Diabetes Support Forum

Living with diabetes => Insulin and medication => Topic started by: sedge on 26 October 2015, 04:39:13 PM

Title: The daftest thing ......
Post by: sedge on 26 October 2015, 04:39:13 PM
Well - if it CAN go wrong, then obviously if Sedge is involved - it WILL !

In loads of time, early last week I said to the pharmacist - order me a repeat of ALL my tablets, and some strips as well please.  Yes he said, trogged back to his puter, did it and called back to me that he had.  As I was going there anyway today (having physically run out of several of them this morning) I collected them whilst there.

Later I unpacked them and put them away.  Oh bother! I take 6mg of Doxazosin for BP, so have both 4mg and 2mg tablets, since they don't make a 6mg one.  But only the 4mg were there, plus everything else I needed.  My own fault - I should have given him a list.  Go online to order some, get the list of my repeat scrips up - the 2mg aren't there!

Oh well - so I rang reception, got one of the sensible ones and have ordered an urgent scrip which hopefully should be done tomorrow morning.

How the heck can this happen!  Batty.  Of course my insulin has dropped off too, but I have to have my A1c done before they'll renew that! - then I'll have to have it done again at the end of November for my hospital D clinic appointment on 9th December !

I have asked them before to get their acts together, but of course that's impossible .......
Title: Re: The daftest thing ......
Post by: Pattidevans on 26 October 2015, 04:52:06 PM
I can sympathise with you.  I have to cut one of my thyroid pills in half as they don't make a smaller pill - it's a PITA.

Also my strips have disappeared off my repeat... I now have a battle every month to get em.  Not that I am denied them... just have to keep asking.

I was called for an Hba1c from nursie at the GPs a month after I'd had the one for the clinic.  I got in touch with her and said "this isn't really very sensible.  How about moving it to Oct so I get them evenly spaced out at 6 month intervals"  She agreed it was silly and sent me a reminder for Oct.
Title: Re: The daftest thing ......
Post by: himtoo on 26 October 2015, 08:24:15 PM
the battle gets even more fun when prescriptions get changed and / or added to -- i have 5 different tablets i take every day and varying amount of them in stock meaning when i am about to run out of 1 I may have 3 weeks of another and 2 of another or 5 weeks of this one etc etc -- it would be nice if they could do parts scripts to level them all out with one another
Title: Re: The daftest thing ......
Post by: Lucy on 26 October 2015, 10:03:44 PM
The pharmacy tell me that when one of my medications drops off the repeat the GP is supposed to review ALL the medicines and put them all set back at 5 (or however many) repeats allowed till they need to be reviewed again. And i get 2 months of supplies at one time apparently. If this is actually being done then why does at least one thing drop off every month! (Ordering every month as they say only get a prescription every two months but half the things arent enough for two months)

About to order a prescription now. All these things are supposed to be / used to be on my repeat prescription:
test strips - yes but only 50 (for 2 months?!)
needles - nope. 
sharps box - nope.
metformin - nope.
ketosticks - nope.
apidra - yep and enough for 2 months!
tresiba - yep and enough for 2 months!
lancets - nope (who needs them anyway though)
Beta Blocker - yep and enough for 2 months!
Title: Re: The daftest thing ......
Post by: sedge on 26 October 2015, 10:35:10 PM
I decided a while ago Paul - I now order ALL my tablets every 28 days when I only have a week left of the first one that runs out.  One of them - I have 3 weeks left!  Insulin and strips I still do 'as & when'.
Title: Re: The daftest thing ......
Post by: Quantum Learning on 27 October 2015, 01:15:12 AM
Well - if it CAN go wrong, then obviously if Sedge is involved - it WILL !

In loads of time, early last week I said to the pharmacist - order me a repeat of ALL my tablets, and some strips as well please.  Yes he said, trogged back to his puter, did it and called back to me that he had.  As I was going there anyway today (having physically run out of several of them this morning) I collected them whilst there.

Later I unpacked them and put them away.  Oh bother! I take 6mg of Doxazosin for BP, so have both 4mg and 2mg tablets, since they don't make a 6mg one.  But only the 4mg were there, plus everything else I needed.  My own fault - I should have given him a list.  Go online to order some, get the list of my repeat scrips up - the 2mg aren't there!

