underworld elixir, toilet trips, throat slap

She came in complaining of a chesty cough, green phlegms and sore throat. She then asked for my recommendation before requesting an ammonia and senega mixture. I did not even have the chance to finish my Q on nasal congestion.

Now, the tricky part. Do I say
A. "oh hey, that is good shit yea, it works like magic cure."
or
B. "I don't know much about that, happy to assist if you are considering other products."

I am still not in favor of the efficacy of the product, not I am being bitchy but just practicing evidence based approach. If you have a product in mind, go ahead and request it, that makes two happy person instead of me doing futile effort trying to identify a suitable product for you.



She came in complaining of a tight chest with little to no phlegm. I grabbed an mucolytic and suppressant combination.

"I would definitely recommend this, pholcodeine to suppress the constant urge of coughing and bromhexine to loosen the sputum making them easier to cough out."
"Is it suitable for asthmatic?"
*RED FLAG - suppressant and asthmatic*
Before I could say anything, she reads my face and insists that she will take it.
"Is your asthma well under control?"
She ignored my Q and proceed to grab her purse.
"Make sure you monitor your asthma condition."



He came in asking for Stingose -treatment for insects bite; active ingredient - aluminium sulfate.

"Well, we have spray, gel, big bottles, small tubes."
"All the same?"
"Same stuff in it. Is it for insect bites? I would suggest you go for Paraderm Plus instead - with the antiseptic, local anesthetic to numb to pain and an anti-inflammatory to help with inflammatory, it is way better than Stingose as Stingose needed to be applied to affected area as soon as possible for it to work, preferably within 20 minutes."

He still bought Stingose after much consideration. Grrrrrrrrr..........



He came in asking for diarrhea treatment.

"Is it for you?"
"Yes."
"How long has it been?"
"A week or so."
*My eyes were wide opened*
"Traveled anywhere recently?"
"Not for the past three weeks."
"I have GastroStop for you and it is basically Imodium with a much cheaper price."
*Both contains loperamide*
"I just want it to stop, price doesn't matter.So, which of them work better?"
"Same stuff in it. Take two immediately and they should stop your diarrhea, if not take another one for each subsequent loose motion"
"How many can I take a day?"
*Shocked by his Q*
"Normally you won't need more than 3 or 4."
"I will see a doctor on Monday if it doesn't helps."

I think I could have done better with advice of letting the diarrhea continues, you do not want to treat a diarrhea unnecessary.



She came in looking for cheapest paracetamol.

"100 of them for 5.95, definitely a deal."
"What? You can get 100 tablets over here? We can only get a pack of 36 back home. What are people using them for? This is insane!"
"Remember not to exceed 8 tablets per day."
"Yes yes. I knew about that."



He came in with a bad one-week sore throat (RED FLAG), complained about difficulty in swallowing (RED FLAG), pain, loss of voice, Strepsils not helping, took some pain killers etc.

I grab Strepsils with local anesthetic and Betadine sore throat gargle.
"This will helps with the pain and this will helps to get rid of the sore throat."
"Don't you think your sore throat is serious?"
"Yea, but I have been drinking as well."
"Okay, you must not exceed 8 lozenges per day and make sure you are extra careful with hot beverages. The lozenges will numb your whole mouth so you won't feel anything until the beverages is down your throat burning it."

Assistant 1 later commented that someone asked her before if taking a shot of vodka would help to kill the germs.
"Why he doesn't think his sore throat is serious?"
"Guys just drag along basically?"



A day in a pharmacy.
 
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