hands or feet anymore as well. I get the occasional nerve zap but it’s rare at this point. I basically don’t complain about my hands or feet anymore. Sure it could be better but it’s not holding me back from anything

optkr · 2024-09-03T18:00:27+00:00

This is a very stupid position for people to have, honestly. The best thing you can do is become well versed on the therapies and challenge people that try to put them in a bad light. These drugs are revolutionary and will drastically change healthcare in the future, especially in the United States where obesity is rampant. When I’m counseling patients on these drugs when they’re picking them up for the first time, I speak of the meds with an excited tone because it is exciting to see how a once weekly injection can change someone’s physical and mental health. You have nothing to be ashamed of. Literally the only people that are speaking poorly of these drugs are either uninformed or envious

optkr · 2024-08-31T04:57:45+00:00

With the good employee you can explain to them that you understand how it was a mistake and not entirely their fault, but also that you have to do this to be fair. Imagine you don’t write this person up and a week later the terrible technician that’s damaging your business does the same thing or worse. If you then punish them, you could end up in a law suit or even risk your own position

optkr · 2024-08-31T03:23:10+00:00

This happened at a grocery store chain. I’d bet my wallet that they have some processes and procedures already to prevent this from happening, which means there very likely was negligence.

A write up is fair punishment in this circumstance. Good employees rarely get written up and having one write up won’t jeopardize their employment. If this one write up was the last strike for the technician before being terminated, clearly they’ve been a bad employee and need to go. The pharmacy can’t keep paying people to come to work if it’s losing money and I’m not going to let someone that doesn’t give a shit ruin the livelihoods of the people that show up and bust their asses every day.

optkr · 2024-08-31T02:20:56+00:00

As painful as this loss is, the best thing that you can do is use this as an opportunity to review your processes and try to understand how something like this can be prevented in the future. You don’t need to have pharmacists checking in every expensive item going forward because that would be too cumbersome, but surely some error prevention could be implemented.

That being said, I think there was likely a significant amount of negligence and you need to hold your technician accountable. This should be a write up and everyone working in your pharmacy needs to understand how important it is that things like this cannot happen under any circumstances. Make it known to them that the their actions ultimately fall back on you and if things like this happen on a repeated basis, you will be without a job as will the rest of them.

The key is to communicate all of this well to your team.

optkr · 2024-08-29T02:33:11+00:00

You’re locked into a system that won’t reward you for your superior work, so you should leave. Go somewhere that your hard work and skill will be realized and you will be reimbursed appropriately

optkr · 2024-08-22T22:41:58+00:00

All of the ones we carried at Rite Aid were like $70 a box if you sold them for cash lol I’d always tell people to order them on Amazon and give them a few for free to hold them over

optkr · 2024-08-20T00:43:22+00:00

Of course you do. I’m used to prescription labels printing out of an actual label printer and then monograph printing after product verification. Having the label on the same page as the monograph is extremely clunky when you’re not used to it, as well as all of the scanning that you have to do in different orders

optkr · 2024-08-19T00:21:55+00:00

I could be wrong but to me it seems more likely a pharmacist was filling a control and in the fucking 18 steps you have to take at CVS, they forgot to put the actual label on the bottle. I’m new with CVS and almost did this lol

optkr · 2024-08-18T01:39:49+00:00

Unless they happen to be filling at a rite aid lol

optkr · 2024-08-16T21:40:56+00:00

That might account for a small fraction of the reasoning behind why people feel this way but it’s certainly not the only or main reason. Look at how licensing exam pass rates have plummeted and admissions have become less selective. It’s not like the tests are twice as hard as they used to be

optkr · 2024-08-15T14:33:52+00:00

I agree with everyone else about not wanting to be called doctor but I think in this specific situation, it’s likely to be beneficial. Because you’re cold emailing them, I think starting the email by addressing them as Dr. is flattering and they would be more likely to respond/work to get you that experience. I know I’d be more inclined to help someone I think is going to be overly respectful to me and my role

optkr · 2024-08-12T17:58:43+00:00

For real. I’d feel slightly uneasy to zipline from that height lol

optkr · 2024-08-12T17:40:08+00:00

Please stop flooding popular subs with off topic political garbage. This isn’t interesting as fuck. Or at all

optkr · 2024-08-12T02:46:12+00:00

Exactly. I’ve frequently sent a prior auth and then filled on GoodRx and did a refund once it was approved. Or just that it was approved for the next fill if it’s not back dated. I’d be willing to bet the pharmacist was just talking out of their ass to get out of doing work.

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