Pharmacy advice please

[busdennis]

Hoping to get some quick advice on a none cycling related matter by hitting has many forums I’m a member of.
A family member as just been discharged from hospital with both codeine 30mg and Tramadol as TTOs to be take PRN. He has never taken either before. Is this both a safe prescription and or dispensary ? I would think they should not be taken together and with more detailed discharge instructions at the very least. Your thoughts please

 

[classic33]

Have you thought of contacting NHS Direct on 111.

 

[numbnuts]

You should never take codeine and tramadol together unless explicitly instructed and supervised by a healthcare professional
. Both are opioid pain medications, and combining them significantly increases the risk of severe side effects, overdose,

 

[prestonhere]

Have you thought of contacting NHS Direct on 111.

Correct answer they will access patient record and check

 

[busdennis]

Thanks for the reply’s. Wasn’t really looking for advice from “ randoms” but was thinking I may catch the eye off a health care professional on the subject. Perhaps I should have said pharmacist and not pharmacy in the title, will delete shorty as this is the advice I getting on other forums. I do thankyou for your time

 

[busdennis]

Can I ask admin to close this down please

 

[fossyant]

Tramadol is much stronger, but don't take both at the same time. They will have a prescription that suggests dose. Potentially hold back the tramadol unless in a lot of pain. Codeine is OK up to 60mg at a time.

 

[tom73]

@busdennis can ask Mrs 73 she working late so won't be till tomorrow.
Chance is what they mean is take the codeine and if that's not working change to tramadol.

Correct answer they will access patient record and check

That is not a given 111 has access to Systm one , hospitals don't use it. So until discharge summary is sent to the persons GP and it's uploaded to system one. They can't see a thing that is if the persons GP use Systm one and not EMIS.

 

[classic33]

@busdennis can ask Mrs 73 she working late so won't be till tomorrow.
Chance is what they mean is take the codeine and if that's not working change to tramadol.


That is not a given 111 has access to Systm one , hospitals don't use it. So until discharge summary is sent to the persons GP and it's uploaded to system one. They can't see a thing that is if the persons GP use Systm one and not EMIS.

It's not so much access to medical records as access to medicinal records that made me say contact them.

 

[tom73]

It's not so much access to medical records as access to medicinal records that made me say contact them.

I understand what you mean but we don't have a stand alone meds record. Unless they are recored on Systm one you can't see them.
To give you an idea of how unjoined up the thing whole thing. When Mrs 73 was clinical nurse specialist she had 5 log in's covering Systm one, and 4 covering each hospital within her area.

 

[classic33]

I understand what you mean but we don't have a stand alone meds record. Unless they are recored on Systm one you can't see them.
To give you an idea of how unjoined up the thing whole thing. When Mrs 73 was clinical nurse specialist she had 5 log in's covering Systm one, and 4 covering each hospital within her area.

They do have access to medication records/information that we'd have trouble finding.
Not personal medication records, but individual medications.

 

[Webbo2]

I would have thought 111 would have access to a Pharmacist/ medic who could give advice on what was the correct dose of those medication. Or maybe contact the hospital or ward on which the medication was prescribed.
All wards would have an on call doctor who would have access to an on call senior doctor.

 

[busdennis]

Thanks for all the replies. Living in the real world as anybody tried using 111 recently, the nurse and junior Dr on the ward on discharge didn’t have a clue and were already overstretched, I was thinking the chances of getting real advice from a forum member and Qualified HCP was more realistic

Anyway I can go to the local chemist this morning👍

How do I get this thread deleted please so it doesn’t roll on for days?

 

[Drago]

Mrs D used 111 when I had my TIA earlier this year (we only knew I wasn't right, not what was actually going on) and they were brilliant.

Its well worth the call. They may well be able to help, and if they can't you're no worse off.

 

[vickster]

Thanks for all the replies. Living in the real world as anybody tried using 111 recently, the nurse and junior Dr on the ward on discharge didn’t have a clue and were already overstretched, I was thinking the chances of getting real advice from a forum member and Qualified HCP was more realistic

Anyway I can go to the local chemist this morning👍

How do I get this thread deleted please so it doesn’t roll on for days?

@Moderators