Part I
A Healthy Look at Prescription Drugs
In this part . . .
We look at what prescription drugs are, how they differ from non-prescription medicines, how they work, and how they are taken. We discuss how you can work with your pharmacist and doctor to get the best possible results from your therapy. Lastly, we look at warning labels, package inserts, and information sheets and the information they convey â and, just as important, what critical information they may leave out.
Chapter 1
Prescription Drugs and You
In This Chapter
Appreciating what prescription drugs can â and canât â do for you
Understanding how you can work with your doctor and pharmacist
Considering the best ways to treat what ails you
Becoming familiar with your prescription drugs
Making common concerns less concerning
Checking out all your options
If youâre like most people we know, the only thing youâd rather do less than take a prescription drug is not take one when you should have. Or, to (woefully) paraphrase Prime Minister William Lyon Mackenzie King, âPrescription if necessary, but not necessarily prescription.â Medicines are something never to take lightly, but thank goodness they are there to help us when we need them. And that reality of life is why weâve created this book to assist you.
In Understanding Prescription Drugs For Canadians For Dummies, we look at how you can work with your physician and pharmacist to most safely and effectively manage your medicines. We discuss the best medicines to treat what ails you, and how they work. We look at how your medicines can help you, and how your medicines can harm you. We share, to quote Sergio Leone, the good, the bad, and the ugly â even if youâve paid handsomely for that ugly medicine. (Speaking of which, one of the things we talk about is how you can pay less handsomely for your drugs: see Chapter 10.)
Prescription Drugs: The Basics
Prescription drugs are brilliant. They can reach every nook and cranny of your body to help you overcome infections, fight cancer, control diabetes, avoid heart attacks, and quell arthritis.
Prescription drugs are dumb. They often are unable to cure a disease, may cause unpleasant side-effects, frequently are costly, and typically are a nuisance to remember.
And how do Canadians deal with this paradox? Well, Canadians are clearly believers in prescription drugs, seeing as, in 2005, $20 billion was spent in this country on 400 million prescriptions. Yet, Canadians often are not very happy believers; at least judging by the comments (âDoctor, I feel like a walking drugstoreâ) that physicians so often hear as their patients walk into the office, shopping bag full of medicines in hand.
And yes, having to take prescription medicines might make you feel hard done by. And if you feel that way, we donât blame you one little bit. But what wonderful health benefits so many people can get from these same medicines. So, sure â if you want to curse that bag full of drugs, we understand. But we also understand if you look at your medicines and say to yourself, âHey, these medicines arenât an anchor pulling me down, theyâre a helping hand lifting me up.â Itâs your call.
Prescription drugs may be yin and yang, good and bad, but whichever way we look at them weâve got to, well, look at them. Swallowing a pill, putting on an ointment, or inserting a suppository isnât the end of the story â heck, itâs not even the beginning. If youâre going to safely and effectively take your medicine, you need to know some key things about it such as how to take your drug. Do you swallow it on an empty stomach, or take it with food? Do you need to avoid grapefruit (yes, grapefruit) or alcohol? What side-effects should you watch for? What should you do if side-effects occur?
Millions of Canadians benefit from taking prescription medicines. But many thousands of Canadians suffer from taking them. And some, tragically, even die from them. Weâve written Understanding Prescription Drugs For Canadians For Dummies to provide you with the information you need to do everything possible to benefit from your prescription medicines and to minimize the likelihood youâll be harmed by them.
You may well have enough on your plate, and feel that having to educate yourself about your medication is simply one more nuisance you donât have time for. Truth be told, however, effectively and safely taking prescription drugs requires a team effort, and the more people you have working together for the common goal of keeping you healthy, the more likely your goal will be reached. Hassle? You bet. Worthwhile? You bet!
Your Doctor, Your Pharmacist, and You
Understanding Prescription Drugs For Canadians For Dummies provides you with the tools to effectively work with your health care team. Youâll discover the different roles that your doctor, your pharmacist, and you have in this partnership. Youâll find out what to make sure your doctor tells you before you leave her office, and what to find out from your pharmacist before you walk away from the counter (such as who will provide refills for your medicine and, for that matter, how youâll know if you even need a refill). Who do you need to call if youâre having side-effects from your drug? How should you store your medicine? In the first four chapters, we address these topics and more, including how you can help your health care providers avoid making prescribing and dispensing errors.
Your doctor and your pharmacist not only care for you, but also care about you. (And if they donât, change health care providers, and fast!) Caring about you means theyâll be thrilled if you work with them in the cause of safe drug-taking. Weâd bet dollars to donuts your pharmacist checks, double-checks, and possibly even triple-checks your prescription medicine before he hands it to you. (Weâre so sure, weâd even bet dollars to Timbits. Not that weâve ever had Timbits, of course â weâve especially never had the double chocolate ones ⌠you know, the glazed ones with the cake-like centre? Hmm, mmm.) So, if your doctor has written a prescription that clearly says âmetoprololâ on it, you can be awfully certain your pharmacist will dispense âmetoprololâ to you.
But what if the medicine you are prescribed has a name that is very similar to another, unrelated drug and your doctorâs handwriting is stereotypically poor? Might the pharmacist misinterpret it? Well, stuff happens. For instance, clozapine has been mistakenly dispensed instead of olanzapine. Lamisil has been mistakenly dispensed instead of Lomotil. Losec has been mistakenly dispensed instead of Lasix. And the list goes on . . .
The likelihood of these sorts of errors is very small. But you can make the likelihood that much smaller by using the information in this book to inform yourself about your medicines. That way, if your doctor hands you a prescription for, say, Lasix to treat ankle swelling and you discover your pill bottle says the medicine is Losec, youâll be able to see if these are simply different names for the same medicine or if they are different drugs altogether (which, by the way, they are). With the help of this book, you can more readily recognize something ...