How to Find Your Own Drug Interactions: A Drugs.com Tutorial

25 February, 2013 by 2 Comments

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Today I’m sharing a tutorial I posted on YouTube on drug interactions. 

As I’ve shared in my last few blog posts, drug interactions are becoming a huge problem due to the increasing number of prescriptions people take.

Take a few minutes (it’s short, I promise) to watch the video and then practice with your own prescription medications to see if there are any problems taking them together.

If you do find interactions, don’t panic, and don’t abruptly stop taking your prescription.

Print off the information (I show you how in the video) and take it to your pharmacist or doctor and let them help you evaluate the results.

Feel free to leave comments and questions and I’ll answer any questions or concerns you may have.

Hope this is helpful!

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Drug Interactions~What Your Pharmacist & Doctor Might Not Tell You

18 February, 2013 by 7 Comments

 

Have you ever thought about the number of prescriptions your pharmacy fills every day?

The smaller, independent pharmacies are on the lower end of the scale, but it’s not uncommon for your corner CVS or Walgreens to fill 700-1500 prescriptions every day.

The use of prescription drugs in the United States on the rise and the statistics are staggering. Check out what the Centers for Disease Control reported in 2010:

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Over the last 10 years, the percentage of Americans who took at least one prescription drug in the past month increased from 44% to 48%.

The use of two or more drugs increased from 25% to 31%.

The use of five or more drugs increased from 6% to 11%.

In 2007-2008, 1 out of every 5 children and 9 out of 10 older Americans reported using at least one prescription drug in the past month.

In the United States, spending for prescription drugs was $234.1 billion in 2008, which was more than double what was spent in 1999.

One of the most alarming statistics reported is the rise in the number of prescription drugs used by the elderly population. Working in home health care now, I’ve seen this first hand. Most of the clients I manage medications for take between 10 and 25 prescription drugs. The following graph from the CDC depicts this increase based on age:

What percentage of Americans used multiple prescription drugs in the past month and how did this vary by age?

The use of multiple prescription drugs in the past month varied by age (Figure 2).

Figure 2 is a bar chart showing the number of prescription drugs used in the United States from 2007 through 2008.

 

There are several pitfalls in the medical system that prevent possible drug interactions from being realized.
  • Patients often use different pharmacies due to price or prescription availability, therefore prohibiting pharmacists from having all of the medications on file being taken. 
  • Pharmacies are often so busy, patients just want to get their prescriptions and get home, not taking the time to talk to the pharmacist about their medications.
  • Patients use different physicians depending on their specialties, and the physicians aren’t always aware of all other medications prescribed.

Due to this increased prescription volume per patient and the pressures of busy pharmacies and doctors offices, it has become necessary for patients to take some responsibility for their

own health, and learning how to discover possible drug interactions can be a life-saving tool.

Drugs.com is a reputable website to learn about your prescriptions. Tools available are:

    • Pill Identification
    • Drug Interactions
  • Drug Use Information
  • Side Effects
  • Dosage Information

Over the next few weeks I’m going to provide tutorials to help you learn how to discover what your pharmacist or doctor may not have time to tell you. Some of the information is easy to understand, and some you will need to ask your doctor or pharmacist about.

You know your body—how you feel—better than anyone. And God tells us to take care of that body because it’s his temple. 

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You don’t have to be a medical professional to know when something is not right. The tutorials I will provide here about Drugs.com hopefully will educate you about your prescriptions enough to answer some questions on your own, but also to ask your pharmacist or doctor specific questions you want a
nswered. Don’t hesitate to ask. You are paying them, and they are there to answer your questions.

Join me on Mondays for the next few weeks to educate yourself about prescription dr

ugs and don’t get caught in the pitfalls!

And PLEASE feel free to ask questions along the way. I’m a pharmacist. It’s what I’m here for!

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The War on Drugs

3 February, 2013 by 187 Comments

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So much for Simple Saturdays, life has been anything but simple this week.

  • One of my closest friends learned that her mom committed suicide (pills) on the same day she learned she’s having a baby boy.
  • My short and oh-so-sassy 18-year-old daughter had her heart broken yesterday after attending a funeral for a boy her age who died of an accidental overdose.

Pills…pills…pills…are taking over our families! How have we come to this?  I remember seeing a video about the communist manifesto that discussed the best way to destroy America. From the inside-out. Look at the change in our values and laws over the last 50 years. Look at the infiltration of pornography on television and the internet. The availability of alcohol. The availability of drugs…prescriptions and the illegal ones. I can tell you if I know where to get marijuana, everyone does.

I didn’t know the boy who died of an overdose, but I don’t need to. All I need to know is that he was a son, brother, grandson, great-grandson, nephew, and friend. I pray that he also carried Jesus in his heart and is with him in Heaven right now. The alternative, though very real, is not one I like to think of.

