How to Get What You Want From Your Doctor

Posted by sleepyguy in Prescription Sleep Medicine on February 11th, 2011

Here are some statistics that underscore this issue:

These statistics, sourced from the US Food and Drug Administration and the National Council on Patient Information and Education, reveal some terrible habits. Spot which ones you share and do something about them.

As many as one in five patients do not fill their prescriptions

One in ten adolescent pregnancies is the consequence of not having complied with birth control pills or other medications

Three of every five patients have trouble identify their own medications.

As many as half of all patients compromise their medication treatments by ignoring the instructions.

About one in five patients admitted to nursing homes arrive there from giving themselves medicine.

As many as one in five people take other people’s medications.

Every year, hospital admissions total as much as $8.5 billion for non-compliant patients.

Here are some of the more common reasons for non-compliance. Read through these and see how many you have used. It’s OK to recognize more fully our reasons to not to perform in this healing partnership.

Be honest with yourself and see how many of these common reasons for non-compliance sound familiar:

Although treatment isn’t over, your symptoms have disappeared or you feel better This happens quite often when people take antibiotics. Although the healing process is not over, it feels over. But just because you feel better doesn’t mean you are. Your doctor didn’t prescribe a certain length of treatment for no reason.

The treatment makes you feel worse than the illness.

Medications can sometimes bring about uncomfortable side effects. And when treatment is for something like high blood pressure, the patient may begin to feel poorly from the medication, making it difficult to see the benefits of the treatment if it is making them feel worse.

“It won’t happen to me.” Despite potential health problems like heart attack or stroke, patients believe it can’t happen to them … until it actually does.

Lifestyle changes are difficult and inconvenient Exercising, or quitting smoking (get quit smoking support here), altering your diet … these changes are hard, but if your health or life relies on doing it, shouldn’t you give it all you’ve got

You identify the treatment with the sickness. The sense of having to rely upon medication rubs some people the wrong way. So they stop taking it, having seen the treatment as the enemy, especially when the drugs have side effects.

You make adjustments to your medication without talking to your doctor. Often people with chronic illnesses want to try and take control of their treatment by changing their dosage. This is especially dangerous when patients are taking addictive medications such as opiate painkillers.

Treatment costs too much. Therapy sessions, prescription drugs, medical devices can add up, so ask for more cost efficient alternatives.

Outside demands take priority over your treatment. Busy schedules, stressful lives, demands of others-these issues and more make it hard for some to maintain a treatment plan.

Here are some tips to help maximize your health care experience and stack the odds in your favor for a good outcome in your healing process. Communication is often at the center of this issue. The following tips should help you keep lines of communication between you and your doctor open thereby maximizing your medical treatment.

Tape record or write down what your doctor says.

Be fully certain you understand how to take your medication. Don’t hesitate to call your doctor or pharmacist with any additional questions.

Find out what to do if you miss a dose. Sometimes we forget, sometimes things get in the way. Find out what to do if you miss a dose, or a rehab class of a therapy session.

Tell your doctor about any past experiences with his prescribed treatments, especially if they didn’t work before of if you’re being treated for something else.

Learn about the side effects you might experience with this treatment, what’s normal and what isn’t and what you should tell your doctor about.

Request information about support groups that deal with the same illness as you. Support groups fill a lot of needs; should your therapy change, or your lifestyle, they can help you cope.

Ask questions, and lots of them. Sometimes doctors speak in medical terminology and we have trouble following. If he or she acts impatient, tell them it’s important for you to understand your treatment. If they continue to seem impatient, consider finding another doctor.

There is significant evidence that the US Food and Drug Administration (FDA) is continuing to focus on its domestic drug production rather than the global supply chain that has spread over recent years. Many believed that 2008-2009 would see a shift in the FDA’s focus from the finished product to the global production line including the API or active ingredient. This is following the 2008 heparin Affair in which contaminated doses of the blood thinner Heparin killed hundreds of people in the US and UK.

