3 ms·

I don’t know why you are being downvoted, adhd medication is insanely overprescribed. Turns out, kids get antsy and hard to control after cramming them into ove

I don’t know why you are being downvoted, adhd medication is insanely overprescribed. Turns out, kids get antsy and hard to control after cramming them into overcrowded rooms for 8-9 hours a day doing slop work. Some schools are now forgoing any form of recess at all. Modern public education is inhuman and dystopian.

epistasis 2y ago
It is absolutely not the job of a pharmacist to make decisions about which drugs are being overprescribed, and IMHO it's a dangerous thing to suggest. The pharmacist should assess for drug interactions, but we can't burden pharmacists with knowing the details that went into a prescription, and we shouldn't have them second guessing the diagnosis of a doctor. Down that road lies madness.
- culi 2y ago
  I get where you're coming from but pharmacists have the right to refuse to fill a prescription and in fact can be held liable for not doing so. Pharmacists are trained medical professionals and are expected to use their judgement
  - _moof 2y ago
    Judgment based on what? The five-second interaction we have while they're doing twenty other things thirty feet away?
    - TeMPOraL 2y ago
      Another thing is, do you get an actual trained and knowledgeable pharmacist, or a technician? In Poland, pharmacies are required by law to have a MSc in pharmacy present during operating hours - that is, no less than one pharmacist with a Masters degree. One is enough. Which means that's all you get. You may not even see them unless you're buying ADHD meds, which need MSc to sign off on them. Otherwise, you're almost always dealing with a pharmacy technician. Some are pretty knowledgeable[0], others could be replaced by GPT-3.5[1] with net benefit to the customer. The latter type, if they're going to notice anything about you, it's whether you're likely to buy some useless supplement or homeopathic product. -- [0] - Probably on their way to MSc in Pharmacy, which is a mistake if they're looking for a pharmacy job - pharmacies don't want people with MSc, there's enough of them around already; they want the cheap technician labor. [1] - Yes, not even 4.
  - epistasis 2y ago
    It's one thing to use their judgement to refuse somebody who is going to get a bad drug interaction, and another for a pharmacist to say "I've given out too many of X prescriptions, I'm going to start cutting off people from their prescription based on my judgement of them," and this latter one is what was under discussion and the one that I'm rejecting.
- nfw2 2y ago
  I agree it was a poor choice of words as the decisions are largely being made by regulators and doctors.

epistasis 2y ago

It is absolutely not the job of a pharmacist to make decisions about which drugs are being overprescribed, and IMHO it's a dangerous thing to suggest. The pharmacist should assess for drug interactions, but we can't burden pharmacists with knowing the details that went into a prescription, and we shouldn't have them second guessing the diagnosis of a doctor. Down that road lies madness.

culi 2y ago
I get where you're coming from but pharmacists have the right to refuse to fill a prescription and in fact can be held liable for not doing so. Pharmacists are trained medical professionals and are expected to use their judgement
- _moof 2y ago
  Judgment based on what? The five-second interaction we have while they're doing twenty other things thirty feet away?
  - TeMPOraL 2y ago
    Another thing is, do you get an actual trained and knowledgeable pharmacist, or a technician? In Poland, pharmacies are required by law to have a MSc in pharmacy present during operating hours - that is, no less than one pharmacist with a Masters degree. One is enough. Which means that's all you get. You may not even see them unless you're buying ADHD meds, which need MSc to sign off on them. Otherwise, you're almost always dealing with a pharmacy technician. Some are pretty knowledgeable[0], others could be replaced by GPT-3.5[1] with net benefit to the customer. The latter type, if they're going to notice anything about you, it's whether you're likely to buy some useless supplement or homeopathic product. -- [0] - Probably on their way to MSc in Pharmacy, which is a mistake if they're looking for a pharmacy job - pharmacies don't want people with MSc, there's enough of them around already; they want the cheap technician labor. [1] - Yes, not even 4.
- epistasis 2y ago
  It's one thing to use their judgement to refuse somebody who is going to get a bad drug interaction, and another for a pharmacist to say "I've given out too many of X prescriptions, I'm going to start cutting off people from their prescription based on my judgement of them," and this latter one is what was under discussion and the one that I'm rejecting.
nfw2 2y ago
I agree it was a poor choice of words as the decisions are largely being made by regulators and doctors.