Taking Medications at Home
If you take the prescription sleeping pill Lunesta (eszopiclone) or generics, you may need to take a lower dose according to the US Food and Drug Administration (FDA). A recent study found that the medicine may still be in the body in high enough amounts the morning after taking it to impair activities that require alertness, including driving.
When it comes to medicines, you may already know how essential it is to exactly follow the instructions provided by your healthcare provider or directions on over-the-counter (OTC) Drug Facts labels. But you may be overlooking some habits or beliefs that can keep you from getting the full benefit of your medicines or cause you to risk your health and safety. See if any of these common medicine missteps apply to you.
Many people are familiar with over-the-counter wart treatments. They're typically liquid based or are packaged in an aerosol container with a special application tip. But did you know there is also a wart remover that uses a dry formulation in the form of a stick? Within the last year a company called Balassa Laboratories has repackaged an old formula of a solid stick wart remover (previously packaged under the name PediFix). The newly packaged product, called WartSTICK, is now available at popular chain drugstores such as CVS, Rite Aid and Walgreens on-line. Our concern? It looks identical to a container of lip balm. The active ingredient in WartSTICK is salicylic acid, which should NEVER come in contact with the lips or mucous membranes inside your mouth.
We recently heard from staff in an Emergency Department who called the fire department and Bomb Squad after hearing an unknown ticking sound from something inside their sharps container. Unbeknownst to them the source of the ticking sound was an Auvi-Q device (EPINEPHrine injection). AUVI-Q auto-injector is a device which uses digital voice instructions to "talk" people through the injection process. Once the injection iscomplete the user must replace the safety guard and the outer case. If the outer case is not replaced, the electronic voice speaker makes a "ticking" sound as the battery drains. If you or your child has the Auvi-Q device beware that the outer case needs to be replaced or the device will emit a ticking sound as the battery dies. We have notified the manufacturer about this ticking sound. An unknown ticking sound could be particularly alarming in settings such as hospitals, schools, and public transportation areas (buses, rails and airways).
It's important for women to be aware of an issue with the prescription product Angeliq, a hormone-based medicine used to relieve the symptoms of menopause. Unfortunately, we're aware of errors where it's been dispensed or prescribed improperly as an oral contraceptive.
A consumer recently contacted us about a medication error that occurred with her father's prescription. The prescription was for a highly concentrated form of liquid morphine known as Roxanol.
Medication safety in the home is an important public health issue. Almost half of all Americans have taken at least one prescription medication in the last month and more than three-quarters have taken an over-the-counter (OTC) drug. Most of these medications are taken in the consumer's home or other residential or community setting. In these settings, the risk of medication errors is ever present as consumers with variable health literacy and unlicensed healthcare personnel undertake the complex processes associated with safe medication management.
Since 2009, the US Food and Drug Administration (FDA) has received 14 reports about over-the-counter (OTC) wart remover products catching fire during use. The cryogenic wart removers, which remove warts by freezing them off, are a mixture of liquid dimethyl ether and propane. These products are regulated by FDA and have a clear warning stating that they are flammable and should be kept away from fire, flames, heat sources, and cigarettes.
If you use the new anticoagulant (blood thinner) Pradaxa (dabigatran), take note. Recent publication of two studies suggests that a lower dose and a lab test may limit the drug’s major drawback: high rates of bleeding.
Consumers should also be aware of potential safety issues involving the phosphate content in Fleet enemas. This is especially true in elderly patients, who may use more than just one enema at a time and risk metabolic disorders and fatalities. When a Fleet enema is used, a second dose in quick succession to the first should not be used. Prolonged use or overuse can also lead to dehydration as well as fluid and electrolyte imbalances.