Taking Control of Your Medicines - Consumer Newsletter Vol 1 No 3

By Dr. Dorothy L. Smith
Expert in safe medication use, author of 23 books for consumers on prescription drugs, and President of Consumer Health Information Corporation

.Vol. 1 No. 3

This newsletter has been launched to address the tremendous need for consumers to better understand how to take their prescription medicines safely. Home medication errors made by patients are linked to hundreds of thousands of deaths a year and costs this country nearly $180 billion in extra medical treatments.

Only when people know how to take control of their medicines can they receive the full benefit of their treatment.

The response we received to the launching of this newsletter for consumers has far exceeded our expectations. Many organizations and newspapers across North America and Europe have requested permission to reprint the information in "Taking Control of Your Medicines" or to post it on their websites.

I have been asked if this newsletter is sponsored by a pharmaceutical company or other organization. It is not sponsored by any outside organization. My company, Consumer Health Information Corporation, is providing this information strictly as a public service. Our goal is to help consumers better understand how to take their prescription medicines safely. It is our firm belief that people can only receive the full benefit of their treatments if they know how to take control of their medicines.

Dr. Dorothy L. Smith is an internationally recognized expert in patient education, patient compliance, and behavior modification programs. She has devoted her career to helping people make informed decisions about health care and use of medications. Dr. Smith is the author of 23 books and has appeared on radio and television programs across the country to increase awareness of the important role consumers play in their prescription drug therapy.

In 1983, she founded Consumer Health Information Corporation, a company internationally recognized for its innovative patient information programs. The organization has produced a broad range of print and audiovisual programs that have helped millions of people learn to make wise decisions about their health and medications. The company is a teaching site for several schools of pharmacy across the United States and a member of the Board of Directors of the National Council on Patient Information and Education.

20 Steps Consumers Can Take To Be Informed About Their Medicines

Here are some practical tips I suggested during my presentation at the conference on "Safe Medical Treatments: Everyone Has A Role," sponsored by the U.S. Food and Drug Administration and the National Patient Safety Foundation:

1. Don't be afraid to ask questions!! The only way a person can make informed decisions and use medicines safely is to know what information is important to obtain from health professionals, how to incorporate the medicine into your daily lifestyle, how to manage side effects, when to seek medical help and how to keep track of important information for the doctor and pharmacist.

2. Ask your doctor WHY you need the medicine being prescribed and how it is going to help you. Discuss any concerns you have about taking the medicine so that you have all the information you need to decide whether you want to take it. If you do not want to take the medicine, discuss this with your doctor so that a treatment more acceptable to you can be prescribed.

3. Ask your doctor or pharmacist if there is an FDA-approved Patient Package Insert (PPI) for the medicine you are taking.

4. Since the average person forgets 50% of what the doctor tells them by the time they arrive at the pharmacy, ask the pharmacist to go over all the instructions again.

5. If you would feel more comfortable speaking with the pharmacist in a private area, ask for it. More and more pharmacies have private counseling areas to ensure confidentiality and better learning.

6. Ask the pharmacist to show you the actual medicine so that you know which medicine is used to treat which symptom(s).

7. Many people stop taking a medicine because they think they are allergic to it. Actually they may have had a minor side effect. Some allergic reactions can be very serious and require immediate medical treatment. If you have any questions about whether a symptom is an allergy or a side effect, always ask your doctor and pharmacist.

8. Be sure you know how to administer the medicine correctly. Some medicines, such as inhalers to treat asthma, require complicated steps. Your doctor and pharmacist can show you the steps to follow when using an inhaler so that the medicine will reach your lungs and not get sprayed on the back of your throat where it will not work. You may want to ask the pharmacist to let you practice using the inhaler in the pharmacy.

9. A prescription label that states "Take 1 tablet 3 times a day" does not give you enough information. Ask your doctor or pharmacist to help you determine the best times to take the medication so you can easily work the dosage schedule into your daily activities, meal times and work. You will find it easier to remember to take your medicine if it fits in with your normal lifestyle.

10. Try not to adjust your medicine or skip doses without discussing this first with your doctor or pharmacist. Some medicines can have very serious side effects if they are stopped suddenly.

11. Many prescription medicines can interact with each other as well as with over-the-counter products and herbal remedies. Your doctor and pharmacist should review all of your medicines at each visit and make sure that you are not taking any prescription medicines that can interact. It is important that you tell them if you are self-treating with any over-the-counter product or herbal remedies. Even better, ask them before you start self-treating!

12. If you receive written instructions that just list side effects that could occur, ask for more information. You need to know how to recognize the early symptoms of common side effects and how to manage side effects that may be annoying but are minor. You also need to know when you should contact your doctor because of a side effect. If you do not understand a medical term, do not be embarrassed to ask what that term means. Keep asking until you understand it!

13. If you think you are having a side effect and don't know what to do, call your doctor or pharmacist. You also need to tell them if you have done anything to try to treat it -- such as skipping a dose, stopping the medicine, or taking an over-the-counter or herbal remedy. This information is important for them to include in both your medical and pharmacy records.

14. Some people find it helpful to keep a "medicine diary" they can take with them to their next doctor and pharmacy visit. This diary can help you remember important information to tell your doctor so the doctor can decide if you really had a side effect or if the symptom may have been caused by something else. Your diary can also help remind you of important questions you want to ask.

15. Some medicines must be stored away from heat, light or moisture in order to keep their strength. Transdermal patches should not be thrown away where children can find them and put them on like Band-Aids. If you are traveling in a car during hot weather, don't store your medicines in the glove compartment of the car. The heat can destroy the medicine and it may not work.

16. Select your pharmacist with the same care that you select your doctor. You want a pharmacist who will take the time to counsel you at every visit and answer your questions.

17. You should expect to receive written information from the pharmacy that you can take home. Keep this written information in a handy place where you can find it if you need it. However, the written instructions should NEVER take the place of personal counseling. You need your questions answered so you can manage your medicines safely!

18. Find out how many days in advance you should order your refills. Ask your pharmacist to develop a program to help remind you to get your refills.

19. If you are having trouble remembering to take your medicine, it is important to let your doctor know this. Otherwise, your doctor may think that the medicine is not working and may prescribe another medicine that is less effective or has more side effects. All that really may be needed is to work out a more convenient dosage schedule for you.

20. Be sure at each pharmacy visit to tell the pharmacist if you have had any problems with any of your medicines. Your pharmacist can often provide helpful advice.

Consumer Health Information Corporation is an internationally recognized leader in the development and production of patient education programs for pharmaceutical companies, managed care organizations, and consumers.

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