Назначение кодеинсодержащих препаратов

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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