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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Can someone explain to me why it's so difficult to purchase an OTC medication?

81 replies

Juillet · 19/11/2009 10:48

This morning I tried to collect some medicine I had ordered...it's fairly mild, over the counter stuff that I've used before.(phenergan/promethazine)

The fight I had to put up was amazing. This isn't counting the bit when she barely allowed me to order it in case I was intending to give it to my children

Perhaps I came across wrong when I was trying to chat about it - I mentioned it was prescribed for children thus was a milder medication than the other one I'd been prescribed. So maybe she took that wrong.

Anyway I finally went to get it and she started saying how I should just take the one I was prescribed, because it was for the same thing, we had a brief exchange where I tried to explain that one is stronger and I wanted the milder stuff as well for days when the problem wasn't so acute.

Then she turned that around, 'Oh you shouldn't be taking it every day' bla bla bla so had to explain that I'm NOT, it's only a few days a month, but sometimes it is bad and sometimes it is mild. So I wanted to save the prescribed meds for the worst times.

Then she said 'you shouldn't take them together' ffs, I wasn't intending to, so I said 'Oh really? Are they contraindicated?' and she had no idea what I meant so went to ask, and of course the pharmacist was like and I then noted the 'trainee' bit on this woman's badge...so I asked what the ingredient was, if it was the same, which I knew it wasn't as I have taken both before...couldn't see a reason they shouldn't be taken together, not that it mattered. No answer was forthcoming on that point but then I explained that it was for a few days a month when I have ovulation-related nausea. So the pharmacist asked if I also had ovulation pain, to which I replied no, and she told me I ought to buy some migraleve as it contains an anti nausea medication as well as paracetamol

I asked to see the packet (while the ever increasing queue pondered my ovulation status) and they reluctantly let me have a look. It had codeine in it which I don't like, and I didn't want a combo product, hadn't even mentioned my unrelated headache anyway, so declined and just bought what I had wanted all along.

I felt so patronised and frustrated. I know some people are obviously not bright and might take things all mixed up and so on, feed their children methadone and take roadkill home for supper, but I'm not one of them.

Pharmacists and their assistants do probably feel a burden of responsibility but where should they draw the line? If it's an over the counter med surely the patient should be considered the judge of appropriate use?

I'd appreciate any comments from pharmacists etc as well as anyone else of course

This was all in front of a queue of people as she was so obstructive and kept questioning and misinterpreting everything I said.

OP posts:
alypaly · 20/11/2009 12:21

hi juillet......your pharmacist should have told you that these two will interact as phenergan is a phenothiazine...taken from clinical paper. Dont want to appear like a know all but they were protecting you.
is a dopamine antagonist that may cause extrapyramidal effects when administered alone at high concentrations, or when coadministered with antipsychotic agents such as haloperidol or phenothiazines.

Juillet · 20/11/2009 17:37

Wow, thanks for that. I don't think you're being a know-it-all.

That's interesting because the assistant said it without knowing if it was true or not - then when she asked the pharmacist, the pharmacist just shrugged. So I'm glad you've told me how they interact and wonder if I will trust that pharmacist again! My other one I go to would have looked it up.

OP posts:
GinSlinger · 20/11/2009 17:57

I have a balance here:

Last year, when my mother was dying at home with cancer, I collected morphine and various other strong meds for intravenous use from our pharmacy and was treated with care and concern. They used the private room to discuss issues that did need to be discussed and they clarified certain details with me. I left the pharmacy with a cache of drugs that would have got us all high for quite a while. Obviously all on prescription.

Last week I tried to buy an OTC for a fungal infection on my toenail. I should have read teh details in advance because if you have this fungal infection on 2 nails then you can't be trusted to apply it. Off to the doc with me - I do understand that there are rules and they're based on the people who bring road kill home but I really don't look like that (or do I?)

alypaly · 20/11/2009 18:38

sorry juillet my link didnt work..here it is again www.ncbi.nlm.nih.gov/pubmed/11069215

alypaly · 20/11/2009 18:42

juillet,have worked in pharmacy for 35years and i really feel in this litigeous age it is better to be safe than sorry and i would rather give the full facts to the patient and let them make an informed decision.

Sassybeast · 20/11/2009 18:50

Juillet - they work in completely different ways - metoclopromide works directly in your gut - it 'rushes' food through to reduce feelings of sickness - pherghan works directly by damping down histamines which are produced by the vomiting centre in your brain and reduce the feelings of nausea.

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