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Medical Forum / General / Pharmacy / September 2008physician self prescribing dilemma
I am a licensed physician. My personal family doc prescribed Fioricet to me for tension headaches. I understood that this medicine is not a controlled substance.....so when I needed a refill I simply wrote a Rx for myself... It was refilled a few times..........never had any questions from the pharmacists.... I no longer require the medicine.........however in casual conversation with a pharmacist friend of mine......writing the Rx for myself is not "in the scope of my practice" and because one can't have a physician -patient relationship with himself......technically he says this is against state statutes and there could be a disciplinary action if it ever comes up.... My question is, now that it's done and everything is on record.........what can I do to avoid getting into any trouble over this....? Would it be likely to come up on some future computer audit? If the pharmacy filled the Rx, are they likely to take any action? Thank you Hank In article <5bf5d37c-a807-4eba-b86d-5875db1cee03@k7g2000hsd.googlegroups.com>, > My question is, now that it's done and everything is on > record.........what can I do to avoid getting into any trouble over > this....? > Would it be likely to come up on some future computer audit? If the > pharmacy filled the Rx, are they likely to take any action? This is way way out of my field, but something like that never stopped me before. My charge is going to be zero, although even that may be more than it is worth. Stay quiet. Wait for any statute of limitations to finish. If caught, such a minor infraction will probably be a tap on the wrist, If your conscience bothers you, see a trusted lawyer who knows his way around such things. Considering how many physicians do get into trouble over drugs, there must be a significant number of lawyers who are legal experts on the subject. Bill On Aug 10, 4:40 pm, amgems...@hotmail.com wrote: > I am a licensed physician. My personal family doc prescribed Fioricet > to me for tension headaches. [quoted text clipped - 20 lines] > > Hank Fioricet is a schedule 3, therefore a controlled substance.You should know this. You might, if push comes to shove, use the programs offered by individual states for self reporting by impaired physicians: seems a bit drastic, but If it saves your license.... t would be a GOOD Thing anyway to review such programs in your state: Note that I'm not trying to imply that you are doing anything other than what you said. David On Aug 11, 11:36 pm, "chorley...@gmail.com" <chorley...@gmail.com> wrote: > On Aug 10, 4:40 pm, amgems...@hotmail.com wrote: > [quoted text clipped - 33 lines] > > David ---------------------------------------------------------------------------------------------------------------------------------------------- I can't find anywhere where regular Fioricet is Scheduled.(except schedule VI in Mass which includes most non contolled meds.)...... and all my net research and queries to pharmacists say it is not a controlled substance Firoinal is schedule III; and Fioricet #3 is schedule III. But you bring up an important point...... Thank you for your input. Hank On Aug 12, 9:57 am, amgems...@hotmail.com wrote: > On Aug 11, 11:36 pm, "chorley...@gmail.com" <chorley...@gmail.com> > wrote: [quoted text clipped - 52 lines] > > - Show quoted text - Yes folks, I was wrong, but at least I admit it: Butalbital is, however a barbiturate... which is why I *thought* it was a 3... mea culpa David >On Aug 12, 9:57 am, amgems...@hotmail.com wrote: >> On Aug 11, 11:36 pm, "chorley...@gmail.com" <chorley...@gmail.com> > >> > > this....? >> > > Would it be likely to come up on some future computer audit? If the >> > > pharmacy filled the Rx, are they likely to take any action? >Yes folks, I was wrong, but at least I admit it: >Butalbital is, however a barbiturate... >which is why I *thought* it was a 3... mea culpa >David The physicians in my state that were investigated and eventually convinced used/abused significant quantities of controlled substances, typically narcotics. I'm talking 1000's of tablets, etc... Writing rx's for family members, writing after DEA#'s suspended, blatant violations. The investigating agents are very busy, IMHO they aren't too worried with a minor infraction/violation, especially if its not a ongoing issue.  Signaturemred > Fioricet is a schedule 3, therefore a controlled substance.You should > know this. While some states may have stricter controls, and I don't have time to look at the various states rules, Fioricet or its generic equivalents is NOT a controlled substance purusant to the Drug Enforcement Administration. Fiorinal IS a class IV. I am going back a long way for my pharmacy law, but if I recall correctly, it is due to the acetaminophen in the Fioricet having a "scarier" (to abusers) toxicity than aspirin. I am not sure of that particular tid bit of information but I am quite certain that Fioricet and its generic equivalents are NOT controlled substances. I just double checked on the McKesson website. My email on this account is simply to screw with spammers. I can be reached via nick at pharmasyst dot com. >> Fioricet is a schedule 3, therefore a controlled substance.You should >> know this. My .02 If one Rx and couple refills, forget about it. If its more.......Not sure. At any rate, you need to have a personal physician to treat(headaches?) or anything really. That establishes a medical history, etc. Shows your not self medicating, which of course is a slippery slope. Signaturemred >> Fioricet is a schedule 3, therefore a controlled substance.You should >> know this. [quoted text clipped - 10 lines] > and its generic equivalents are NOT controlled substances. I just > double checked on the McKesson website. You're 100% correct. Fiorinal is a 4, but Fioricet is a DD. Add codeine to either and you have a 3. There's a lot of misinformation about this on the Internet. Don't believe everything Google turns up. I've never heard of any state treating Fioricet as a control, but some could be. rxcra You can migrate to Australia. We have a shortage of good doctors here. In my area there is one doctor per 5000 citizens and more and more are being imported from developing countries (it's cheaper). The pay is probably not as good as in the US but we don't have the death penalty here anymore so you can feel at ease. :) > I am a licensed physician. My personal family doc prescribed Fioricet > to me for tension headaches. [quoted text clipped - 20 lines] > > Hank > You can migrate to Australia. > We have a shortage of good doctors here. [quoted text clipped - 32 lines] >touch with Rush Limbaugh's lawyer, if anything comes up. But I doubt it >will. |
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