Every day, patients stop at the pharmacy and ask for acetaminophen containing codeine. The general belief is that it can’t be harmful if they don’t need a prescription to get it, and the codeine must make it a better pain killer.
Codeine is an opiate used for treating mild to moderate pain, and an antitussive (cough suppressant) used for coughs that don’t respond to non-opiate medications. The “High Test” acetaminophen contains 8 mg of codeine in addition to 300 mg of the acetaminophen found in regular tablets.
Although most textbooks list the addictive potential of codeine as low, because it provides little euphoria compared to more potent opioids like heroin, codeine preparations can result in both physical and psychological dependence.
Physical dependence with low doses of codeine (defined as less than 200 mg per day, or 25 acetaminophen with codeine tablets) over the short term is uncommon. However, regular and frequent use of codeine over extended periods can lead to tolerance of its pain relief and cough suppression. Signs of physical dependence may be seen as soon as eight hours after the last dose. The symptoms will usually peak within two days and disappear within a week. Symptoms may include anxiety, sweating, yawning, runny nose, watery eyes, abdominal discomfort and “gooseflesh”, as well as a return of the pain that the codeine was originally intended to relieve. Sometimes this pain can return at an even higher intensity than was first experienced, which often leads the patient back to the codeine to escape the pain. Psychological dependence is common in low dose daily users.
For cough suppression, a minimum of 15 mg of codeine is required, or two acetaminophen with codeine tablets. Before trying this medication option, you should speak to a pharmacist or to your doctor, because it is generally not a good idea to suppress a cough. Coughs are designed to help rid the lungs and throat of foreign matter, and suppressing them may prolong an illness or aggravate an infection. However, sometimes it’s necessary to suppress an annoying cough temporarily, in order to get a good night’s sleep. The non-prescription codeine preparations can help in this case.
Codeine and acetaminophen attack pain via different routes, so when acetaminophen alone doesn’t work, it’s thought that adding codeine may take the edge off that pesky pain. Research has shown that you may see some benefit from a dose of 60 mg of codeine in combination with high doses (more than 600 mg) of acetaminophen, but there is no literature to support the effectiveness of the low dose (8 mg) non- prescription codeine preparations. In order to get a 60 mg dose of codeine, it is necessary to take 7.5 acetaminophen with codeine tablets.
This would result in a dose of 2250 mg of acetaminophen. It is recommended for adults to take a maximum of only 1000 mg of acetaminophen every 4 to 6 hrs, or about three 325 mg tablets. (The maximum daily dose of acetaminophen is 4000 mg or 12 tablets). At higher doses, you run the risk of having serious liver problems while your body tries to metabolize the acetaminophen.
So, the “High Test” acetaminophen is not always the best choice to relieve your pain. Talk to a pharmacist about the other non-prescription products available. We can help you identify the type of pain you arc experiencing, and we will suggest appropriate types of pain relief medication, or other courses of action, to help put you at ease.
A recent Gallup Survey found that 83% of Canadians lack knowledge about antibiotics. There are serious misconceptions about antibiotic use; it’s my job to combat those misconceptions. So read on. ..maybe you’re in the majority and I can help you too!
Antibiotics are used to kill or harm specific bacteria. The first antibiotics discovered in the 1930’s; today there are drugs that save lives by curing diseases like pneumonia, tuberculosis and meningitis; antibiotics also clear up many other infections, making life more enjoyable for all of us.
Because bacteria are living organisms, they are always changing in an effort to resist the drugs that we use to kill them. Incorrect use of antibiotics allows bacteria to adapt to the drugs and become resistant, meaning that the antibiotics are no longer useful. The way things are going now, in the near future there may not be any antibiotics left to combat some strains of bacteria.
So, you ask, how am I supposed to use these powerful bug killers? Here’s a list of important DOs and DON’Ts for taking antibiotics:
If we all remember to follow these simple guidelines, not only ~ we be feeling better faster when we get sick, but we’ll be ensuring that the medications available ~ continue to be useful in the years to come. That’s a bit of insurance for our kids -fewer “superbugs” to contend with as they get older.
The trees and flowers are in full bloom for another year…as any allergy sufferer will tell you. Spring and summer (and even fall) bring a steady stream of patients to the pharmacy, each hoping desperately for relief from the itchy, watery eyes and stuffy nose that seem to be the penalty for living in this area. There is little comfort in the knowledge that you are not suffering alone, but even that small comfort is better than none.
There are many antihistamines available without a prescription. They are all effective, as long as they are used properly. To use them properly, it’s important to know what they do.
