Pharmacy Fills the Wrong Medication & Results in Serious Injury

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DC Area Pharmacy Makes a Critical Error When Filling a Prescription

A patient with chronic liver disease and associated complex underlying medical problems was prescribed Amiloride, a diuretic used to manage and prevent fluid accumulation.  After taking the medication for a period of time, he developed shortness of breath and was taken to a Washington, D.C. hospital where he was later admitted. He was found to have buildup in the lungs and chest. A thoracentisis was performed and 2 liters of fluid were removed from his chest.

The patient's local pharmacy had filled his prescription with Amplodine rather than Amiloride.  Amplodine, a calcium channel blocker, is contraindicated for patients with these underlying medical conditions.  It likely contributed to the increased fluid accumulation and complications of that required a hospital stay, thoracentisis, and delayed revision of a shunt that had been scheduled.  

The pharmacy agreed to a settlement prior to litigation.