Prescription Errors: A Patient's Experience with Medication Mistakes - Pharmacology

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The doctor prescribed the wrong medication?


Hello, I recently visited the gynecology outpatient department at Taipei Shuanghe Hospital.
Due to a doctor's error, I was prescribed the wrong medication; instead of ovulation medication, I was given "Seroquel." I took 200 mg a day for two days, which caused me to be in a state of drowsiness for two days.
After realizing the mistake, I called the pharmacy, and the pharmacist confirmed that the doctor had prescribed the wrong medication.
Although I did not experience any significant adverse effects afterward, I am still concerned about my health and the impact on my rights.
I hope the hospital pays special attention to this situation.
I am unsure how to proceed.

Yu, 20~29 year old female. Ask Date: 2009/07/08

Dr. Wu Jingyi reply Pharmacology


Dear Fish: 1.
The typical dosage of "Seroquel" ranges between 400mg to 800mg per day.
2.
Approximately half of the medication's effect remains about 7 hours after taking "Seroquel." 3.
In cases of overdose, common symptoms include drowsiness, sedation, tachycardia, and hypotension.
4.
Recommendation: If you are concerned about your health condition, it is advisable to return to the prescribing hospital and discuss it with your physician.

Reply Date: 2009/07/08

More Info


Prescription errors can have serious implications for patient safety and well-being. Your experience at Taipei Shuanghe Hospital, where a medication error occurred due to a physician's mistake, raises important concerns about the safety protocols in place within healthcare settings. It is crucial to address these issues not only for your peace of mind but also to prevent similar incidents from happening to other patients.

First and foremost, it is essential to understand that medication errors can occur at various stages of the healthcare process, including prescribing, dispensing, and administration. In your case, the error occurred during the prescribing phase when the doctor mistakenly prescribed "Seroquel" (思樂康) instead of the intended ovulation medication. Seroquel is an antipsychotic medication primarily used to treat conditions like schizophrenia and bipolar disorder, and taking it inappropriately can lead to significant side effects, including sedation, dizziness, and confusion, which you experienced as a prolonged state of drowsiness.

Given that you took the medication for two days at a high dose of 200 mg, it is understandable that you are concerned about the potential long-term effects on your health. While you mentioned that you did not experience any immediate adverse effects after discontinuing the medication, it is still advisable to monitor your health closely and consult with a healthcare professional if you notice any unusual symptoms or changes in your condition.

To address your concerns and ensure that your rights as a patient are upheld, here are some steps you can take:
1. Document Everything: Keep a detailed record of the events, including the date of the appointment, the name of the prescribing physician, the medication prescribed, the dosage, and any symptoms you experienced. This documentation will be helpful if you decide to pursue further action.

2. Follow Up with the Hospital: Contact the hospital's patient relations or quality assurance department to report the incident formally. Provide them with the details of the medication error and express your concerns about patient safety. Hospitals often have protocols in place to investigate such incidents and implement corrective measures.

3. Consult with a Healthcare Professional: If you have any lingering concerns about your health after taking the incorrect medication, it is advisable to schedule an appointment with your primary care physician or a specialist. They can conduct a thorough evaluation and provide guidance on any necessary follow-up care.

4. Consider Filing a Complaint: If you feel that your concerns are not being adequately addressed by the hospital, you may consider filing a formal complaint with the relevant medical board or regulatory authority in your area. This can help ensure that the issue is taken seriously and that appropriate measures are taken to prevent future errors.

5. Patient Advocacy: Engage with patient advocacy groups that focus on medication safety and patient rights. They can provide support, resources, and guidance on how to navigate the healthcare system effectively.

In conclusion, your experience highlights the importance of vigilance in healthcare and the need for effective communication between patients and healthcare providers. Medication errors can have serious consequences, and it is vital for healthcare institutions to prioritize patient safety through rigorous protocols and checks. By taking proactive steps to address your concerns, you can contribute to improving the healthcare system for yourself and others. Remember, your health and well-being are paramount, and it is your right to seek clarity and assurance regarding your medical care.

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