Medication Safety

 MEDICATIONS AND AGING

  • Many seniors have multiple medical problems, which result in large numbers of medications being prescribed. Add to this over-the counter drugs and supplements, and the result is many people taking more than 10 pills a day.
  • The more medication someone takes the more potential there is for drug interactions, dosing mistakes, and side effects.
  • The top two medication mistakes are forgetting to take a drug OR forgetting it was taken and taking it a second or even third time. This can lead to severe side effects.
  • Aging kidneys and liver are less effective at filtering medications out of the blood, which can lead to toxic levels.
  • Ongoing monitoring by the provider is necessary to reinforce safety with medications.

SAFETY TIPS FOR MANAGING MEDICATIONS

  • A medication bag is given at the first appointment. Use the bag to bring prescription medications to all future appointments, along with a current list of over-the-counter medications and supplements. Confirming valuable information on the prescription bottle is one way to minimize medication errors.
  • Do not make changes to medications; always call the office to discuss concerns with dosage or administration times.
  • All medications prescribed by MMC providers should be managed by the MMC team. If a medication or dose is changed by another doctor, please notify our office before proceeding.
  • Never give a person medication prescribed for someone else.
  • Pharmacists are a valuable resource for medication questions.
  • Let the pharmacist know if a medication dose is changed or a medication is stopped.

SAFETY TIPS FOR TAKING MEDICATIONS

  • Write out a complete medication schedule.
  • Use a weekly pill organizer.
  • Fill the pill organizer every Sunday.
  • After filling the pill organizer, keep the medication bottles out of sight and even locked away from where the pill organizer is kept.
  • Spot check the pill organizer during the week to be certain medications are being taken as prescribed.
  • Discuss with the provider or nurse any dose timing issues that may be over-complicating the medication regimen. For example, a twice a day medication may be switched to a form that can be given once a day or an evening medication may be switched to the morning.
  • Medications no longer in use should be safely discarded or locked away for future use if necessary.
  • If a weekly pill organizer is not effective, speak to your provider or nurse about other strategies to use.
  • A written medication list or photo of the list kept on a cell phone can be helpful for emergencies — just be sure to keep these lists updated.
  • If swallowing is difficult, talk to the provider or nurse about using medication patches, changing to liquid form, or crushing medications and putting them in food.