Histamine is a substance released in the body when a person is exposed to an allergen. It causes the familiar redness, itching, irritation and swelling that are common in ‘allergic reactions’. Antihistamines are used to block the histamine receptors in the body, so histamine cannot cause such reactions. In order to be effective, the block has to come before the histamine release, so optimum benefit is obtained by using the antihistamine on a regular basis BEFORE experiencing the usual allergy symptoms. Once the allergic response has begun, an antihistamine can be used to prevent further release of histamine if exposure to the allergen is continued, but the symptoms already present will not be relieved and must be tolerated until they run their course. There are products available that will give temporary relief, but they should not be used regularly.
While antihistamines are effective in minimizing symptoms in most patients, They are sometimes less effective in patients who experience chronic symptoms. Always keep in mind that no antihistamine can be expected to relieve 100% of symptoms all the time, so even if you use them properly, you will probably notice some of the normal symptoms of your allergies from day to day. This does not mean that the medication is not working for you anymore, unless the symptoms worsen despite faithful proper use of the medication. If that’s the case, your pharmacist may be able to recommend an alternative antihistamine. Sometimes one product will work better for you than another, or will give you fewer unwanted side effects (like drowsiness). So be sure to return to the pharmacy if your symptoms get worse, or if you have any questions about the medications you are taking.
1. From the table below, select the calcium-rich foods you ate yesterday.
2. Record the number of servings of each food.
3. Total the number of servings.
4. Multiply this total by the number of mg of calcium per serving (indicated).
5. Add the results in each group to calculate your typical daily calcium intake.
|Calcium Rich Foods||Usual Serving Size||# of Servings||mg of Ca/Serving||Total mg of Calcium|
|– firm cheese (cheddar,edam, mozzarella)
– macaroni & cheese (homemade)
|– 1x1x3 inch (50g)
– 1 cup (250 mL)
– 10 oz (300mL)
|– skim milk powder
– milk (any type)
– yogurt (plain)
|– l/3cup (75mL)
– 1 cup (250mL)
– 3/4cup (175mL)
|– cheese slice
– soft cheese
– salmon (canned with bones)
– sardines (canned with bones)
– yogurt, fruit flavoured
|– 2 slices-1x1x3in (50g)
– 3 oz (90g
– 11 small
(2 oz; 60 g)
– 3/4 cup (175 mL
– baked beans, soybeans, white beans
– cheese pizza
– pancakes, waffles, made with milk
– pudding, made with milk
– soup, made with milk
– tofu, check label for calcium
– yogurt, frozen
|– 1/3 cup (75 ml)
– 1 cup (250ml)
– 1/8 of 12″ pizza
– 3 medium
– 1/2 cup (125 ml)
– 1 cup (250ml)
– 3 oz (90g)
– l/2cup (125mL)
|– bok choy, kale, cooked
– cottage cheese
– ice cream, ice milk
– parmesan cheese
|– 1/2 cup (125 mL)
– 1 cup (250mL)
– l/2cup (125mL)
– 1 Tbsp (15 mL)
– broccoli, cooked
– kidney beans, lima beans, lentils
– orange (fruit, not juice)
|– 2 slices
– 3/4 cup (175 ml)
– 1 cup (250ml)
– 1 medium
Before taking any over-the-counter cold remedies, talk to your pharmacist or doctor if:
Did You Know…
Although there are many health and medication related topics to discuss, there are a few topics that seem to lend themselves to reprinting. How to take care of yourself and/or your family when facing a cold is one such topic.There are three different conditions that have similar symptoms, to some extent, and are often mistaken for each other: colds, influenza (flu) and allergic rhinitis. Colds are generally characterized by nasal congestion with thick discharge, a sore or scratchy throat, a cough (productive or dry) and a tightness in the chest. The flu usually involves an overall malaise (“feeling bad”) with associated fever, chills, body aches and pains, and a sore throat. People with allergic rhinitis commonly exhibit symptoms such as sneezing, watery eyes and nasal congestion with. clear, more watery discharge. The onset is often predictable and there is rarely a fever associated with this condition.
There are four basic classes of agents available in Canada to give relief of cold symptoms.
Oral decongestants (e.g. pseudoephedrine – Sudafed®, Drixoral®) are fairly common and can relieve congestion within 15-30 minutes. The duration of action is generally 4-6 hours, with some long-acting brands lasting up to 12 hours. They should not be used for more than 3-5 days at a time, and may cause some difficulty sleeping if taken within 4 hrs or so before bedtime. They will increase nasal discharge as congestion is relieved. These items should not be used by people with severe or unstable high blood pressure. Topical decongestants (e.g. xylometazoline Otrivin® – oxymetazoline – Drisfan®)have a faster onset of action, usually being effective within 5-10 min of use, and generally last up to 12 hours. Again, these agents should not be used for more than 2-3 days consecutively, as there is a good chance of developing rebound congestion that leaves the patient caught in a vicious cycle of compounding the congestion while trying to treat it
Using the strictest definitions, an herb is a plant with a soft stem that dies down to the ground after flowering. However, the term “herb” is usually applied much more liberally to mean any plant of which part or all has been used to flavour food, supplement nutrition or treat medical illnesses. In 1985, the World Health Organization estimated that 80% of the world’s population relies primarily on herbs for it’s healthcare needs.
