Jump to content
This site uses cookies. Continued use is acceptance of our Terms of Use and Privacy Policy. More Info... ×
  • Welcome to Celiac.com!

    You have found your celiac tribe! Join us and ask questions in our forum, share your story, and connect with others.




  • Celiac.com Sponsor (A1):



    Celiac.com Sponsor (A1-M):


  • Get Celiac.com Updates:
    Support Celiac.com!
    eNewsletter
    Donate

A Pharmacy Technicians Guide To Getting The Gluten-Free Brand Medicine You Need.


LauraTX

Recommended Posts

LauraTX Rising Star

The following was written for you by a pharmacy technician who recently escaped from their retail chain job but remembers it all too well:

 

I would like to help you out with a best-practices guide on getting what you need from an understaffed, busy pharmacy.  I am also on a ton of medications and have a lot of experience doing all of this for myself, but you guys don't have friends behind the counter that will drop what they are doing to help you. See the last section if you want that.  

 

So, you take a prescription to the pharmacy for a medication that is available in generic form.  If it is brand name only, hopefully you asked your doctor if there is a generic alternative before you left with a script, but sometimes the name brand is the best for you or only thing available, and you have less options if it is not free of your allergen.

 

Your pharmacy will fill it with whatever manufacturer they keep on hand, which sometimes changes because they are always looking at prices, supply/demand, and other complicated things.  If your research/experience deems this brand to be not-okay, there are usually a lot of different generic brands for each med.  Some things will affect the availability of a drug and there may only be 1 or 2 companies who make it, but 2 options are better than one when one is no good :)

 

The easiest way for you to get results are:

 

1. Call the pharmacy at a less-busy time like mid afternoon, or go in in person and talk to them (Not in the drive through) when they aren't busy.  If your medicine is a controlled substance you may want to bring something saying you have an allergy, they may not be keen on talking to you about what brands of hydrocodone they carry for safety reasons.

 

2. Talk to the pharmacist, let them know you found out about an allergen in this generic brand, and ask for them to get the person who does the ordering to get you a list of equivalent medication that they can order from their supplier.  They may need to call you back but this should be very easily accessible for them as electronic ordering is all there is nowadays. (that way you don't bother with something not available in your area, etc.)

 

3. Get that list and look the meds up, hopefully one is allergen free verifiable

 

4. Ask the pharmacy to fill the RX with that "NDC" only.  An NDC is a unique number for that manufacturer-made drug. Tell them to put a note in your electronic profile and a note on the shelf where they keep the product to prevent this from being overlooked.

 

5. The pharmacy may screw up and fill with their preferred brand sometimes on refills and such still, because the computers like to auto-substitute with their preferred brand, so physically check the med before you leave and have them fix it if needed.

 

6. I just have to add... Always be nice to your pharmacy staff, and don't treat the pharmacy and its drive-thru like a fast food place.  These people do more than just count pills, they have a legal responsibility to not kill you.  If you have special needs, you are more likely to get good service at an independent pharmacy, but sometimes you are like me and your insurance makes you go to a specific chain.  *grumpyface*  Also, if you are at your pharmacy a lot, bringing the staff treats and being super nice to them will probably get you preferential treatment when you walk up to the counter.  Okay, I will admit my friends at -retail chain- told me to add that part.  But it is all true! :)

 

 
Link to comment
Share on other sites

Celiac.com Sponsor (A8):
Celiac.com Sponsor (A8):



Celiac.com Sponsor (A8-M):



lpellegr Collaborator

That's a lot of good advice.  Thanks!

Link to comment
Share on other sites
GlutenStinks15 Explorer

Great post, thank you!

Link to comment
Share on other sites
Salax Contributor

My experience I have had with this is just ask for the ingredients list, package insert. They will always give it to me, I read it and give it back.. Each drug should have one taped/stuck to the outside of the bottle.

Link to comment
Share on other sites

Archived

This topic is now archived and is closed to further replies.


  • Celiac.com Sponsor (A19):



  • Member Statistics

    • Total Members
      121,069
    • Most Online (within 30 mins)
      7,748

    angie78
    Newest Member
    angie78
    Joined

  • Celiac.com Sponsor (A20):


  • Forum Statistics

    • Total Topics
      120.3k
    • Total Posts
      1m

  • Celiac.com Sponsor (A22):





  • Celiac.com Sponsor (A21):