Oh well - so I rang reception, got one of the sensible ones and have ordered an urgent scrip which hopefully should be done tomorrow morning.

How the heck can this happen!  Batty.  Of course my insulin has dropped off too, but I have to have my A1c done before they'll renew that! - then I'll have to have it done again at the end of November for my hospital D clinic appointment on 9th December !

I have asked them before to get their acts together, but of course that's impossible .......

Do they actually refuse to prescribe you insulin till you've had an A1c? Do they think you might have cured your T1? The NHS never ceases to amaze me  :o
Title: Re: The daftest thing ......
Post by: himtoo on 27 October 2015, 08:04:41 AM
that's another thing that totally amazes me too-- you would think it(GP's) would cut down on bureaucracy and paperwork if they gave out more supplies at once for people with lifelong chronic illnesses ,  instead of 4 weeks at a time
Title: Re: The daftest thing ......
Post by: sedge on 27 October 2015, 06:04:02 PM
Curiouser and curiouser ....

Apparently, about three weeks ago when I had my asthma check my BP was very low.  It was, it was hilarious - ridiculous, like 90 over 47 or something.  She did it again, it still was low, but higher.  I did it when I came home, and yes it was like 117 over 57 or something - but it isn't normally that low.

So anyway - doc decided to take the 2mg off because of that ONE BP reading; and put a note on the scrip to say what she'd done and tell the pharmacist to tell me to have my BP done in 4 weeks.  But of course scrips are electronic - so there was no way that note was going to reach me unless the pharmacist told me - and he didn't!

I am going to complain actually.

I don't think it's acceptable passing messages about MY medication via third parties, thank you.  Their premises are indeed within the surgery building but they are an independent company - not employed by the surgery or the NHS.   Because I never bothered picking the scrip up till after the weekend - and it was just one of the little girlies on the counter who served me - how was the pharmacist sposed to remember to tell me - when I really don't think it was his job in the first place to tell me!

I am going to ask what system the pharmacy have, to do this .......
Title: Re: The daftest thing ......
Post by: Lucy on 27 October 2015, 08:14:01 PM
So anyway - doc decided to take the 2mg off because of that ONE BP reading; and put a note on the scrip to say what she'd done and tell the pharmacist to tell me to have my BP done in 4 weeks.  But of course scrips are electronic - so there was no way that note was going to reach me unless the pharmacist told me - and he didn't!

Don't you sign the back of the prescription? The pharmacist should hand you the script to check and sign. You should see the note then, it's where the notes about changing test strips were for me.
Title: Re: The daftest thing ......
Post by: Pattidevans on 27 October 2015, 08:40:56 PM
Lucy, that certainly doesn't happen here!

Title: Re: The daftest thing ......
Post by: Lucy on 27 October 2015, 10:23:45 PM
who signs the prescriptions then? You have to tick the medical exemption box and at the bottom there is a box for patient signature,
Title: Re: The daftest thing ......
Post by: Pattidevans on 27 October 2015, 10:31:29 PM
No, haven't had to sign anything since I was 60 and got free prescriptions on those grounds, or even before that when they knew I actually had the medical exemption cert.  The Pharmacist mostly manages my prescriptions on my behalf.  Mind you, I have used the same pharmacy for at least 25 years and we are all on first name terms.
Title: Re: The daftest thing ......
Post by: sedge on 27 October 2015, 11:04:39 PM
No - just asked to confirm my address.  It's only the physical ones (you see a GP, he hands you a scrip, etc)  If they did those electronically - they'd take longer actually, to get from the GP system to the pharmacy one, whilst you stand there and wait, they clock that you are waiting and do it..
Title: Re: The daftest thing ......
Post by: binky21 on 29 October 2015, 03:12:21 AM
I have to say Sedge - my evil pharmacist is a law unto himself. 

You may have seen that I get served up whatever needles they have at the time well last weeks adventure was - "  Your doctor has requested accupril ex amount  + 2 repeats but most doctors don't do that.  they always say accupril ex amount 90 days supply, so we are only giving you one month supply, no repeats and you'll need to take it up with your doctor"..  I was tempted to make a comment on the fact that this was likely to make me need more BP tabs rather than less but what was the point ....  After 6 years with the same pharmacy on the same med, you'd think that they could work out that yes, I have the same amount each and every month and that the Dr really did mean either 90 days or 3 x 30 days (Do I look like I care which it is????)

