10 mistakes when taking medicine

Date: 25/ 02/2019

Carefully read the recommendations clearly stated on the packaging of over-the-counter medicines and use instructions located inside the packaging of mandatory prescription drugs.

Every year around 1.5 million people in the world suffer from serious illness or injury and about 100,000 people die from misuse of pharmaceuticals. Unfortunately, these deaths are preventable. Here are 10 mistakes in the most common use of drugs, endangering even death.

1. Confuse the name of the medicine

This is likely to happen when the prescription is written by physicians with very difficult to read, the drug dealers look “not”, so selling to a patient is not a medicine they need. This is very likely because pharmacies arrange drugs in order a, b, c … According to the “National Drug Use Reporting Program” (US), the errors due to The name of the medicine or the similar way of reading accounts for 25%.

2. When drugs “crash”

Each drug has side effects and the side effects increase when using two drugs at the same time because they can interact with each other in many ways. For example, if the patient uses a drug that has side effects that raise blood pressure and another drug that also has side effects such as hypertension, then it is very dangerous … The most famous of all drug interactions is one type. Anticoagulant wafarin (coumadin), so when prescribed this medication, the patient should consult a doctor, pharmacist when trying to take another medicine.

3. Use many drugs with the same characteristics

The death of a young Australian actor Heath Ledger is a good example. The death of Heath Ledger’s later use of medicine was called “Heath Ledger Syndrome” by many medical experts. Heath Ledger has used many drugs with the same characteristics to treat various diseases. Heath Ledger has been taking a nap because of the combination of drugs that cause a lot of toxicity. Not only prescription drugs, over-the-counter medicines can also be similarly harmful, such as antihistamines, cold medicines, coughs, etc.

4. Using unsafe medicine compared to age

As we age, our bodies handle drugs completely differently when we are young. Elderly people are also “sticking” to many other problems such as dementia, panic, fall, high blood pressure … Therefore, the drugs that cause such side effects increase the frequency of risks. high, especially those who have passed 65 years of age. Pharmacies should help patients take medication conveniently by dividing the dose available in a device to drink during the week.

5. Take the wrong dose

Drugs are prescribed in many different units of measurement, units are often abbreviated and just a single dot confusion is enough to draw, such as 1.0 mg and 10 mg. The most common confusion is in micrograms (mcg) and milligrams (mg, 1 mg = 1,000 mcg). This usually happens in a hospital when the patient is injected intravenously and is also common in outpatients. Therefore, the doctor needs to write clearly on the prescription.

6. Drink alcohol with drugs

Many drugs are recommended not to be used with alcohol (often with extra labels on the medicine box, which is usually orange). This is really a “dangerous coordination phase” because alcohol will increase the toxicity of tranquilizers, analgesics and many other drugs. According to health experts, patients should never drink alcohol when using any medicine. For non-prescription drugs, alcohol is no better.

7. Although two but one

Each medicine always has 2 names: generic name (or chemical name) and brand name drug. The name of the brand name is the name of the pharmaceutical company with the right to trade protection, and the generic name is the name of the drug substance. Each pharmaceutical company takes a different brand name but the generic name has only one. For example, a diuretic called generic furosemide, but it was named Lasix by the company and another company named Furix … In fact, these two drugs are just one with the active ingredient furosemide. Patients may take these two drugs at the same time without knowing they are only one, meaning that the patient has taken twice the dose.

8. Sharing prescription drugs with other drugs

Some over-the-counter medications can cause very serious reactions. Well-known over-the-counter medications for interacting with prescription medications are Maalox that specializes in gastrointestinal discomforts containing a bismuth subsalicylate active ingredient. This substance can cause serious reactions to prescription drugs such as anticoagulants, drugs used in patients with low blood sugar …

One of the most famous herbs is Saint-John’s-wort sold around the world. In Vietnam, this drug appears quite a lot in the form of “portable goods”. If you see a medication called Saint-John’s-wort, be cautious. This drug is used to treat depression without prescription. It may interact dangerously with prescription antidepressants; interact with anticoagulants (such as Warfarin) or cardiovascular drugs (such as Digoxin) …

9. When food “tripped”

The culprit causing the most serious consequences is the juice of grapefruit juice. Researchers believe that the substances in grapefruit have lost the effect of an enzyme called CYP3A4, which is present in intestinal membrane cells and is able to resolve many drugs. For example, medications used to lower blood pressure may lower blood pressure too much; If the drug increases absorption, it means increasing harmful side effects or causing drug poisoning, such as when taking cholesterol-lowering drugs, if there is presence of grapefruit juice in the body, the drug concentration this in the blood will be higher, causing muscle disorders, liver damage …

10. Do not pay attention to patients with liver and kidney failure

When the liver and kidneys fail, the body’s ability to detoxify. Therefore, when the liver and kidneys fail, the drug accumulates in the body at a higher dose than normal. This can lead to serious consequences. Errors often occur when doctors do not know patients with liver failure or kidney failure, so do not reduce the dose but still prescribe medication as prescribed for a normal person. There are many drugs that doctors are not allowed to prescribe when a patient has liver or kidney failure.