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9 Mistakes That Are Being Made When Retail Pharmacists Fill Veterinary Prescriptions

When I take my lunch break I usually come home to let the dogs out, grab a quick hug from each of them,  and of course grab a quick bite to eat and then race back to work before afternoon appointments start.

The only time I stay at work to eat lunch is when my husband is working nights and I don’t want to come home and disturb him, because I’m “considerate” like that.

Such has been the case for the past few weeks so I’ve been joining my fellow co-workers in the lunchroom where we chat and catch up on what is happening around the world in all the hot magazines.

I’m not one to grab the most recent People Magazine or US Magazine, instead I dig through to the bottom of the pile and grab the most recent veterinarian magazine to get caught up in what is happening in the “modern world of veterinarian technology.”

Most of the time my magazine of choice is DVM360, a great magazine that serves the veterinary community, including veterinarians, veterinary technicians, veterinary practice managers, veterinary assistants, receptionists, and more.

As I was looking through the January edition there were several stories that caught my eye: A Rising Risk of Ehrlichia Exposure, After Sandy:Dogs in the Midst of Disaster, 10 Pages to Like on Facebook, The Rise of the Almighty Pet Owner, and the one that really caught my attention, Oregon Veterinarians Tally Retail Pharmacists’ Mistakes.

The article was about about how the Oregon Veterinary Medical Association recently conducted a survey to determine how often mistakes are happening when retail pharmacies fill veterinarian prescriptions. The alarming results show that these mistakes are not isolated incidents and have been observed by more than a third of veterinarians in the state.

Below is a list of some areas that were listed where veterinarians in Oregon are seeing problems:

  1. Insulin substitutions
  2. Thyroid drug dosage changes
  3. Phenobarbital dosage changes
  4. Ringworm treatment substitutions
  5. Propylene glycol misinformation
  6. Wrong drug dispensed
  7. Incorrect dosages
  8. Disregard for veterinarians’ instructions- no substitution means NO substitution for a reason!
  9. Inappropriate client counseling. (some side effects that people experience in human medicine does not apply to animals)

In the case of the propylene glycol misinformation a vet prescribed propylene glycol for a dog with a hyperkeratotic nose problem.

The pharmacist told the owner of the dog that the vet prescribed ethylene glycol (anitfreeze) and that it would kill her dog. 

Obviously the owner didn’t get the medication and the dog went untreated until the vet called to check up on the dog.

The key to this post is not to knock retail pharmacists but to provide education to pet owners as more and more of them choose to have their pets medication filled at retail stores over their veterinarian offices for various reasons.

Educate yourself on your pets medication.  

Be aware of what your pets prescription is. 

If the vet hand writes a prescription, write it down or make a copy of it so that you can compare it to the prescription of what was  filled by the pharmacist. If the vet calls it in for you ask them what the prescription is and write it down.  

When you pick up your pets medication, always double check it.  Is it the same brand name of medication? Is it the same dose that the vet prescribed?

And if you ever doubt anything, have questions, or the pharmacist wants to change your pets prescription, please call your vet and ask.

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Category: pet health
  • Crystal says:

    My vet actually charges an extra $20 for sending a prescription with a client to a pharmacy. I’m not sure if it has anything to do with the mistakes they make, or what, but it does bug me a lot.

    As for the dosage mistakes- they do that to human medication too. I always double check both the label and the actual pills that I get when I refill my thyroid meds. Luckily with thyroid stuff, the color indicated dose, so a mistake is easy to see.

    January 29, 2013 at 1:11 am
  • 24 Paws of Love says:

    Our vet dispenses all our medications at the office so we always know what we are getting.

    Scary the mistakes that get made.

    January 29, 2013 at 1:30 am
  • SUGAR: Golden Woofs says:

    Woof! Woof! We only trust our VET to provide the medication. YES my mom always asks lots of questions too. Golden Thanks for sharing the article. Lots of Golden Woofs, Sugar

    January 29, 2013 at 1:41 am
  • bichonpawz says:

    It IS scary!!! I actually picked up my own medicine at the pharmacy only to find out that they had given me heart medication…and I do not take heart medication!! Back to the pharmacy I went and it was NOT a pleasant conversation!! I have not yet picked up any meds for the girlz anywhere except at our vets, but will definitely keep it in mind. Thanks Jen!

    January 29, 2013 at 4:06 am
  • Clowie says:

    That’s worrying. Our vet usually dispenses any medication himself.

