Stop Look-Alike/Sound-Alike Med Errors in Their Tracks

Recent mix-ups will put renewed focus on preventing errors with look-alike/sound-alike med names.

Trexall and Paxil. A verbal Rx for Paxil 10 mg daily was misheard...leading to a patient getting Trexall (methotrexate) 10 mg daily. The patient died after taking Trexall for about a week.

Stay especially alert when meds have similar names AND the same strengths. Overlapping strengths of Paxil and Trexall may have made this error harder to detect...since the dose was less likely to seem off.

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