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TIPS TO TAKE YOUR MEDICINE & STAY HEALTHY

John Qaqundah, Pharm.D., RPh Clinical Pharmacy Coordinator, Bay Area Sutter Health Assistant Clinical Professor, UCSF School of Pharmacy. TIPS TO TAKE YOUR MEDICINE & STAY HEALTHY. MEDICATION ERRORS. Will seriously injure or kill 1.5 million people this year (1 out of every 200)

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TIPS TO TAKE YOUR MEDICINE & STAY HEALTHY

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  1. John Qaqundah, Pharm.D., RPh Clinical Pharmacy Coordinator, Bay Area Sutter Health Assistant Clinical Professor, UCSF School of Pharmacy TIPS TO TAKE YOUR MEDICINE & STAY HEALTHY

  2. MEDICATION ERRORS • Will seriously injure or kill 1.5 million people this year (1 out of every 200) • Medication problems are the fifth leading cause of death in the U.S. • Most of these are preventable

  3. QUESTION ARE YOU PROPERLY TAKING YOUR MEDICINE?

  4. MEDICATION ADHERENCE

  5. Adherence By Chronic Disease

  6. WHY TAKE YOUR MEDICINE? • Medication “non-adherence” leads to: • Compromised disease management • Acute illness • Chronic illness • More emergency room visits • More hospitalizations • More death (up to 41% relative risk ) • Higher costs ($290,000,000,000 / year)

  7. CAUSES OF NONADHERENCE • “I Just Forgot” (55%) • Side Effects & Drug Interactions • Purpose / significance unknown to pt • Complexity of medication schedule • Medication Cost • Don’t think the drug works/necessary • Compromised cognitive ability

  8. SIDE EFFECTS • Might be temporary • Might be serious • Alternative medications • May be a simple fix • TALK TO YOUR PHARMACIST!!!

  9. BE ORGANIZED • Pill Boxes • Know your meds • Keep an updated list • Take the list with you: • Doctor’s office • Pharmacy • “Continuity Of Care”

  10. PILL BOXES ORGANIZING YOUR MEDS

  11. PILL BOXES (Cont.) ORGANIZING YOUR MEDS

  12. PILL BOXES (Cont.) ORGANIZING YOUR MEDS

  13. PILL BOXES (Cont.) ORGANIZING YOUR MEDS

  14. PILL BOX SELECTION Base on these factors: • Complexity of medication schedule • Medication storage requirements • Ease of use (opening/closing, transporting) • Bells and whistles (electronic reminder) • Personal preference

  15. PILL BOX FOR MORE COMPLEX SCHEDULE

  16. PILL BOX SELECTION

  17. MEDICATION ALARMS & REMINDERS

  18. MEDICATION ALARMS & REMINDERS

  19. MEDICATION COST • High cost of medication leads to non-adherence • Studies show inverse relationship between copay and adherence • “Supply Stretching” • So… why are your prescriptions so expensive?

  20. MEDICATION COST

  21. GENERIC DRUGS (Cont.)

  22. GENERIC DRUGS • Could save you a lot of money • Same drug, dose and bioequivalence • May be substituted by your pharmacist • Bioequivalence vs. Therapeutic Equivalence • ASK YOUR PHARMACIST!!

  23. RESOURCES **YOUR PHARMACIST** • Get the counseling when filling Rxs • Ask questions until you understand • Ask for help with med lists & pill boxes • Ask if a lower cost alternative exists

  24. RESOURCES • FREE Online Medication Review http://safemedservice.mediguard.org/ • Safe Medication Use Alliance http://www.pharmacyfoundation.org/

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