27/08/2025
’s Role in Preventing Harm – Beyond Dispensing:
A patient presents a prescription for Ciprofloxacin, a commonly prescribed fluoroquinolone antibiotic. Upon observation, the pharmacist notes that the individual appears to be heavily involved in weightlifting or resistance training. Recognizing this as a potential risk factor, the pharmacist considers the broader implications before dispensing the medication.
Clinical Insight:
Fluoroquinolones, particularly Ciprofloxacin, are associated with serious musculoskeletal side effects, including:
Tendonitis
Tendon rupture
These risks are significantly increased in individuals who engage in intense physical activity, such as heavy weightlifting, due to the stress placed on tendons during training. The Achilles tendon is especially vulnerable.
Pharmacist Action:
Rather than dispensing the medication immediately, the pharmacist chooses to:
Review the patient profile and risk factors
Contact the prescribing physician:
Suggest a safer alternative antibiotic, if clinically appropriate, considering the patient's infection type, severity, and possible drug interactions
This proactive approach not only avoids a potentially severe adverse drug reaction but also reinforces the pharmacist’s role as a critical safety checkpoint in the healthcare system.