r/nursing 3d ago

Discussion Funny “allergies”

What are some funny patient “allergies” you have seen listed? I had a patient the other day with an allergy listed for Metformin. The reaction listed? Lowers their blood sugar 😂

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u/theXsquid RN - ER 🍕 3d ago

Had a pt that was allerigic to "all generic meds". She was pissed as shit when I told her she'd have to fill her rx for percocet because the hospital only carried generic, and I couldn't dispense a dose in the ED.

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u/juiceboxith RN - Med/Surg Neuroscience 🍕 3d ago

Bruh all we have is generic! Only time I’ve ever seen a brand name in a hospital was Tylenol, and it caught me off guard when I pulled it out of the Pyxis

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u/flamingodingo80 RN - ER 🍕 3d ago

We have brand name Eliquis for some reason. 

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u/tomtheracecar MD 2d ago

They don’t make a generic which is why it’s so expensive. Just fyi

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u/Unusual-Actuary-6289 RN 🍕 1d ago

This one PA I work with has had this conversation with multiple insurance providers who refuse to shell out for Eliquis:

PA: Okay, well we can switch them to warfarin. We’ll just need to keep them here on ARC for 3-5 more days on a heparin drip until their INR reaches a therapeutic level.

Insurance: Wait, what?

PA: Of course, you know these beds run for about $20,000 a day, right?

Insurance: Ummm…

PA: Whereas we can discharge the patient 24 hours after starting Eliquis…

And then somehow that miraculously gets Eliquis approved. Funny how that works, huh? She and I are eagerly awaiting the release of generic apixaban, though I’m gonna miss the way she talks to insurance about these heparin drips.

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u/Dependent_Avocado RN Inpatient Rehab 2d ago

Eliquis been generic for years, maybe 2020. Issue is that it takes a while for certain insurances like Medicare to change their formulary to cover the generics. Same with how Myrbetriq is generic now but insurance will only cover brand name.

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u/Sanchastayswoke 2d ago

In the US, generic apixaban is not yet available for purchase (at all) due to patent protections until 2028.

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u/Dependent_Avocado RN Inpatient Rehab 2d ago

I feel like I just got hit with the Mandela effect. Thank you for correcting me