I apologize in advance for writing a frothing rant that nobody will care about but me. This will make me feel better. Thank you in advance for your patience.
Attention, local pharmacists! Please be advised I know perfectly well that a certain percentage of patients who are allergic to penicillin are also allergic to cephalosporins. I understand that there are chemical similarities between the two classes of antibiotics, and that there is some potential for cross-reactivity. I promise on whatever holy book you care to proffer that these facts are included in my considerations when choosing to prescribe a cephalosporin to a penicillin-allergic patient.
I did, after all, attend a fucking medical school.
Stop calling me to confirm if I’m goddamn sure I want to prescribe what I’ve prescribed! If your liability-prevention rules dictate that you must call me to make sure I’m sure, then when I tell you to dispense what I’ve prescribed don’t ask me again if I’m sure! Don’t say something like “even with a 10% cross-reactivity rate?”, because:
1) That leaves 90% of patients who can take cephalosporins safely and I don’t want to eliminate an entire class of antibiotics for them out of hand, and
2) Oops, you’re wrong!
Yes, I am sure I wanted to prescribe what I prescribed. The fact that the patient is penicillin-allergic is the reason I chose the other antibiotic in the first place!
Thank you. I feel better.