10 ways to check your Medication is Proper or Not.

If a patient is receiving hydrocortisone and then is given either an antihistamine or a barbiturate, the hydrocortisone effect is lessened. If a patient is taking an antihistamine for an allergy and uses alcohol, the result may be central nervous system depression. If a patient is using alcohol and takes a barbiturate, there is a marked increase in the effect of the barbiturate, which has been responsible for many deaths. An understanding of the complex details of drug interaction is some- thing for a doctor to be aware of and make use of, not for a patient to worry about. And the point of mentioning the subject here is simply this:

If you are already taking one or more drugs for a condition, when you see a physician about a new condition let him know what you are taking. If you are taking drugs under a physician's direction, get his advice even on such a seemingly simple matter as whether it will be all right, if you develop a headache or a cold, to take aspirin or other agents to make yourself more comfortable.

PROPER USE OF MEDICATION 

Although most sick people benefit from their contact with the treasure chest of modern medications, the experience is unhappy for too many. Much of the unhappiness could be avoided by common sense procedures based on awareness of the realities of diseases and medications. The rules are simple and few:

1.       Take medications on your own only for the most minor conditions, and seek medical advice if there is no clear improvement within a day or two.

2.        A Special Word about Medicine Taking If you are using a medication prescribed by a physician, do not take any medications on your own for some other problem unless you have been informed they will cause no trouble.

3. When you seek medical help for a problem, leave it up to the physician to determine whether you really need medication or whether it may be wiser, in a particular situation, to let the body use its defenses to overcome the problem-for the body often can do exactly that. Don't be in a rush to take something, to pressure the physician to give you some- thing. Make it clear to him that you understand that sometimes no medicine is the best medicine.

 4. Follow the physician's instructions to the letter when he gives you a prescription. Get it filled immediately. Take exactly as directed-in the prescribed dosage, for the prescribed length of time.

5. If you notice any untoward reactions while taking a medication, let your physician know immediately. A side reaction may not be serious -or it may be. If it's the latter, prompt measures can ameliorate it.

6. Do not save leftover drugs.

7. Ask your physician to instruct the druggist to label the bottle or other container of any medication prescribed with the name of the medication. You will find that more and more doctors today believe strongly in this. It can be a safety measure, helping you to avoid mistakes in taking medication.

8. And if trouble should arise during the course of taking the medication. If there should be an accidental overdose, if a child should happen to get hold of the medication and use it, the immediate identification of the compound may well help to prevent fatality.

Moreover, your knowledge of what you are taking can come in handy if you have to consult another physician while your own is away.

9. Safeguard medication. Never leave any, including aspirin, standing around on a dresser or a table. Return it to the medicine cabinet immediately after use. A medicine cabinet should be kept closed and locked. It's a good idea, especially in any household with children, to have a medicine cabinet equipped with a combination padlock, or a drug safe or chest with combination lock. Your druggist can advise you about obtaining one at reasonable cost.

10. Teach your children to properly respect medications. Do not tell a child that medicine is like "candy" because it tastes good. Instead, even at a very early age, teach him that medicine is to help overcome illness, and that it doesn't matter whether he likes it or not, it is something he must have when sick to make him well, and never at any other time. 

How much is drug overdose? How to measure medicine intake?

With many common sleeping medicines, it is possible to get a 3/4 grain size as well as 1-1/2 grain so

that one of each may be used. For Amy talit there is also a 1 grain size, which many women find is just the right amount. Some men like to take two of the 1 grain capsules and find that this dosage gives them a pleasant night's sleep. 

Delicate assaying of dosage is often possible with liquid medications -for instance, tincture of belladonna, an old standby for stomach cramps and indigestion. Some doctors say, arbitrarily, take 15 or 20 drops.

The expert therapist uses a different approach. His instructions to a patient may go something like this: "1 want you to get the full effect, which is just short of the beginning of toxic symptoms which are dryness of the mouth and blurring of vision. 

So start with 15 drops just before each meal and at bedtime. Then, each day, increase by 1 drop so Ih.,1 you will be taking 16 drops four times a day the second day, 17 A Special Word About Medicine Taking / 41 drops the third day, and so on. Keep increasing until you notice one of the toxic symptoms.