The first written record of herbs dates back more than 5,000 years to the Sumerians who described medicinal uses of such plants as laurel, caraway and thyme. The earliest book on herbal remedies is a Chinese listing of 365 medicinal plants and their applications, and dates back to 2700 BC. In 1000 BC, the Egyptians used garlic, opium, castor oil, mint and other herbs as medicine. The Romans and Greeks also valued plants for their medicinal benefits and records of their medical practices provided inspiration for later Western medical learning.
During the Middle Ages, herbs continued to be important in medicine, and they reached new heights in the 15th, 16th, and 17th centuries when several books on herbs, commonly called herbals, were published. For the first time some were written in English and in languages other than Latin or Greek. Since then, however, the use of herbs as therapeutic products has slowly diminished.
The introduction in the 17th century of active chemical drugs and the rapid development of sciences such as chemistry in the 18th and 19th centuries led to the dominance of chemical therapy in the 20th century. Synthetic chemicals seemed to be the way of the future.
Healthcare providers and consumers still interested in herbal medicine rapidly became disillusioned with herbal products because they could not rely on the products to be effective on an ongoing basis. It became obvious that there was little or no consistency in manufacturing or quality control testing, and products did not necessarily contain appropriate amounts of the therapeutic ingredients. By the 1960’s, consumers were again beginning to consider herbal medicines and naturopathy and homeopathy to complement traditional chemical therapy. The belief that botanical remedies were “naturally” superior to man-made drugs helped to promote their use in the general public. However, quality control was still a problem, and there was no guarantee that the herb named on the bottle was the same as the herb contained within.
In recent years, manufacturers and suppliers have made great advances in laboratory and manufacturing technology; manufacturers are now able to determine necessary levels of active ingredients in herbal products and to manufacture products consistently with these levels. In addition, ongoing quality control testing of raw materials and finished products ensures that the appropriate levels are met. Products manufactured in this scientific manner are considered “standardized” and can be relied upon for safety and effectiveness. If in doubt, look on the label for the word “standardized” or ask a pharmacist.
If you, or someone you know, has recently been diagnosed with diabetes…you are not alone. In fact, 1.5 million Canadians has diabetes, and this figure is estimated to double by the end of 2010. The good news is that there is much interest in finding ways to better control this disease; through medication management, nutrition guidance and encouragement of an active lifestyle. This is best achieved through your partnerships with a variety of health care professionals, who can help you with your specific health care needs.
Our pharmacists are here to help you…
Controlling you blood sugars: Why is control important? How do you know when your blood sugar is controlled? What affects good control? What do you do if your blood sugars are not well controlled? These are questions that we can help answer.
Blood sugar monitors and strips: In the last decade, blood glucose self monitoring devices have become easier and faster to use. By monitoring your blood sugar, you can see how food, medication, alcohol, exercise, illness and stress can affect your control. If you need a blood glucose monitor or would like to change your monitor…call for an appointment and we will book a session to meet with you and discuss:
Foot Care: Good foot care starts with good advice. Staff at our home health store can provide instruction that will help keep your feet healthy. Call for an appointment with a foot care nurse who can provide foot care essentials at a reasonable price.
By strict definition, an herb is a plant whose stem is soft and dies down to the ground after flowering. However, the term “herb” is often applied to any plant, part or all or which has been used to flavor food, supplement nutrition or treat medical illnesses. Herbs and herbal medicine have played, and will continue to play, an important role in the healthcare practices.