The API in the contaminated Heparin had entered the US from China and a severe backlash from congress denouncing the effectiveness of the FDA was predicted to influence a new approach to FDA consulting and regulations. The pharmaceutical industry expected the FDA to shift its focus away from the domestic finished product manufacturers and on to China and other prominent suppliers of APIs.

This argument follows a recent examination of FDA warning letters issued between 2008 and 2009.Over 80% of them were issued to domestic pharmacy companies supporting the fact that the FDA still has a narrow scope of action. A similar percentage focused on finished products rather than APIs. Again this supports the argument that the FDA would rather target domestic companies rather than foreign producers.

The letters raise concerns over the actions of pharmaceutical companies around the world, as the majority of them address the company’s lack of action after a critical inspection. This only highlights the importance of FDA consulting by every business in the sector so that they can comply with the current Good Manufacturing Practices and make sure that their audits produce acceptable results.

There are several things you can do to get up to date with FDA regulations if you are in the pharmaceutical industry;

- Training: GMP training and pharmaceutical training should be undertaken by every employee in the sector to make sure that they understand the consequences of their individual and collective actions.

- GMP Auditing can be carried out by specialist GMP consultants prior to any official FDA inspections giving you time to learn your weaknesses and fix them.

- FDA consulting and paying for pharmaceutical consultants to help your business when implementing new manufacturing practices will ensure that none of your actions put the safety or quality of the products you make at risk.

When pharmaceutical companies manufacturing APIs and finished products do not follow the regulations and laws governing their work, the health of millions of people around the world is put at risk. The result of the examination onto the FDA’s warning letters shows that they still need to spread their investigations over the global supply chain instead of narrowly focusing on their domestic companies.

Do You Trash it, Flush it, Or What?

Posted by sleepyguy in Prescription Sleep Medicine on October 08th, 2010

Disposing of medicines is a tricky subject. No one wants to be responsible for making someone else sick, especially a child, but that is the risk of improperly disposing of medications. For the person they are prescribed for, medicines can be life-saving. But oftentimes, people have leftovers they are unsure how to dispose of. Most medicines have disposal instructions on the label, but if yours doesn’t, here is the proper disposal procedure for most medications.

Many medicines can be thrown away in your regular household trash if you mix them with something unpalatable, such as coffee grounds and sealing them in a bag or plastic container. Some localities have “drug take-back programs” which accept and safely dispose of your unused or expired medications. Your local government’s trash and recycling service is a good place to start to find out if there is a program offered in your area. Your pharmacist is another authority that might know of these types of programs. The Substance Abuse and Mental Health Services Administration advises that “up to 80% of drug users take medications belonging to friends or relatives” so by utilizing a drug take back program you are doing far more than simply disposing of unwanted drugs.

Certain medications can be fatal for children in a single dose and these are usually the ones with special disposal instructions. Usually, these medicines can be flushed down the toilet so “they cannot be accidentally used by children, pets, or anybody else.” If your medication does not have disposal recommendations on the label, you can call the pharmacy where you purchased it or check the US Food and Drug Administration ’s website for their advice. Some environmentalists are concerned that flushing medications down a drain can result in those medications being found later in our water system, but the truth is that “the majority of medicines found in the water system are a result of the body’s natural routes of drug elimination (in urine or feces.” Some of the medicines that should be disposed of by flushing include Demerol, Morphine Sulfate, Oxycontin, and Percocet.

Lamictal and Pregnancy

Posted by sleepyguy in Prescription Sleep Medicine on April 05th, 2010

Medical experts claim that the drug Lamictal can cause damages to the fetus if the dosage amounts exceed a certain limit, which can vary from one pregnant woman to the other. The Food and Drug Administration , USA (FDA) has categorized Lamictal as a drug that has the potential of causing damage to pregnant women but may be cautiously taken in controlled dosages till the benefits provided by medicine outweighs the damage or side effects to a considerable extent.

