METHYLPREDNISOLONE vs PREDNISONE

This past week has been an absolute shit show of calling docs to switch to prednisone 5mg. The only Medrol 4mg that's available on Cardinal is a #100 bottle for $120 fucking dollars, yup $1.20 for a single methylprednisolone 4mg tablet... you have got me all the way fucked up. Most offices never res

I was reading the other thread about the Lamictal lawsuit and was wondering why it isn't sold as a blister dose pack with detailed instructions to prevent titration errors. I haven't worked retail in a long time and was surprised to find that lamotrigine starter kits are commercially available (htt

Today I had a provider order 1000mg Solu-medrol infusion followed by 100mg of Hydrocortisone infusion. He said the hydrocortisone was to combat the adrenal insufficiency seen from the methylprednisolone Does anyone have any input on this or know of some publications relating to this use? Fresh out

Patient getting high dose IV methylprednisolone (15mg/kg) for nephrotic syndrome. They lost IV access and dr changed to PO. I have always maxed PO methylpred/prednisone at 80mg/day, but now I am questioning everything. Are the GI side effects really worse for oral?

The New England Compounding Center got into a lot of trouble selling methylprednisolone epidural injections that were produced under poor conditions. The injections caused many systemic infections that killed 48 people. [Link] (http://www.newsweek.com/2015/04/24/inside-one-most-murderous-corporate-

Edit: I deleted the vaping post a while ago because doctors kept judging me for it. I’ve kept screenshots of it, they were moderators telling me NOT to go to the ER making me feel stupid. At eosinophil of 5800. So yeah. I’m not lying about the post I just deleted it because of anxiety before the hos

31F, don’t want to give too much identifying info since there aren’t that many bat rehabilitators in the world. No relevant PMH. I’m normally the one answering questions about rabies, not asking them, but this is more than I know and more than my doctor knows, so I’m hoping this might happen to be s

Hi everyone, 6 year old male. 43 pounds. 45 inches tall. Caucasian. Canada. No allergies. Medical conditions: asthma. Medications: Advair BID, and Ventolin PRN. Was prescribed Prednisone for a possible asthma exacerbation, and recieved one 20mL dose on Wednesday morning then went to school, and caug

I can't embed images here, so I made a pdf with all text, pictures, and labs. [https://www.scribd.com/document/511582218/askdocs-pdf?secret\_password=VqmaLuJA0tGw5bGE5xYp](https://www.scribd.com/document/511582218/askdocs-pdf?secret_password=VqmaLuJA0tGw5bGE5xYp) It will be much easier to read th

Hi everyone (throwaway account here), I need help on how to proceed with a meeting I am going to have with my staff pharmacist who got caught on camera stealing drugs at 5 different instances in the past 3 months. All drugs were non narcotic for personal use such as cochicine, nitrofurantoin, naprox

Yesterday, I had a prescriber send over 12 seperate prednisone rx's trying to do a taper. Today, I had a prescriber writing for the 2.4mg wegovy but to inject 0.5mg. I asked them if they instructed the patient on how to get 0.5mg out of a pen designed to inject 2.4mg and they said "no, why? did the

Before official corona virus news started trickling in, I recall a large number of people coming into the pharmacy for a few months with a terrible cough that wouldn’t go away. For the most part these were regulars I had known for years with no outstanding health problems. Now that I think back we w

Hello. Just got a message from pharmacy about norco for chronic pain in an elderly patient, “alternative requested, please add icd code, is patient seeing pain specialist.” I do appreciate the concern, however in this particular patient I believe it is warranted, (she has tried several other class