Published on Dec 16, 2013 and last reviewed on May 28, 2019 - 1 min read
Know your medications and carry them with you. This article explains why.
I have wanted to write a very general and basic note about taking all your prescribed and non-prescribed medications when you visit your doctors (any specialty). I would like to explain this by writing about one of my own patients.
Patient XYZ is a 62 year old man who has diabetes, hypertension, hyperlipidemia, chronic kidney disease, coronary artery disease, orthostatic hypotension (and some dizziness). He does not follow up with a primary care physician (PCP) and likes to see only specialist for all his concerns. Having a PCP as a family doctor would be an excellent idea as they know the patient as a whole and could definitely help to place necessary referrals and reconcile medications and investigations.
So, this patient sees an endocrinologist who manages his diabetes and also does preventive bone loss strategies. She also addresses hypertension and hyperlipidemia in addition to the neurologist/cardiologist and nephrologist doing the very same thing. Similarly, his entire super specialty consultant modifies his medications/doses which at times can be very very confusing for the patient. It would be a very healthy practice to review other medications/prescriptions and even better practice would be to talk to the other consultant about so and so medication/dose change. But this is seldom done in clinical practice. Patient XYZ ends up on two statins (for cholesterol), two different calcium and vitamin D preparations, two different ARB inhibitors ( for blood pressure) and ends up taking close to 20 medications in addition to over the counter supplements (Revittal, omega 3, flax seed, vitamin E, vitamin C etc).
We are just not talking about the cost of medications but also the poor compliance with medications, side effects and drug interactions. So, kindly take all your medications with you when you meet your doctor and also know the indication (why am I taking this medication?) for the medication prescribed.
Query: Dear Doctor, I am a 24 year old female, was prescribed with Celexa 20mg once daily and Buspar 5mg twice daily for severe anxiety/panic attacks. Both of these medicines are SSRIs though, and I read about it online that everyone/every source says never to take them at the same time due to risk of ... Read Full »
Query: Hi doctor, I am concerned about my low and falling WBC count recently. I do not have any chronic diseases. My doctor says, it is vitamin B12 deficiency and the doctor has prescribed Vitamin B12 to take 1000 mg per day. My mother had MDS, diagnosed two years back and expired from it. My WBC counts r... Read Full »
Article Overview: This article discusses the importance of vitamin D, vitamin D deficiency, and its natural sources. Read Article
Sources of Vitamin D: Sunlight is the most important and abundant source of vitamin D available. Non-vegetarian food is the second most important sources of vitamin D. Examples are fish oils, egg yolk, dairy products, etc. Vegetarian food has scarce amounts of vitamin D. Some of the exa... Read Article
Do you have a question on Importance Of Medications or Pcp?Ask a Doctor Online