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Mildly Infuriating
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Uh, former pharmacy tech here... I don't know what you want us to do. If I have a strip of, say, 10 pills, 2 rows of 5, and I get a prescription for 6 pills, that means I'm gonna have a strip of 4 pills left over. If I get a prescription for 9 pills, there's gonna be a single one left over. Do you want these pills to just be thrown away? If they don't have enough pills on hand to make your prescription with the full sheet, would you rather they delay your prescription so they can order some nicer looking ones?
I get that it can be frustrating dealing with those blister packs, but freaking out at the pharmacist/ tech that a. did not put the pills in a blister pack and b. doesn't have any option but to dispense medication on hand, seems pretty misplaced. Like, I wouldn't think something was wrong with the Walmart cashier for selling me a pair of scissors in security packaging.
Tbh, a pharmacist shouldn't really do anything with the actual medication other than dispensing it correctly. In Sweden, every package is individual; the pharmacist should never be opening them nor touching the blisters in normal cases. It significantly reduces risks for the patient and ensures traceability.
It is a bit less efficient though, as pharmacies need to stock up different qualities of the same dosages: Stilnoct(zolpidem) 10mg for example has two different packages: 14 tablets, or 28 tablets. If you have a prescription for 28 tablets, you can't buy two 14-tablet packages. And if you were to have a 14 prescription, you can't buy the 28 and ask the pharmacist to throw away the other blister. But I think it's a worthy tradeoff to eliminate the majority of human mistakes.
Same here in Denmark.
The only place I've ever seen pills given out of the package is at the vet and in hospitals or by a doctor, and it's for obvious reasons dictated by circumstances.
If we need 10 of some pill, they come in boxes of 10. I have no idea wtf is going on with splitting up packages to get 20?
PS: The example with the vet was worm treatment, those pills were in individual blisters, and you can get only one at a time I think due to EU regulation. It was then put in a package made specifically for that. And there were no sharp edges.
We used to get 3 at a time, to administer as needed, but apparently we aren't allowed to get more than 1 at a time now.
Also the price has trippled to buy 1 compared to what 3 used to cost. So a 10x price jump!!!
This is interesting. Do all pills come in blister packs in Denmark? Over in the US it's actually somewhat rare for prescription medication to come in blister packs. Typically over the counter prepackaged medication will come in blister packs, but prescriptions are almost always unpackaged pills in a bottle. The pharmacist counts out the number of pills and puts them in the bottle as well as attaching its label to match the prescription. Prescriptions are typically written based on pills per day and the number of days to either take the medication or else for the prescription to cover. E.G. the doctor makes out a prescription like "take one pill twice a day for 60 days", and then the pharmacist will give you a bottle with 120 pills in it.
Almost everything is blister packages, which I personally find a bit annoying.
We can't even get normal pain killers without them being in blister packages, and we can only buy limited amounts to prevent teen suicide attempts by painkillers.
That part however I'm OK with, because allegedly it's supposed to actually work. 👍 😀
France: never seen a bottle IRL. Used to be blister packs, and if you needed 21 pills but they came in packs of 20, you got 19 too many and they lived forever in your medicine cabinet.
Now pharmacists are allowed to open packs of antibiotic pills and only dispense the exact number you need, and pics like the OP can happen. Most pharmacies don't do it though.
Here in the Netherlands I’ve never had any medication that wasn’t in blister packs. They are always full boxes. Boxes have anti-tamper seals and a unique serial number that the pharmacist has to scan when issuing (to prevent fake medication). Pills are individually packaged to prevent contamination.
People bitch about everything they don't understand. Some meds are too fragile to just put into a plastic bottle, or exposed to air.
It's so weird to me as here we just get one box of pills and done 🤷
Order of 6 pills - give a 3x2, you now have a 2x2.
Order 9 pills - give the 2x2 and a 1x5, you now have a 1x5.
I see your problem, but I don't see how that can turn into "a 10x1, a 4x1, a 2x1 and another 2x1" as your best choice. That looks like he got the left-over-pile after a day of ever order getting from a new pack.
Honestly, I don't know why you even have to open a package. I've never seen that, and I've been in some long pharmacy queues. Never been to US though.
If I need exactly 10 pills, I get a box with 10 pills, packed in a factory like any other box of pills.
I'm saying that's exactly what happened.
Things are done very, very differently here than most places. Blister packs are pretty uncommon, as are "per-patient" packages.
We rarely get bottles of 14, 30, 90 or whatever to give to the patient. It's usually a giant "stock bottle" of like, 100, 500, 1000 pills that get counted out according to the prescription.
Your example of using the leftover from one script to the next works if you're a single person in a small-ish pharmacy and it's an uncommon drug, but when you're one of 4 techs in a shitty retail pharmacy, you're not going to ask every other person if they have a 2x2 strip of this med in their pile of go-backs, or spend time min-maxing the most efficient way to get the most pills in the least amount of strips. You're gonna fill the thing as quickly as possible, because the medicine is what's important, and you're not gonna hold the backlog of prescriptions up because someone wants the nice complete pack of 10 and not the leftovers that are bound to pile up.
AKA pretty much every pharmacy these days, since these pharmacy companies are large enough to own the insurance companies.
What a fucking disgusting mess the US medical industry is.