I am so angry
I am getting ready to squeeze $6000 of Lovenox blood thinner into the trash. I was prescribed this when I had a PE when I had ovarian cancer. I was taken off it at just the time I received it. Texas does not have a drug exchange program for needy people and unused RXs. It is now expired. The pharmacy wouldn't take it back.
i can't even dispose of it through law enforcement drug "take back" programs because it has needles. The syringes are hard plastic, plus spring-loaded so the needle is retracted when the plunger is depressed so as far as I can tell is untamperable. If you are in Texas, please write your rep or senator and demand an exchange.
Comments
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Excellent point, Melissa... so sad it couldn't be given to those in need. And disposal shouldn't be that hard!!!
Does this help at all? They have a pharmacy locator by zip code that will accept expired meds. (I don't know the details.)
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Oh gosh. Do you at last have a hazardous waste disposal? You're not putting in the actual trash right? I mean, I know your issue is that it should be used (and I wholeheartedly agree!). But, if you put it in the trash, just like any prescription, it will end up in the soil and then the water.
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Ooh that takes me back to last year when I was on Lovenox, having developed dvt/pe during chemo. I was on it for 4months, before changing to Warfarin for a year.
One month, when I went to pick up my prescription, the pharmacy told me that the dosage I needed was no longer available, so they made me take two lots of syringes, at significantly higher cost, and I was to take one and a portion of the second each time, discarding the remainder in each syringe.
I was not happy, but left with my two bags, and went to a foodstore nearby to pick something else up. I called at the pharmacy at that store to ask if they could check if the syringes I needed were in fact no longer available, as I wondered if I had been misinformed. They told me it was available, and I presumed a mistake had been made, so I went back to my first store to tell them. I was still carrying my bags of syringes they'd sold me.
So, the first pharmacy checked again, and admitted their mistake, but refused to take back the erroneous ones as I had "accepted them and left the store" with them, some 40 mins earlier. I hadn't even opened the bags, and they were in sealed boxes.
I was physically and emotionally exhausted by then. I was on foot, and I still had clots in my lungs, yes? So tearfully I left the store and trudged home deciding how to word my "strongly written letter of complaint"!
When I got home though, there was a message from the pharmacy assistant. She had spoken with her senior, and he'd agreed that I could hand the other stuff back in and they would order the right gear and have it by next day.
So it ended ok, but why put me through all that nonsense? I was so sick at the time, and get angry again just thinking about it!
And yes, it was bloody expensive!
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I'm angry too. I hope you can find a happy solution, otherwise what a waste.
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What's sad is I was provided the Lovenox through a special low income program as I was only working part time when diagnosed, so they could have benefited someone else in my situation. I took them to the hospital pharmacy the day after they arrived in the mail. Wouldn't take them back. No place accepts donations. Stupid, stupid, stupid. I can't see any possible way they could have been tampered with.
Morwenna, I would have been furious to be told I had to shoot myself twice to get the right dose. I grew to hate injecting myself because after a while I was running out of spots that weren't bruised, then i'd bleed watery blood and it was hard to stop it. Ugh. Not my favorite six months of my life.
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I'm sorry you're going through this. Lots of pharmacy laws do not make sense. Pharmacy laws are often written by the legislature, which is not always know for its scientific expertise, let alone pharmaceutical expertise.
Pharmacy is regulated differently state by state, but in my state, it is not legal for a pharmacy to re-dispense medications once they have been given to an outpatient.
I suppose one of the reasons is that even if they are in intact, sealed packages, you don't have any guarantee about how they have been stored. Someone could have left their medications heated in a car, or exposed to a humid environment. Depending on the drug, this can affect a medication's potency. Unfortunately, when you call a drug manufacturer, they usually have no information about how potent their medication is once it has expired, or have been stored outside the recommended conditions.
I agree, it would be nice to be able to have a way of re-using medications, even if they have known less potency, for people who can't afford them otherwise.
I work in a hospital, and its a real shame how many people do not pick up the medications they bring to the hospital. In my state, we end up discarding them after at least 90 days. We have a whole big file cabinet to store them in, but quickly run out of room. If you or your loved one leaves their own meds in the hospital, it would be great if the patient or their family picks them up again after they are discharged.
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Leaf, they mail order drugs to Texas during the summer, so you know it is probably 130 degrees in the trucks, and apparently they aren't that worried about it. I had just had it a day or two, so that shouldn't have been an issue. I think the real problem is the tylenol poisoner all those many years ago.
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Good points, Melissa.
In addition, I have heard of health care workers in hospitals or clinics have done things to steal injectable narcotics in vials such as take the cap off of a stopper, remove the narcotic inside with a needle and syringe, replace the narcotic with something inert like water or saline, and glue the cap back on the vial. So I guess it would be possible to re-glue some packages together after tampering. I think some injectable items are tamper proof though.
I think its a lot harder to tamper with an ampule.
Then there's the problem of counterfeit drugs. <Sigh>
I'm so sorry you're going through this.
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I am from the Midwest. I was vacationing in NYC, and had ordered a sandwich. I only ate half. The waiter came by and asked if I wanted to take the other half with me. Being in a hotel, I said no. He said "may I have your permission to donate it to Second Helpings"? I was taken aback. I'd never heard of such a thing. I said "Well, of course, I didn't touch it, really." He said "Well, otherwise the homeless eat out of garbage dumpsters so that's not really an issue." I was so sheltered and privileged I'd never thought about it that way. Since then, I've looked at every uneaten pan of food at every catered event and hoped it was being sent to Second Helpings. The logistics can be a nightmare to always get the stuff to the proper organizations, but it's time well spent.
So, while this is medicine, not food - I don't see a difference. Does anyone think an Oglala Lakota Native American living on Pine Ridge, would turn down possibly life saving medicine for free, on the tiny odd chance that it might be ineffective or tampered with, when the only other choice is no medicine at all? I realize it may take more money to get this medicine to someone in need than to make more, but now we also have to dispose of these chemicals and that person still goes without. It's just such a shame. We do so many things right in this country, but have so much still to do so we can be better.
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Melissa: When my mother died from lung cancer, her palliative care physician upon her final visit to our home, carefully packed up all of the left over narcotics. I knew what she was doing with them, but we just looked at each other and never said a word. She was going to provide them to her patients that could not afford the Rx in their final days. She was wonderful and willing to lose her license by doing this. It is so risky, but there are those willing to take the chance. She had grown to know us well and we trusted each other. I absolutely hate the laws that are supposed to protect others but that truly have a hidden agenda. It makes me damn mad too.
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whatnow - Are you Lakota? From on/near Pine Ridge? Rosebud, Standing Rock? I am not Lakota but do have many Lakota friends and live relatively close to Pine Ridge. Of those I know they get what is needed medically through Indian Health.
MelissaDallas - as on top of 'things' as you are you've probably checked this out but will ask anyway. Have you checked with Missionary groups that have Missions in Third World countries? They might be able to use in other parts of the World. Just a thought if you haven't already checked.
added thought: meds and vaccines that are temperature sensitive can be shipped even in summer. It takes correct packaging - insulated packaging, ice packs and 'over night shipping'. Freezing can also effect some meds and vaccines.
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