David Medina’s Post

I have respect for ISMP. Yes...counterfeits exist and YES there are those that will certainly try to not follow the rules. However, ISMP is stating here to NOT use compounded versions of Tirzepetide of course siting the 2012 NECC issue..THE worst possible case scenario. It also INCORRECTLY states that the drug is ONLY available through Eli Lilly. YES the official drug as marketed is only available through them. However, an Active Pharmaceutical Ingredient can be used through a licensed supplier for the powder to be compounded. It's also worth noting..compounding is being done every day. Go tell a Urologist that it's no longer safe to order TRIMIX for his ED patients. Perhaps compounded Opthalmic meds should no longer be done. The argument NEEDS to stand across the board...if your argument is that compounding can lead to these health risks...then the risk exist for all and not 1 drug. That means...ALL COMPOUNDED IV ANTIBIOTICS...ALL IV INOTROPES..ALL COMPOUNDS FOR PETS..EVERYTHING. Yes the issue is real for Tirzepatide, but let's focus on WHY Eli Lilly is so focused on this...MONEY..just as much and the counterfeiters. In my career I have never seen a manufacturer test a compounded drug to prove a point. Plus, if we are comparing a manufacturer ability to produce vs a compound, the 2 will NEVER be equal.

My apologies and thank you. I was looking at a few posts and got them confused. I appreciate that

NECC will forever serve as a reminder of why we have strict standards and regulations. However, it is important to clarify the post is from PSM rather than ISMP.

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