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What not to say to a pharmacist? And what to say instead

5 min read

According to a 2016 survey published in Pharmacy Times, 38% of patients admit to lying about medication adherence. In a busy healthcare environment, knowing what not to say to a pharmacist can be just as crucial as knowing what to say, preventing miscommunication that can compromise your health and treatment outcomes.

Quick Summary

This article outlines common phrases and behaviors to avoid when interacting with pharmacy staff. It explains how to communicate clearly and honestly to ensure patient safety and efficiency, fostering a more positive and productive relationship with your pharmacist.

Key Points

  • Be Honest: Lying about adherence, alcohol use, or supplements can lead to serious health complications due to missed drug interactions.

  • Practice Patience: Pharmacists are busy, and last-minute requests or impatient demands show disrespect for their professional duties and can lead to errors.

  • Communicate Clearly: Provide specific medication names and clear instructions to avoid confusion, especially when picking up prescriptions for others.

  • Respect the Team: Treat all pharmacy staff, including technicians, with respect, as they play a vital role in your care.

  • Utilize Expertise: Instead of making assumptions about missed doses or generic drugs, ask for professional advice to ensure medication safety.

In This Article

In a busy retail pharmacy, a patient's words can have a profound impact, shaping everything from medication safety to the speed of service. The pharmacist and their staff are healthcare professionals, not just clerks, and treating them with respect and providing clear information is critical for your well-being. Avoiding certain phrases can eliminate frustration and help ensure you receive the best possible care.

Unhelpful and Dangerous Comments

Certain statements can be misleading or dismissive, posing real risks to patient safety. Your pharmacist relies on accurate information to identify potential drug interactions and ensure your prescribed medication is right for you.

Lying About Adherence or Lifestyle

Statements that hide important information can be dangerous. For instance, saying "I always take my medications as prescribed" when you don't is a common fib that can lead to ineffective treatment or an incorrect diagnosis. Similarly, downplaying your alcohol intake or recreational drug use can conceal dangerous interactions with prescribed medications. It is essential to be honest about your full health picture so the pharmacist can provide safe and effective guidance.

Dismissing OTC and Supplements

Many patients believe over-the-counter (OTC) products, vitamins, and herbal supplements are harmless. Saying "It's just a vitamin" can lead to serious drug-supplement interactions that the pharmacist would have otherwise caught. For example, St. John's Wort can negatively interact with many medications, and high-dose vitamins can cause side effects. A comprehensive medication history includes everything you take, not just prescriptions.

Self-Dosing or 'Doubling Up'

When patients miss a dose, their first thought might be to "just double up." However, this can be dangerous, potentially leading to an overdose or increased side effects. Instead, you should always ask a pharmacist for advice on what to do. The correct course of action depends on the specific medication's half-life and your health status.

Communication Errors That Create Problems

Sometimes, the issue isn't what you're hiding, but how you're communicating. Simple misunderstandings can slow down the process and lead to mistakes.

Being Vague or Impatient

Statements like, "I need a refill on the little white pill" are unhelpful and can lead to errors, especially when the pharmacy has hundreds of medications fitting that description. Similarly, rushing in five minutes before closing and demanding a prescription filled "real quick" shows a lack of respect for the staff and their busy workflow. Proper planning and providing specific medication details are always the better approach.

Incorrectly Identifying Yourself

Using inconsistent names (e.g., Jenny Smith one day, Jennifer Foster the next) can create confusion in a pharmacy's system, leading to delays and potential mix-ups. Always use the same, consistent legal name on file to ensure you receive the correct medication. It is also important to use caution when picking up for someone else, ensuring you have the correct information and, in some cases, authorization to do so.

Publicly Announcing Medications

While well-intentioned, asking for a prescription by name loudly at the counter, like yelling "Is my Viagra ready?" can violate your own privacy. Pharmacists are trained to be discreet and respectful of patient confidentiality, and patients should also be mindful of this by speaking in a low voice or stepping aside for more sensitive conversations.

Disrespectful and Unproductive Behavior

A positive and respectful relationship with your pharmacist is key to better healthcare outcomes. Dismissive or rude comments can damage this rapport and make the entire process more difficult for everyone.

"You're just a technician."

This belittling remark is a sign of disrespect for the entire pharmacy team. Pharmacy technicians play a vital and highly trained role in the medication dispensing process. Without their critical assistance, pharmacists could not serve the volume of patients they do. Showing respect to all staff members fosters a positive environment and ensures better service.

"Can't you ever get it right?"

Complaining about a change in a pill's color or shape is often a result of manufacturers changing a medication's appearance for reasons like cost. This does not mean the pharmacy made an error; it's the same medicine with a different look. Instead of a hostile accusation, a friendly reminder or polite question is far more productive and appreciated.

Table: What Not to Say vs. What to Say Instead

The Unhelpful Phrase The Better Approach
"I'll take whatever's cheapest." "Are there any generic options for this medication, and are they suitable for me?"
"It's just a vitamin." "I'm taking this supplement. Could it interact with my other medications?"
"I lost my pain pills." "This is a sensitive issue, but I need to report a lost or stolen prescription. What is the process?"
"My name is either Jenny or Jennifer." "I have two names on file. It's under Jennifer Foster."
"I'll double up the next dose." "I missed a dose. What's the safest way to get back on track?"

Conclusion: Effective Communication as a Partnership

The pharmacist-patient relationship is a partnership in which both sides have a role in ensuring safe and effective medication use. By being honest, patient, and respectful, you contribute to a system that functions smoothly and safely. A pharmacist has a wealth of knowledge that extends beyond simply counting pills; they are trained to answer complex questions about drug interactions, side effects, and adherence. By avoiding judgmental, vague, or dishonest language, you help them do their job to the best of their ability, ultimately improving your health outcomes. For more tips on effective communication in healthcare settings, consult resources from trusted organizations like the American College of Clinical Pharmacy.

What not to say to a pharmacist? A list

  • Dishonest statements: Avoid lying about medication use, lifestyle habits (alcohol, drugs), or supplement intake.
  • Impatient demands: Don't rush the pharmacist, especially close to closing time, or demand to be prioritized.
  • Vague requests: Don't ask for a refill by describing a pill's color or shape.
  • Dismissive attitude: Never belittle a pharmacy technician by saying "You're just a technician".
  • Refusing a generic: Don't immediately dismiss a generic medication based on appearance without understanding that manufacturers can change.
  • Ignoring confidentiality: Avoid shouting the name of a sensitive prescription out loud in the store.

Frequently Asked Questions

If you miss a dose, do not assume you should double up. The safest approach is to contact your pharmacist or doctor and ask for specific instructions based on your medication and health status.

This can happen when a pharmacy's wholesaler changes manufacturers. The new pill contains the same active ingredients but may look different. If you have concerns, politely ask your pharmacist for confirmation.

No, pharmacies are generally prohibited from accepting returns on prescriptions once they have left the building, except in cases of dispensing errors. This is for patient safety.

Call the pharmacy ahead of time to confirm they have received the prescription, inquire about the co-pay, and ask when it will be ready. This saves you a trip and reduces wait times.

Herbal supplements and vitamins can have dangerous interactions with prescribed medications or affect test results. Always inform your pharmacist about all products you are taking.

Approach the counter discreetly. If the pharmacist needs to discuss sensitive information, they will likely move to a private consultation area. Avoid shouting medication names.

The pharmacist does not set your co-pay; it's determined by your insurance plan. Be prepared with your current insurance card and politely ask the pharmacist to help resolve any coverage issues.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.