Prescriptions drug overdoses are claiming more lives every day. People—often teenagers—taking them for recreational use have no idea what they can do to you. While their brain thinks it can handle the “high” dose, their lungs and heart cannot. In an instant, their life is over.

Parents are burying their children.

Friends are burying friends.

Brothers are burying brothers.

People who are addicted to prescription drugs as a result of medical reasons end up needing more and more to relieve their pain, withdrawals, or whatever the case may be. Again, their brain think the dose can is needed, but their  heart ceases to beat and their lungs cease to inhale.

Anyone abusing prescription pain medications—no matter what the reason—is fighting a battle in their mind. The classic battle between good and evil, Jesus and Satan. The battle being fought is both physical and spiritual To overcome addiction, I can tell you from experience physical assistance is just not enough. A divine intervention is needed.

A young girl, Ashley, who lost her battle to drugs wrote a poem describing life on drugs is like…the horror actually being offered to us when presented with the decision to use drugs. I took her poem, and added a “rebuttal,” if you will, to show the life than Jesus offers everyone. We must only accept.

Here’s the poem. Please read it slowly and share with anyone whom it might help. If you’d like to have a copy, you can upload a PDF version and print for free by clicking HERE.

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Filed Under: Freedom in Christ, Overcoming Addiction, Uncategorized Tagged With: , , , , , , , , , , ,

Tips to a Happier You in 2012~Do you have insomnia? Learn how to sleep!

11 February, 2012 by Leave a Comment
When God created the earth, he rested on the seventh day. Wouldn’t it be nice if we only had to rest once a week? It sure would free up time for my to-do list. But sleep doesn’t work that way. God created us to need sleep, and unfortunately, a little more than once a week. 
When I was in the midst of my seven years of hell, insomnia plagued me frequently. In my depression, all I wanted to do was sleep. But also in my depression, I didn’t want to do anything at all, so my brain never really told my body it needed sleep. So of course the pharmacist in me took the easy way out—a sleeping pill called Ambien. The depression and lack of activity, however, even kept the Ambien from working the way it should. I never slept for more that two to three hours at a time, and once I went twenty-one days straight with not one wink of sleep. I know, I’d tell you it was impossible too if I didn’t experience it myself. 
The sleep-wake cycle is complex. No two ways about it. There are six stages total sleep-wake cycle, and each of the following hormones plays a part: Cortisol, Acetylcholine, Glutamine, Norepinephrine, Dopamine, Serotonin, Adenosine, Galanin, GABA, Melatonin, Progesterone, etc.; are you getting the picture? Did God create a complex brain or what? He knew what he was doing and He gives us instructions on how to take care of it.
…And when they sleep, they will wake refreshed. 
(Jeremiah 31:26 CEV)
It is in vain that you rise up early and go late to rest, eating the bread of anxious toil;
For he gives to his beloved sleep. 
(Psalm 127:2 ESV)
And he said to them, “Come away by yourselves to a desolate place and rest a while.” 
For many were coming and going, and they had no leisure even to eat. 
(Mark 6:31 ESV)
On September 25, 2010, when God showed mercy on me and rescued me from the pit I was in, quite a few light bulbs came on. The revelations didn’t come all at once, but over a few months God revealed truths to me that I couldn’t see in the pit. I won’t bore you with too much sciency stuff, but I want to give you some absolutes about sleep. 
•   Some type of exercise early in the day will help you sleep at night. 
When we exercise, our body makes cortisol (our fight or flight hormone), which lasts in our body about eight hours. It also breaks down ATP to give us energy and a hormone called adenosine. Once the cortisol level begins to drop off early in the evening, the adenosine is there and ready to calm us down to get ready to sleep. If we exercise too late in the day, the timing doesn’t allow this process to occur any faster, so we can’t get to sleep. Since I’ve started running in the mornings, I’m typically asleep within a minute…once I stop talking of course. 

•   A sleeping pill is meant for short-term use only. 

As is the case with many drugs, once your body becomes used to them, their effect declines. Ambien, a common one used today, activates GABA receptors in your brain that control the rhythm of sleep cycles. It’s speculated that Ambien does not allow for an adequate amount of REM sleep which is necessary to recall past events. If you’ve ever taken Ambien, you know that it really messes with your memory. I can remember waking up in my bed, having no memory of the night before—no memory of getting the kids to bed, cleaning up the kitchen, or taking my shower, yet apparently I had done them all. 

•   Meditation can be a powerful tool, not medication. 

