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re: Utah Department of Commerce prohibits Doctors from prescribing Hydroxychloroquine

Posted on 4/6/20 at 4:57 am to
Posted by Powerman
Member since Jan 2004
162282 posts
Posted on 4/6/20 at 4:57 am to
quote:

and completely prohibited its use for the prevention of COVID-19.


Why should it be used as a prevention drug though? That makes no sense.
Posted by TOKEN
Member since Feb 2014
11990 posts
Posted on 4/6/20 at 5:08 am to
Actually that’s probably the best use of the drug.

It’s a preventative for Malaria
Posted by Buckeye Jeaux
Member since May 2018
17756 posts
Posted on 4/6/20 at 5:09 am to
quote:

Why should it be used as a prevention drug though? That makes no sense.

What make less sense is the Commerce Dept issuing edicts on health issues.

This is the domain of the Health Department (whoever lobbied for this ruling appears to have made an end-run around the proper agency).

Expect Gov Herbert to revoke this and refer it to the Dept of Health
Posted by p0845330
Member since Aug 2013
5704 posts
Posted on 4/6/20 at 5:49 am to
You don’t read good
Posted by LakeCharles
USA
Member since Oct 2016
5069 posts
Posted on 4/6/20 at 6:09 am to
quote:

I mean it says if you pop on a test it will be prescribed for 7 days.



In some cases, test results are getting back to the doctor 2 weeks after the sample was taken. Hydroxychloroquine does not help much when you are dead.


Posted by Powerman
Member since Jan 2004
162282 posts
Posted on 4/6/20 at 6:11 am to
quote:

Actually that’s probably the best use of the drug.

Well we certainly don't have enough to administer it to the entire population
Posted by longwayfromLA
NYC
Member since Nov 2007
3331 posts
Posted on 4/6/20 at 6:15 am to
quote:

Utah joins Nevada and New York in effectively banning the drug for COVID-19


This is flatly untrue. Hydroxychloroquine is in very heavy. use in New York to treat COVID. .
Posted by Buckeye Jeaux
Member since May 2018
17756 posts
Posted on 4/6/20 at 6:16 am to
quote:

You don’t read good

Watch the video, Slick. The doctor making the complaint is highly respected. Built 3 medical facilities in Utah. Others elsewhere.

Some lobbyist bypassed the Utah Dept of Health (loaded with highly regarded medical staff) and finessed a ruling from a dept with no authority to issue such an order.
Posted by Boatshoes
Member since Dec 2017
6775 posts
Posted on 4/6/20 at 6:17 am to
quote:

No prescription for hydroxychloroquine and chloroquine should be dispensed in Utah unless it includes a written diagnosis, confirmed by a documented positive test result. If those conditions are met, pharmacists should only dispense a 7-day supply of the prescribed medication, with no refills permitted unless a new prescription is written.


I’m ok with that sort of a setup. It prevents hoarding and drug diversion and in the end we want people who actually have the disease to be getting this, not just trying to randomly sprinkle it on people like it’s holy water.

I’m not convinced that it has any use as a prophylactic.

quote:

In some cases, test results are getting back to the doctor 2 weeks after the sample was taken.


Yeah, that Zimbabwe like crap needs to be fixed.
This post was edited on 4/6/20 at 6:20 am
Posted by Buckeye Jeaux
Member since May 2018
17756 posts
Posted on 4/6/20 at 6:29 am to
quote:

No prescription for hydroxychloroquine and chloroquine should be dispensed in Utah unless it includes a written diagnosis, confirmed by a documented positive test result.

This is the requirement to prescribe for Lupis - not COVID.
Posted by cave canem
pullarius dominus
Member since Oct 2012
12186 posts
Posted on 4/6/20 at 6:30 am to
quote:

I mean it says if you pop on a test it will be prescribed for 7 days. Maybe this is to prevent hoarding



Yes, it is to prevent the same folks from buying up all the drug that created a run on toilet paper so it can be used for folks that avtually need it.

Not real sure what the wee little tRumpkins are bleeding out about on this one.
Posted by Buckeye Jeaux
Member since May 2018
17756 posts
Posted on 4/6/20 at 6:32 am to
quote:

No prescription for hydroxychloroquine and chloroquine should be dispensed in Utah unless it includes a written diagnosis, confirmed by a documented positive test result.


Again:
This is the requirement to prescribe for Lupis - not COVID.

quote:

“I am a licensed physician in Utah. I tried to prescribe hydroxychloroquine but the pharmacist said the state had taken over the distribution of the drug. Even though I’m licensed, I cannot prescribe it. This is WRONG!” Dr. Bill said in a tweet.

