Health Access Nursing and Home-care Specialists


Medication

What does four times a day mean for medications – do I have to take them at exactly 6 hours apart?
When doctors write prescriptions for 4 times a day, they mean fairly evenly spaced apart, but it doesn't have to be exactly 6 hours apart. There are many medications that must be taken every 6 hours. For these medications, the doctors will write, "every 6 hours" instead of 4 times a day. If you aren't sure how often you should take the your pills, speak with your pharmacist and he or she can help answer your questions.

My medications have to be taken 2 hours after a meal. Why? I like to eat many small meals a day so that becomes really impossible.
Many medications must be taken on an empty stomach for them to work properly. If there is food in your stomach, it will interfere with the absorption of the medications.

If you can't take medications on an empty stomach because of your schedule or a medical issue, this should be mentioned to your doctor so a solution can be found or alternatives can be provided.

I have to take my medication with food. Does that mean a full meal or can it be with a snack?
Some medications must be taken with food to protect the stomach because they can cause irritation to the stomach, causing nausea or even irritation leading to ulcers. If it's possible, you can take the medications with a meal, but if it isn't convenient, a good snack will usually be enough to ensure there is something in your stomach to buffer the medications.

I take too many medications and can't keep track. Some have to be taken before meals, some after, some every other day, some several times a day. I can't keep it all straight.
People with multiple illnesses or even as people get older, they can end up having to take several types of medications, all with their own rules, so to speak.

If you find you are taking too many medications, speak to the doctor who is prescribing them. If you see more than one doctor, as is often the case with people who are followed by specialists, make sure your primary care doctor knows all the medications you are taking, as well as each specialist you see. Explain to them about the many medications and how it is difficult to keep up. Sometimes, medications can be changed or even combined.

At home, there are some tricks that may help you keep track of your pills.

First, pill organizers can be a wonderful help. You can either buy a larger dosette type that has many slots for each day of the week, according to time, or you can buy some of the week containers, with one slot for each day of the week. Some people buy several different colours of these: one for morning pills, one for lunch time, and so on. By using these organizers, you can put out your pills for a week and then if you can't recall if you took a pill or not, you can check your container.

Some people use timers throughout the day to remind them when to take their pills. This may be a good solution if you take several throughout the day. It may take some experimenting to find a system that works well for you.

I can't open the packages that my pills come in. The foil is too hard to break through and I end up having to use scissors or a knife. Why do the companies use that type of packaging?
It's likely that the companies feel that this type of packaging is the most efficient to keep the medications safe and fresh, but you are right in that they can be difficult to open.

When getting your prescription filled, ask your pharmacist to take the pills out of the packaging and place them in a pill bottle. If he or she is willing to do that, it can make a big difference for you. If they can't or won't, perhaps you can ask someone to help you prepare your pills in advance.

Before putting pills in a bottle, however, ask the pharmacist if this is ok for your particular medication. Some medications cannot be exposed to light, for example, and must be kept in a dark container or they lose their potency.

I can't swallow my pills but my pharmacist says I can't cut them. What can I do?
There are many tricks to swallowing pills, anywhere from taking them with a spoon of applesauce or ice cream to crushing them if you are allowed to. Not everyone can swallow these pills though so that makes it really difficult for some people.

When you swallow your pills, do you throw your head back to try to encourage the pills to go down your throat? Most people do. The problem with this approach is that it lengthens your neck and tightens the muscles. Perhaps you should try the opposite. Some people have more success if they put the pills on the back of their tongue, take some liquid, and then bow their head forward to relax the neck muscles rather than tighten them.

If you still can't swallow your pills, speak to your doctor about perhaps changing your prescription.

If you have any further questions about medications or any other subject matter, please don't hesitate to contact us.

 

(514) 695-3131 ~ donna@ashcanada.com
482 Beaconsfield Boulevard, Suite 204, Beaconsfield, QC H9W 4C4