I used to roll my eyes when people told me that. I always thought meditation was just a new age title for prayer. Now I have been known to recommend prayer at bedtime, because when we pray, the devil will put us right to sleep! But when insomnia is a problem, prayer can sometimes make us dwell on the things in our lives that cause worry. Here’s a little meditation trick that I find very helpful when you can’t go to sleep: 

When you are in the bed completely relaxed, begin breathing in and out slow to the count of four.
Breathe in…1 2 3 4; breathe out…1 2 3 4.
Repeat.
 Each time you breathe out, try to let your body relax a little more by the count of four. 
By counting, your brain doesn’t have time to think about all of the things trying to crowd your brain. The repetitive action of counting and breathing naturally helps our bodies produce calming hormones like melatonin. It works like a charm. 
•   Sleep in a dark, quite room. 

The happy hormone that I’ve talked so much about, serotonin, is actually converted to melatonin to help us get into that deep sleep. However, it is impossible for serotonin to be converted to melatonin in light. Melatonin can only be produced in the dark. That’s why it’s so difficult for people who work third shift to get on a sleep cycle that is effective, and why there is such a high incidence of depression and insomnia in Alaska when the sun shines twenty hours out of the day. It may be “all in our mind,” but it’s the chemicals “all in our mind” that are in control. 
I know this was a lengthy post, but sleep is essential to everything we are. Lack of sleep causes us to be depressed, overweight, fatigued, in pain, short-tempered, stressed, anxious, etc., and insomnia plagues more people than you might think. Please share this with anyone you know who suffers from insomnia. The pharmaceutical world we live in pushes us to take this for that or that for this, when the best answer to insomnia is simple lifestyle changes. 
So put some of these tips into practice and sleep your way to a happier you! 
From my heart, 

Celeste
Filed Under: Beating Depression, Brain Functions, Making Changes, Managing Prescription Drugs, Physical Wellness, Tips to a Happier You Tagged With: , , , , , , , , , , , ,

Understanding the “Why” Behind Depression

12 January, 2012 by 2 Comments


     During the process of writing my “Tips to a Happier You” series, I’ve thought about how I felt in the midst of my depression. Would I have been receptive to small, practical tips to help my depression? I can tell you the answer is no. There are just some lessons we have to learn the hard way. If I could have put some of these things into practice, I’m sure I would not have had to endure the hell I went through…oh if I’d only listened to some of the instruction given to me! But honestly, I let myself fall into the “I need it NOW” trap.
 
I let myself get wrapped up in the desire for immediate gratification. I wanted a magic pill to solve all of my problems. And let me tell you, there are drug companies that advertise their drugs on television and promise to do just that. Just like any advertising, they tell you all the benefits and none of the risks. They tell you how good the drug is going to make you feel, but they neglect to tell you all of the risks associated with taking it. Sure they mention some of the more common side effects, but only after they have you totally hooked on the awesomeness of their miracle drug. And when they do list any side effects, it comes through your television  mimicking the voice of the teacher in Charlie Brown, and it’s in the last three seconds of the commercial. 
     Okay, now that I’ve bashed antidepressants, let me say this: There is a real need for antidepressants, and they are appropriate under the right circumstances.
I just don’t believe they need to be the first choice treatment. 
Often when someone is placed on an antidepressant, it is situational. They have become depressed as a result of some event in their life. Sadness is a natural first response to any type of trauma we might experience. We become self-absorbed. We tend to think “poor me.” The next step we take is critical, and is dependent on the condition of our brain. The person 
who will end up depressed doesn’t have the ability to think, “What do I do from here?” 
     Here’s why (sorry, I’m about to get a little “sciency” on you): We have a part of our brain called the pre-frontal cortex. It is the part of our brain that reacts to trauma. If there is enough serotonin in our brain to activate the pre-frontal cortex, we will be sad, but will be able to recover from the trauma and look forward. If our brain is low on serotonin, our pre-frontal cortex is essentially dead and that’s when we can’t see the light at the end of the tunnel. It’s a physical abnormality, and it’s why people cannot typically “will” themselves out of depression. 
     Whether you are on an antidepressant or not, the tips I am giving here can be incorporated into your lifestyle. All of these tips are small, practical habits you can incorporate into your life and will benefit you whether you’re on an antidepressant or not. Once you have a few in place and are feeling better, you very well might be able to slowly come off of the antidepressant. You certainly don’t have incorporate all of these tips, just whichever ones strike your fancy! 

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Filed Under: Beating Depression, How to be Happy, Making Changes, Managing Prescription Drugs Tagged With: , , , , , , , , ,

America on Drugs

4 August, 2011 by 3 Comments

Bear with me here guys, this is a long post, and this comes from years of being a pharmacist and the personal experience of being a patient…but for anyone on an antidepressant or other “brain” drug, you need to read this:


Your Brain on Drugs…no, I won’t be showing you a picture of a fried egg, though I must say it’s a great analogy! We know street drugs fry your brain, that’s a no-brainer! (Sorry =o)
I’m talking about prescription drugs…and not just the “controlled” ones. I’m talking about all of the psychotropic drugs prescribed in the United States today. As a pharmacist, it has made me crazy to see this huge increase in my years in this industry. As a patient, I fell right into the trap. Let me give you just a few statistics from reputable sources to put it in perspective for you…


A study was done by the American Medical Association from 1988 to 1994, during which time the visits to a physician for depression increased from 10.99 million in 1988 to 20.43 million in 1994. Visits for stimulant drugs increased from .57 million to 2.86 million. In a much more recent study, the Centers for Disease Control the percentage of people who use five or more prescriptions drugs increased by 70% in the last 10 years. It’s obvious to me that this increase is largely due to the increase in psychotropic prescription visits. 


