I take a lot of medications; most I take daily, and some are taken as needed. I keep very close track of my medications and when they need to be refilled. It’s a big task, but I make sure I’m on top of it all. I have a problem filling my Clozapine prescription every month. I have to do monthly blood work. The pharmacy won’t fill the Clozapine without the blood work results. Filling this prescription is an issue every single month.
Every month, the lab forgets to send the pharmacy my results. It’s always a huge hassle. Even though I filled out the paperwork, I still have to convince the lab to send my results over. I shouldn’t have to call the lab every time. At least I’ve found a way to make the phone call easier and shorter.
I refill my prescriptions about a week early (they can be filled from approximately 3 to 7 days early depending on the script). If I start early (at the 7 day mark), then it’s okay if they run into a problem. I learned this the hard way. Running out of prescriptions is not fun.
The past few days have been pretty rough. My husband hasn’t been feeling well, and we don’t know what’s wrong. At first, we thought it was just the flu. Some blood work came back, and we’re afraid it may be an autoimmune disease, liver disease, or something else more serious. So now, we’re waiting for more blood test results. I hate waiting.
The past few days have been hard for me, even though I’m not the one that’s ill. I keep trying to find ways to help my husband feel better, but there’s nothing that I can do to help. It reminds me of when I was a kid. My dad was diagnosed with cancer when I was 12 or 13. He was pretty sick fairly often, especially from chemo and dialysis. I remember hanging around my dad when he was sick and feeling completely useless. He wasn’t feeling well and there was nothing I could do to help. That same feeling is coming back now. My husband isn’t feeling well, and nothing I do is helping.
This is the third time in a row that I’m having problems getting my Clozapine prescription filled. The lab automatically faxes my blood test results to the pharmacy, but for some reason, the pharmacy cannot find them. Yesterday, the pharmacy told me they didn’t have the results without even knowing my name. Then I told them my name and said that the test results normally go straight into my file. Less than a minute later I was told again that they don’t have the test results.
I called the lab and left a message for them asking them to resend my blood work to the pharmacy. Today, I will call the lab again just to make sure they got my message, and then I will call the pharmacy again. If I’m still having difficulties, then I will just show up at the pharmacy and ask to speak to the pharmacist. I really wish it wasn’t this difficult getting my Clozapine script filled.
Yesterday, I dropped off my weekly Clozapine prescription at the pharmacy. I asked the pharmacy technician if she could check to see if my lab work had come in. I told her that it gets faxed over from the lab every week, and that someone from the pharmacy normally puts a copy in my file. She looked at me weird, and said, “We don’t do blood work here.” I explained to her again, that I get my blood work done at a lab and then the lab sends my blood work to the pharmacy so I can get my prescription filled. She still didn’t understand; she told me again, “We don’t do blood work here anymore.”
Wow, I was surprised at how ignorant this woman was. If she had just taken 30 seconds to listen to my explanation, then she would understand. At this point, she went to the back of the pharmacy with my prescription. When she came back up front, I asked if she found my blood work results. Her response was, “I don’t know, I didn’t look.” I was so baffled that I just decided to leave instead of try to get this woman to understand me. I asked her to please call me if there were any problems filling the prescription.
Luckily, they were able to fill my prescription. The pharmacist must have found my blood work in my file. I think they’re finally getting used to receiving my blood work results and having me filling my weekly Clozapine prescription there. The pharmacy technician I had this odd interaction with was new, so I can understand her being confused; however, if she had just listed to my explanation, she would have understood easily.
Every week I get my blood drawn to check for any possible side effects from taking Clozapine. The medication can cause many serious side effects, and the blood tests are there to catch the issues before they get too serious. My blood work results are finally all within normal limits. At one point, they got so bad that my pharmacist said they may not be able to continue filling my Clozapine prescriptions. We still have to keep an eye out for any issues since I’m increasing the medication slowly. I’m still doing weekly blood work, but I’m almost half way through it. At six months, I get to switch to every other week. At least it’s something to look forward to.
It’s also been getting easier to get my Clozapine prescriptions filled. I haven’t had to call the pharmacy and see if they have my blood work results, which is what I have had to do up until the last two weeks. I haven’t had to call the lab to have them fax over the results again either. The pharmacist is also no longer questioning my blood work because my results are finally normal. I’m glad this is finally getting easier, it’s about time. All I have to do now is hand the pharmacy my prescription, and 30 minutes later my medication is ready to be picked up.
My psychiatrist mailed me two months worth of prescriptions. These scripts, for Clozapine, will get me from my 200mg dose up to my target 400mg dose. Each script is for one week worth of medications (because I still have to do the weekly blood work). He sent me everything that I would need to get through the next two months. The scripts are pre-dated, so I can’t fill them until Wednesday of each week.
I will be starting the increase soon, either Wednesday or Thursday of this week. I’m a little concerned about the possible side effects, but I mostly think it will all work out.I’m increasing my dose slowly to hopefully avoid side effects. I guess only time will tell.
I can still contact my psychiatrist any time I need, but hopefully everything with the dosage increase will go smoothly and I won’t have to. My next appointment with him is on August 25th. Until then, I can contact him via email or text if necessary. He will still get my weekly blood work results. If he sees a problem with my blood tests, then he will contact me.
Since the beginning of April, I have been getting my weekly Clozapine blood work done on Fridays. A couple of weeks ago, somehow the day that I pick up my prescription changed. Instead of picking up my filled prescription on Sundays or Mondays, I’m picking it up on Thursdays.
Since I now pick up the script on Thursdays, it seems a bit ridiculous to get my blood work done on Friday. I’m going to start by changing my blood work days to Mondays. Depending on how things go, I will either stay with Mondays or change to Tuesdays.
All I know is that my psychiatrist and pharmacist should be getting current blood test results. Right now, by getting blood work done on Fridays and prescriptions filled on Thursdays, none of my results are technically current. I’ll see how Mondays go for a while; I have an appointment right now for Monday at 2pm.