Safe meds and independence!

Independence – Live the Retirement of your Dreams

Safe meds and independence!
Maintain your independence through safe medication use.

Happy Independence Day! On this day of immense gratitude for all who have served to preserve our freedom, I am also thinking about your freedom. My passion professionally is to help people live out their retirement dreams in good health avoiding physical limitations. It sounds so basic. No one thinks medication-related issues will apply to him or her – until they do.

I have talked with hundreds of people who found themselves suddenly limited. It happened ‘out of the blue’ in many instances. In others, it was a gradual approach that was more visible in hindsight.

Pay attention to maintain your independence

In many cases people noted a change but didn’t pay much attention to it. Often a medication had been changed, and their energy level or their clear thinking changed. Maybe they got dizzier or couldn’t exert themselves as much. These little changes led to new symptoms that led to more new medications. This can be a slow, barely noticeable cycle that leads to trouble.

Ask the right questions to maintain your independence

Before any new medication is started, fully understand why it is necessary, what other options were considered, and what you should expect. Read the information that comes with the prescription. Look at the common side effects and pay attention to whether you experience those. If they last more than a couple of days or they make you decrease your activity levels, call your doctor. Talk with your pharmacist.

Take active steps to maintain your independence

Always go to your medical visits prepared. Take a list of every medicine you take – including vitamins, supplements, over-the-counter medicine, and any other substance. Even include the ones you only take once in awhile.

Take two copies of any items you want to discuss. Give one to the medical assistant who takes you to the exam room. Ask that assistant to give it to your doctor. Keep the other copy for yourself. Take a pen or pencil to take notes for each item on your list.

Think about any new symptoms and how you could best describe those. Include any details such as what makes it better or worse, what you have already tried, and when you first noticed the symptoms. These details help your doctor discover the cause more quickly.

Medication is nearly always involved in someone’s loss of independence. So often that is completely avoidable. Don’t let it happen to you. Let us thoroughly review your medication regimen today. We can help you avoid the common pitfalls that lead to lost independence.

You can reach us at www.medsmash.com/contact, 410-472-5078, or michelle@medsmash.com.

BIBLICAL APPLICATION

This blog has been about maintaining your independence. It is about leading your life to the fullest with no avoidable decline in function.

On the flip side, we live our best life when we live in full dependence. Dependence on God, that is.

John 15:5 MSG

“I am the Vine, you are the branches. When you’re joined with me and I with you, the relation intimate and organic, the harvest is sure to be abundant. Separated, you can’t produce a thing.

Paul lived in complete dependence on God. He lived only to serve and do what was asked of him, even when he knew extreme hardship, flogging, and prison were waiting for him.

Galatians 2:20 ESV

I have been crucified with Christ. It is no longer I who live, but Christ who lives in me. And the life I now live in the flesh I live by faith in the Son of God, who loved me and gave himself for me.

2 Corinthians 1:8-9 ESV

For we do not want you to be ignorant, brothers, of the affliction we experienced in Asia. For we were so utterly burdened beyond our strength that we despaired of life itself. Indeed, we felt that we had received the sentence of death. But that was to make us rely not on ourselves but on God who raises the dead.

2 Corinthians 12:9-10 ESV

But he said to me, “My grace is sufficient for you, for my power is made perfect in weakness.” Therefore I will boast all the more gladly of my weaknesses, so that the power of Christ may rest upon me. For the sake of Christ, then, I am content with weaknesses, insults, hardships, persecutions, and calamities. For when I am weak, then I am strong.

I am praying you stay healthy, living independently in this lifetime so that you can do all God has called you to do. I am also praying you live in full dependence on the One who can guide your life through the amazing adventures He has planned just for you.

Blessings,

Michelle

 

Memory, Falls, and Function – Oh Meds!

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Medications can make function difficult and lead to memory and falls issues.

If your memory is slipping, do you have dementia? If you fall are you just clumsy? If you need help doing some of your daily tasks, are you just lazy? Or, are these things just a normal part of aging?

I suggest that MANY TIMES, these memory and falls changes are because of medication. Medications can cause these types of issues in a few different ways:

  1. The dose is too high for you.
  2. Your body has trouble getting rid of that medication.
  3. You are on several medications with these types of effects.
  4. Your medications are interacting with each other.
  5. Your medications are interacting with your diet or your other medical conditions.

Medications and Memory and Falls

There are several types of medicines that can fog your thinking. They relax you, make you sleepy, and/or slow your thinking processes. Sometimes you use them for this effect. But know, in making you feel that way, they make it harder to think as quickly and clearly as you normally think.

And by slowing your thinking and response time, they increase your risk of falling, too.

