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Types of Errors

Dangerous and Defective Drugs If you put your trust in a pharmaceutical company and were hurt by their product, you deserve compensation for your suffering.
Wrong Medication Did you receive the wrong medication or incorrect prescription from a pharmacy? If you have suffered because of a medication error please call us for a free case review.
Wrong Dosage Common forms of medication error: incorrect dosage error. Order our free book to learn how to protect yourself and your family from wrong dosage errors.
Other Errors Order our free book, "How to Make Pharmacies Pay for your Injuries Caused by Medication Errors, to learn your rights in prescription error cases.
Kids Rx Errors Order a free copy of The Top 10 Tips to Protect Your Children Against Pharmacy Errors. If you have suffered a prescription error contact our firm today.
Pharmacy Malpractice If you have suffered an injury because a pharmacy dispensed the wrong medication or made an error with your prescription, you are able to file a claim for negligence or malpractice and receive the compensation you deserve.
Walgreens Pharmacy Error Claims There have been numerous claims brought against Walgreens for pharmacy errors or prescription errors. Order our free book to learn how to take action.
CVS Pharmacy Error Claims If you've been injured because of a CVS Pharmacy prescription error, call us for help with your lawsuit at 888-526-7616.
State Pharmacy Boards If you have been severely injured because of a medication error, contact board-certified attorneys immediately to investigate your case free of charge.
Drug & Pharmacy Error Prevention Filing a pharmacy error lawsuit is the only way to make pharmacies take accountability for mistakes. Call our board certified attorneys for a free case review.
State Pharmacy Laws State laws on pharmacy malpractice. Learn the pharmacy error Statute of Limitation laws that apply to your state. Call 877-342-2020 for a free consultation.

Medication Errors Due to Similar Sounding Drugs

Galvin B. Kennedy
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Partner at Kennedy Hodges LLP practicing personal injury, pharmacy error, and overtime law
Posted on Feb 07, 2014

Many people need medications for their chronic conditions, but sometimes patients don’t know the name of the medication they are taking and pharmacists don’t know the patient’s diagnosis. When these things occur, it is easy for the wrong medication to get into a patient’s hands.

An example of this is when tretinoin and ISOtretinoin medications were mixed up and a 14-year-old girl with acute promyelocytic leukemia started taking tretinoin upon diagnosis. In fact, she was treated with this medication at the hospital and was discharged after finishing the treatment and completing remission. However, she had to continue tretinoin on an outpatient basis. But instead of receiving two 14-day cycles of tretinoin as prescribed, a nurse called in a prescription for ISOtretinoin because she thought they were the same medications.

Because the pharmacist at the local pharmacy did not have access to the patient’s diagnosis and the prescription sent over was for ISOtretinoin, the wrong medication was filled. Unknowingly, the patient received Claravis (ISOtretinoin) instead of tretinoin and began taking the wrong drug at home. However, this medication mistake wasn’t caught until four months later when the 14-year-old was admitted to the hospital again.

Upon admission, the inpatient chemotherapy orders requested the patient’s home supply of medication. When another nurse and pharmacist reviewed the patient’s medication supply, they discovered she was taking ISOtretinoin and not tretinoin. They told her physician as well as the patient’s family. Although no adverse effects were reported as a result of the medication error, the young girl is still in remission.

Unfortunately, similar sounding drug names cause many unnecessary medication errors.

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