But not to worry I will just harass overworked Dr for another script then drive down there then drive down to the Pharmacy and wait ....  between 10 minutes and 3 hours - you  never can tell....

Trouble is healthcare is so expensive these days, bureaucracy demands savings which lead to patient inconvenience (and even risk) and probably inconvenience all round and potentially even extra cost but less direct costs so no one does anything about it.  Probably pat themselves on the back for having reduced spending ...
Title: Re: The daftest thing ......
Post by: Paulines7 on 29 October 2015, 09:32:21 AM
I have two or three weeks spare medication so am never near to running out.  The reason for this is that I had to ask for them early because I was going to France. I was given the medication and then found that the next renewal dates were calculated from this earlier date.   :D

It makes a difference too as in the past I have gone to the chemist three days after my repeat prescription was put in and often the chemist was waiting for part of the prescription to come in or it still wasn't made up.  The chemist is a 10 mile round trip from where I live so having to go there twice is a bit inconvenient.  At least I can order them online.  We have actually changed our chemist now as we were having so much trouble getting our prescriptions and it is working out well.  Because I am never near to running out, I can leave them at the chemists until I have to go into town and can then pick them up on the way.   
Title: Re: The daftest thing ......
Post by: Pattidevans on 29 October 2015, 10:15:24 AM
Most of the chemists round here offer a home delivery service.  I've never used it because for many years my hubby worked 3 doors away from the chemist and would pop in on his way home from work.  Now he's retired it still isn't too inconvenient as it's only a 15 minute walk. 


When I got them to do managed prescriptions it became a nightmare though as all my pills have different prescription timings.  At one point I had amassed a year's worth of Thyroid meds!


I think it's worth mentioning though that the majority of us are talking about the UK NHS system, which may differ from that of other countries.
Title: Re: The daftest thing ......
Post by: Quantum Learning on 29 October 2015, 11:53:30 AM
I have to say Sedge - my evil pharmacist is a law unto himself. 

You may have seen that I get served up whatever needles they have at the time well last weeks adventure was - "  Your doctor has requested accupril ex amount  + 2 repeats but most doctors don't do that.  they always say accupril ex amount 90 days supply, so we are only giving you one month supply, no repeats and you'll need to take it up with your doctor"..  I was tempted to make a comment on the fact that this was likely to make me need more BP tabs rather than less but what was the point ....  After 6 years with the same pharmacy on the same med, you'd think that they could work out that yes, I have the same amount each and every month and that the Dr really did mean either 90 days or 3 x 30 days (Do I look like I care which it is????)

But not to worry I will just harass overworked Dr for another script then drive down there then drive down to the Pharmacy and wait ....  between 10 minutes and 3 hours - you  never can tell....

Trouble is healthcare is so expensive these days, bureaucracy demands savings which lead to patient inconvenience (and even risk) and probably inconvenience all round and potentially even extra cost but less direct costs so no one does anything about it.  Probably pat themselves on the back for having reduced spending ...

Could you change chemists? The pharmacist in mine is lovely & so helpful. I much prefer talking to her than any of the GP's.  ;)
Title: Re: The daftest thing ......
Post by: Pattidevans on 29 October 2015, 12:48:03 PM
My comment about us talking about the NHS and other members talking about the system in their country was really prompted by Binky's comments because she is in New Zealand and their system there may be radically different to ours.  However, it seems to me that the "fault" if there is one lies with the GP rather than the chemist.  At least in the UK the pharmacist can only dispense what the Doctor has prescribed.  Maybe the Doctor did not specify a particular length of needle, in which case the pharmacist is free to dispense what they have in stock.  It also bears investigation as to what the Doctor actually prescribed in the way of repeats and taking it up at that level rather than with the pharmacy who are probably only doing what they were told.

For all we know, and Binky can tell us what the system is, she may have to use a designated pharmacy.  I know this is the case sometimes in the US where the person's insurance can dictate which pharmacy to use.
Title: Re: The daftest thing ......
Post by: everydayupsanddowns on 29 October 2015, 01:40:41 PM
the battle gets even more fun when prescriptions get changed and / or added to -- i have 5 different tablets i take every day and varying amount of them in stock meaning when i am about to run out of 1 I may have 3 weeks of another and 2 of another or 5 weeks of this one etc etc -- it would be nice if they could do parts scripts to level them all out with one another


That's exactly what I *can* do Paul - my repeat prescription thingy is a tick-list. So I only select the items I need each time. Am I confused? Do you have to re-order everything off your list every time?
Title: Re: The daftest thing ......
Post by: sedge on 29 October 2015, 01:50:26 PM
Well you hardly ever order insulin at the same time as anything else, do you? - cos they can't restrict you to 'exactly 28 days worth', can they!  It isn't humanly possible.