Then drop back by 1 drop each day until there are no toxic manifestations. You may settle on 18 drops or you may need 22, or some other amount. The strength of the tincture may vary slightly from drugstore to drugstore, and sometimes the size of the drops varies too. 

Once you have standardized the dosage you need, keep it and use the same bottle and get the prescription refilled by the same• drugstore." Thus, what seemed like a simple prescription turns out to be some- thing of a scientific experiment. But for you, such experimenting to find exactly the right dose you as an individual need may mean the difference between having and not having disagreeable dyspeptic symptoms. 

Human body reactions to Medicines and Foods Vs Medicines

REACTIONS TO MEDICINES

It may seem unbelievable but there are more than 250 diseases that can be caused by the very medicines designed to treat and cure illness. You may well ask, "Why is this possible?" The reasons are not difficult to understand. Over the past twenty-five years or so, many hundreds of new com- pounds have been developed for treating and preventing disease. Many are powerful and complicated substances.

Their very effectiveness depends upon their great potency and complexity. In some instances, trouble has come unexpectedly because a powerful A Special Word about medicine taking new agents was not tested fully under every conceivable circumstance. Thus, for example, thalidomide seemed to be an excellent and harmless tranquilizing agent in most people, but when it was used by pregnant women it had terrible effects on their unborn children. Another reason for drug-induced illness is that human beings do have tendencies to develop allergic or sensitivity responses. These vary considerably, just as they do for foods. One person may eat eggs until the hens scream for mercy-and enjoy them with impunity; another person, allergic to them, cannot eat one without developing some upset.

And so with other foods

Because of sensitivity problems, a medicine that is highly beneficial for 95 percent of the population may cause trouble, even potentially serious trouble, for the remaining 5 percent. A good example is penicillin, clearly a lifesaving drug. It has, indeed, probably saved well over a million lives since its discovery. But it also has caused severe sensitivity re- actions in scores of thousands of people and has taken the lives of thousands.

As you may have noticed, physicians today inquire carefully about possible previous sensitivity reactions to penicillin before administering or prescribing it. Just as some people, after repeated exposure, become allergic to rag- weed pollen or to poison ivy, so some, after being helped once or even several times by an antibiotic, may develop allergic reactions to the com- pound. Usually the problem is mild-skin rash, hives, or slight fever- and disappears once the drug is stopped. Occasionally, however, there are anaphylactic, or shock like, reactions which are life-threatening, and these can be overcome only if heroic measures-adrenaline and other injections-are used in time.

Still considered the single most valuable antibiotic,penicillin is a major allergy producer because it has been so widely used. It is estimated that 10 percent of Americans have become sensitized to the drug. Still another reason for undesirable reactions is that no drug is 100 percent specific-hitting the bull's-eye, so to speak. In the course of countering the problem for which it is being used, it may produce other effects, and these have to be reckoned with. Consider, for example, the gastrointestinal upsets-cramps, diarrhea, sore mouth, rectal itch-which may occur after use of many antibiotics.

They can come about because of an upset in the natural germbalance in the body. Many harmless bacteria are always present in the gastrointestinal tract. Some, in fact, are essential to digestion; some manufacture vitamins. When a potent antibiotic is introduced to fight infection, it may also decimate this normal bacterial population. Moreover, these friendly bacteria serve another purpose in the body.

Modern medicines and Health Issues

Modern medicines serve a purpose and very often can provide relief for minor problems. In themselves, they are generally safe as long as the dosage recommendations on the package are not exceeded. It's important to keep in mind, however, that such medications, as any others, may produce undesirable effects in relatively small numbers of people who happen to be particularly sensitive to them.

So if you notice any such side effects as rash, nausea, dizziness, visual disturbances, or others, which seem to follow use of a particular medication, you may well have sensitivity to that particular medication, and no matter how popular it is with other people, it is not for you. If in doubt, you should check with your physician. Absolutely vital when you prescribe for yourself is the need to keep in mind that you may be making a mistake in diagnosis, treating the wrong illness, or masking minor and superficial symptoms while an underlying serious problem gets worse.

