Medication Safety Articles

 

Last summer, the US Food and Drug Administration (FDA) issued a warning that certain over-the-counter (OTC) topical acne products can cause a severe allergic reaction. These cases are rare, but they can be life-threatening.

ISMP has heard from nearly 100 consumers who have reported that their physician does not provide them with a printout of their prescription (clearly marked as a copy*) when sending the prescription directly to the pharmacy electronically. In order to learn more about this situation and its impact on patient safety, ISMP is interested in hearing from more consumers about their experiences when receiving and filling electronic prescriptions.

Do you use an inhaler? If so, always replace its cap after use. The importance of replacing caps on inhalers was recently illustrated when a woman accidentally inhaled a small earring while using her asthma medicine. She got her uncapped inhaler from her purse. As she inhaled the medicine, she felt a painful scratch in her throat and started coughing blood. She was taken to the emergency department, where the earring was removed from her lung. If the inhaler's cap had been in place, the loose earring in her purse would not have gotten into the inhaler.

When people suddenly become ill or injured at home or in the community, they or their families or friends can call 911 for emergency help. But who can a patient or family member call upon once they arrive at the hospital if they feel their condition is seriously deteriorating and nobody is listening? Many hospitals today are offering patients and families an opportunity to summon an interdisciplinary care team to the bedside if they have unaddressed concerns. These teams are called Rapid Response Teams (RRTs).

Most people are familiar with throat lozenges. Typically, they are a small, medicated, round or oval shaped and dissolve slowly in your mouth. They are used to treat sore throats, coughs, and other throat irritations. Common lozenges include brand name products such as Chloraseptic, Delsym and Vicks (figure 1) and can be purchased over-the-counter (OTC).

Have you ever thought about where medicines are kept in your home through the eyes of your child? Medicines left on counters, nightstands, in purses and bags, or on the ground are easily within reach of a young child. What's more, many medicines are brightly colored and look like candy, making them appetizing to children.

Those who take Pradaxa (dabigatran) capsules may not know they should be swallowed whole. The capsules should never be broken, chewed, or opened to take the medicine. Studies have shown that the medicine absorbs too fast if the capsules are opened, chewed, or broken. This can cause serious bleeding.

Allergy season is here again. Pollen, ragweed, pet dander, and dust mites can trigger allergies. Your body produces histamines when it comes in contact with these triggers. Histamines can cause a number of reactions including, a stuffy nose, your nose and eyes to run, itchy eyes, and an itchy rash or hives.

Before leaving the hospital, a woman with bone cancer was given a prescription for a powerful pain medicine, a fentanyl (Duragesic) patch. During her first 2 weeks at home, she was doing well. The medicine was helping to relieve her back pain. But then her family noticed that she seemed confused and was losing her balance. She was also nauseated and had vomited.

Recently a woman notified our organization after realizing her doctor prescribed the incorrect dose for an antimalarial medicine. The woman, who was soon going to travel to a part of the world where malaria is present, discussed with her doctor about taking medicine to prevent malaria. Having taken antimalarial medicine in the past, the woman asked her doctor to prescribe chloroquine (the same medication she has taken many years ago).

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