|Common Herbs Health Care Guide|
|Bilberry||– Circulatory system
– Visual acuity
|– Maintain integrity of capilaties
– Treatment of circulation disorders (vaicose veins)
– Helps preserve eyesight and prevent eye damage
|Cayenne||– Catalyst for other herbs
– Inflences blood flow
|– Speed circulation
– Slow bleeding
– Regulate heart and blood pressure
|Chamomile||– Calming effect on smooth muscle tissue
– First used by ancient Egyptians
|– Good for digestion
– Helps settle a “nervous” or “restless” stomach
– Relaxing effect
– Relieves back pain
– Sleep aid
– Relieves headaches and cramps
|Devil’s Claw||– Used for over 250 years in Africa and Europe
|– Reduces pain of arthritis and rheumatism
– Relieves constipation
– Helps normalization of cholesterol and blood sugar levels
|Dong Quai||– Most important female tonic in Chinese medicine||– Improves poor vitality, tiredness
– Relieves menstrual and menopausal symptoms
– Strengthen and normalize uterine contractions
|Echinacea||– First used by Indians of the Great Plains to heal wounds
|– Boosts the immune system
– Promotes healing of skin wounds
– Fights bacterial and viral infections
– Shortens duration of colds and flu
|Evening Primrose Oil||– Gamma Linolenic Acid found in the seeds
– Essential fatty acids
|– Relieves cramps, hot flashes
– Relieves symptoms of PMS
|Feverfew||– Used against all “pains in the head”
– inhibits the release of two inflammatory substances thought to contribute to migraine attacks
|– Eliminates or helps reduce severity of migraine attacks
– Alleviates inflammation and discomfort of arthritis
– Helps to reduce fever
|Garlic||– Used by ancient Egyptians to keep their slaves healthy||– Overall health enhancer
– Helps prevent heart disease by reducing blood pressure and blood lipids
– Appears to reduce the risk of certain cancers, especially of the digestive tract
– Excellent digestive aid
– Relieves gas
|Ginger||– One of the most widely used roots for culinary and medical purposes||– Relieves motion sickness and nausea
– Calms the stomach and improves appetite
|Ginkgo Biloba||– One of the oldest living trees, over 200 million years
– Traditionally used in Chinese medicine for respiratory and brain function
|– Increases circulation to the brain helping memory, concentration, vertigo, dizziness…
– Helpful in cases of head injury, numbness and tingling
|Ginseng||– Means “Root of Man”
– Used by Chinese for over 5,000 years
– Enhances athletic performance
|– Increases physical and mental endurance
– Helps the body adjust to stressful situations
– Normalizes body functions
– Reduces cholesterol
– Increases energy
– May enhance sexual desire
– May slow down the various effects of aging
|Goldenseal||– Used by Native American healers for a wide range of ailments
– Used for infections and inflammation
|– Helps relieve pains from inflammation, heals wounds and stops bleeding
– Anti-bacterial -helps reduce or prevent infection of open sores
– Has been used as a laxative
|Kelp||– Type of seaweed
– Rich in iodine
– Contains 23 minerals
|– Beneficial to reproductive organs
– Tones walls of blood vessels
– Excellent for thyroid gland and goiters
– Good for nails and hair
|Milk Thistle||– Popular in Europe as a tonic for the liver||– Rejuvenates the liver
– Protects against the action of liver poisons
– Increases production of bile used for breakdown of fats
|Parsley||– Exhibits a diuretic action
– Increases the secretion of stomach acid and promotes gastric function
– It is often combined with garlic to decease the latter’s unpleasant odor.
|– Used for GI upset including dyspepsia and flatulence
– Aids digestion and offers a rich source of nutrients
– Aids in urinary dysfunction resulting from enlargement of the prostate
– Offers relief in cases of gout and rheumatism
|St. John’s Wort||– Exhibits anti-anxiety and sedative effects
– Has been shown to inhibit several varieties of retrovirus, including HIV
|– Used in the treatment of mild to moderate depression
– Used topically, as the oil, to treat minor burns and skin abrasions
|Saw Palmetto||– Used by American Indians to nourish the body and encourage appetite and normal weight gain||– Helpful in the treatment of benign prostatic hyperplasia
– Remedy for impotence, inflammation of the prostate and low libido in men
|Spirulina||– Blue-green algae
– Source of 8 amino acids, chelated minerals, trace minerals and enzymes
|– Excellent vegetarian supplement because it contains b-12
– Contains potassium, calcium, zinc, magnesium, manganese, selenium, iron and phosphorus
– Rich in chlorophyll
– Reduce both total cholesterol and LDL levels
|Valerian||– “Valium of the nineteenth century”
– Recognized worldwide for its relaxing effect
|– Calms you down
– Relieves insomnia
– Good during periods of extreme emotional stress
– Relieves cramps and gas pains
|Vegetal Silica (Horsetail)||– This plant is valued for its astringent and antibiotic properties||– Used for wound healing
– Strengthens connective tissue
– Helps to heal bleeding ulcers
Lice infestations are a year-round problem, however the autumn return to the classroom tends to result in a peak of reported cases. Tens of millions of cases of head lice are reported each year in North America. Lice are not something to be ashamed of. They are not known to transmit disease, nor do they indicate poor hygiene or uncleanliness. Anyone can get head lice, regardless of sex, race, age, hair length, or socio-economic status. Lice are very contagious and can easily take epidemic proportions. Head lice feed on the blood of their host, much like mosquitoes. They need a warm 30 degree C environment. That’s why they live on the head, the warmest part of the body. Adult lice can only survive away from the body for about 48 hours at room temperature
What Are Head Lice?
