OB-GYN-L Messages for June, 2007: Re: Zofran for hyperemesis

The pharmacy has never spoken to me about it, but I have not pursued it either. I am "informed" by the nurses that Anzamet is what we are using, and I say ok, so I suppose I have tacitly agreed to it. I'd better check and see if they write it as an order from me or not, but I don't think they have. I probably could have dissented. I guess by not dissenting, I have tacitly agreed to it. I I had better start paying more attention. Also the whole thing could have changed since I last used it 6 months ago. No, the pharmacy does no informed consent, they don't even call me, the nurse does.

Fran Wilson ARNP
Certified Nurse Midwife
Kennewick, WA

http://www.wildrosemidwife.com

From: Henry Gregor <henrygregor@yahoo.com>
Reply-To: ob-gyn-l@obgyn.net
To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
Subject: RE: Zofran for hyperemesis
Date: Tue, 19 Jun 2007 18:00:16 -0500

Interesting phrasing re subbing...they're not the same risk profile. Both are category B for pregnancye, but hasn't much of the use of Anzemet been curtailed secondary to its potential for occasional, but significant, cardiac conduction/rhythm side effects, an effect not seen with zofran? I know anesthesiologists from two intitutions who say their groups use very little, if at all, of the Anzemet secondary to those concerns. Maybe oral vs parenteral Anzemet usage differs in risk.Maybe the folks I reference are being unduly cautious. (Whatever "unduly cautious" means, haha. I won't take offense if anyone wants to call that phrase worthless and undefineable.) Does the pharmacy do an informed consent re risk benefit, side effects potential with prescribing practitioners or patients receiving the substitution?

Hank

fran wilson <530rose@msn.com> wrote:

Our hospital pharmacy subs anzamet for zofran, no iidea of the cost, but it seems effective.

PEACE,
Fran

Building a website is a piece of cake.
Yahoo! Small Business gives you all the tools to get online.

use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
	Returns per screen: Require all keywords: