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I do not feel the answer is appropriate at all. While I am still an NP student, in my state NP's have complete autonomy and many do not work under doctors at all.
As a future mid-level I would have to educate the pt that the medication is not appropriate and why. I might also mention that most medications advertised on tv are going to be more expensive since they are newer, so they should be glad that they do not need x drug
If it is an inappropriate prescription, I say so and that's the end of it. If it is otherwise appropriate and they want to try it, fine by me. For instance, I have had several men asking about Axiron or Testim this year as they have been heavily advertised in men's health magazines. If they are a candidate and want to pay for it, why not? I learn a lot about new drugs based on my patients' experiences.
Not an NP/PA, but as an RN, I've been asked about new/current drugs and other TV/literature modalities. My comment - "Oh, I haven't had the chance to fully investigate and read up on it. I need more information on it".
For those of you with prescriptive power, keeping up with the trends must be a herculean effort. I know pts like the newest designer drugs out there regardless of cost, long-term efficacy and potential for negative sequellae. Like it's a badge of honor or having bragging rights for having the newest drug/tx on the market.
I work in nephrology and have lots of pts asking about vitamins, supplements, herbals, etc.. that will give them much-needed energy, etc.. I try to keep up on the current stuff but yes, I always tell my pts that I will look into it and get back to them. Many, many of the new MIRACLE meds are in no way safe for those with a GFR