Назначение кодеинсодержащих препаратов

13.08.2012

Назначение кодеинсодержащих препаратов

Вопрос.       В связи с новым порядком отпуска кодеинсодержащих лекарств у многих врачей возникли затруднения. Пациенты с хроническим болевым синдромом далеко не всегда могут постоянно принимать нестероидные противовоспалительные препараты – они вынуждены чередовать их с анальгетиками. Получается, каждый раз, когда больной решит принять таблетку препарата, он должен идти ко мне за рецептом? Или я могу выписать рецепт на год? В чем тогда смысл ограничений?      Тимофей Иванович,  врач-ревматолог

Ответ.            Здравствуйте, Тимофей Иванович.  Смысл ограничений в том, что отпуск физическим лицам препаратов с малым содержанием кодеина или его солей осуществляется по рецепту врача (фельдшера).  По-моему,   Ваше утверждение: "каждый раз, когда больной решит принять таблетку препарата, он должен идти ко мне за рецептом", -  в корне неверно. Не больной решает, что ему принять, и с какой периодичностью принимать кодеинсодержащие препараты,  но врач.  Если Вы как лечащий врач считаете, что  больному надо выписать лекарство на год вперед, то имейте ввиду, что это свое решение Вам надо будет  в  случае претензий, например,  со стороны страховой компании или самого больного к Вам, -   клинически и научно обосновывать. Не удасться Вам как прежде иным докторам в случае возникновения осложнений от неблагоприятного действия лек препарата сослаться на бесконтрольный его прием со стороны пациента. Помните, что по смыслу закона только Вы как лечащий врач на 99% несете ответственность за правильность схемы приема выписываемого Вами лекарственного препарата.


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16.01.2012  Ребенок в реанимации, - родитель рядом
16.01.2012  Вопросы и ответы медицинского адвоката
23.11.2011  Вопросы адвокату
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09.05.2011  Ст.109 ч.2 Смерть ребенка, халатность участкового педиатра
09.05.2011  Ст.118 УК РФ Некорректное родовспоможение, халатность, непрофессионализм

 

 

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