I have had
ePocrates on my iPhone for about 24 hrs. It has been a dream so far. I havent had any patient interactions, as it is my day of the week off.
However, I have been quite impressed with the formulary function. I have been able to quickly see which of the frequently prescribed medications are on the Madison formulary.
I will run in to this clinical situation many times in the next month on the cardiology ward:
A patient with no known history enters the hospital emergently due to an acute myocardial infarction (heart attack). They have previously not taken any medication. If all goes well, they will be discharged in 3-4 days on multiple new medicaitons, including:
Aspirin (generic, over the counter)
B-blocker (metoprolol tartrate or carvedilol are both covered on the
Target 4$ Program)
Ace-inhibitor (lisinopril is covered)
Statin (simvastatin and atorvastatin are most commonly used, but quite expensive). Pravastatin and Lovastatin are covered, but not as well studied.
Plavix, or clopidogrel: very expensive still. There was a
lawsuit back in 2007 to keep it under patent.
If on-patent drugs are prescribed, this can be quite expensive quite quickly.
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