Our society is in danger. Real danger. Christians and non-Christians alike. Many physicians  are prescribing narcotics, antidepressants, anticonvulsants, and other miscellaneous psychotropic drugs like candy, and do not realize the true danger they are putting their patients in. Different doctors and different pharmacies lead the way to missed information and drug interactions. Doctors cannot possibly keep up with all of the drug interactions possible between the thousands of prescription drugs on the market today. Even as a pharmacist, I ended up with a potentially life threatening drug interaction that my doctor(s) and pharmacist missed. I had not been working in pharmacy during the time Cymbalta was approved and put on pharmacy shelves, and due to an interaction with my migraine prescription medication, I ended up in a state for 24 hours where I did not know what was real and what wasn’t. I didn’t know if this world was real, or if I was dead or alive. At one point, I did not know David was my husband. Marlee was laying next to me in the bed and I actually asked David if she was dead. It was the scariest night of my entire life. I know this sounds crazy, and even when I was in the midst of it I felt sure that I would wake up in a straight jacket staring at four white walls!  


When my reality began to become more clear, due to my pharmacy training I knew what happened. I immediately began researching the medications I had taken, and quickly discovered I’d experienced serotonin syndrome. Now I must say should have known the possibility of this interaction, but in this case, my brain was, well, sick. Seizures, migraine, depression, and medication did not leave me in the mind to catch these things…my doctor and pharmacist should have caught it. I know that when my prescription was filled, the pharmacist was required to manually override a drug interaction possibility, which means they just overrode it by habit, without really looking, or just neglected to mention it. Last summer,in a total of approximately eight days working as a relief pharmacist, I called doctors on four separate occasions to warn them of this exact same interaction. All four times the prescriptions were changed. 


This incident is just one of millions that happen daily. While there are definitely patients that require psychotropic drug therapy, these drugs are widely overused. I’m not sure why doctors feel so much more comfortable prescribing these drugs now than in the past, but where therapy was once first course of treatment, doctors now tend to give the drug first, to “dial things down” before therapy is started. Once the patient gets the prescription, they do not want to follow up with expensive therapy. Our society of immediate gratification and prescription drug advertising on every venue possible lead us to the “quick fix.” After all, “Depression Hurts, Cymbalta can help.” Right? 


Due to the depression I experienced during my years of seizures, my doctors kept trying to get me to take an antidepressant. I finally conceded and began taking Cymbalta. If I wasn’t miserable before, I sure was then! After about a month on the Cymbalta, I felt horrible and was still depressed, so I decided I would wean off of it. Ha! Now that was a joke. The “non-addictive, harmless” antidepressant was everything but. I know you have all seen the commercial for Cymbalta, but in my research I stumbled across a youtube video that really makes the point.  It is a little on the extreme side, but only a little. 


Depression hurts, Cymbalta hurts more


Before I conclude, let me just say this…there is certainly a need and a place for antidepressants. We have just come to rely on the quick fix of drugs way too much. If you happen to be on Cymbalta and doing well, Yay! For me, many of the side effects of Cymbalta were front and center. As patients, we have just become too trusting:


First,we trust our doctors to know everything we need to know. No one can know everything. 


Second, we expect our pharmacists not to be too busy to counsel us every aspect of the drug, but they can’t control the 15 people waiting on prescriptions at once (and I can assure you, the chain pharmacies push the limit on the number of prescriptions allowed per pharmacist), nor can they control the hurry we are in to get out of the pharmacy.


Third, we trust the FDA not to put anything on the market that could harm us. It is sad we cannot depend on our government to keep our best interests at heart, but unfortunately, the almighty dollar often takes priority.


And yet, we are not trusting enough in God. We don’t believe and trust that God is all that we need. I know I used the verse on this prescription in another post, but it says so much. When God created the earth, and created man to inhabit the earth, he gave us everything we’d ever need. With so much emphasis placed on the synthetic psychotropic drugs available today, we lose our focus. We need to think simply and eternally at the same time. More talking, more prayer, more God. Put God at the head of your medical team, and let him lead you in the very best way to restore your mind…for eternity. 


From my heart, 
Celeste

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Filed Under: Beating Depression, God's Pharmacy, Living in Faith, Managing Prescription Drugs, Overcoming Addiction Tagged With: , , , , , , , , ,