Pertaining to Lamictal medication, it is important to understand how much of the medication dosage is fine for you. It has been studied that the birth defects occur due to an intake of Lamictal in case the woman is on one anti epileptic drug (AEP) already. The chances of birth defects due to Lamictal increases with occurrence of past birth defects in the family as well. Therefore this is an important factor to remember when you are beginning Lamictal medication and is to mention all about your family history pertaining to births and about planning your own pregnancy. Damage to fetus can be controlled by regulating the dosage amounts which need to be consulted with a well reputed medical professional. The main fear of Lamictal medication during pregnancy is about the medication ingredients affecting the fetus

Facts and tips about Lamictal medication during pregnancy

1.Someone planning pregnancy should know the effects of Lamictal during pregnancy and infer about the possible risks depending on various health conditions which should imperatively be tested and verified before medication of the drug. However, Lamictal is classified as a pregnancy category C drug implying its usage can have benefits to outweigh fetal damages if taken in controlled dosages. It has been found in tests on animals that fetal damages can be severe.

2.Folic acid is a compound to compensate the chances of birth defects in women who are on Lamictal medication. An advised dosage of 0.4 mg is the minimum that conditions of pregnancy demand to prevent a typical birth defect known as the neural tube defect. This is a side effect of Lamictal that results in an open spinal cord in the baby. A woman with a bad history of birth defects in the family may be advised to take up to 4 mg of folic acid daily. The effectiveness of folic acid is yet to be confirmed, which is why a doctor would recommend ultrasound check ups after 18 or 20 weeks into pregnancy.

3.Seizures are common in about pregnant women due to hormonal changes in the body. These hormonal changes bring about a variation in the levels of Lamictal in the blood, which in turn can affect the fetus gravely. Seizures being common for 30 – 40 percent of pregnant women, the blood levels of Lamictal need to be monitored all through the medication course to prevent chances of birth defects. In cases of a protocol deviation, it is advisable to continue the required dosage of Lamictal along with an increased dosage of folic acid as recommended by the physician.

4.It is important the risks and benefits are assessed by a reputed physician before prescribing the dosage amounts. The possible risks can vary from one woman to another. A medical history of all diseases and drugs needs to be revealed to any physician you have chosen to treat you with Lamictal. The Lamictal Pregnancy Exposure Registry is also a good source of information on Lamictal medication during pregnancy. Usually a physician would transfer the health details to the agency that will have their prescribed protocol to help decide your medication method.

5.Breast feeding is an important part concerning the possibilities of Lamictal treatment during pregnancy. Traces of Lamictal in the blood are dangerous for a new born baby. Lamictal is a drug that is not usable by children below 12. Hence, it is important that you plan your pregnancy in a way that Lamictal dosages will not interfere with healthy breast feeding. Breast feeding is an important phase in any baby’s development and cannot be substituted or tampered with.

6.The birth defects are seen to occur in a minority of the instances that do not go above 1 percent. In studies where more than 500 women received lamictal dosages, there were about 5 instances of an isolated cleft lip or palate in the babies. The chances of side effects are nevertheless more in pregnant women than in men or women who are not pregnant as most of the hazards have to do with the fetus and not the woman’s disease itself. However, indirect effects like hormonal changes in the body during pregnancy can decrease lamotrigine levels.

Ordering Drugs Online

Posted by sleepyguy in Prescription Sleep Medicine on March 23rd, 2010

Foreign drug stores, particularly Canadian and Indian drug stores, are economical supplies of prescription medicines. Web customers not only save more money but spend less time buying their drugs from the Internet. To ensure you are buying the drugs safely, here some tips each online customer should follow.

How Much to Order

Bulk stock of medications from foreign countries are unauthorized by the United States authorities. To avoid any trouble, limit your purchase to a three month stock. Anything larger will be seized by customs and you could face legal charges.

