Category Archives: patient non compliance

PRN Medications – An Introduction

Some medications come with specific instructions for use every day, such as “Take 1 tablet by mouth every 6 hours.”

Other medications are only used when needed for a specific situation, such as when you have a cold, allergies, constipation, or pain. Some of these medicines are prescribed for you by your physician while others can be purchased at your local pharmacy.

These medications that are taken “as needed” are known as “PRN” medicines. “PRN” is a Latin term that stands for “pro re nata,” which means “as the thing is needed.”

 

If you are prescribed a medicine to take “only as needed,” the pharmacist should provide you with clear instructions about how and when to take it. Some examples for PRN medications include:

acetaminophen

albuterol

alprazolam

aluminum hydroxide

bisacodyl

cetirizine

cyclobenzaprine

diazepam

diphenhydramine

docusate

hydrocodone

ibuprofen

loperamide

lorazepam

magnesium hydroxide

metaxalone

morphine

nitroglycerin

ondansetron

oxycodone & combinations

polyethylene glycol

prochlorperazine

pseudoephedrine

sildenafil

sumatriptan

tramadol

trazodone

zolmitriptan

zolpidem

Patients  often like to be mindful of when they last took their dose of PRN Medication, since they are not taking it on a regular schedule. The e-pill Kitchen Safe is a tamper-resistant pill box and count-down timer that can ensure patients do not take too many pills. It will “lock out” the patient from taking their medication until a certain interval of time has passed.

The e-pill TimeCap is a small cap that fits on a standard prescription bottle. It displays the last time that the bottle was opened, so the patient knows exactly how long it has been since they took their medication.

More tech-savvy patients can also try the App Pill Logger, which allows the user to record a history of what meds have been taken. This may be useful if you are using several PRN Medications.

Remember to always ask your pharmacist if you have a question about how often PRN Medications should be taken!

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A Case of Iritis

It’s a scary situation when one day you can barely open your eye and when you did, all you can feel is pain. Not only was it painful but also your eye looks like it had been lit on fire. This was a scary thing that happened to me. I had no clue what had happened to my eye.  I did what every typical person would do I called my doctor. I went to urgent care and was diagnosed with Irisits. What the heck is Iritis? In simple terms it’s inflammation located at the iris of the eye. When the iris is inflamed, white blood cells (leukocytes) are shed into the anterior chamber of the eye where they can be observed on slit lamp examination floating in the convection currents of the aqueous humor (http://www.iritis.org/index.php). The doctor told me Iritis could develop from an autoimmune disease or spontaneously happen. In my situation it was spontaneous. For the first few weeks of treatment he gave me two eye drops to take Cyclopentolate Hydrochloride Ophthalmic (dilating solution to prevent scaring) and Predinisolone Acetate (steroids to reduce inflammation). It was imperative I take my steroids drop every hour and my dilating drops every 4hrs. Remembering to take these drops was a challenge for me with my busy schedule. I had to find a solution to my non-compliance. I found the e-pill Multi-Alarm TimeCap http://www.epill.com/eyemed.html to be very useful. Not only did it carry my eye drops it reminded me to take and told me when I last used the drops. Who would have thought a tiny little pill bottle would keep me on track with my Iritis medication drops.

S.C.

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What will the cost be for Mom’s or Dad’s automatic medication dispenser?

Helping your parents manage his/her medication can be a challenging task to take on. Taking their medications correctly and on time is crucial to maintaining a healthy life.

The current system you have set-up probably entails you to sit down with them once a week to sort the different pills they take. You probably call them daily to tell them “Mom/Dad take the blue, white, red, pill at this time now…. etc.”

More pills mean more confusion on when and how to take them, especially when they are prescribed medications. The consequences of taking too much or the wrong kind can be deadly.

There are many solutions to helping them take the right meds at the right time. There are pillboxes, timers, watches, and your daily phone call, etc.

What’s the fix for this dilemma?

An e-pill automatic medication dispenser can help your mom/dad manage their medications. It will offer you some sort of comfort that they are taking their medication correctly and on time. Having a dependable system will minimize the risk of your mom or dad taking his/her medication incorrectly, which can cause harm.

e-pill offers four different types of automatic dispensers:

  1. e-pill MD1 MedTime XL (SKU 991019) $289.95
  • Dispenses meds up to 28 times per day.
  • Reminds you with a visual and loud 60 minutes alarm.

http://www.epill.com/medtime.html

  1. e-pill MD2 MedSmart  (SKU 993109) $489.95
  • Dispenses meds up to 6 times per day.
  • Large digital display and programming buttons
  • Loud audio and visual alarm.
  • Early dose button.
  • AC powered docking base.

http://www.epill.com/medsmart.html

  1. e-pill MD2 PLUS MedSmart MONITORED (SKU 994019) $789.95
  • Dispenses meds up to 6 times per day.
  • Loud audio and visual alarm.
  • Early dose button.
  • Remote Event Monitoring. Alerts caregivers if meds have been missed. MedSmart PLUS calls your cell or regular phone, send a text message or email notification if meds have not been taken within 60 minutes of the scheduled alarm time.
  • NO MONTHLY FEES associated with Remote Event Monitoring
  • Dispenses meds up to 4 times per day. Fill weekly.
  • Tamper Proof (for patients who are trying to get to the medication before it is time.)
  • Secure and refillable plastic medication cassette for easy loading.
  • Alarm and text message reminders displayed on LCD.
  • Alarm sounds continuously until the pills are removed.
  • Adjustable audio alarm.

http://www.epill.com/medsmartplus.html

  1. e-pill MD3 Tamperproof CompuMed (SKU 992033) $844.95
  • Dispenses meds up to 4 times per day. Fill weekly.
  • Tamper Proof (for patients who are trying to get to the medication before it is time.)
  • Secure and refillable plastic medication cassette for easy loading.
  • Alarm and text message reminders displayed on LCD.
  • Alarm sounds continuously until the pills are removed.
  • Adjustable audio alarm.

http://www.epill.com/compumed.html

e-pill offers FREE SHIPPING and handling, 30-Day Money Back Guarantee, and a 1 year warranty on all of our medication reminders.

CVS CareMark: Medication Adherence Study

A recent study conducted by CVS, together with Harvard Medical and Brigham & Women’s Hospital highlights medication adherence for four common diseases: high blood pressure, high cholesterol, diabetes, and depression in 50 states.

In this study they layout the factors that undermine medication non-adherence among patients and will help identify solutions to health care professionals for medication non-adherence.

Non-adherence to every day medications has been seen as a major public health problem. Non-adherence can lead to worsening health which can increase overall health care costs. Through this research study it is hoped that what is learned will help with health care, and will also help health care professionals understand patient behavior and patient non-compliance.

For more information please vist: http://www.cvscaremarkfyi.com/category/improving-your-health/rx-adherence