For example, a "simple" head cold may really not be simple when there is fever, sharp pain in the chest, sputum discoloration, rapid breathing, or nausea; it may, in fact, be a serious bronchial infection or pneumonia. If you do treat yourself, never continue to do so for more than a day or two unless you are certain there is steady improvement-and if your symptoms get worse or change, don't wait even that long before consulting your physician. 

Modern Medicines is One of Major Successes, But it Also Includes Disasters

A SPECIAL WORD ABOUT MEDICINE TAKING 

THE HISTORY of modern medicines is one of major successes, but it also includes disasters. Tremendous benefits have followed the discovery of insulin for diabetes, agents for controlling high blood pressure, antibiotics and other anti-bacterial that kill or impede the growth of bacteria, cortisone and other steroid compounds that combat inflammation, tranquilizers and antidepressants for nervous and mentaldisorders, and drugs that slow the wild growth of some cancer cells. But there have been tragedies traceable to indiscriminate use and abuse of such powerful agents and of others. For one thing, no medication yet developed is fool proof-universally useful for even the condition for which it was developed, free of undesirable effects.

Virtually every drug, just as virtually every food, may produce unpleasant effects for at least a few individuals, and so it must be used with care. We hope in this chapter to provide a useful guide to medicine taking, one that will be helpful to you both in more effective treatment of any health problems that arise and also in preventing many problems. 

PRESCRIBING FOR YOURSELF 

A recent survey of a small but typical group of households carried out by a major university research institute found that the number of medications on hand varied from 3 to 88, with a mean of 30. Of the 2,539 medications observed, only 445 were prescription drugs. Each month in the United States, 750 out of every 1,000 adults 16 years of age and over experience a cold, headache, or other illness or  injury for which only 250 will consult a physician.

Thus, people control their own care in terms of whether and when to seek medical aid and when to prescribe for themselves. Virtually everyone on occasion does his own prescribing-and that can be a practical matter. Certainly every minor ache or pain does not require that a doctor be called. Nobody wishes to become a habitual patient. The medicines-variously known as "patent," "proprietary," and "over-the-counter" or "OTC"-which you can purchase in drugstores without a doctor's prescription are generally milder and have fairly broad safety margins. 

Persistent Cough may mean Infection, Obstruction, accumulation of fluid, or in lungs

Coughing may indicate only a minor temporary throat irritation. But a persistent cough may mean infection, obstruction, or accumulation of fluid in the air passages or lungs, and so it deserves medical attention.  

 The Promise and Nature of Preventive Medicine 50 does a cough that developed during a respiratory infection but then persists long afterward. 

Urinary changes: We have already noted that blood in the urine re- quires investigation. Frequent urination may be the result of infection or, in some cases, nervous irritability of the bladder. Frequent and voluminous urination may be an indication of a relatively rare type of diabetes, diabetes insipidus. In older men, the need to get up several times a night for urination may indicate an enlarging prostate.

Difficulty in starting urination may indicate sufficient prostate enlargement to require treatment to prevent backup of urine and impairment of kidney function. Actually, any marked change in the urine-in its volume, color, or number of times it must be passed-calls for medical study. 

Nausea may stem, of course, from a gastrointestinal disturbance, but it may also arise from an infection almost anywhere in the body or from disturbance of the balance mechanism in the ear. If the nausea is mild, you can delay a little before consulting a physician, for it may disappear in a short time and not return. But severe and persistent nausea, or nausea that keeps recurring, calls for medical attention.

Jaundice, or yellowing of the skin, may be due to a viralinfection and is especially likely to be seen in younger people. It may signal gallstones, and this is especially likely to be the case for middle-aged women. In older people, it sometimes is due to cancer of the pancreas or to cancer that has spread into the liver from elsewhere. The safe rule is always to regard jaundice as a signal calling for immediate medical attention. In some people with sallow complexion, jaundice may not be readily discernible on the basis of the appearance of the skin; in such cases, look at the whites of the eyes-if they are distinctly yellow, jaundice is present.