  • Upcoming Events

  • Posts

    • Fluka66
      Thank you again for your reply and comments which I have read carefully as I appreciate any input at this stage. I'm tending to listen to what my body wants me to do, having been in agony for many years any respite has been welcome and avoiding all wheat and lactose has thankfully brought this.  When in pain before I was seen by a number of gynacologists as I had 22 fibroids and had an operation 13 years ago to shrink them . However the pain remained and intensified to the point over the years where I began passing out. I was in and out of a&e during covid when waiting rooms where empty. My present diet is the only thing that's given me any hope for the future. As I say I had never heard of celiac disease before starting so I guess had this not come up in a conversation I would just have carried on. It was the swollen lymph node that sent me to a boots pharmacist who immediately sent me to a&e where a Dr asked questions prescribed antibiotics and then back to my GP. I'm now waiting for my hospital appointment . Hope this answers your question. I found out more about the disease because I googled something I wouldn't normally do, it did shed light on the disease but I also read some things that this disease can do. On good days I actually hope I haven't got this but on further investigation my mother's side of the family all Celtic have had various problems 're stomach pain my poor grandmother cried in pain as did her sister whilst two of her brother's survived WW2 but died from ulcers put down to stress of fighting.  Wishing you well with your recovery.  Many thanks  
    • knitty kitty
      Welcome to the forum, @Nacina, What supplements is your son taking?
    • knitty kitty
      @BluegrassCeliac, I'm agreeing.  It's a good thing taking magnesium. And B vitamins. Magnesium and Thiamine work together.  If you supplement the B vitamins which include Thiamine, but don't have sufficient magnesium, Thiamine won't work well.  If you take Magnesium, but not Thiamine, magnesium won't work as well by itself. Hydrochlorothiazide HCTZ is a sulfonamide drug, a sulfa drug.  So are proton pump inhibitors PPIs, and SSRIs. High dose Thiamine is used to resolve cytokine storms.  High dose Thiamine was used in patients having cytokine storms in Covid infections.  Magnesium supplementation also improves cytokine storms, and was also used during Covid. How's your Vitamin D? References: Thiamine and magnesium deficiencies: keys to disease https://pubmed.ncbi.nlm.nih.gov/25542071/ Hiding in Plain Sight: Modern Thiamine Deficiency https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8533683/ The Effect of a High-Dose Vitamin B Multivitamin Supplement on the Relationship between Brain Metabolism and Blood Biomarkers of Oxidative Stress: A Randomized Control Trial https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6316433/ High‐dose Vitamin B6 supplementation reduces anxiety and strengthens visual surround suppression https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9787829/ Repurposing Treatment of Wernicke-Korsakoff Syndrome for Th-17 Cell Immune Storm Syndrome and Neurological Symptoms in COVID-19: Thiamine Efficacy and Safety, In-Vitro Evidence and Pharmacokinetic Profile https://pubmed.ncbi.nlm.nih.gov/33737877/ Higher Intake of Dietary Magnesium Is Inversely Associated With COVID-19 Severity and Symptoms in Hospitalized Patients: A Cross-Sectional Study https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9132593/ Magnesium and Vitamin D Deficiency as a Potential Cause of Immune Dysfunction, Cytokine Storm and Disseminated Intravascular Coagulation in covid-19 patients https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7861592/ Sulfonamide Hypersensitivity https://pubmed.ncbi.nlm.nih.gov/31495421/
    • BluegrassCeliac
      Hi,   Not saying Thiamine (B1) couldn't be an issue as well, but Mg was definitely the cause of my problems. It's the only thing that worked. I supplemented with B vitamins, but that didn't change anything, in fact they made me sick. Mg stopped all my muscle pain (HCTZ) within a few months and fixed all the intestinal problems HCTZ caused as well. Mom has an allergy to some sulfa drugs (IgG Celiac too), but I don't think I've ever taken them. Mg boosted my energy as well. It solved a lot of problems. I take 1000mg MgO a day with no problems. I boost absorption with Vitamin D. Some people can't take MgO,  like mom, she takes Mg Glycinate. It's one of those things that someone has try and find the right form for themselves. Everyone's different. Mg deficiency can cause anxiety and is a treatment for it. A pharmacist gave me a list of drugs years ago that cause Mg deficiency: PPIs, H2 bockers, HCTZ, some beta blockers (metoprolol which I've taken -- horrible side effects), some anti-anxiety meds too were on it. I posted because I saw he was an IgG celiac. He's the first one I've seen in 20 years, other than my family. We're rare. All the celiacs I've met are IgA. Finding healthcare is a nightmare. Just trying to help. B  
    • Scott Adams
      It sounds like you've been through a lot with your son's health journey, and it's understandable that you're seeking answers and solutions. Given the complexity of his symptoms and medical history, it might be beneficial to explore a few avenues: Encourage your son to keep a detailed journal of his symptoms, including when they occur, their severity, any triggers or patterns, and how they impact his daily life. This information can be valuable during medical consultations and may help identify correlations or trends. Consider seeking opinions from specialized medical centers or academic hospitals that have multidisciplinary teams specializing in gastrointestinal disorders, especially those related to Celiac disease and Eosinophilic Esophagitis (EOE). These centers often have experts who deal with complex cases and can offer a comprehensive evaluation. Since you've already explored alternative medicine with a nutrition response doctor and a gut detox diet, you may want to consider consulting a functional medicine practitioner. They take a holistic approach to health, looking at underlying causes and imbalances that may contribute to symptoms. Given his low vitamin D levels and other nutritional markers, a thorough nutritional assessment by a registered dietitian or nutritionist specializing in gastrointestinal health could provide insights into any deficiencies or dietary adjustments that might help alleviate symptoms. In addition to routine tests, consider asking about more specialized tests that may not be part of standard screenings. These could include comprehensive stool analyses, food intolerance testing, allergy panels, or advanced imaging studies to assess gut health.
×
×
  • Create New...