This post was edited on 4/6/20 at 6:35 am
Posted by shell01
Marianna, FL
Member since Jul 2014
793 posts
Posted on 4/6/20 at 6:34 am to
Posted by Buckeye Jeaux
Member since May 2018
17756 posts
Posted on 4/6/20 at 6:37 am to
quote:

The State has not taken over distribution of hydroxychloroquine, though high demand may be creating shortages. You can see @UtahDepOfHealth 's recommendations for COVID-19 patients here
[The governor included a link to the Utah Department of Health that issued guidance with prescriptions. The information below is from that document.]


Right. Now the Guv has to rescind the order from the Dept of Commerce - They had no authority to issue it in the first place. That authority is vested in the Utah Dept of Health
This post was edited on 4/6/20 at 6:42 am
Posted by GumboPot
Member since Mar 2009
119237 posts
Posted on 4/6/20 at 6:42 am to
n/m
This post was edited on 4/6/20 at 6:46 am
Posted by cave canem
pullarius dominus
Member since Oct 2012
12186 posts
Posted on 4/6/20 at 6:44 am to
Here is what was actually ordered by Utah, very different than what you posted.

ETA by the way the Utah dept of pharmacy falls under the dept of commerce, the letterhead just went FUBAR.




quote:

Subject: Guidance regarding Hydroxychloroquine and Chloroquine Prescriptions
To Whom it may concern:
To ensure patient access to medications during the COVID-19 outbreak and to prevent stockpiling these
medications, the Utah Board of Pharmacy is implementing the following guidance regarding the
dispensing of hydroxychloroquine and chloroquine for treatment of COVID-19.
Currently, the FDA is investigating the use in treatment of COVID-19 with hydroxychloroquine and
chloroquine. At this time, safety and efficacy for this indication have not been established.
While there are no FDA-approved therapeutics or drugs to treat, cure or prevent COVID-19,
there are several FDA-approved treatments that may help ease the symptoms from a supportive
care perspective.
The FDA has been working closely with other government agencies and academic centers that
are investigating the use of the drug chloroquine, which is already approved for treating malaria,
lupus and rheumatoid arthritis, to determine whether it can be used to treat patients with mild-tomoderate COVID-19 to potentially reduce the duration of symptoms, as well as viral shedding,
which can help prevent the spread of disease. Studies are underway to determine the efficacy in
using chloroquine to treat COVID-19.i
Due to the narrow therapeutic window for hydroxychloroquine and chloroquine, the Utah Board of
Pharmacy encourages both medical providers and pharmacists to follow established guidelines when
prescribing and filling these medications.
Hydroxychloroquine and Chloroquine Prescription Limitations:
No prescription or medical order for hydroxychloroquine or chloroquine should be dispensed by a
pharmacist for a COVID-19 diagnosis unless all the following apply:
1. The prescription bears a written diagnosis from the prescriber consistent with the evidence for its
use.
2. The diagnosis has been confirmed by a positive test result which is documented on the
prescription or medical order.
3. The prescription is limited to no more than a seven (7) day supply.
4. No refills may be permitted unless a new prescription or medical order is furnished.
This post was edited on 4/6/20 at 6:50 am
Posted by Buckeye Jeaux
Member since May 2018
17756 posts
Posted on 4/6/20 at 6:47 am to
quote:

Here is what was actually ordered by Utah, very different than what you posted.


You completely missed the point.

The Utah Dept of Health issued a reasonable order

The Utah Dept of Commerce countermanded that order (with no authority to do so, but it halted prescriptions of the drug)
This post was edited on 4/6/20 at 6:52 am
Posted by TrueTiger
Chicken's most valuable
Member since Sep 2004
68583 posts
Posted on 4/6/20 at 6:47 am to

didnt we just change to rule to let docs practice across state lines?


get a non -Utah doc to write the script
Posted by the808bass
The Lou
Member since Oct 2012
111720 posts
Posted on 4/6/20 at 6:53 am to
You’re not a good reader.
Posted by Tchefuncte Tiger
Bat'n Rudge
Member since Oct 2004
57504 posts
Posted on 4/6/20 at 6:54 am to
quote:

I would like to believe that those officials who are preventing the use of hydroxychloroquine azirhromycin are airing on the side of caution and not being jerks! But man, we’re in the middle of an epidemic! We need to be a little liberal with the rules



It's "erring on the side of caution," but don't sweat the small stuff.
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