Showing posts with label Prescriptions. Show all posts
Showing posts with label Prescriptions. Show all posts

Monday, September 30, 2019

Opioids

There's been a lot of talk lately about the Opioid Epidemic. What are opioids?
Opioids are drugs related to morphine and/or opium. They are generally prescription drugs. Doctors and dentists have prescribed these drugs for pain relief for some time, and they are also a part of anesthesia (when you're 'put under' for a surgical procedure). They have their place sometimes, such as following surgery, to ease pain you may have with cancer, or if you've had an injury, but the problem is, people overuse the drugs sometimes and have become addicted to them. As with many drugs, as time passes, your body can become tolerant and require more of the drug to relieve your pain, make you 'feel normal,' or to make you 'check out,' to sleep or to let you avoid doing your daily routine. The term used for this type of drug is 'narcotic,' and that translates to something that makes you sleep or become numb.





Here are some names of these prescribed drugs:
  • Morphine
  • Hydrocodone
  • Oxycodone
  • Fentanyl
  • Demerol
  • Tylenol with codeine
  • Vicodan
  • Oxycontin
  • Percodan
  • Percocet
  • Dilaudid
  • Methadone, a synthetic drug ironically used to wean addicts off of drugs
  • Robitussin types A, B, and C (prescription strength)
Some people initially start using opioids for a true medical condition. However, they reach a point where they wouldn't need it for the pain any longer but have begun to enjoy the feeling it gives them. They continue to take more and more, and are not functioning in the world: their primary goal is to get more, take more, and check out more. Their bodies crave the drug and need it to feel 'normal,' whatever that's become. They have thus become addicted to it, and will do virtually anything to get it. Some people will ask their doctors for a new or renewed prescription, and if that doctor refuses, they go elsewhere to get a prescription. Or they visit multiple emergency rooms which probably won't have any records on the patient, who shows up complaining of extreme pain. Some people will steal money from friends to pay for the drugs, steal the drugs, or buy them from street dealers just like any other illegal substance.


Here is the Mayo Clinic's explanation of addiction:  https://www.mayoclinic.org/diseases-conditions/drug-addiction/symptoms-causes/syc-20365112

There are also unscrupulous doctors who will prescribe because they receive a payment (sometimes called a 'kickback') from a drug company for promoting and prescribing those narcotic drugs. Where records aren't checked, a 'new' doctor may prescribe for a patient who has had opioids for some time, unaware they are feeding an addiction.


In Kentucky, as just one example, a drug manufacturer shipped enough opioid drugs that each person in one county (with a population of about 38,000 people) could receive 477 pills. The manufacturer is being sued:  https://www.bostonglobe.com/news/nation/2018/01/22/kentucky-files-lawsuit-against-national-opioid-distributor/as6dGyWXN0ac2jEJVndllM/story.html
According to the Center for Disease Control, in 2014-2015, there were 33,091 deaths in the U.S. related to opioid use. 91 people a day died as a result of opioids, whether from overdose or use with some other substance that caused those deaths.In comparison, that's more than the number of deaths due to car crashes and gun violence combined.


There's a pretty significant rise in drug overdose involving opioids from 2000 to 2014.
What can we do about it?
  • If you are going to have surgery or have had an injury, ask for a less potent, non-addictive drug or treatment to help with pain instead of an opioid
  • If you feel you must take some, take only a few over several days, as directed, and throw the rest out
  • Ask your pharmacy if they'll accept leftover drugs to be disposed of--get it out of your house; sometimes police departments will host a 'turn in your drugs' event.
  • Lock up any prescriptions so that no one else in your house can get at them
  • If you feel you are having problems with overuse, tell your doctor so that you can be weaned off of it as soon as possible
  • If you have children, let them know about the dangers of drugs in a calm, simple manner: Except for antibiotics, drugs are many times harmful to your health. Here are some guidelines that may help: https://www.webmd.com/parenting/guide/children-and-drugs#1
  • Stay engaged with people in some way: checking out and being anti-social may lead to wanting an 'escape'--detaching from friends by way of drug-induced euphoria
  • There are people developing a national database to track opioid prescriptions; the database will be available to any medical provider or pharmacy to check whether a person has had excessive prescriptions filled for opioids.
For a thorough explanation, you can read this Wiki:  https://en.wikipedia.org/wiki/Opioid

Tuesday, November 13, 2018

How to Adult: Making a Doctor Appointment

Once you're on your own, whether away from home at college or starting life as an adult, you'll eventually need to tend to your health; namely, you're going to need to see a doctor for some reason, or at least get to a pharmacy for some help to feel better.
 
