medicine

Who knows your WHOLE regimen of medicine?

Posted on by Michelle Fritsch, Pharm.D.
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Let your doctors and pharmacist know your WHOLE regimen.

Which of your providers or pharmacists knows your WHOLE regimen of your medicines? When you go to your doctor you are likely asked about the medications you take. Some practices will ask you to include that information on a piece of paper on a clipboard in the waiting room. Some will hand you a computer with a list of questions that include your medicines. Still others will have the person checking you in ask you about your medications.

Do you take a list of all of your medications with you to the doctor?

Your doctor needs to know the names, the strength, the dose, and exactly how you take each medication.

Rather than try to memorize and remember all of this, make a list before you leave home.

  • Some people take pictures of each medication label and keep them in their phone.
  • Some people use the ‘Medical ID’ app on their smartphone.
  • Some people keep a list printed and in their wallet where it can be easily found by emergency personnel if needed.

Do you include all medicines prescribed by all doctors?

Many of the people I meet think their doctors talk to one another and coordinate their care. Although this is the desire of your doctors, it often does not happen. Your doctors and other providers find it hard to catch up with one another. Even if they work for the same health-system, important details and explanations are often not shared.

  • Include all medications coming from all of your doctors on your list.
  • Don’t assume one doctor explained the latest changes to the other doctors.

Do you include all of the medicines and other substances you take?

All of the substances you take have the potential to interact with each other. This means they can be dangerous when combined. If no one knows each substance you take, then those interactions cannot be checked.  It is important to have a thorough screen of your WHOLE regimen.

Include these items even if you only take them once in awhile.

I highly encourage you to include all of these on your written list.

  • Over-the-counter pain medicine (e.g. Tylenol, ibuprofen, Aleve, aspirin)
  • Stomach ache or acid reflux medicine
  • Headache medicine
  • Allergy medication
  • Eye drops
  • Nose sprays
  • Cold, flu, congestion medicines
  • Constipation or diarrhea medicines
  • Medicated creams or ointments
  • Vitamins
  • Supplements
  • Herbal therapies
  • Marijuana
  • Illicit drugs (at least tell your doctor about these)

I am finding that the people who make the decisions about your prescription medicines do not know all of these important facts. The over-the-counter, herbal, vitamin, and other substances can have side effects, cause problems, and interact just as prescription medications can.

Consider all of these to be MEDICATIONS! Let your doctors and pharmacist know your entire list – your whole regimen!

For more information about the importance of your complete medication list, or for a detailed review of your medication list, please contact us at www.medsmash.com.

BIBLICAL APPLICATION

Just as there are a variety of medications that may be needed for overall health, there are a variety of things we need to include in our lives for our spiritual health. What are the components of your spiritual life?

In what ways do you acknowledge, praise, worship, study, talk with, share, enjoy, and spend time with God?

I liken the prescription medications from your primary doctor to Sunday worship and owning a Bible.

The specialist medications are like the Bible study, Sunday School, and other special short term studies.

What about the components that you choose for yourself from the smorgasbord of options? Do you include prayer, worship music, contemporary Christian music, daily devotions, meditation, accountability partners, online resources, or other choices?

Do you select a wide variety of options?

Do you stick to one or two?

Do you limit yourself to the Sunday morning selections?

Colossians 3:12-17 (MSG) gives several ideas about the many ways you can keep God active in your life.

So, chosen by God for this new life of love, dress in the wardrobe God picked out for you: compassion, kindness, humility, quiet strength, discipline. Be even-tempered, content with second place, quick to forgive an offense. Forgive as quickly and completely as the Master forgave you. And regardless of what else you put on, wear love. It’s your basic, all-purpose garment. Never be without it.

Let the peace of Christ keep you in tune with each other, in step with each other. None of this going off and doing your own thing. And cultivate thankfulness. Let the Word of Christ—the Message—have the run of the house. Give it plenty of room in your lives. Instruct and direct one another using good common sense. And sing, sing your hearts out to God! Let every detail in your lives—words, actions, whatever—be done in the name of the Master, Jesus, thanking God the Father every step of the way.

There are so many ways you can get to know God better. Even if you have been studying and worshipping for decades, there is more to learn and more love to experience.

Then there is prayer. There is real power in prayer.

James 5:13-16 (ESV)

Is anyone among you suffering? Let him pray. Is anyone cheerful? Let him sing praise. Is anyone among you sick? Let him call for the elders of the church, and let them pray over him, anointing him with oil in the name of the Lord. And the prayer of faith will save the one who is sick, and the Lord will raise him up. And if he has committed sins, he will be forgiven. Therefore, confess your sins to one another and pray for one another, that you may be healed. The prayer of a righteous person has great power as it is working.

Prayer that acknowledges God and His will and timing can do great things. Never overlook the power of prayer.