How Lice Spreads
What To Look For
Check Family Members
Wash Clothes and Clean House
Treatment of Head Lice
TO REMOVE NITS:
Removing the nits after treatment makes it easier to see any new infestations. Bright, natural light helps you to see the nits better.
Comb the hair to remove snarls, then take hold of a lock of hair. Use your thumbnail against your first finger to strip the nits from the hair starting from the roots right down to the tips. Pin back that lock of hair and continue until nits are removed. Try to remove the very tiny eggs laid right next to the scalp.
You can also comb-out the nits holding a fine-tooth comb (nit comb) on a downward angle. The hair should be kept wet during the combing operation and it is important that the comb be wiped clean frequently and freed from clogging.
Products Available For Treatment of Head Lice
|Pyrethrins (e.g. R&C Shampoo)
This product should not be used for anyone with a known allergy to ragweed or chrysanthemums.
It is important to apply this shampoo to dry hair and leave on the area for 10 minutes.
Then add a little water and work the shampoo in the hair and skin.
Remove the dead lice and eggs as instructed in the package instructions.
|Permethrin (e.g. Nix)
This product should not be used for persons with a known allergy to chrysanthemums, synthetic pyrethroids, or pyrethrins.
Do not use on children under age 2 unless directed by a physician.
The hair should be washed with a conditioner-free shampoo, and a conditioner should not be used after washing.
Itching my increase for a while after treatment, but this is not a concern.
This product is safe and has a low incidence of skin irritation.
The shampoo is applied to wet hair, lathered and scrubbed vigorously for 10 minutes and then rinsed.
A second application should be done in 48 hours.
Insect repellents protect the skin against insect bites for several hours after topical application. The most effective topical insect repellent is N,N-diethyl-m-toluamide, commonly known as DEET, which is effective in repelling a variety of mosquitoes, ticks, fleas, and flies (biting insects), but is ineffective against wasps or bees (stinging insects). Insect repellents may also contain other chemicals which are not as effective as DEET against mosquitoes and ticks. Once applied, insect repellents surround the application site with a vapour which deters insects. Wind, rain, time and perspiration are able to reduce the size of this vapour barriere and reapplication in necessary.
To avoid insects and insect bites, individuals should avoid brightly coloured clothing, strong and flowery perfume, overripe fruit and clover fields. Covering up with clothing and tucking pant legs into socks and using mosquito netting (for example, draped over a baby carriage, stroller or playpen).
Topical application of DEET can cause skin reactions such as redness, irritation, burning and dermatitis. DEET is absorbed through the skin and may cause systemic toxicity. Reports of serious toxicity in children have generally been associated with excessive or prolonged use of DEET. Consequently, insect repellents should be used cautiously to prevent side effects in children.
Citronella based repellents provide short term protection from mosquitoes, but are not effective against other insects. Other purported repellents include Avon’s Skin-So-Soft and Thiamine (vitamin B1) but data is lacking as to their effectiveness.
GUIDE TO SAFE USE OF INSECT REPELLENTS
Allergy Asthma Information Association
Asthma Society of Canada
The Heart and Stroke Foundation of Canada
The Canadian Diabetes Association
The Lung Association
The Arthritis Society
Ontario College of Pharmacists Ontario Pharmacists Association
Canadian Pharmaceutical Association
Canadian Home Care Association
Site of Virtual Hospital
Ontario Medical Association
Have you been thinking about quitting smoking?
With restaurants and bars in the Quinte area becoming smoke-free, now is an excellent time to follow through with your plan to quit smoking. Smoking is becoming more and more socially unacceptable, especially with recent evidence that second hand smoke can lead to health problems in children and adults who are in contact with exhaled smoke.
How can your Kelly’s pharmacist help?
Our pharmacists can assist you in your plan to quit smoking. We provide:
1. Information booklets that can help you better prepare to quit.
These will guide you through the essential stages of quitting, including: motivational ideas to get you thinking about quitting, planning ideas to get you prepared to quit and advice on staying smoke free.
2. Advice on ‘Quit Smoking’ products
We can help you decide which product will be of most benefit to you in helping quit smoking. We can advise you on how to use the product correctly so that you get the most benefit and we will be there to answer any questions you might have. Some third party drug plans cover products specifically for aiding in quitting smoking. Call your medical plan company to see which products they cover. You can then arrange an appointment with your physician and request a prescription as needed.
3. Clinic session
We can arrange a private session with our pharmacist to discuss a personalized plan of action. Your health status, smoking history and previous attempts at quitting can be addressed.