Generic Drugs

Generic medicines are cheaper alternatives as opposed to their brand name counterparts. Generic medicines work just as well as brand name drugs. Their only disparity lies in cost. Buyers also have more choices with generics since brand name medicines are copyright patented.

Recheck

Always ensure the pharmacy possesses a state certification and approval from the United States Food and Drug Administration . The website must also advertise a licensed pharmacist who’s responsible for clarifying medical questions. Also ensure there are no additional costs to spend for. Extra, unnecessary fees include a consultation cost or an account set up fee.

Confidentiality Guarantee

The website should always guarantee that the details sent is kept private. The info includes your payment specifics, prescribed medicine, and medical condition. The confidentiality policy must state it doesn’t sell information to third parties and that the terms and conditions are simple to comprehend.

Shipping Costs

Though a number of sites advertise inexpensive shipping costs, it’s better to opt for those with higher yet justifiable shipment charges. A rather high rate assures that the drugs will be delivered on time and in good condition. You can also look into pharmacies with reduced shipping rates or those that send bulk orders without any added price.

Noting Your Medicine

Prior to ordering drugs online, know your prescription drug’s active chemical. The active chemical’s name is the generic name, allowing you to seek cheaper choices for your prescription. One example is Flomax, the branded version of tamsulosin. It’s referred to in the United States as Flomax but in Italy, it is called morniflumate.

How to Order

Buying online is useless if you order from a rip off website. Check out online pharmacy review sites to know which are best. These sites have an evaluation method that indicates which offer reliable services and safe products.

To save on costs, you can buy a higher amount but divide the drug into two during consumption. This way, you save over fifty percent from the original price.

Simple Facts About Generics

Posted by sleepyguy in Prescription Sleep Medicine on February 07th, 2010

Generic drugs are made with formulas as well as ingredients as a branded medication. These generics contain identical effects and results as the more well-known and expensive drugs. Generic pills are cheap alternatives for individuals who cannot afford the price of brand name pills. Contrary to the belief of others, genetics are approved by the Food and Drug Administration or FDA. Branded and generics are similarly safe and effective.

All meds run through stringent testing and evaluation by the FDA. These tests ensure that the drugs have the exact ingredients, composition as well as development processes as their branded equivalents. The fact that both make use of the exact same compositions mean that they are similarly effective. Their effectiveness is also more reasonable, which is unlike the original brand name medicines. The high cost of branded medicines comes from the costs of development and research. Generic medication creators don’t need to earn back similar expenses due to developing and marketing the drug’s formula.

The price of generic pills are able to save more people. Medical insurance firms benefit because of their lower prices as well. About seventy to ninety percent of the normal cost is discounted by buying generic pills. More American doctors are prescribing generic pills due to their cheaper costs. The doctors, medical insurance companies as well as patients benefit from this cost effectiveness. The health insurance firms’ customers will not need to concern about their monthly payments to increase.

For the sake of comparison, let us observe the prices of an anti-depressant pill. Thirty pills of a brand name anti depressant is priced at $107; on the other hand, the generic alternative only costs less than fifty dollars. The cost of diabetes treatment may be trimmed down by purchasing generic medication. You’ll go from $200 for branded medicines to $100 in buying generic drugs for diabetes. If you’re buying a drug that doesn’t need prescription, you can save by requesting for a generic from your pharmacist.

The most reasonable generic deals are found in online pharmacies. Internet pharmacies present wonderful discounts as well as promos.

The Swine flu vaccine has drawn much controversy over whether it`s safe or not. Some people remember the 1976 Swine flu vaccine that did more harm than good, however the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) are claiming that it is safe. With so many different opinions it`s hard to know what the right thing to do is.

Back in the summer of 2009, the swine flu hit everywhere hard. People who were normally healthy were getting sick and even dying from it. The flu hit people at record numbers and did so out of regular flu season. In light of that, a vaccine was in the works and was released in November.

