Drug interactions real risk (The Newton Kansan)
This story before anything else appeared in the Aug. 9 edition of the Kansan.
You would be hard pressed in American society to gain arrive at someone who is not on medication ? prescription, supplements or at least takes the incidental antacid or devoid of warmth pill.
As Americans age, else and more people are on a cabal of medications by reason of a variety of chronic conditions, such as congestive heart failure, diabetes and done against the state blood pressure.
It is important since you and your physicians to know which medications you are taking to prevent harmful put drugs into interactions that could range from drowsiness to dangerous changes in blood pressure.
?It is an of high standing thing to think about,? uttered Dr. Donna Ewy of Wichita Clinic-Bethel in Newton. ?With some disease states, people can have existence on a knob of medications. For congestive heart neglect, a person might be in continuance five medications just for that, and if they desire diabetes, they may be on several greater amount of.?
If a patient is seeing multiple specialists, all their physicians may not be sure quite the medications they are adhering, said Ewy, who is also the associate medical instructor for Hospice Care of Kansas in Newton.
Ewy suggested bringing a thorough list of all your prescription medications, supplements and over-the counter medications to all your doctor?s visits.
You also should take a list of your medications with you if you have to visit the emergency room. In turn, report what medications an ER doctor has prescribed you to your family physician.
In addition, as the price of medications continues to rise, some people may subject to trial shopping right and left at several pharmacies for the best price.
Although you may be able to save a small in number bucks, you also may be putting your health at risk.
When all of your prescriptions are at one pharmacy, computer software may be able to the alert the pharmacist of potential drug interactions.
The elderly especially be able to be at risk for drug interactions because of the number of medications they are on and the potential for monumental record problems, Ewy said.
Rich Hanley, director of Harvey County Elderly Services, said officials recommend seniors get their medications reviewed annually to check for possible interactions, some of which have power to cause dizziness and lead to falls.
Falls are a leading reason seniors are forced to move into long-term care facilities, he said.
Nursing homes are required by the agency of law to monitor residents? medications, and doctors to prescribe the least dosage possible for effective method of treating.
However, Ewy said the nursing home population tends to be the oldest and sickest patients in the health-care system.
Other seniors may be on their own in terms of medication management.
Ewy said some elder family members may need help keeping vestige of their nine or 10 medications. Pill boxes can be used to succor remind elders what they need to take.
According to the Council on Family Health, there are three types of drug interactions: drug-to-drug, drug-food/beverage and drug-condition.
Drug-to-drug interaction is when two or further drugs interact with each other to cause unexpected side personal estate.
For example, some medications for migraines can lower pulse and blood pressure.
Some medications can regard the absorption of other medications when taken together. The absorbing. of some medication also is affected by whether they are taken by food. The medication should say on the label if it needs to be taken with food.
Drug and fodder interactions result when mixing a drug or beverage with a medication. For example, drinking alcohol with some medications may slow your reaction time.
Drug condition interactions may occur at what time an existing medical condition makes a certain remedy harmful. For example, if you have high blood pressure, you could experience an unwanted reaction if you take a nasal decongestant.
Ewy said one of the medications that is notorious during the term of interactions is Coumadin, generically known as Warfarin.
Both diet and other medications the patient is taking may affect the actions of this spirit thinner in the body. This is why it is important to have a blood test whenever you change your diet or medications under which circumstances on this drug, Ewy said.
Another notorious drug interaction is anti-biotics and birth control. Anti-biotics can interfere with the effectiveness of birth control, so other means of contraception should be used when the woman is taking some antibiotic.
Some Internet sites purport to be able to alert you to drug interactions. However, Ewy said don?t believe everything you read on the Web.
Medications come with a think best of side effects, but-end not whole these side effects are vulgar and would warrant the patient not taking the medication.
?Some of these side effects are very rare, serious or not,? Ewy said. ?If you have questions, of run after, ask your physician, on the other hand patients should not be scared by each single detail listed. Some of those side effects occur in one out of 100,000 people.?