Please call our pharmacy at (613) 962-5388 or visit us at 411 Bridge St. E., (Bridge St. E. and Herchimer Ave.), Belleville, Ontario for further information about appointment times and any applicable fees.
What is Photosensitivity?
Photosensitivity is an abnormal or exaggerated response by the skin to sunlight or artificial light. It can include reactions such as mild reddening of the skin, second-degree burns, blistering and fever. Photosensitizing Agents Many medications are implicated in causing photosensitivity reactions. This is because sunlight and a variety of medications do not mix. The following are some examples of common drugs that can be photosensitive: in other words the medication causes your skin to be increasingly reactive to sunlight or artificial light.
Antihistamines astemizole (Hismanal)
– diphenhydramine (Benadryl)
– terfenadine (Seldane)
– tripelennamine (Pyribenzamine)
– sulfa drugs (eg. Bactrim)
– quinolone derivatives (eg. Noroxin, Cipro)
Certain psychiatric drugs
– chlordiazepoxide (Librium)
– loxapine (Loxapac)
– paroxetine (Paxil)
– phenothiazines (Chlorpromazine, thioridazine, perphenazine, methotrimeprazine (Nozinan)
– sertraline (Zoloft)
– trazadone (Desyrel)
– tricyclic derivatives (eg. amitriptyline, nortriptyline)
– glyburidegliclazide (Diamicron)
– acetohexamide (Dimelor)
– thyazide diuretics (furosemide, hydrochlorothiazide)
– amiodarone (Cordarone)
– ACE inhibitors (enalapril (Vasotec), captopril (Capoten), lisinopril (Prinivil, Zestril), quinapril (Accupril)
– diltiazem (Cardizem)
– felodipine (Plendil, Renedil)
– flecainide (Tambocor)
– hydralazine (Apresoline)
– methyldopa (Aldomet)
– sotalol (Sotacor)
Non-steroidal anti-inflammatory drugs
– diclofenac (Voltaren, Arthrotec)
– diflunisal (Dolobid)
– etodolac (Ultradol)
– ibuprofen (Advil, Motrin)
– ketoprofen (Orudis)
– naproxen (Naprosyn)
– phenylbutazonepiroxicam (Feldene)
– sulindac (Clinoril)
– tenoxicam (Mobiflex)
– tiaprofenic acid (Surgam)
– 5-ASA (Asacol, Pentasa)
– carbamazepine (Tegretol)
– cholestyramine (Questran)
– coal tar derivativesdantrolene (Dantrium)
– flutamie (Euflex)
– fluvastatin (Lescol)
– interferon (Intron)
– omeprazole (Losec)
– pravastatin (Pravachol)
– selegilene (Eldepryl)
– simvastatin (Zocor)
Prevention of Photosensitivity Reactions
If you are taking medications that are photosensitive, tighten up on the rules that you should already be following:Avoid the sun between the hours of 10 a.m. and 3 p.m.Apply a sunscreen (after sweating, swimming and 30 minutes before going outdoors).Avoid sunscreens that are scented or sunscreens containing PABAMake a habit to ask your pharmacist if the medication you are taking reacts adversely in the sun. If it does, cover up or avoid the sun altogether. Finally, do not confuse photosensitivity with a faster way to tan.
Summer will soon be upon us, and with it comes the chance for many of us to take a trip. When preparing for your road trip vacation, be sure to pack a First Aid Kit, complete with the following all-purpose products to help ease many of the discomforts you are likely to encounter.
A lot of people look at the pill bottle handed to them at the pharmacy and gasp in shock as they see the monstrous “horse pill” they’ve just received. “How do you expect me to swallow THAT?!” they ask incredulously.
It’s easy to tell that the thought going through a person’s mind at that time is “Do I really feel bad enough to warrant the struggle it’s going to take to swallow this thing?” Of course, your pharmacist can’t answer that question for you (or for anyone else) but chances are pretty good that if the doctor prescribed the horse pill, then you need to take it.
Keep in mind that most of us regularly swallow chunks of food that are larger than most tablets or capsules that are prescribed. Here are a few suggestions that may help the medicine go down a bit more smoothly:
However, before doing any of these, be sure to ask a pharmacist if the action will decrease or destroy the effectiveness of the medication. Some medications must remain in their original form to be beneficial.
No matter what medication you’re taking, from a one-time pain reliever for a minor headache to daily medication for a long term condition, it is essential for you to know about it.
Knowing about your medication means more than just recognizing the name and remembering the directions for taking it. You should understand how the medication works, what side effects you may experience and what to do if they occur.
