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Old 2009 September 5th, 05:04 PM   #1 (permalink)
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therapeutic interchange?

Helo folks,
is any one sure of an answer to this question??



Which of the following is an example of a therapeutic interchange?
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Old 2009 September 5th, 05:10 PM   #2 (permalink)
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sorry my question was not posted which is:
Which of the following is an example of a therapeutic interchange?
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Old 2009 September 5th, 05:16 PM   #3 (permalink)
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which of the following is atherapeutic interchange:

1. sitching Zocor to simvastatin
2. switching nexium (esomeprazole ) to another PP inhibitor
3.Switching Atacand (candastan) to another ARB?
4. Both 2 & 3
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Old 2009 September 5th, 06:06 PM   #4 (permalink)
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Hi lipoprotein,

According to me, it should be # 4(both 2 & 3).

I would give this definition for the explanation :
Therapeutic interchange is the dispensing of medications by pharmacists that are
chemically different, but therapeutically similar, to the medication prescribed.

So, according to the definition, thought all PPIS are from the same class, and therapeutically similar, but they are chemically different.

Correct me, if I am wrong.


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Old 2009 September 5th, 07:30 PM   #5 (permalink)
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I agree, but just wanted to add to the definition that the therapeutic interchange has to be approved by the prescriber.
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Old 2009 September 6th, 12:59 AM   #6 (permalink)
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Hi friends
Resu, I thinku r right,
I don't think the theraputic interchange has to be approved by presciber, r at leaset this is the new trend
thanks
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Old 2009 September 6th, 12:23 PM   #7 (permalink)
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At the pharmacy I work, it is still 100% approved or atleast notified to a prescriber, I guess this could differ in states and also for different drug categories.

Last edited by I can do it! : 2009 September 6th at 12:42 PM.
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Old 2009 September 6th, 03:15 PM   #8 (permalink)
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Therapeutic substitution should always be asked permission for from the prescriber.Generic substitution is the only change you can automatically do when dispensing.

Last edited by yannl : 2009 September 6th at 03:43 PM.
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Old 2009 September 7th, 01:36 PM   #9 (permalink)
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Hi lipo protein,
Your question has a clear cut answer in "pharmacist's letter" august edition.Actually that question is already is in that edition and answer is 4.You can access "pharmacist's letter" online as well
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