I think there is a good case for saying that all prescribable OTCs are put on
the NHS blacklist.
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From: [log in to unmask] on behalf of Peter Wilson
Sent: 29 March 1998 02:14
To: gp-uk
Subject: Branded drugs
In another thread Jel asked:
Do people prescribe Calpol?
I have to admit that very occasionally I have done in the situation where I
had advised Paracetamol, a prescription requested (On basis that it's free)
with the rider that "He won't take that stuff you gave last time but he will
take Calpol"
What to do? I know what I'd like to do but am I empowered to do so
............. probably not :-((
If one advises a treatment then it can be argued that it is clinically
indicated and the patient could insist upon receiving an FP10 for that
treatment ........ on the proper form, etc., etc. If I'm right so far how
can I justify refusing a branded product when the parent has clearly told me
that the generic preparation is unsuitable? Worst case scenario - stick to
my guns, prescribe Paracetamol, child won't take it, high fever, febrile
convulsion, hospital admission ............ all 'cos I wouldn't write/print
Calpol! Defendable?
Does anyone know where we stand?
Can anyone explain the rationale behind being able to prescribe Calpol
Infant but not the Six Plus variety? Why blacklist one and not the other?
Rarity of febrile convulsions in over 6's?
Can anyone explain the rationale of allowing companies to sell Branded drugs
cheaper than the Generic equivalent. Check out Kapake and Co-Codamol. What's
going on here?
On the original thread, has anyone tasted Dioralyte Relief (The one with the
rice extract). I tried it just to see if it were any more palatable than the
original. Think I'll stick to Coke. Someone once told me that 7UP is used
routinely in America for the same purpose. Snow White allegedly thought that
was lemonade until she discovered Smirnoff ;-))
Dr Peter Wilson
GP, Broadstairs
Medical Manager - EKDOC
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