The most recent prescription drug mistake made at a New Jersey CVS made me think about how often these errors are made. In this case, Tamoxifen, a cancer drug, was substituted for fluoride pills meant to strengthen teeth in children. Despite the fact that it is happening everyday, it is difficult to get good hard numbers about these mistakes. The best I could find is at least 1 and 1/2 million cases are reported each year and these have resulted in either injury or death. We have no way of knowing how many cases go unreported or are missed when a death occurs. I have always been concerned about medications and really prefer not to play Russian roulette with my health, but, sometimes it is necessary to see a doctor and accept some form of medication. I have a strategy that although not foolproof, does provide a safety factor.
First, it begins with the doctor. If a medication is recommended, I want to know everything about it. What is the expected outcome? What is the dosage? How often and for how long? What are the side effects if any, and are there any contraindications? Are there any foods or vitamins that reduce its effectiveness? Is there a generic form and is it as good as the brand name. Should it be taken at the same time every day and with food or on an empty stomach? What if I miss a dose? Are there any reactions that should cause concern? How long will it take to see the expected result? If you are seeing more than one doctor, make sure that your records are available to all physicians that you see.The doctor should be able to answer these question and if not, then he/she should find the answer. We pay top dollar for healthcare and we should expect good answers and explanations.
Then, it is off to the pharmacy to pick up the medication. Verify with the pharmacist that it is the correct patient name, correct drug, the correct dosage, and ask any questions that are relevant or that you may have missed with the doctor. Again, we pay high prices for medications and should expect accuracy. Pharmacists basically count pills and do not make any compounds anymore. Make sure that they provide the correct medication.
Before you begin taking the drug, read the enclosed documentation at least for the most important information. Verify what the doctor has told you and follow instructions.
If you have an unidentified medication and want to find out what it is, there are drug identifiers available on the web. All medications are coded and can be identified by number. Sometimes the number is all on one side, but frequently it is on both sides. Here is a link to one site but there are others.
First, it begins with the doctor. If a medication is recommended, I want to know everything about it. What is the expected outcome? What is the dosage? How often and for how long? What are the side effects if any, and are there any contraindications? Are there any foods or vitamins that reduce its effectiveness? Is there a generic form and is it as good as the brand name. Should it be taken at the same time every day and with food or on an empty stomach? What if I miss a dose? Are there any reactions that should cause concern? How long will it take to see the expected result? If you are seeing more than one doctor, make sure that your records are available to all physicians that you see.The doctor should be able to answer these question and if not, then he/she should find the answer. We pay top dollar for healthcare and we should expect good answers and explanations.
Then, it is off to the pharmacy to pick up the medication. Verify with the pharmacist that it is the correct patient name, correct drug, the correct dosage, and ask any questions that are relevant or that you may have missed with the doctor. Again, we pay high prices for medications and should expect accuracy. Pharmacists basically count pills and do not make any compounds anymore. Make sure that they provide the correct medication.
Before you begin taking the drug, read the enclosed documentation at least for the most important information. Verify what the doctor has told you and follow instructions.
If you have an unidentified medication and want to find out what it is, there are drug identifiers available on the web. All medications are coded and can be identified by number. Sometimes the number is all on one side, but frequently it is on both sides. Here is a link to one site but there are others.
If we take care to protect ourselves, we have a better chance of not being a statistic, but there is one area that we really do not have control over. And that is if the mistake is made during manufacture. It happens, and for that error, we have to trust the FDA. Any regular readers know how I feel about this agency of the government. This is the time to cross the fingers and hope that the manufacturer has a good quality control process...
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