It is my hope this has inspired you to add some more elements to your daily walk with God. The God who created the Universe and who loves you beyond measure looks forward to each and every remedy you select to stay close to Him and know Him better.

Blessings,

Michelle

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New Year’s Resolution, Take Only In-Date Medications

Posted on by Michelle Fritsch, Pharm.D.
Old medicine bottles
Take in-date medications

The new year is upon us. I hope your 2015 has been full of happy memories and joyous occasions. Now, as we move on to 2016, I have a New Year’s challenge for you. I challenge you to take only in-date medications.

WHY In-Date Medications?

Sometimes we think expiration dates are just there to make us keep buying new medicine. But, in reality, there are TWO big reasons expiration dates are important. Extensive research is done when medications are created to determine for how long they are effective and safe. This date, when either changes, is the expiration date.

Past this date the medicine will not work as well. If you take a medicine to control your blood sugar that is expired, it might not lower your blood sugar as much. If you take an expired medicine for pain, your pain might not go away.

The other risk is a safety risk. Chemicals change over time. Have you ever opened an outdated bottle of aspirin? It smells like vinegar. That is because it changes into new chemicals over time, one of which is vinegar. Other medicines change into chemicals that can be extremely dangerous.

It is not worth the risk.

HOW

Go through ALL of the medications in your house, cars, purse, etc. Check the expiration date on each one. If it is expired, put it in your discard pile. (But don’t throw it in the trash just yet, there are two more steps).

Next remove all labels that contain information about you or your family. Shred or cut up the label. If you can’t get the label off, scratch out your name and prescription number at least. This is one of many forms of possible identity theft.

Now comes the tricky part. What do you do with all of these medications? There is not an easy answer. In order of ‘best options’, dispose of them in one of these ways:

  1. Take them to a ‘Medication Take-Back’ event sponsored by the Drug Enforcement Agency. Or call the DEA’s Registration Call Center at 1-800-882-9539
  2. Talk with your local pharmacist to see if you pharmacy can dispose of medication. Or, your pharmacist should know who in your community does dispose of medication, if there is a source.
  3. Dump them out of their bottles and put with kitty litter, coffee grounds, or something else that you can’t eat. Then, seal the container and put it UNMARKED in a garbage bag and out with the garbage.
    1. DO NOT flush the medication or put it down the drain. This leads to it reaching the water supply. This used to be encouraged, and now many medicines/hormones/chemicals have been found in the water supply.
    2. Ultimately, putting them in the trash can lead to them being in the water supply as the trash breaks down and leaches into the ground.
    3. This is why an official ‘take-back’ event is the safest option.

REPLACE

As you are sorting out your expired medicines, keep a list of those you use so you can replace them. If it is a prescription medicine, your can see on the label if there are refills remaining. Note, for non-controlled medicines, there are usually available for up to a year. For controlled medicines, the time might be shorter. If you are beyond that time, and you still need the medicine, call your physician to inquire about another prescription.

As you are replacing medicine, over-the-counter medicine, vitamins, and supplements, know that generic versions are just as good as brand. I purchase generic for my family. They have been carefully tested and regulated by the Food and Drug Administration to assure they contain the same key ingredients and work the same.

Here at the end of the year, if you have a health-savings account, check the rules to see if you can use that to replace your expired medicines.

This is an important step in your New-Year’s fresh start. It is important for your safety and the safety of your family.

Happy New Year!

For more information about expired medication and proper disposal, contact us at www.medsmash.com.

BIBLICAL APPLICATION

We are entering a new year. It can be a time to think of fresh starts and hope for the future. It is a great time to reflect on how your life has been changed through your faith.

At the moment we give our life to Christ, we know that our old self is gone. We now live a NEW life in Christ.

Ephesians 4:22-24

To put off your old self, which belongs to your former manner of life and is corrupt through deceitful desires, and to be renewed in the spirit of your minds, and to put on the new self, created after the likeness of God in true righteousness and holiness.

Philippians 3:13-14 ESV

Brothers, I do not consider that I have made it my own. But one thing I do: forgetting what lies behind and straining forward to what lies ahead, I press on toward the goal for the prize of the upward call of God in Christ Jesus.

2 Corinthians 5:17 ESV

Therefore, if anyone is in Christ, he is a new creation. The old has passed away; behold, the new has come.

Philippians 3:13-14 ESV

Brothers, I do not consider that I have made it my own. But one thing I do: forgetting what lies behind and straining forward to what lies ahead, I press on toward the goal for the prize of the upward call of God in Christ Jesus.

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.

What a refreshing reminder! Bask in the glow of your new life in Christ as you enter this new year.

I challenge you to take a challenge I FINALLY took in 2015. Read the Bible from cover to cover. I have read my Bible, participated in Bible studies, had several Bible-based lessons, but I had never actually read it start to finish. It has been so enlightening! So many things make more sense. And I hear from those who have done this several times, the insights are new and different each time.