The vaccine was at first released to only high needs groups. These groups included; pregnant women, babies and young children, and people with chronic health conditions and health care workers. There were line ups everywhere, as people waited in the cold to get a swine flu shot. Many people were eager and jumped on the idea to get vaccinated. However there were some, who were unsure as to its safety.

Some people felt strongly that it was too soon for a vaccine to come out and know what the effects are going to be. And these concerns came from people and some health officials. Some paediatricians refused to give out the shots. And this fear didn`t come out of nowhere. There was talk of the swine flu vaccine that hurt lots of people back in the seventies.

The drug administration claimed that the vaccine was safe and stated that the vaccine was manufactured using the same approved ingredients used to produce the seasonal influenza vaccine and that it didn`t contain any new adjuvant which are vaccine additives.

Still people had their doubts. They remembered that over five hundred cases of Guillain Barrre Syndrome were reported and that the vaccine was stopped. They found that the vaccine was actually doing more harm than good.

Officials responded claiming that the vaccine today is different from the vaccine three decades ago. Still, people felt that with a new vaccine it was hard to know what all the side effects would be.

The vaccine comes in three choices. It can be done in two doses for healthy people with an inactivated virus, or it can be in a single shot without the inactivated virus or it can be given through a nasal spray to healthy people two years old and up, and it contains a live attenuated flu virus.

Known side effects to the vaccine are having a mild fever, muscle aches, nausea, headache, fainting, soreness of the arm and a runny nose. The incidence of GBS is reported just as common as in the regular flu shot.

Many people still feel torn as to what to do over the vaccine. Even with all of the information out there, where some are claiming its bad and others say that its fine is still making people feel undecided. Nobody wants to give a vaccine to a child and then find out that it has adverse side effects that later come out. Nor do they want it to happen to themselves. On the other hand some people are just getting the shot and getting on with their lives. So are people just being worry warts over the whole vaccine issue? Only time will tell.

Zicam Cold Remedy Nasal Swabs

Posted by sleepyguy in Prescription Sleep Medicine on June 29th, 2009

Two Zicam nasal swab products - Cold Remedy Swabs, both Regular and Kids Size - were recently deemed by the U.S. <a href=”http://www.fda.gov/” rel=”nofollow”>Food and Drug Administration to pose serious risks to consumers. In a public health advisory warning issued on June 16, 2009, the FDA stated that both Swabs and Nasal Gel made by Zicam may cause a potentially permanent and debilitating condition known as anosmia.?

Anosmia and Zicam Cold Remedy Nasal Swabs

Anosmia is essentially the loss of the sense of smell and the FDA said it has received over 130 reports of this condition in users of zinc-containing intranasal Zicam products, including the Nasal Swabs. In addition to the 130 cases of anosmia reported to the FDA, potentially hundreds more have been reported directly to the product manufacturer.?

Anosmia can, for example, affect a person’s ability to:

  • Smell smoke, gas leaks and other dangers
  • Smell spoiled food
  • Work in the food industry

The loss of sense of smell can occur in children and adults who use Zicam Nasal Swabs, and many users said the side effect occurred with the first dose. However, it is possible for a person to suffer loss of smell after multiple uses. The FDA also said it had received reports of loss of taste.

Consumers who have the Cold Remedy Nasal Swabs by Zicam should stop use and discard them. Those who have experienced side effects such as loss of smell should seek medical attention and also file a report with the FDA’s MedWatch program.

Inadequate Warnings

Among numerous problems with the Swabs (as cited by the FDA) is that the product does not contain adequate warnings regarding the risk of loss of smell. According to the FDA, Zicam Nasal Swabs are marketed without the agency’s approval, mis-branded, and generally not recognized as safe and effective for treating the common cold.?

If you or your child has experienced the loss of smell after using Swabs by Zicam or other zinc-containing Zicam product, you may be eligible to take legal action against the product’s maker.? To learn more about your legal rights, contact a medical attorney, today. Attorneys offer free claim evaluations and can inform you as to whether you may be entitled to compensation for your losses.??


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