First, how to know you are 'sick enough' to be seen by a doctor. Here are some guidelines, but truly: if you feel incredibly sick, then you're sick enough.

  • Do you know how to take your temperature? You can get a digital thermometer at a pharmacy, they're easy to use if you follow the directions. Normal is usually 98.6. If it's more than 100, it might indicate you're fighting something.
  • A bad cough may indicate a respiratory infection
  • Vomiting and/or diarrhea that just won't stop after 24 hours and laying off food, should be checked out
  • If your chest aches, you may have any number of respiratory issues
  • A very raw sore throat may be strep. However, strep doesn't always cause a sore throat. It also can be shown by feeling nauseous, headaches, and a rash.
  • For women, if you are not sure whether you have a yeast infection, you should see a doctor.
  • You also should be seen if you are having depression that won't ease up. Don't feel like it's not important enough, it is.

While you wait for your appointment, here are some things to try that may help:
Cold/Cough/Chest/Sore Throat - Lots (Lots) of liquids, particularly water; cough drops or anything to suck on that soothes your throat; salt water gargle; ice pops; keeping warm; sleep. Tylenol or ibuprofen for aches and pains (have a little food with ibuprofen as it upsets the stomach)


Vomiting, stomach upset - flat or sometimes fizzy soft drinks, especially clear ones; nothing but clear liquids for 24 hours and then bland foods like soda crackers, bananas, applesauce, plain cooked rice. Have small amounts at a time and see if it stays put.


For any illness, you may want to try products OTC (over the counter) to see if they help-ask a pharmacist for suggestions.



How do you make an appointment?
It doesn't matter if you are at home or away at college, it's the same procedure: First, you call the clinic. Have an idea what time you'll be able to come in. If you prefer a certain doctor or nurse practitioner, say you want to make an appointment with her. Otherwise, just say you need to be seen. They will ask what your symptoms are. This is so they are prepared for possible lab tests or anything else they commonly do, and to gauge how long an appointment you will need. They will tell you what times are available. You can choose the time you want. Write it down so you don't forget.
 
They will ask what insurance you have. Be sure you can answer that one. They will likely want a copy of your insurance card when you come in for your appointment.
 
Show up on time or a bit early for your appointment, and have your debit card with you for the copay. Go to the checkin desk and tell them who you are, and that you have an appointment at 9:00  with Mary Jones, for instance. They'll ask for your insurance card and possibly a co-pay. Get a receipt for that and keep it in a safe place.
 
When they call your name to go to your exam room, answer the doctor's questions as well as you can. It's hard to diagnose when you're not being clear. She will listen to your heart and lungs, look in your ears and at your throat, examine your lymph glands (below your ears), and may have you lay down so she can palpate (feel) your belly, and will need to examine anything that might indicate what the problem is. She may want to do lab tests such as a white blood count. That will indicate if you are fighting an infection. If there is anything at all you don't understand, ask the person to explain.


It's possible your doctor will determine that you have something viral, and antibiotics won't help.

You can also ask the doctor to write down your instructions for when you leave; most of them will give you a printout to take home with you.


It is important to know if you have any allergies to any kind of medication. Ask your parent if you don't know. If you have seen this same doctor for a few times, he or she will likely know and will prescribe only drugs that are safe for you to take.


If you have something viral, then a prescription won't help. The doctor can suggest ways for you to soothe your symptoms.
If you get a prescription, and they don't fill it at the doctor's office, here's how you get it filled.


Some doctors will call in your prescription for you at the end of your appointment (know where you want them to send it to be filled). If you get a slip of paper, called a scrip, take the scrip to your pharmacy and give it to the person working there. If you're not in their records they may ask for your information. They'll also need to know what insurance you use. They may be able to fill it while you wait, or may have you come back.


Once it is ready, you pay the copay and they give you your medicine. Ask any questions you have, and they may tell you not to take this medication with certain foods. Pay attention to that: Sometimes if you take a medication with orange juice, for example, it wipes out the effect of the medication. There will be cautions printed on the paper you get with the prescription. If you have any questions, you can call the pharmacy and ask them.


Take the medication exactly as it says on the pill or liquid bottle, and finish it all, even if you start to feel better in a couple of days. If you finish it and still aren't better, call the doctor to see what she thinks you should do (another round of medication? Something different?).


Most of all, don't be afraid to see a doctor when you are concerned. They really want to help you feel better. And if it's something that will simply run its course, then you don't have to be worried about it anymore.


Take care of yourself!!