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Is Half the Dose Always Really Half?

Feb 24, 2012

Sometimes no matter what we do, disasters can just happen. This disaster comes from Dr. Aaron Vinik from the Eastern Virginia Medical School. “The most interesting diabetes disaster that happened recently, was a patient who was diagnosed with neuropathy secondary to B12 and B6 deficiency”….

As part of his treatment we had the patient begin therapy with B12 and B6 vitamins. He eventually ran out of the B6 (pyridoxine) tablets so the nurse practitioner cut the B12 (cobalamin) tablets in half so she could give him his B6!”

Lesson Learned: It is vital that we as practitioners ferret out misunderstanding and misconceptions by paying attention to anomalies and by always asking question. Though this particular circumstance was essentially harmless, a similar misunderstanding about a more potent drug could be disastrous.

Aaron Vinik, MD, PhD

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