I am praying you will be richly blessed in 2016,

Michelle

 

Image Source:  National Library of Medicine; National Institutes of Health; U.S. Department of Health and Human Services

Getting Better – It Takes More than a Prescription

Posted on by Michelle Fritsch, Pharm.D.

ID-10093880Do you have a health issue? If so, you just need a prescription, and you’ll be all better, right?

Huey Lewis sang that he ‘wanted a new drug’. His proposed ‘new drug’ had no side effects and made him feel like he felt when falling in love.

Does that describe the prescriptions that you take?

Unfortunately it’s just not that easy.

All medications have side effects. Many medications have very specific instructions to use them in a way that leads to the best possible outcome.

But, we are all busy. Who has time for those pesky details? Does it REALLY matter if you take it with food or first thing in the morning when you brush your teeth? If you take two when you remember them vs one in the morning and one at night, that’s ok, right? Do you really have to breathe in some special way when you use an inhaler? You just squirt it in, right?

To get the most benefit from your medications – and – to minimize your side effects, these details are very important. Let’s explore some of the types of important details.

Timing – If your medication is to be taken more than one time per day that means it doesn’t last a full 24 hours. To keep the medication active in your body, you need to take it more than once. If you take it too close together, you will get more than a full dose while the two doses overlap. This can increase your side effects or even be dangerous because you have too much medication. If you miss a dose, you will have time with little or no medication in your system to treat your condition.

Food – Some medications will bind to medication in the stomach and not be absorbed. So, you will get no medication in your body if you take it with food. Other medications will make you sick to your stomach if you don’t take them with food. Food will decrease or prevent that side effect of feeling nauseous.

Finishing early – Some conditions require that the whole bottle/set of medications be taken. Often we think once we feel better we’ll just stop taking the medication. Sometimes we even keep the extra in case we need them another time. Some medications, like antibiotics, need to be taken until all are gone. You start feeling better when the bacteria is made weak, but it is not gone yet. If you stop the antibiotic when you feel better, the bacteria can get strong again. Often that same antibiotic won’t weaken the bacteria the next time, so you will need to be on an even stronger antibiotic.

Finishing too quickly – Other medications need to be gradually taken away rather than stopped all at once. Your body can’t take back over all at once if you have been taking these medications. Examples are beta blockers for high blood pressure and prednisone for inflammatory reactions. The gradual taper of these medications is essential to avoid severe side effects. (Note, this DOES NOT mean you are addicted.)

Technique – Inhalers, eye drops, ear drops, injections, patches, suppositories, and other medication forms can be difficult to use correctly. If you don’t use them just right, you won’t get the full benefit of the medication. This is a waste of money, and more importantly, won’t help you feel better. For some of these medications, correct use can even be the difference between getting better and calling 911.

So, I highly encourage you to pay attention to these details about your medications. If you see instructions you don’t understand or know their purpose, ask your pharmacist. Pharmacists are there to explain, demonstrate, and help you get the most from your medications.

For more information, contact us at www.medsmash.com

BIBLICAL APPLICATION

What are the quick fixes to Heaven? What is the way to assure entry then get on with the busy-ness of life?

First, God’s every desire for you to live eternally in Heaven is clear in the Bible. The basics of the path to God are below.

John 3:16 ESV

“For God so loved the world, that he gave his only Son, that whoever believes in him should not perish but have eternal life.

John 14:6 ESV

Jesus said to him, “I am the way, and the truth, and the life. No one comes to the Father except through me.

Ephesians 2:8-9 ESV

For by grace you have been saved through faith. And this is not your own doing; it is the gift of God, not a result of works, so that no one may boast.

Once you have had the amazing experience of finding God, and you have welcomed Him in to your life, what next?

Do you then work hard to earn God’s love? No, God loves you no matter what. His grace covers anything you do or do not do.

Do you then go on about your business now that this task is done?

Timing – Filling your life with God is an all-of-the-time, every day, all times of day opportunity. I don’t think any of us take advantage of this fully. Not a single one of us is perfect. But, God’s grace is always there for you!

Food – The Bible, the word of God, is your nourishment. This is not a one-time read that then goes on the shelf. Each time you read it, you will learn new things. God has so much to share with you!

Finishing early – It can be tempting to make this life-altering, life-filling decision to dedicate yourself to God. It can then be easy to move on to other things. God wants to be in close contact with you all of the time, good times and bad, busy times and leisure. I highly encourage you to experience this close daily walk with your God!

Jesus states there are two main rules for life for us.

Mark 12:30-31 ESV

And you shall love the Lord your God with all your heart and with all your soul and with all your mind and with all your strength.’  The second is this: ‘You shall love your neighbor as yourself.’ There is no other commandment greater than these.”

This prescription to walk with God is a daily, sometimes even minute-to-minute, dose that is always available. And the side effects are wonderful!

Blessings,

Michelle

Image courtesy of rakratchada torsap at FreeDigitalPhotos.net