It would be a very long blog to list them all. So, here are some of the more common culprits to impair memory and falls.

  • Anxiety/nerve medications
    • Benzodiazepines (e.g. alprazolam, lorazepam, diazepam)
    • Buspirone (Buspar)
  • Depression medications
    • Tricyclic antidepressants (e.g. amitriptyline, nortriptyline)
    • Selective serotonin reuptake inhibitors (SSRI’s) (e.g. escitalopram, sertraline, fluoxeting)
    • Wellbutrin
    • Buspirone
  • Sleep medications
    • Zolpidem (Ambien)
    • Ramelteon (Rozerem)
    • Eszopiclone (Lunesta)
    • Diphenhydramine (Benadryl, Tylenol PM, Aleve PM)
  • Pain medications
    • Oxycodone
    • Hydrocodone
    • Morphine
    • Hydromorphone
    • Tramadol
  • Anticholinergic medications
    • Incontinence
      • Oxybutynin
      • Darifenacin (Enablex)
      • Solfenacin (Vesicare)
      • Trospium (Sanctura)
      • Tolterodine (Detrol)
    • Parkinson’s Disease (e.g. benztropine, trihexyphenydil)
    • Allergy medications – sedating
      • Diphenhydramine (brand Benadryl)
      • Chlorpheniramine
      • Hydroxyzine
    • Antispasmodic agents (e.g. chlordiazepoxide, belladonna)
    • Diarrhea treatments
    • Muscle relaxants (e.g. cyclobenzaprine, orphenadrine)
    • Dizziness, sea sickness medication (e.g. meclizine, scopolamine)
    • Nausea/vomiting medication (e.g. prochlorperazine, promethazine)
    • Antipsychotic (e.g. thioridazine, chlorpromazine, clozapine, olanzapine)
  • Seizure medication
    • Carbamazepine
    • Valproic acid
    • Several others
  • Nerve pain medication
    • Gabapentin (Neurontin)
    • Pregabalin (Lyrica)

Medications and Function

I have worked with many people who were planning to move to assisted living. They just couldn’t do some of the daily tasks they had done before. These tasks might be cleaning, keeping up with finances, remembering to take medicines, or ability to cook healthy meals.

In many cases, some medication adjustments made a big difference. Assisted living could be delayed.

How do you decrease your risk?

Please NEVER change any medications without first checking with your doctor.

If you take medication that you think could be impacting your clear thinking or make you feel unsteady, talk with your doctor.

If the types of medications mentioned in the blog are going to be changed, make the changes one at a time gradually. Fast changes can be dangerous. Making too many changes at once can make it hard to determine which change works and which doesn’t. So, making these changes should be a slow, careful process.

If you want help –

  • talking with your doctors,
  • coordinating between your doctors, or
  • want to better understand this information

please call us at 410-472-5078 or e-mail at michelle@medsmash.com.

Our website is www.medsmash.com.

BIBLICAL APPLICATION

One of the key ways to prevent falls, medication-induced memory issues, and functional decline is to make sure your primary care physician knows exactly what medications you take and how you take them. Other physicians might contribute to your regimen, but your primary care physician is one who can analyze and control it all.

Similarly, Jesus is your primary spiritual care provider. You have a pastor, teachers, books, TV evangelists, friends, family, and more who contribute to your spiritual care. But, it is Jesus who is at the center.

The best-intentioned specialist medical provider can make a harmful decision because he/she is treating the specialty and less familiar with all of the other aspects of your care.

Similarly, the best-intentioned teacher/friend/colleague can distort the truth of Jesus. This is rarely done intentionally. We can all make mistakes, misinterpret, or be misled.

So, rather than take any teaching by a human at face value, compare it to the TRUTH of God’s Word, the Bible.

John recorded Jesus referring to God’s truth:

John 16:13 ESV

When the Spirit of truth comes, he will guide you into all the truth, for he will not speak on his own authority, but whatever he hears he will speak, and he will declare to you the things that are to come.

John 17:17 ESV

Sanctify them in the truth; your word is truth.

Truth is not something we acquire passively. Just listening to your pastor on Sunday or listening to programs on the radio or TV won’t help you fully understand the truth. Your own reading and studying will give God a chance to talk to you directly. That private time in the Bible can help you recognize truths, understand information, and apply information in a very personal way.

Let your personal Primary Care Spiritual Physician, Jesus Christ, be your primary source of truth. Compare all other teaching to this truth.

2 Timothy 2:15 ESV

Do your best to present yourself to God as one approved, a worker who has no need to be ashamed, rightly handling the word of truth.

Blessings,

Michelle