The best person to discuss your medication with is your pharmacist. That’s what we’re here for! Don’t be afraid or embarrassed about asking questions, even if the pharmacy looks busy. If a pharmacist can’t take enough time right then to answer all your questions completely, we’ll set up a convenient time to get together and discuss all your concerns. No question is ever too trivial to ask; no answer is so complex that it can’t be understood. If you are confused by something you are told, ask to have it explained again. We can also provide some written information, if you prefer, so you can take it home and read it later. You can still come back and ask questions afterwards.
To help you get started, here are a few of the questions you should have answered before you leave the pharmacy with a new prescription:
Remember, the pharmacist is there to make sure you benefit from your medication. You have the right to be involved in your medical care and the best way to be involved is to ask questions.
These days, many of us wonder if we’re eating properly; some of us know we aren’t. A question that gets asked regularly at the pharmacy is, “What kind of vitamins should I be taking?”
That’s a hard question to answer, because many factors must be considered before deciding to take vitamin supplements at all. An appraisal of an individual’s overall state of health is important in determining which vitamin supplements, if any, are required in the diet.
In Canada, over-nutrition is more common than malnutrition. There are some situations in which vitamin supplementation is a good idea, such as during pregnancy and lactation, in managing blood coagulation disorders, or in chronic kidney failure, but the need for vitamin supplementation in the general public is relatively low.
Many people assume that there are so many vitamin products on the market, it must be important to take them regularly. There are definite signs and symptoms of vitamin deficiencies; these symptoms are rare in our society.
Remember that your doctor is the best person to determine whether or not you actually have a deficiency, because many symptoms can indicate problems other than a vitamin deficiency.
Prior to taking vitamin supplements, other medications that you may be taking should be considered, because there are a number of drugs that interact with vitamins. For example, antacids containing aluminum hydroxide (like Mylanta®, Diovol®, Maalox®) can decrease the amount of vitamin A that gets absorbed, if taken together; cholestyramine (Questran®) can cause a decrease in the absorption of all fat-soluble vitamins (vitamins A, D, E and K); and vitamin C can cause an increase in the amount of iron that gets absorbed. Ask a pharmacist about possible interactions with your medications before deciding on a vitamin supplement.
Of course, the best way to ensure that you get the proper amount of each vitamin is to eat a well-balanced diet. Your pharmacist can suggest foods to help increase your vitamin intake, before resorting to supplements. If you already eat a wide variety of foods on a regular basis, you probably do not need to take vitamin supplements.
Remember, if you have concerns about your vitamin intake, talk to your pharmacist or to your doctor, before buying a vitamin supplement.
The saying goes: “A picture is worth a thousand words”. Hopefully this chart will be as useful. Simply look for your symptoms to get an idea of which vitamin may influence them.
Keep in mind that there are many other reasons for these symptoms having one or more of them does not necessarily mean you have a vitamin deficiency. Always feel free to discuss you concern with any of our pharmacists.
SIGNS AND SYMPTOMS OF DEFICIENCY
|0.8 – 1.1 mg per day||fatigue, depression, irritability, fast heart rate, swelling in extremities, lowered body temperature, disorientation, pins and needles sensation in hands and feet.|
|1 – 1.4 mg per day||bleeding gums; inflammation of mucous membrane of the mouth and/or nose|
|14 – 19 mg per day||skin inflammation (especially upon exposure to sunlight) diarrhea, edema.
*Note: sustained release products have a higher incidence (rate) toxicity – avoid unless recommended by your physician.
|1.1 – 1.8 mg per day||nausea, vomiting, sores on mucous membranes (especially inside mouth) pins and needles sensation in hands and feet|
|1 mcg per day||hallucinations, weakness, loss of balance and motor skills, anemia|
|30 – 40 mg per day||scurvy, seen as: spongy, bleeding gums, loose teeth, loss of appetite, weakness, joint pain * Doses >1 g are associated with toxicity|
|2600 – 3300 I U||dry, scaly skin, “corkscrew” hair, night blindness, dryness of eye sockets|
|Vitamin D (Calciferol)||100 I U day||bone tenderness and fragility, rickets
*Helps increase the absorption of calcium
|9 – 13 I U day||(rare in adults) edema, skin lesions, breakdown of blood cells|
|*Daily doses of vitamins may increase in cases of diagnosed deficiency and for certain medical conditions.|
Vitamins are organic substances which are essential to the normal functioning of the body and with only a few exceptions, cannot be manufactured by our bodies. They are necessary for our growth, vitality and well-being and we must obtain them from organic foods or dietary supplements.