    January 29, 2013 at 5:50 am
  • Mango Momma says:

    Yup, I always check any refills against the original and I try to remember to go online for new prescriptions to verify what I have. Mistakes happen and consumers need to be alert.

    Mango Momma

    January 29, 2013 at 7:07 am
  • Dee & Murphy from 5 Old Dogs says:

    Excellent post. Thank you.

    January 29, 2013 at 7:15 am
  • Vicki says:

    We obtain any medications right from our Vets office as well. Even if you are paying a bit more, you are ensured that your pet(s) are getting what was prescribed and it saves us running around to a pharmacy or store then waiting for the meds.

    Thank you for information Jen. I’ll be sharing with all my pet friends.

    January 29, 2013 at 7:46 am
  • Taryn says:

    Great post! Thank you!

    January 29, 2013 at 7:56 am
  • melF says:

    Great share Jen. I saw this article about a month or so ago and was going to write about it, but never got to it. So glad you did. I shared it on my FB page.

    January 29, 2013 at 8:03 am
  • emma says:

    Even though it may cost more we just get everything filled at the vet with the exception of packaged products such as Frontline or heartworm meds. Good to know, though, in case we do ever need to use a pharmacy.

    January 29, 2013 at 8:56 am
  • Kristine says:

    Really, really great reminder. Most pharmacists do not have education in dealing with animal health so it’s understandable that mistakes are going to be made. It’s up to us to be our pet’s advocate in all things. Truly, these reminders apply to both human and animal health. One can never ask too many questions of either a pharmacist or a vet. Or a doctor.

    January 29, 2013 at 10:39 am
  • Flea says:

    I don’t think I’ve ever gotten meds for my pets anywhere but the vet. I know that the pharmacy messes up my meds on rare occasion, so I’d believe it of the pets.

    January 29, 2013 at 11:04 am
  • Missy@dawsondogs says:

    What a nice person you are not to want to wake the daddy.

    January 29, 2013 at 12:12 pm
  • jan says:

    Scary stuff and this is a reason I read dog blogs. I was not aware of this. Thanks for the suggestions.

    January 29, 2013 at 12:30 pm
  • Bebe says:

    Wow scary stuff. Luckily my sister is a vet tech so she gets all my scripts for me. One more thing to worry about!

    January 29, 2013 at 12:50 pm
  • Jodi says:

    Great post Jen, personally I pick up the dog’s prescriptions at the Vet, it just makes me more comfortable. I wouldn’t pick up my prescription at the vet. :-)

    I did share on my facebook page because I know so many people are trying to save money but to me it’s not worth it if it puts my dogs at risk. :-)

    January 29, 2013 at 1:14 pm
  • 2 brown dawgs says:

    We have had some drugs dispensed at the human pharmacy for the dogs. These are drugs that the vet clinic and/or vet hospital does not keep on their shelf. We have never had an issue. It is a good reminder to always check what is prescribed against what is dispensed and that goes for people too.

    There has never been any real money savings for us to go to the human pharmacy vs the vet clinic since the dosing for pets usually requires more people pills.

    My Dad has some medications compounded for his kitty. Again, I don’t know of a veterinary compounding pharmacy around here. He goes to the people compounding pharmacy.

    January 29, 2013 at 1:21 pm
  • Michelle S says:

    I often have to fill scripts outside of the Vet’s office, but I ALWAYS use a compounding pharmacy that has a specialized pet department.

    Off topic, but I saw someone comment about their Vet charging a fee to write a script. In my opinion, that should be ILLEGAL!

    January 29, 2013 at 1:59 pm
  • Gizmo (@GizmoGeodog) says:

    Valuable information and really a good reminder to always check every prescription filled, human or animal…pharmacists are human and make mistakes, but their honest mistakes can be fatal…It always pays to take the extra few minutes to check

    January 29, 2013 at 4:42 pm
  • Julie says:

    I usually will get my meds directly from the vet – but on occasion I have had the vet call it in to Target or Costco only because they were out of it but not because it was cheaper! It’s scary to think that they are dispensing the wrong drugs! YIKES! Thanks for sharing!

    January 29, 2013 at 11:14 pm
  • Amy / Layla the Malamute says:

    Having worked in a vet hospital and now working in a pharmacy, I really can say the incidents aren’t as widespread as they’re making it sound. Yes mistakes happen – both at vet hospitals and pharmacies and any other place on the planet. But I wouldn’t hesitate to get my pets prescriptions filled at a pharmacy. Very good advice but all the points should be applied toward ANY medication, wherever its filled.

    February 1, 2013 at 1:04 am

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