Medication Basics – Part 2

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I want to talk a little about how to get the most out of your medications and save money in the process. 

  1. It should come as no surprise that your medicines won’t work if you don’t take them properly.  Properly means routinely as they were prescribed without missing doses.  For antibiotics it is critical to take them all just as your doctor has prescribed.  Stopping when you start to feel better will leave the infection incompletely treated and likely to recur.  Since different infections usually require different antibiotics, the antibiotics you save with incomplete treatment may not be effective for your next infection.  There is nothing to be gained by not taking all the antibiotics prescribed.
  2. Another point needs to be made in regard to taking medications that control certain conditions such as hypertension, diabetes, elevated cholesterol or asthma.  Your doctor will monitor your condition’s response to the medication he has prescribed.  If you do not take your medicine as prescribed, and do not let him know, he will assume the state of control of the condition is the result of the regimen he has prescribed.  So if your blood pressure is still high, he may either increase the dose of the current drug or prescribe another.  In either case, you will be paying more for the treatment and the proper dosage will be uncertain.  If you take the increased dosage as prescribed, it could lower your blood pressure too much.  Also, the increased dosage can make side effects more likely.
  3. If your health plan has a mail order pharmacy benefit for your chronic medications you should check it out.  Usually you’ll get a discount, such as paying a two-month copay for a three-month supply.  However, check with local retailers that may have especially low prices for some of the more common medicines.
  4. Another way to save money on your prescriptions is to ask your physician to prescribe generic medications whenever possible.  For most drugs where there is a generic available, it is just as effective as the brand name and much less expensive.
  5. It’s important to take your medicines as prescribed.  If you have trouble remembering them, you may need to link taking them to certain daily activities.  For instance, when you are taking a drug twice a day it makes sense to take one dose in the morning with breakfast & the other with dinner.  First, of course, check with your doctor or pharmacist that they can be taken with meals.  Other people use an alarm set on their Smartphone as a reminder.  People who take several medications, often use a pill box with seven compartments that correspond to the days of the week to help them keep on track with their medications.
  6. Another good policy is to use one pharmacy for all your medications so they can check more easily for drug interactions.  Many pharmacies have software built into their systems to screen for these potential problems.
  7. Finally, make a list of your medications & dosages to keep in your wallet.  If you are ever in an emergency situation and are unable to speak, the emergency personnel will check it and use it to guide your treatment.

For Your Health – Dr. Bob

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