November 05, 2007

MEDICATION TIPS

Know the name of your medications.

Write down a list of your medications, with their dose and frequency. This can be used as a reminder, and can be utilized if you're unable to tell medical personnel in the case of an emergency. This will be particularly useful if you see more than one doctor.

Take your medications until they're gone. This is particularly true for medications such as antibiotics. If you are prescribed two weeks worth of pills, don't stop them in a few days "because you're feeling better". These medications need to be taken for the total duration of time that they're prescribed to completely clear the infection to keep it from coming back.

Keep on taking your medications. Don't just quit if your refills run out. You or the pharmacist should call the doctor's office for a refill. Medications for most medical conditions (other than temporary conditions such as an infection) need to be continued. I have had more than a few people stop their medicines for high blood pressure or high cholesterol when the first set of refills ran out - their blood pressures and cholesterols went right back up!

In general, it is more important to take the pill than to take it at just the right time! Schedules such as "one hour before or two hours after a meal" are simply too complicated for most of us to follow. It is better in most cases to get the medication taken than to miss it all together while trying to do it "perfectly".

Try to take your medicines in conjunction with some other regular daily activity, such as that first cup of coffee, breakfast, dinner, or brushing your teeth before you go to bed. Turn this into a habit that is to your advantage.

Know what to do if you forget a dose. This is different for each different medication. Ask your pharmacist or physician.

Read the label each time you get your medication to make sure that there have been no accidental changes made by the pharmacist. Look at the pills to make sure they look the same as the old ones. If you have questions about these matters, contact your pharmacist immediately.

Ask your pharmacist about over-the-counter medicines. Despite the fact that they are available without a prescription, they may have definite risks, especially for patients with heart disease, or those on several medications.

Don't mix pills in bottles with other pills - keep them in their original container (unless you place them in a dispenser).

When you travel, plan ahead! Get enough medication to take over your vacation. Get a dispenser and make sure you have enough. Carry your medications with you or on your carry-on. don't pack them in the suitcase that may get lost. You may even wish to carry a second set of pills in case the first is lost or damaged.

Don't take another person's medication, or give them yours.

If you have a hard time "keeping your medicines straight", then:

  • Have someone help you lay them out
  • Buy one of the simple and inexpensive devices at the drug store that allow you to put in a week's worth of medicine at once. That way, if you're not sure whether you took your medications at a particular time, if you look and they're gone, you'll know you've taken them!

Bring your medications in their bottles to the doctor for your doctor visits. That way they can be checked exactly. Don't just bring a day's worth of pills in a little container . . . there's just too many that look alike to allow them to be identified.

Side effects: Ask your doctor about side-effects that might occur. The list of medications in the "package insert" is regulated by the FDA, and many side effects are listed which occur only rarely or are of questionable relationship to the medication. In my experience, most patients do not have adequate experience to interpret these complex, and overly legalistic, documents. Almost every symptom imaginable is listed for every drug. Many medical guides do not offer much more assistance. Regardless of "what the books say", if you feel your medication is causing a side effect, discuss it with your doctor. Don't ignore it, and don't just stop the medication!

If you have questions, ask! There really are no stupid questions. You will not be the first to ask.

Tell your doctor about any over-the-counter medications you may be taking.

Keep a record of any medications you may have had in the past that didn't work, or didn't agree with you. Be absolutely sure to remember any medications that caused serious reactions. Consider obtaining a bracelet that alerts people to these serious reactions (you may also list important medical conditions and medications such as diabetes and insulin).

Other ways to help be sure you get your medications taken:
¨ Keep a calendar near your pills. Mark down when you’ve taken them.
¨ Buy a wristwatch with an alarm. Set it for when you are to take your medications.

If you are on more than one medication, try and get them "synchronized" in terms of when they are refilled.

Ask your physician if you can have generic medications.

Watch the number of pills in your bottle and the number of times you can refill the prescription. Get refills before you run out (your doctor will appreciate it!).

If you do need to call your doctor for refills, have their names and doses ready. Also, have the name and phone number of your pharmacy handy.

10 Essential Health Tips

"He who has health has hope, and he who has hope has everything." -Arabian Proverb

1. Move More
Make it a daily challenge to find ways to move your body. Climb stairs if given a choice between that and escalators or elevators. Walk your dog; chase your kids; toss balls with friends, mow the lawn. Anything that moves your limbs is not only a fitness tool, it's a stress buster. Think 'move' in small increments of time. It doesn't have to be an hour in the gym or a 45-minute aerobic dance class or tai chi or kickboxing. But that's great when you're up to it. Meanwhile, move more. Thought for the day: Cha, Cha, Cha…. Then do it!

2. Cut Fat
Avoid the obvious such as fried foods, burgers and other fatty meats (i.e. pork, bacon, ham, salami, ribs and sausage). Dairy products such as cheese, cottage cheese, milk and cream should be eaten in low fat versions. Nuts and sandwich meats, mayonnaise, margarine, butter and sauces should be eaten in limited amounts. Most are available in lower fat versions such as substitute butter, fat free cheeses and mayonnaise. Thought for the day: Lean, mean, fat-burning machine…. Then be one!

3. Quit Smoking
The jury is definitely in on this verdict. Ever since 1960 when the Surgeon General announced that smoking was harmful to your health, Americans have been reducing their use of tobacco products that kill. Just recently, we've seen a surge in smoking in adolescents and teens. Could it be the Hollywood influence? It seems the stars in every movie of late smoke cigarettes. Beware. Warn your children of the false romance or 'tough guy' stance of Hollywood smokers. Thought for the day: Give up just one cigarette…. the next one.

4. Reduce Stress
Easier said than done, stress busters come in many forms. Some techniques recommended by experts are to think positive thoughts. Spend 30 minutes a day doing something you like. (i.e.,Soak in a hot tub; walk on the beach or in a park; read a good book; visit a friend; play with your dog; listen to soothing music; watch a funny movie. Get a massage, a facial or a haircut. Meditate. Count to ten before losing your temper or getting aggravated. Avoid difficult people when possible. Thought for the day: When seeing red, think pink clouds….then float on them.

5. Protect Yourself from Pollution
If you can't live in a smog-free environment, at least avoid smoke-filled rooms, high traffic areas, breathing in highway fumes and exercising near busy thoroughfares. Exercise outside when the smog rating is low. Exercise indoors in air conditioning when air quality is good. Plant lots of shrubbery in your yard. It's a good pollution and dirt from the street deterrent. Thought for the day: 'Smoke gets in your eyes'…and your mouth, and your nose and your lungs as do pollutants….hum the tune daily.

6. Wear Your Seat Belt
Statistics show that seat belts add to longevity and help alleviate potential injuries in car crashes. Thought for the day: Buckle down and buckle up.

7. Floss Your Teeth
Recent studies make a direct connection between longevity and teeth flossing. Nobody knows exactly why. Perhaps it's because people who floss tend to be more health conscious than people who don't? Thought for the day: Floss and be your body's boss.

8. Avoid Excessive Drinking
While recent studies show a glass of wine or one drink a day (two for men) can help protect against heart disease, more than that can cause other health problems such as liver and kidney disease and cancer. Thought for the day: A jug of wine should last a long time.

9. Keep a Positive Mental Outlook
There's a definitive connection between living well and healthfully and having a cheerful outlook on life. Thought for the day: You can't be unhappy when you're smiling or singing.

10. Choose Your Parents Well
The link between genetics and health is a powerful one. But just because one or both of your parents died young in ill health doesn't mean you cannot counteract the genetic pool handed you. Thought for the day: Follow these basic tips for healthy living and you can better control your own destiny.