Another RARE incident ?
http://www.pharmacy-mistake.com/west-virginia-cvs-sued-for-chemotherapy-drug-mistake
West Virginia CVS Sued For Chemotherapy Drug Mistake
When patients go to their local pharmacy to get a prescription filled, they do so with the faith that the pharmacist will use appropriate care in providing them with the medication that they need. That was not the case for a Cabell County, West Virginia man whose simple errand to get his prescription refilled turned into a medical nightmare.
Joshua D. Hartsock went to the same CVS Pharmacy on U.S. 60 in Huntington, West Virginia that he always goes to. He requested a refill of his normal prescription for Lamictal, a drug used for the treatment of both seizures and certain mood disorders. The pharmacist informed him that they were out of stock of his medication but that it would be in the next day and so he should return then. When he came back he was again told that the store was out of stock of his medication but that they had a generic version of the drug. They provided him with four bottles and advised him to take it as he had previously taken his Lamictal. Trusting that the pharmacist would not provide him with inappropriate medication or instructions, he took the medication home and followed their instructions.
Two and a half weeks later, Hartsock received notification from the pharmacy that a mistake had been made in the medication that had been given to him and that he should return the unused portion. When he asked about the medication he had been given and what it was meant for, the CVS employee refused to provide him with the information. He contacted a local Rite Aid store and was told that though they were not able to provide him with medical advice, he should immediately go to the local emergency room.
Once at the hospital, Hartsock learned that the medication that he had been given was a drug called Lomustine which is used in the treatment of Hodgkin’s disease and brain tumors. The drug is a toxic chemotherapeutic agent that can cause a rapid decrease in the number of blood cells in bone marrow, leaving patients at risk for developing serious infections or bleeding. There is no word on whether Hartsock became ill or what the ramifications might be of taking the drug when suffering from whatever his condition was that warranted his original prescription. Lomustine is generally taken once every six weeks, while Lamictal is normally prescribed to be taken on a daily or every-other-day basis.
Hartsock has filed a lawsuit against the West Virginia CVS Pharmacy, the pharmacists working for the pharmacy, the pharmacy supervisors and the pharmacy technicians, accusing them of negligence and seeking punitive damages and court costs.
Filed under: General Problems
This is the law firm working for Josh’s case…
http://wvrecord.com/news/270336-man-says-cvs-wrongly-gave-him-chemo-drug
Josh died 3/17/15, he fought this battle with many complications for almost 9 months. I still don’t understand how you can make SUCH A HUGE MISTAKE WITH DEADLY MEDICATIONS. Pharmacies need to be held accountable
For the mistakes they make!!
I am NO WAY excusing what happened in this tragic event, but pointing out another HUGE issue is the generic manufacturers (eg Mylan) tend to use the same size, same color bottles for all their products which also contributes to the error problems. Even though the labels maybe somewhat different in color, there’s still a large window for error The LTC place I temped at once, used Mylan for their generic thyroid replacement products. I was frequently finding strengths mixed up on the shelves when I was the floor pharmacist and having to reset the entire shelf and then put a big post note on the shelf for the techs. So when the wholesaler sends primarily generics within the same alphabet letter from the same generic company, the error rate is going to go off the chart especially when speed in the pharmacy is emphasized.
We often find lamotrigine stock bottles on the shelf mixed with losartan stock bottles. It is a miracle that dispensing errors have not occurred ( at least, none that have been acknowledged). There are now even more DUR checks on the verification screen. But since “time to fill” (ie, speed) is emphasized above all else and it takes time to actually read them, they are often bypassed by the harried pharmacist who must met the metrics. There but for the grace of God……
I never go to a CVS Pharmacy. Now I don’t think I would for sure.