|VITAMIN||WHY IT’S NECESSARY||FOOD SOURCE|
|Vitamin A is necessary for healthy eyes, skin and hair. It is also necessary for proper growth in children.||Milk, butter, fortified margarine, eggs, liver, kidney, leafy green and yellow vegetables.|
|Thiamine is necessary for the proper function of the heart and nervous system||Enriched flour-based products, fish, lean meat, liver, milk, pork, poultry, dried yeast, whole grain cereals.|
|Riboflavin is necessary for healthy skin and for building and maintaining body tissues. It also helps prevent sensitivity of the eyes to light.||Enriched bread and cereals, leafy green vegetables, lean meats, liver, dried yeast, milk and eggs.|
|Niacin is needed by the body in order to convert food to enery. It also aids the nervous system.||Enriched cereals and bread, eggs, lean meats,liver, dried yeast.|
|Pantothenic Acid is necessary for the body’s use of carbohydrates, fats and proteins.||Almost universally present in plant and animal tissue.|
|Vitamin B-6 is important for healthy teeth and gums, the health of the blood vessels and red blood cells. It contributes to the health of the nervous system and the proper growth of children.||>Whole grain cereals, wheat germ, vegetables, dried yeast, meat and bananas.|
|Vitamin B-12 is important for healthy red blood cells. It contributes to the health of the nervous system and the proper growth of children.||Food of animal origin in general, lean meat, liver, kidney, milk, salt water fish, oysters.|
|Vitamin C is essential for health teeth, gums, and bones. It also builds strong body cells and blood vessels.||Vitamin C fortified juices, citrus fruits, berries,tomatoes,cabbage, green vegetables, new potatoes.|
|Vitamin D is necessary for strong bones and teeth. It helps the body utilize calcium and phosphorus.||Milk, cod liver oil, salmon, tuna, egg yolk.|
|Vitamin E is essential for the proper function of the red blood cells and protects essential fatty acids||Vegetable oils, wheat germ, whole grain cereals,lettuce.|
|A member of the B-complex group, folic acid helps prevent certain forms of anemia and is important in maintaining functions of the intestinal tract.||Leafy green vegetables, food yeast, meats, nuts, whole wheat products.|
|Biotin, a member of the B-complex group, is essential for the proper functioning of many body systems. It is also necessary for the utilization of proteins.||Egg yolk, green vegetables, milk, liver, kidney.|
|Choline, another member of the B-complex group, is involved in protein and fat metabolism.||Brewer’s yeast, liver, wheat germ, eggs.|
As important as vitamins are, they can do nothing for you without minerals, and though the body can synthesize some vitamins, it cannot manufacture a single mineral.
|MINERAL||WHY IT’S NECESSARY||FOOD SOURCE|
|Calcium, an essential mineral, helps build strong bones and teeth. It also aids in blood clotting and contraction of muscle.||Milk and milk products, all cheeses, soybeans, sardine, salmon, peanuts, walnuts, sunflower seeds, dried beans, broccoli, collard greens.|
|Chromium aids growth, helps prevent and lower high blood pressure and works as deterrent for diabetes.||Calves’ liver, wheat germ, brewer’s yeast, chicken, corn oil and clams.|
|Copper is required to convert the body’s iron into hemoglobin and is essential for the utilization of vitamin C. Helps prevent anemia, edema and skeletal defects.||Dried beans, peas, whole wheat, prunes, organ meats, shrimp and most seafood.|
|Iodine is required for the proper function of the thyroid gland and helps promote healthy hair, nails, skin and teeth.||Kelp, onions and all seafood.|
|Iron is essential for life and the production of hemoglobin (red blood cells), myoglobin and certain enzymes. It is necessary for the metabolization of B vitamins.||Pork liver, beef kidney, heart, and liver, farina, raw clams, dried peaches, red meat, egg yolk, oysters, nuts, beans, asparagus, molasses and oatmeal.|
|This mineral is involved with the normal function of the brain and spinal cord. It is necessary for Calcium and vitamin C metabolism.||Dates, green leafy vegetables, figs, nuts and bananas.|
|Manganese helps activate enzymes necessary for the body’s proper use of biotin, vitamin B-1 and vitamin C. It is important in the production of thyroxin, the principal hormone of the thyroid gland.||Whole grain cereals, nuts, green leafy vegetables, peas and beets.|
|Phosphorus is needed along with calcium to build strong bones and teeth. It also aids the nervous system.||Meat, egg yolk, dairy products, cereals, breads and nuts|
|Potassium, in combination with sodium, maintains body fluids. It is also involved in the functioning of the nervous and muscular systems.||Meat, fish, fowl, cereals, fruits, vegetables and sunflower seeds.|
|Selenium is an essential element which helps maintain the proper function of the liver and muscles. It is also important for tissue elasticity.||Whole grains, fruits, tomatoes, broccoli, tuna fish, onions and liver.|
|Zinc is needed for normal skeletal growth and repair of body tissue.||Liver, bone meal, brewer’s yeast, beans, nuts and seafood (especially oysters).|
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