How do you respond to a patient asking about an advertised drug.

Posted

What response do you give a patient who asks about a specific advertised drug? IF it is a treatment for a diagnosis of theirs? IF not appropriate? Was wondering.

ChristineN, BSN, RN

Specializes in Pediatric/Adolescent, Med-Surg. 3,464 Posts

defer to MD.

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

myelin

695 Posts

defer to MD.

huh? Shouldn't a NP perfectly be able to explain why or why not a drug is appropriate for a given pt's dx?

morte, LPN, LVN

7,015 Posts

mea culpa, didn't check forum i was in.

huh? Shouldn't a NP perfectly be able to explain why or why not a drug is appropriate for a given pt's dx?

BlueDevil,DNP, DNP, RN

Specializes in FNP, ONP. Has 25 years experience. 1,158 Posts

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.

amoLucia

Specializes in retired LTC. 7,497 Posts

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.

TX RN

Specializes in ICU, CV-Thoracic Sx, Internal Medicine. Has 11 years experience. 255 Posts

If inappropriate, then like BDDNP posted, mention the reason why it won't be rx'd and thats it.

If it's a legitimate request, it has mostly to do with my familiarity and/or comfort level with the drug.

Pradaxa is a big one. People on coumadin ask me about this drug quite often.

In this case, most people have a cardiologist involved, I defer to that specialty.

Great question OP. Look forward to reading how others handle this.

traumaRUs, MSN, APRN, CNS

Specializes in Nephrology, Cardiology, ER, ICU. Has 30 years experience. 163 Articles; 21,073 Posts

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

Vishwamitr

Specializes in Psychiatry. Has 15 years experience. 156 Posts

Hi amoLucia,

I liked your diplomatic answer.

Vishwamitr

Specializes in Psychiatry. Has 15 years experience. 156 Posts

TraumaRUs,

So does that imply that you do not get back to them?

traumaRUs, MSN, APRN, CNS

Specializes in Nephrology, Cardiology, ER, ICU. Has 30 years experience. 163 Articles; 21,073 Posts

lol - no - I get back to my pts - usually the same day.