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Tips for Preventing Adverse Drug Reactions

You can hardly turn on a television these days without seeing commercials for the latest and greatest new drugs. Drug technology has advanced greatly, giving people the potential for healthier, more fulfilled lives. This is particularly true for seniors who tend to suffer disproportionally from some of the chronic diseases these drugs were designed to treat.

However, there can be too much of a good thing when it comes to medicine, according to Dr. Karen Amstutz, medical director for Anthem Blue Cross and Blue Shield in Indiana. “With more drugs, there is more potential for drug interactions and adverse drug reactions, including everything from drowsiness, lost balance, and minor skin and stomach irritation, to even fatal consequences,” she said. “In a worst case scenario, one medication is prescribed to treat the side effects of another and problems compound.”

The use of multiple medicines by the same person at the same time is called polypharmacy. It’s an issue that is getting a great deal of attention from everybody in the health care industry, including doctors, pharmacists, patient care advocates and health benefits companies.

The following numbers highlight the potential problem.

Of course, most people take their medicines without incident. Nevertheless, it makes sense to take the following precautions to prevent polypharmacy.

Make a list of every medication you take with dosage.
It’s important to include over-the-counter drugs, herbal supplements and even vitamins. These can cause interactions, too, yet there is no record of them in your medical history. Share this list with family members who may act on your behalf. You might also want to keep this list, along with a list of drug allergies, in your purse or wallet.

Communicate with your health care providers. When prescribed a new drug, make sure your doctor knows about your existing medications. Having a good relationship with your primary care physician (PCP) is critical. Your PCP reviews reports from specialists to ensure continuity. Some even participate in “medical homes” in which insurers pay them a little more to coordinate your care. Remember the doctor is there to help you. Don’t assume anything. Ask questions.

Similarly, talk to your pharmacist about the drugs you’re taking. You may want to consider filling all your prescriptions at the same place, rather than moving them around, to ensure consistency. Health benefits companies are developing technologies that keep track of your entire health record, including prescriptions and tests, wherever you go. However, these technologies aren’t available in all areas.

Participate in a review of your medications.
This can be as informal as taking a paper bag of your medications to your doctor or having a more formal review with a clinician. Health benefits companies offer pharmacy reviews to their Medicare Part D members who are most at risk of developing adverse reactions, such as those who meet specified criteria, including having multiple chronic illnesses and taking multiple medications. These reviews are generally led by a medical professional and are free to the member. Be sure to take advantage of them if you qualify.

Read and understand prescription drug labels and related materials.
Over the years, the amount of paperwork people receive with their prescriptions has exploded. That’s actually a good thing. Read everything you’re given and make sure you understand it. Once again, ask if you have any questions.

Take the medication that is prescribed at the prescribed dosage. One of the biggest triggers of adverse drug interactions is taking too much or too little of your prescription. There are a number of reasons for this, including everything from forgetting your medicine to being unable to afford it.

There are tools to address these issues. Those who take multiple medications may want to invest in a medication reminder box. Putting each day’s pills in the box will ensure they take the right drugs at the right dosages. It may also help to take the medication at the same time every day. Additionally, there are programs to address the affordability of drugs for those in need. Visit www.socialsecurity.gov/extrahelp or www.benefitscheckuprx.org for details.

Pay attention to side effects.
Don’t dismiss changes in your health or behavior. These could be signs of an adverse reaction. Also listen to your friends and family members who may notice changes before you do.

Don’t take someone else’s prescription.
Doses are prescribed based on age, weight and condition, among other factors. Only a health care professional can determine the proper drug and dosage. So don’t risk it.

“Your doctor has prescribed your medicine for a reason,” said Amstutz. “By working closely with your physician and your pharmacist, taking the correct dosage at the right time, and educating yourself about possible side effects, you should be able to get that benefit, while heading off any problems.”

This information is intended for educational purposes only and should not be interpreted as medical advice. Please consult your health care provider for advice about treatments that may affect your health.

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