I’m a pharmacist in a place used to access the mountains. I see so much inappropriate prescribing of acetazolamide to treat “mountain sickness” when we aren’t anywhere near high enough to actually get mountain sickness. Generally these tourists are suffering dehydration as it is much dryer here than where these people are from, a diuretic isn’t great medicine in someone suffering dehydration. I’m sure these doctors in Dallas, New York, and the middle of nowhere Mississippi have the best intentions but come on if it is outside your area of practice tell them to go to the urgent care. When I was younger and working in the mountains it was even worse. So many zpaks to treat the normal acclimation of the body to a higher and dryer place. I know telling a patient “I don’t know” is hard but please doctors if your patient is on vacation please tell them to go to the urgent care.
I guess what my point here is that I think more frequently prescribers need to build into their thought process am I the right person to treat this when faced with something that you don’t see every day. Most primary care doctors won’t hesitate to send someone to the cardiologist but for some reason will try to treat many other conditions they are much less familiar with than cardiology.
Source: Original link