My wife’s anti-anxiety prescription has two different pills in it.

    by Bum-Whistler

    40 Comments

    1. lowlightliving on

      Pharmacists will fill prescriptions of the same generic drugs made by different manufacturers in the same bottle when one runs out and they have to complete the script with another manufacturer’s. I’ve had that happen to me on occasion from multiple pharmacies.

    2. You need to put everything back in the bottle and go back to the pharmacy. It could be that they finished a bottle from the manufacturer and the next one had different shapes but it could be a mistake and it’s super important the pharmacy clear it up for you. You can identify pills by the id numbers/letters on them but again this isn’t something you need to handle yourself.

    3. According_Arm_6170 on

      Buspirone? Google doesn’t like hexagonal because it’s not a hexagonal pill 😁

    4. PositionParty1454 on

      The bottle was probably labelled two different manufacturers with a sticker or hand notated on the label. It is done often!

    5. So. Yeah. This is bad pharmaceutical elegance. In my field, ‘pharmaceutical elegance’ is making sure the labeling, drug, and presentation are all very clean and proper, including things like how the label looks (not crooked or damaged) and the consistency of the pills. When these things are ugly, crooked, or dirty – it creates distrust with patients. As it should. If the presentation of the medication is poor, it implies poor attention to detail, and that the drug could be inaccurate.

      In your case, I believe you got two different brands of buspirone 10mg, …which is fine… except the pharmacist/pharmacy technician should have taken you aside to the window to counsel you and tell you this is the case.

      I would go back to the pharmacy, anyway, just to make it clear they made you uncomfortable because they did not properly inform you of the situation. They should have.

      [https://www.drugs.com/imprints.php?imprint=10&color=12&shape=1](https://www.drugs.com/imprints.php?imprint=10&color=12&shape=1)
      [https://www.drugs.com/imprints.php?imprint=351&color=12&shape=11](https://www.drugs.com/imprints.php?imprint=351&color=12&shape=11) – this one doesn’t have a photo but I also recognize the pill from work.

      Edit: Phrasing.

    6. I worked in a pharmacy for a couple of years about 12 years ago. Whenever we didn’t have enough of one manufacturer to fill an entire script and had to use another one, I was trained to write a note on the script and separate the two pills with cotton so people wouldn’t be alarmed or have to check the Internet to make sure they got all of the right prescription.

    7. LastPirateAlive on

      I had meds that looked like those once and I called them pillow-shaped but the bottle said ‘barrel’ and I liked that, too.

    8. This happens to me with various of my pills. The pharmacy just gets them from different vendors.

    9. In the same bottle? Someone fucked up.

      In theory you can fill a prescription with split generics for a patient like this, however the standard way of doing this is to count out how many you have of the short stock say 32/90 and print the label for that generic with that count. 

      Then you select the generic you have that isn’t short stock and the system automatically prints the matching label for that brand as 58/90.

      This isn’t just for fun, or for pharmacy stock either, not that this pharmacy seems to concerned about that.

      It’s a patient safety issue. Anyone (US for sure) can go grab any prescription bottle in their house and it’s gonna have the description of the pill inside it. That’s so you know what you’re taking.

      BUT WAIT THERE’S MORE. Did you know that Teva once oopsied and put a little bit of glass in some pills they made? Just as an example. Medications get recalled for all sorts of wild or banal shit. Your RX number is permanently linked the the exact bottle those came from. Or is supposed to. 

      Also, y’all I went to double check the Teva glass recall because that particular memory is from the the Pleistocene and wtf there are so many manufacturers out just putting glass in medications. 

      Source: I spent eight years getting yelled by people looking to score Sudafed for their meth cooker and parents with sick kids as a Pharmacy Technician. And one weird lady who yelled about Obama every single time she came in. 

    10. Seems like that’s definitely not best practice, ESPECIALLY if it was not disclosed prior to now.

    11. This_Influence_9985 on

      I’ve had bottles of split manufacturers… Should say the label if it’s one manufacturer and anoother.

    12. fiendishrabbit on

      Pharmacist should have told you when they gave you your prescription, but they’re the same drug (buspirone 10mg) from different manufacturers.

      * 351 White, Oval pills are supplied by Radha Pharmaceuticals
      * 10 White, Barrel-shaped pills are supplied by Strides Arcolab

      For anyone else in the US that ends up in this situation; [https://www.drugs.com/pill_identification.html](https://www.drugs.com/pill_identification.html) is a great page. You simply type in markings, colour and shape and it will spit out a number of possible results. On most pills it provides not just the active ingredient but also the filler ingredients (which is helpful for people whose digestion react differently from seemingly identical drugs from different manufacturers).

    13. They did this shit to me once, no mention of it by the pharmacist or on the bottle. Cannot explain well enough the panic attack that ensued when I wasn’t sure which pill I needed to take to calm down. 😪

    14. darealstiffler on

      Ayyyy gotta love the souped up Benadryl lol. Those definitely make me less anxious but they make me tired af

    15. This is buspar right? I have both of these in my old bottle when I changed doses. Probably different manufacturers. Contact your pharmacy to check.

    16. I work in a vet clinic – if we need to fill a script of say 50 pills, but have 15 left of Brand A and an unopened bottle of Brand B…. We are going to open the new bottle. It’s the exact same drug, but slightly different shape, and we are going to hear about it by phone call, email, Facebook post that we are trying to poison them…..

    17. Business_Sandwich227 on

      It’s fine. Just carefully sand the edges off the bigger ones to match the smaller ones. Oh and the numbers too. Problem solved.

    18. This is called misbranding and it shouldn’t have been done. They should have given you two separate bottles.

    19. RandomredditHero on

      The first thing you should make sure to do is tell her to relax. It’ll definitely go over well

    20. TroublingThumbs on

      this would also happen to me sometimes with buspirone 10mg, until i switched to 15mg

    21. It drives me bonkers when my meds are different shapes or colors from one bottle to the next refill. It causes problems with medication adherence for me. I can’t even imagine the suffering caused by two different pill shapes IN THE SAME BOTTLE!!!!

    22. If they did not clearly label both of these manufacturers, this is not mildly interesting. It should be infuriating.

    23. They’re fine, it’s just the same Rx made by two different manufacturers. They probably ran out of one and filled with the others.

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