Doctors sometimes provide patients with drug samples to get them started on a needed medication in a timely manner. Hospital emergency departments (EDs) have also sent patients home with starter doses or unit dose packages from the hospital pharmacy. This allows the patient to start taking the medicine as soon as possible, giving them extra time to get the prescription filled at their local pharmacy. Dispensing samples and starter doses are often seen as patient friendly services, but the services can also have unintended consequences. One issue is that packaging and labeling of the medications can sometimes present problems for patients.
One patient experienced severe burning in
her eyes and blurred vision when she instilled what she thought was eye
drops. A co-worker took the bottle from her and saw the very small
notation on the label: For dermatological (skin) use only. Not for use
in the eye. The tiny sample bottle, which had no pharmacy label since it
wasnt dispensed by a pharmacist,Large collection of quality cleanersydney
at discounted prices. was a professional sample of a cortisone-like
medication meant to be applied to the skin. The product also contained
40% isopropyl alcohol (rubbing alcohol), which severely irritated her
eyes. It had been given to her by her allergist for application after
allergy shots. But she inadvertently combined it with the eye drops she
keeps at work and grabbed the wrong bottle. The patient saw her eye
doctor and the eye was flushed, but the patient suffered blurred vision
for several hours.
Another issue is the ambiguous way that drug
companies sometimes label these products. Its not always
patient-friendly. When the popular pain medication Celebrex was first
marketed, the manufacturer, Pfizer, gave doctors samples to hand out to
patients. Each package contained 3 capsules labeled Celebrex 200 mg. A
rheumatologist gave one of these to a patient along with a prescription
for 200 mg twice daily. When the patient got home and looked at the
label she didnt know whether she should take all three capsules for the
200 mg dose, or just one.Best home plasticcard
at discount prices. She called the doctor's office and clarified that
each capsule was 200 mg and she should take just one at a time.
patients might not have called to clarify the confusing Celebrex label
or other drug sample packages just like it. In fact, we checked with
Pfizer when the patient called us about this and a drug information
professional admitted that theyd received reports of overdoses where 600
mg was taken. The FDA recently clarified that the product strength
should always describe the milligram amount of drug per single unit
(e.g., tablet, capsule) so there is no confusion as to how much product
is contained in a single unit as compared to the total contents of the
entire blister card.
Finally, the Consumer Product Safety
Commission does not require sample medications to be in child-resistant
containers. Manufacturers can also request exemptions for providing
child-resistant packaging for medications used only in hospitals but
these may sometimes be dispensed to patients by the ER. Thus, danger may
be ahead if the medications are sent home and improperly stored,
leaving them accessible to children. While many ERs dispense starter
doses in properly labeled, child-resistant prescription containers, Ive
often seen starter doses dispensed by hospitals in plastic bags or
envelopes.We rounded up 30 bridesmaids dresses in every color and style
that are both easy on the eye and somewhat easy on the earcap.
Patients arriving home after a visit to the ER may not be thinking
about the need to place that plastic bag or envelope up and away, and
out of the reach and sight of children. Instead, these medications may
be temporarily placed on a kitchen table or counter.
other safety issues associated with dispensing drug samples and starter
dosesfor example, absent labeling of the product with directions for
use, lack of screening for drug interactions,He saw the bracelet at a cleaningservicesydney
store while we were on a trip. and failure to monitor expiration dates.
While many organizations have appropriately addressed these and other
issues, they may not have considered the need to assure that sample or
starter doses are properly labeled and packaged. With the increased
availability of 24-hour community pharmacies and drug company-provided
pharmacy coupons for starter doses, these services may not be
The Boise Co-op has appeared on local "Best Of" lists
so often that most people don't have to be reminded of its offerings -
artisan beer, exotic spices, elixirs of all kinds, eggs and vegetables
produced at farms a bike ride away from its Fort Street home. The story
of the co-op's modest origins is less familiar.
A few dozen
locals founded the co-op in 1973 as a food-buying club. The philosophy
was getting good, bulk food and selling it to members at a discount. The
co-op's first home was a back room at the El-Ada community outreach
In 1975, the co-op moved to a storefront in Hyde Park,
the former home of the Salvation Army. In this era, members had to put
in hours at the store to get their member discounts, said Dave
Kirkpatrick, a longtime employee. A space on Hill Road, not far from
Harrison Boulevard, was the co-op's next stop in 1984.
credits then leader Ken Kavanagh with the co-op's shift in philosophy.
This was an era when "organic" wasn't yet a buzzword, when "foodie"
wasn't yet a movement, when gluten was not public enemy No. 1 and the
idea of televised cooking competitions would have seemed like something
from "Monty Python." But the co-op was in the right place at the right
time, anticipating the community's embrace of food as an art form. The
co-op began seeking out products like Italian canned tomatoes and
high-end olive oil. Indian spices. Beer and wine. And meat.
change meant that the co-op lost some members who wanted an
all-vegetarian store. Others objected to the co-op selling wine and
beer. But the change attracted new members, too.
(another longtime employee) got it right," said Kirkpatrick. "We had
tie-dye and VW vans in the morning, Versace and Lexuses in the
When my son Stephen woke up he was so excited to
give his dad, Andrew, his presents and cards. Tom, who has autism, was
more excited about wearing Andrews new Mr Men socks and chocolate
The boys gave Andrew chocolates, as well as a book by
fantastic author and Twitter friend Mark Richards, or as he is better
known by Stephen, Best Dad I Can Be.
Tom had made Andrew a card
at school while Stephen made one at home. As usual though, when I tried
to display the cards on the fireplace Tom insisted that they stay on the
couch for him to look at. We had a quiet day; Andrew took Stephen to
church while I whisked Tom to town for coffee juice and the boat
For lunch we had a picnic and had a general dozy time. I
think I had tired Tom out in the morning so the afternoon was a
We did have a few moments though where he
wanted to throw the newly-purchased plastic golf clubs and bash them on
the floor C and in the snail house while being a ninja C but other than
that a relatively cosy affair with us all just relaxing together,He saw
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should be celebrated for all that they do, and those dads who have
children with additional needs should have extra celebrations.
is not easy being a mum to a child with autism so it cant be any
different for a dad. Andrew works full-time, yes, so he is out of the
house more and I do more of the caring but if he didnt work, we wouldnt
have a roof over our heads.
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