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Regional · UK & Ireland · continued

Second pass at: Pharmacy supply in the UK and the questions you will be asked posts 31–54

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

RJ
r.jhannsdttirTL3Regular20 Apr 2025#31

Filing a mild objection to the consensus on Pharmacy supply. Mild because I might be wrong; an objection because nobody has addressed the case that does not fit.

9 likes 15mo
AV
a.vermeulenTL224 Apr 2025#32

Pharmacy supply was covered in the wiki last year and the page has a review date on it, which is a better starting point than my memory of a thread.

20 likes 15mo
V
VPoulsenTL3Regular28 Apr 2025#33
d.achebe, post #2: On Pharmacy supply I would separate what is worth knowing from what is worth acting on. The first list is long and the second is short, and conflating them is how threads get heated. Go to post

Post #32 answers the question as asked. The question underneath it is different.

Occupational health screening: some UK occupations require medical checks. Disclosure of weight-loss medication might be relevant to employment screening; understand your obligations.

Written in the hope of being told what I have missed.

0 likes in reply to #2 15mo
VB
v.bergstromTL22 May 2025#34

I read post #30 twice before replying, because I had assumed the opposite.

What I would check first on Pharmacy supply is whether the thing being measured moved or whether the way of measuring it moved. Those look identical in a graph.

0 likes 15mo
CC
crossref_checkTL3Wiki editor6 May 2025 · edited#35

Practical experience of Pharmacy supply, offered as one case with the conditions stated, not as a general finding. Conditions first, because they are what make it interpretable.

5 likes 15mo
ND
n.duarteTL210 May 2025#36
formulary_notes, post #29: I had written a reply contradicting post #25 and deleted it. Here is what survived. Adding a small correction to the Pharmacy supply summary above rather than a disagreement with it. The substance holds; one of the figures is out by a factor that matters. Go to post

On post #34 — agreed on the reasoning, with one qualification.

Supply and shortage resilience: both UK and Ireland sourced primarily from European suppliers until recent disruptions. Domestic availability and pricing changed.

A weak preference rather than a position.

14 likes in reply to #29 15mo
CO
c.okaforTL3Regular14 May 2025#37

Post #36 is right about the mechanism and I think understates the practical bit.

The reason Pharmacy supply is hard to answer is that the obvious measurement and the relevant quantity are not the same thing, and substituting one for the other is silent.

29 likes 14mo
FD
f.danquahTL218 May 2025#38

Importing for personal use: importing a prescription-only medicine without a prescription is not lawful. Material sold as research-use-only is not a licensed medicine regardless of content.

0 likes 14mo
LE
logbook_erinTL3Regular22 May 2025#39

Building on post #36 rather than restating it.

An observation about Pharmacy supply that I cannot explain and am posting anyway, on the principle that unexplained observations are more useful public than private.

19 likes 14mo
SG
s.girardTL225 May 2025#40
PN
p.novakTL229 May 2025#41

Where I part company with post #39, and it is a narrow parting.

Nothing in this subcategory is medical or legal advice, and prescribers reading here consistently say so themselves.

2 likes 14mo
EA
e.almeidaTL2Member2 Jun 2025#42

Useful. I had the fact and not the reason, which turns out to be the important half.

0 likes 14mo
RS
r.sobczakTL26 Jun 2025#43

For anyone finding this later: the short answer on Pharmacy supply is that it depends on one thing, and the rest of the thread is people identifying which thing.

20 likes 14mo
RJ
r.jhannsdttirTL3Regular10 Jun 2025#44
p.novak, post #41: Where I part company with post #39, and it is a narrow parting. Nothing in this subcategory is medical or legal advice, and prescribers reading here consistently say so themselves. Go to post

Pharmacy practice varies between pharmacies and is not deducible from the regulatory position. Two people can honestly report opposite experiences.

Not disagreeing with anyone above, just adding the bit I keep having to look up.

9 likes in reply to #41 14mo
NK
ni.kravchenkoTL214 Jun 2025 · edited#45
ms_holloway, post #23: Everything in post #21 holds. The case it does not cover is the one I have. Supply and shortage resilience: both UK and Ireland sourced primarily from European suppliers until recent disruptions. Domestic availability and pricing changed. Go to post

Practical note on Pharmacy supply: write down what you expect before you look. The number of times I have found what I went looking for is higher than chance would allow.

0 likes in reply to #23 13mo
IS
isotonic_sheetTL3Regular17 Jun 2025#46

Confirming post #43 from a second method, which matters more than confirming it from a second person.

Shortage positions have moved several times and any statement about supply here should carry a date on the face of it.

0 likes 13mo
PK
p.krastevTL221 Jun 2025#47

Source for the Pharmacy supply figure, since it was asked for. It is in the discussion rather than the abstract, which is why the version circulating is stronger than the paper is.

Reading the surrounding paragraph is worth the two minutes. The authors are more careful than their summarisers.

14 likes 13mo
RV
r.venkatesanTL3Wiki editor25 Jun 2025#48

The most useful contribution is a link to the current official page with the date you accessed it. That survives; a paraphrase does not.

This has been discussed before and I could not find the thread, so, again.

5 likes 13mo
AK
ak.kravchenkoTL228 Jun 2025#49
s.girard, post #40: Pharmacy supply: I would want to see the raw numbers rather than the summary before agreeing. Summaries lose exactly the information that would settle this. Go to post

Noted, and I have changed what I was going to do on the strength of it.

0 likes in reply to #40 13mo
IT
integrator_traceTL2Member2 Jul 2025#50

The question underneath Pharmacy supply is usually "how would I tell?" rather than "what is true?", and that one has a method attached to it.

Write down what you would expect to see under each hypothesis before you collect anything. If they predict the same observation, collecting it will not help.

29 likes 13mo
RE
r.ekstromTL26 Jul 2025#51
c.kuusela, post #6: Post #5 answers the question as asked. The question underneath it is different. I read the earlier replies on Pharmacy supply twice before writing this, because I had assumed the opposite and wanted to be sure I was disagreeing with what was said rather than what I expected. Go to post

Picking up post #50: that is the part I would want checked first.

Members outside these two jurisdictions reading this thread should note that none of it transfers, including the parts that sound general.

11 likes in reply to #6 13mo
TH
TL4_HalvorsenTL4Leader · Journal club10 Jul 2025#52
KForsberg, post #17: The version of Pharmacy supply that circulates here is a simplification of a simplification. It is not wrong, but it has lost the conditions under which it holds, and those conditions are where the interesting cases live. Go to post

This settles it for me, at least until somebody posts a reason it should not.

25 likes in reply to #17 13mo
HL
h.lindqvistTL213 Jul 2025#53

Reporting rather than recommending, on Pharmacy supply. What happened is above. Whether it should have is a different question and not one I am qualified to answer.

0 likes 13mo
FN
formulary_notesTL3Regular17 Jul 2025 · edited#54

Availability through a private route and availability through the public system are separate questions and both change independently.

3 likes 12mo
Moved from North America by j.mwangi. Category placement is not obvious from outside and getting it wrong is expected. This topic will get better answers here. The move is recorded in the public log citing R7.

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