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News From Mississippi

Life & Events > The Wrong Pill
 

The Wrong Pill

An acquaintance, "Mata" phoned and told me something she did that was embarrassing to her--she was abashed to have made such a mistake.
Mata takes a Glucophage pill morning and evening for diabetic control. She also has in her medication drawer a bottle of Soma pills, a muscle relaxant, that she takes only when she has back spasms. Generic Soma and Glucophage look alike--they are both the same sized round white pills.

This morning when she checked her blood sugar, it was higher than usual. She then did have the presence of mind to take a good look at her medication and realized for the past two days she had been taking Soma instead of Glucophage.
She had slept well, because the Soma causes drowsiness, but her blood sugar was about to get out of control. Mata is a nurse; she said How could I not have noticed??

There was a case on Dr. G Medical Examiner about a pharmacist that had filled a prescription wrong. A teenage boy had been prescribed Ritalin, but the pharmacist had filled the Rx with Methadone. Both pills looked the same and had similar markings, and the parents unwittingly gave the wrong pills to their son even as he gradually became stuporus and died.

Mistakes can be made by anybody; be aware of any change in the appeaance of your generic meds and don't be shy in asking questions at the pharmacy.
Mata learned a lesson--she wrote with a Sharpie pen across the label "Soma" and put the bottle in another drawer.
I'm not being preachy, but you have to be vigilant about generics--actually of any prescribed drugs.

susil

posted on Nov 17, 2010 10:09 AM ()

Comments:

I used to work for the company that publishes the PDR with all the photographs of the name-brand pills. The pharma companies pay to have their drugs represented there, but as the patents expire there is no reference for the identification of generic versions.
comment by troutbend on Nov 19, 2010 3:58 PM ()
We all make mistakes.
comment by elderjane on Nov 19, 2010 6:31 AM ()
Hi jeri; We all make mistakes, and some of 'em can kill ya!
reply by susil on Nov 20, 2010 12:18 PM ()
I called the mail order pharmacy once when one of my pills was a new shape and new color. They said it came from a different factory, but was the same generic. Probably was since my cholesterol stayed normal. Good waring!
comment by jjoohhnn on Nov 18, 2010 4:28 PM ()
Hi jj; a pharmacist at Walmart said any time your generic looks different than what you're used to, the pharmacist is supposed to tell you it's the same just different generics--but my pharmacist never has.
reply by susil on Nov 20, 2010 12:16 PM ()
Years ago when my children were small I used to have tension headaches and the doctor prescribed SOMA COMPOUND. One night I had severe neck pains and a blinding headache and took one of those pills. Once it took effect, I could not remember the names of my children and walked straight into a door frame. Powerful pill.
comment by gapeach on Nov 17, 2010 6:48 PM ()
Hi peach; I don't know how Mata functioned taking two Soma a day--that stuff is strong and will zombie-ize you!
She said she was sleepy all day but thought she was just extra tired!
reply by susil on Nov 17, 2010 7:02 PM ()
That's really good reminder. We have such trust in our caregivers and have to remember that they, too, are human and mistakes can happen. That poor kid!

I try to be careful.
comment by juliansmom on Nov 17, 2010 4:00 PM ()
Hi mom; I've seen that particular episode of Dr. G twice--the family was devastated that by trying to do the right thing, their son had died. They even took him to a doctor when he became drowsy but the medication mistake wasn't found out.
reply by susil on Nov 17, 2010 6:46 PM ()
Yes, it's easy to get mixed up. I keep pills in my nightstand and if I have to take something I am always sure to turn my light on and look at the bottle. Good warning Ms. Su.
comment by tealstar on Nov 17, 2010 12:57 PM ()
Hi teal; My sister used to keep her pm meds on the nightstand--one night her husband mistakenly took two of her hormone pills when he didn't bother to turn on a light and read the label. He got teased about having hot flashes a lot after that!
reply by susil on Nov 17, 2010 6:51 PM ()
Right you are! Good reminder!
comment by marta on Nov 17, 2010 12:40 PM ()
Hi marta; Thanks; sometimes pharmacists change generic brands without telling their clients, but they are supposed to.
reply by susil on Nov 17, 2010 6:54 PM ()
Just shows how easily it can be done. To us and to Mata...
comment by kjstone on Nov 17, 2010 10:58 AM ()
Hi kj; I'm mistake prone anyway so Mata's error taught me a lesson.
reply by susil on Nov 17, 2010 6:57 PM ()
Good information there.Preachy are you serious?
comment by fredo on Nov 17, 2010 10:25 AM ()
Hi fredo; Glad to hear from you!
reply by susil on Nov 17, 2010 6:58 PM ()

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