Medication Safety Articles

 

Today, parents are often given open visiting hours to be with their sick, hospitalized child. Many parents take advantage of this option and remain with their child as much as possible. For an ill child, this can be comforting and provide an important emotional benefit, which at times might help them get better faster. A study published in 2009 also suggests that parents who stay with their hospitalized child can help detect events, for example, errors with medicines that could harm their child. However, the study also showed that parents can sometimes cause the harmful event.1

It was double trouble for a patient when she and her doctor both made errors and it led to a 4-fold overdose of an antidepressant medication, CELEXA (citalopram Hydrobromide). The patient was starting this medication for the first time and after three days she began to experience severe anxiety, agitation, nausea, and severe fatigue. She called her doctor about her symptoms. The error was identified when they reviewed the medication together and realized what was causing the problem – a medication error.

There is evidence that some patients (and perhaps even health professionals) may not recognize that FDA-required facts about over-the-counter (OTC) medications, including dosing information, are often on a peel-back label that is stuck to the bottle.

Consumers must use caution when purchasing prescription drugs over the telephone or the Internet.  In addition to the increased risk of purchasing unsafe and ineffective drugs from the thousands of Web sites operating outside the law, there is the danger that personal data can be compromised

The New York City Department of Health and Mental Hygiene issued an alert a few years ago about the use of camphor products around children. The alert mentioned children who were hospitalized with seizures after ingestion and contact with over-the-counter (OTC) camphor products.

National Poison Prevention Week is being celebrated on March 20-26. The week is nationally designated to high-light the dangers of poisonings and how to prevent them. Every year in the US, more than one million children under the age of 5 are exposed to poisons. These poisons include medicines and other chemicals used inside and outside the home.

Every time you fill your prescription at the pharmacy you should receive written information about the medication you are taking. This information is called Consumer Medication Information (CMI) and is written by drug information companies and provided by the pharmacies that use their services. Pharmacies sometimes modify this information to make it shorter and easier to read. The Food and Drug Administration (FDA) does not currently approve or review CMI. Pharmacies typically provide CMI with every prescription that they fill.

A doctor prescribed doxepin (Sinequan) 50 mg daily for a young man with depression. This medicine is available in a 50 mg capsule. But the pharmacy where the man had the prescription filled carried only 10 mg and 100 mg capsules. The lower dose (10 mg) is normally used to treat patients with chronic itching. A higher dose (50 mg or more) is the usual dose to treat depression.

Products known as Miracle Mineral Solution, Miracle Mineral Supplement, and MMS (Figure 1) have been reported to cause life-threatening reactions and should not be used. The Food and Drug Administration (FDA) first warned consumers in July 2010 about the product. However, it is still being sold on the Internet by a number of distributors. These distributors claim MMS can be used to treat multiple diseases including colds, acne, cancer, HIV/AIDS, hepatitis, H1N1 flu virus, and more. However, FDA is not aware of any research proving the product is effective against these diseases. So, FDA is advising consumers to stop using the product immediately, particularly since it causes serious side effects. 

Most people recognize that accidental poisonings in children are a daily occurrence in the US. But you may be surprised to learn one common source of these poisonings: grandparents’ medications! A scientific study conducted at the Long Island Poison Center1 found that about two of every 10 medicine poisonings in children involved grandparents’ medications. Most of these poisonings, caused by what the study participants called the “Granny Syndrome,” involved grandparents’ medicines that had been left on a table or countertop, on low shelves, or in grandmothers’ purses.

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