Guest Post by Marijke Durning, RN
Some of you ol' time Cranketeers might recognize this guest author from her wise contributions to the Cranky Fitness comments section, way back in days of yore. Well, for newer folks, Marijke is a nurse and health writer, and has a new book out on prescription drugs. (Link is below--and it's very reasonably priced!). Which is a good thing, because did you realize how easy it is to misunderstand what you're supposed to do after the busy doctor hands you that Rx and sends you on your way, and how dire the consequences could be if you screw up? So please welcome Marijke back to Cranky Fitness!--Crabby
Just what is that gibberish written on the prescription you just received? 10 mg PO bid x 10 days? Is that some sort of code*? Do doctors and pharmacists have a secret language that they don’t want you to know about? Well, maybe.
English has borrowed/stolen/adapted words from many languages over time, but it has a good base in Latin. Latin also used to be the language of the elite and the intellectuals. And much in the same way that parents spell out words they don’t want their toddlers to understand, I imagine that at one time, the good men of medicine (because there were no good women of medicine back then) decided that using Latin would be similar to spelling things out. If they used Latin terms and abbreviations, the common folk would have no clue what the doctors were talking about.
Diseases and treatments were given Latin names and over time, the terms became the standard way of referring to most things medical, including prescriptions. By having a standardized way of discussing medications there would be less room for error when information is passed back and forth. But where does that leave you, the patient and consumer, who likely hasn’t studied Latin nor has any medical training?
As a nurse, one of the things I learned from my patients was that there are many people who have no idea what their prescriptions mean or even how to take their prescription drugs properly. Part of my job would be to do a nursing history, which included asking questions about any medications the patients took at home. When I asked, “do you take any medicines at home?”, it wouldn’t be uncommon for a response to be, “yes, those little white pills for diabetes,” or “a half a green tablet for my blood pressure.” Pressed for more information, the patients wouldn’t be able to tell me the name or the dose of their medicines.
As amusing as that story is to tell, there’s a scary side to not knowing or understanding your prescription drugs or medications you have to give to someone else – and that is making mistake.
The most common drug error seems to be with the dose – either taking/giving too much or not enough. Other mistakes include chewing or breaking pills that shouldn’t be broken, taking drugs at the wrong time, even giving them the wrong way. It’s not unusual to come across someone who gave ear drops in the eye or eye drops in the ear. I even met someone who tried to swallow a suppository. Well, I guess it could look like an oddly shaped pill.
Med errors can cause serious problems, even death. Not taking enough of your medications or not taking them in the right manner can cause your original problem to last longer than it should or get worse. Taking too much can cause overdoses. There was a study published last year that looked at drug errors among children under the age of six years in the U.S. Over a 10-year period, nearly 700,000 young children were victims of drug errors outside of the hospital setting. Twenty-five of them died. And most of the errors were because of dosing.
Even not following instructions like “take in the morning upon waking,” can be serious. For example, diuretics, so-called water pills, are usually taken in the morning because they make you urinate frequently. If someone who is frail, weak, or confused takes a diuretic at night and then has to get up to pee, that’s an invitation for an accident – either soiling the bed or falling on the way to the bathroom, maybe causing serious injury.
As we’ve become more information-savvy, we’re learning more about our health and how we can help ourselves. But the one thing I constantly tell people is that a big part of their self-care is knowing their medications and taking them properly.
So the next time your doctor or nurse practitioner hands you a prescription – ask them to go over it with you. Ask them to translate the prescription-speak so when you go to the drugstore, you know what you should see on the label. If it’s a new drug for you, ask your pharmacist to explain it to you – what the drug does, how to take it, and anything else you need to know.
And if you want to learn more about the basics of prescription drugs – how to read those prescriptions, more questions you should ask your pharmacist, tips on how to swallow those horse pills, how to give eye drops or ear drops and more – you’re in luck. I wrote a book called
Just The Right Dose: Your Smart Guide to Prescription Drugs and How to Take Them Safely. Check it out at JustTheRightDose.com!