So anyway when you order whatever, you say 'A repeat of ....' whatever it is.

Title: Re: The daftest thing ......
Post by: nytquill17 on 29 October 2015, 02:04:21 PM
I sympathize, Paul! Though our repeat system doesn't work quite the same way. But I have one tablet I have to renew every 21 days, another that renews every 30 days, strips which I need (when I'm testing normally) every 25 days, pen needles every 33 days or so, Novorapid carts maybe every 6 weeks and Levemir carts every 8 weeks! Obviously some of those things are never going to work out precisely - strips and insulin for example get used at varying frequencies depending on the day so you can't know exactly what day you're going to need more.

But it would be nice if I could get all my prescriptions refilled in amounts equal to (roughly) a given length of time, so I only had to go to the pharmacy once every month or two, instead of every week or sometimes several times in the same week!
Title: Re: The daftest thing ......
Post by: himtoo on 29 October 2015, 02:29:34 PM
I sympathize, Paul! Though our repeat system doesn't work quite the same way. But I have one tablet I have to renew every 21 days, another that renews every 30 days, strips which I need (when I'm testing normally) every 25 days, pen needles every 33 days or so, Novorapid carts maybe every 6 weeks and Levemir carts every 8 weeks! Obviously some of those things are never going to work out precisely - strips and insulin for example get used at varying frequencies depending on the day so you can't know exactly what day you're going to need more.

But it would be nice if I could get all my prescriptions refilled in amounts equal to (roughly) a given length of time, so I only had to go to the pharmacy once every month or two, instead of every week or sometimes several times in the same week!
that is the part i find the most frustrating - it is not as though we won't be requiring meds any time soon and I too get a bit irritated making multiple visits every month.
if we could get a 3 month supply would help a bit
Title: Re: The daftest thing ......
Post by: nytquill17 on 29 October 2015, 02:54:04 PM
I get annoyed when I want to refill a prescription "too early" and the insurance company won't let me! Last time I tried to renew my Synthroid I thought I had maybe a week left (turns out it was closer to 10 days), and I was renewing some other things at the same time so I gave it a try. Pharmacist says no, our system shows you should still have quite a few left, so your insurance company will never approve it. Come on, I've been with them for nearly 10 years, they can see I'm not going to stop needing any of these any time soon, and if I was selling things on they'd know by now, wouldn't they?? I guess you don't get credit/earn trust for being a good customer! :P
Title: Re: The daftest thing ......
Post by: tony on 01 November 2015, 08:13:17 PM
My own script experience:

I've been ordering repeats online for the past 6 months with no problems.
I order items from my repeat list and submit my needs. Later I receive a notification email from my surgery to confirm my script request has been received.
When my request is approved the script is electronically sent to my local pharmacy and is usually delivered to my door 3 days later (not counting weekends) If for some reason I'm not home to receive delivery a card is pushed through my letterbox asking me to phone to rearrange a delivery slot (usually the day after)

BTW, When ordering my last script I added a note in the 'Comments Field' asking for a batch of ketostix to be included (those are not included on my repeat list) the request was duly approved and delivered with my usual items.

I love this setup as it saves me a whole lot of time (and effort!) it is so convenient and saves me trudging down to my surgery and back up to the pharmacy, especially bad through pouring rain!

As to script items, I order my BP meds and test strips every 28 days (approx) and they always arrive. I don't always need my Lantus & Novorapid together since I tend to acquire a stock of Lantus, in that case I just order my fast acting until I have a surplus. in other words I order insulin and also needles on a 'need to have' basis. I've never had any problems at all in getting my scripts filled as and when needed. I must add that I do have a good solid relationship with my GP of many years and hopefully that will continue until I snuff it, or my doc retires  :rolleyes:

T
Title: Re: The daftest thing ......
Post by: sedge on 01 November 2015, 11:32:15 PM
That's more or less how it USED to work for me, Tony!