How To Manage Your Medication

The side effects of certain medications, or taking more than 4 medicines at a time, can make you more at risk of falling. Learning to manage your medication well and understanding how they affect you are an important part of falls prevention.
It’s unclear why taking a number of medications increases our risk of falling. In some cases, it may be because of the underlying conditions rather than the drugs themselves.
What can I do?
- learn about your medication
- organise and plan your medication
- take your medication as prescribed
Learn about Your Medication:
When your GP prescribes you medicine, ask them questions about:
- when to take them
- what you should and shouldn’t take them with – such as alcohol or food
- any side effects, both on its own or in combination with any other medication you’re taking
Read the written instructions that accompany your medication, and keep in one place – in a drawer or folder – so that you know where to find them.
Side Effects:
Side effects linked to falls include:
- dizziness or lightheadedness
- drowsiness
- unsteadiness on your feet
- blurred or double vision
- difficulty thinking clearly
The following medicines commonly cause side effects that can increase the risk of a fall:
- anti-depressants
- drugs for psychosis and agitation
- sleeping tablets and sedatives
- anticonvulsants (medication for epilepsy)
- blood pressure lowering medications
Organising and Planning:
Creating a plan is especially important if you take different kinds of medication. A plan will help you develop a routine and identify times when you’re at an increased risk of a fall.
To create a medication plan:
- List all of your medication, how often you to take them, what they’re for and any side effects you experience.
- Using this list, plan out what medication you need to take each day and when.
- Keep a copy of your plan with you at all times and share it with your GP and pharmacist.
Your GP will review your medication regularly to make sure you still need them and that the dose is correct. If your medication changes, remember to update your planner.
Pill Organisers:
If you’re taking a number of medications, pill organisers or ‘Dosette’ type boxes can be helpful. You can fill it yourself, or with assistance from family and carers. They have separate compartments for the days of the week or times of day, helping you to take your medication on the right day at the right time.
Speak to your local pharmacist for more information.
Taking Your Medication:
When taking medication, you should always:
- take it at right time of day and at the dose recommended by your GP
- check the instructions, or your planner, to make sure you’re taking it properly. Some medicines should only be taken before a meal, or with water or food
- use your own supply and never take medication prescribed for someone else
It’s important to let your GP or pharmacist know if you experience any side effects as they may want to change the dose or try a different medicine for you.
Alcohol:
Mixing alcohol with some medications can cause nausea and vomiting, headaches, drowsiness or loss of coordination, and make the medicine less effective. This increases your risk of having a fall and so it’s always a good idea to check with your GP or pharmacist first if you plan to drink alcohol with your medication.
Over-the-Counter Medicines:
Before taking any over-the-counter medication, or supplements, that you can buy without a prescription, it’s important to check with your pharmacist as sometimes these can effect other medication you’re taking.
Where to Start:
Think about how you currently manage your medicines:
- what positive things do you already do to mange your medications?
- what changes can you make that might help?
- how will you make these changes?
- who do you need to talk to?
Useful Resource:
If you’d prefer to use a smartphone, or tablet, to manage your medication, Care 4 Today is a health management app that’s been reviewed by clinicians to ensure that it’s safe.
Managing medications can be complicated, particularly if you are taking several, and treating different conditions. The following suggestions will help you manage your medications:
Understand Medication Doses and Schedules:
- Understand the exact dose and timing of each medication your healthcare provider prescribes. Verify the information with your pharmacist when you have the prescriptions filled.
- Write your daily schedule for medications on a calendar or chart. Be sure to update the schedule each time your medicine changes. Follow the schedule exactly, and take the exact dosage prescribed by your healthcare provider. Do not change the dose (take more or less of the medicine) without checking with your healthcare provider.
- Know which medications need to be taken on an empty stomach or with food.
Work with your Provider to Manage Medications:
- If you go to different healthcare providers for different conditions, it’s extremely important to tell all of them about each medication you are taking. It may help to carry a list with you at all times. Ask your pharmacist for a medicine wallet card that will help you keep an up-to-date list of your medicines with you. Make sure your pharmacy has a record of all the medicines that you take including any over-the-counter medicines.
- Tell all your healthcare providers and your pharmacist if you have any allergies so they can also keep that important information in your records.
- Never stop taking a medicine on your own—always get your healthcare provider’s guidance. Some medicines must be stopped gradually to avoid complications.
- If the medicine is making you feel sick or causing side effects that you find difficult to tolerate, talk to your healthcare provider about adjusting the dose or changing the medicine.
Make Medication Management Easier Using a Pill Organizer:
- Use a weekly or daily pill organizer—especially when taking several different medicines—to help make sure that you get the right dose at the right time. Ask at your pharmacy to see what pill organizers are available. There are smartphone or computer-based apps that may also help.
- Keep medicines in their original containers—except for those you put in an organizer. The labels contain important information such as medicine name, dosage, healthcare provider’s name, and expiration dates.
Practice Safety when Managing Medications:
- Do not take medicine in the dark, when you are tired, or when you are distracted. You might take the wrong medicine or too much. Ask for help, if needed, to find and take the correct medicine.
- Alcohol can interact with many different kinds of medications. Ask your healthcare providers or pharmacist whether it is safe to drink alcohol with any prescription or over-the-counter medicine.
- When children or grandchildren are around, keep medicine containers out of reach, particularly those that do not have childproof caps.
- Medications should be kept in a dry, cool place (not in the bathroom).
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