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Do It Right
Tips on organising your medicines
Written By Mr. Yap Jian Yik
CARiNG Pharmacist
‘Your sugar level seems high. Did you miss any dose yesterday? Did you take your medication as prescribed?’ I asked.
After a long pause, he said he did take his medicines.
Well, a mom knows when her kids lie. We, pharmacists, know when someone lies about taking his or her medicines. How do we know? The pauses, the uneasiness while saying yes, giving different answers when we ask the same but rephrased question.
After scrutinizing his prescribed dose in his patient medication record, I rephrased the question. ‘You have two medications for diabetes right? One before the meal and one after the meal. Metformin, the one to be taken after the meal. Did you take it? At what time did you take it?’
‘Yes, I took it in the morning but I missed that at night. Too many pills lah. I have another cholesterol medicine to be taken at night,’ he confessed.
This is why organising your medications is so important. People are less likely to take their medicine when taking medicine feels like a daunting task. It does not have to be this way. Discuss with your pharmacist. Tell us if you miss your pill frequently. In fact, we appreciate patients who open up to us and get our help in organizing their medications.
Medication Schedule
In the early phase of my career, I was fortunate to meet a lady named Anna who faced trouble organising all the medication and supplements for her mother. I was inexperienced and did not know what I could do to help her. She was the one who asked whether I could help her in organizing her medication schedule. So we sat down, planned it out to avoid cramping all the pills in the morning. I learned a lot and she learned a lot. I learned how much a medication schedule or checklist helps in improving medication compliance. She learned why calcium tablets have to be taken after meals, why many cholesterol medications need to be taken at night and why certain hypertension tablets need to be taken in the morning.
Pillbox
Yes, the good ol’ pillbox. The pillbox is helpful when organizing medications for an elderly. Many elderly patients might get confused or even forget the time to take their medications. Many children appreciate the use of pillboxes in organizing multiple different medications for their parents.
Some patients tend to forget whether they have taken their medication. They will end up making a hard decision between taking another tablet or not taking another tablet. With a pillbox, an empty compartment is the best proof that the patient has taken the medicines.
Even I, as a pharmacist, experienced that.
‘OMG, did I take the pill just now?’
Do remember that not all medications are suitable to be placed in the pillbox. Some medications are meant to be taken immediately after removing from its blister package, especially those tablets which easily absorb the water in the air.
Medication Reminder App
If you think sticking a piece of paper on your fridge to remind you of your medication is too primitive, you can go with an medication reminder app. To be frank, I did not think of this until I started preparing for this article. After downloading one of them (there are so many in the App Store), it was quite a fun experience.
The one that I tried has two sections. The first one being the list of medications while the second one being the calendar. You can key in all the medications you are taking in the first section. After clicking ‘eat now’ in the first section, the date and time taken for the pill will appear in the calendar. You can also key in the reminder time for the app to remind you when it is time to take the medications.
Monitored Dosage System (MDS)
Imagine a pillbox but filled carefully and professionally by pharmacists. Yes, that is what the Monitored Dosage System is all about. Medicines are dispensed in a special tray with the days of the week and time of the day labeled on them. This addresses the issues of difficulty accessing the medicine and following the regimen due to forgetfulness, confusion or even sight impairment. These people may benefit from MDS:
- Patient taking large quantities of different medicines each day
- Patient who find it hard to remember what to take and when to take it
- Patient who have complex medicine regimes where they have to take different medicines on different days
- Patient who find it hard to remove medicines from packaging
- Patient who have restricted use hand such as patients with arthritis and Parkinson’s disease
- Patient who are partially sighted
Taking your medication can be simple. I hope to see more ‘Anna’ in my practice. By talking to your pharmacist, you learn more about your medications. We, pharmacists, also learn from your experience that you share with us.
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