Hospital News

Kimball Urges Caution When Taking
Over-the-Counter Medicine

Lakewood, NJ, April 19, 2007 -- When your wellness is at stake, it's important to know how to take over-the-counter medications wisely.
"While over-the-counter medications don't require a prescription, they are serious medications that can be highly effective when used correctly, but carry high risks when misused," says Kim Walsh, director of Pharmacy Services for Kimball Medical Center, who notes that Kimball joins health care professionals throughout the country each April to observe Medication Safety Awareness Week. This annual observance was created to raise awareness about the safety of OTC and prescription medicines, and offer strategies to reduce risk.

According to the U.S. Food and Drug Administration, an estimated $76.6 billion is spent annually on preventable medication-related illnesses.

Over-the-counter (OTC) medications are drugs that the US Food and Drug Administration (FDA) has approved as safe and effective for consumers to use without a doctor's prescription. It is estimated that Americans diagnose and treat themselves with OTC medications for common health problems four times more often than they turn to their physicians for help.

"Often people use this self-help approach because they think drugs sold over-the-counter are completely safe," Walsh says. "But they are potent and can cause harm if they're not taken with care."

In fact, Walsh notes that ignoring label instructions on an OTC drug can cause a health problem that's even worse than the one originally being treated.

"Taking a more active role to learn about medicines and supplements and communicating more effectively with health care practitioners may avert serious harm," she says.

Walsh also urges caution when using herbal products and nutritional supplements, noting that harm can result from the product itself, taking too much of it, and/or combining it with other products, including OTC and prescription medicines.

"Everyone should read warning sections on labels or look up the name of the medicine in the Physician’s Desk Reference for Nonprescription Drugs," she says. "If you are unsure about taking an over-the-counter medicine, check with your health care provider or pharmacist to find out if it is safe to combine medicines, to take alcohol with a medicine, or to take OTC herbs, such as kava kava and St. John’s Wort with medicines and/or alcohol."

The Department of Pharmacy Services at Kimball Medical Center — an affiliate of the Saint Barnabas Health Care System — prepares oral and injectable medications for all patients treated at Kimball. Registered pharmacists and technicians staff the department 24 hours a day, and pharmacists review each medication order for accuracy and appropriateness prior to dispensing medications.

Over the Counter Medications and Your Child
Kimball Medical Center's pharmacy director, Kim Walsh, says that parents need to be especially careful when giving OTC medications to a child. Here are some tips to ensure your child is helped and not hurt by non-prescription drugs:

Children aren't just small adults. Their bodies process drugs differently from an adult's, so don't guess about the dose based on the child's size. Follow the instructions on the label.

When giving liquid medications, use precise measuring spoons or containers marked for the correct dosage. TBS or TBSP stands for tablespoon and TSP for teaspoon. They are very different doses. If the label calls for a dropper, use one.

Before you give your child two medicines at the same time, talk to your doctor or pharmacist.

Note the age limits on the label. If it says not to give the drug to a child under 12, don't.

Never let children take medicines by themselves.

Keep all drugs out of the reach of children. Remember that even vitamin-mineral supplements can be dangerous. Iron, for instance, is the number one cause of fatal ingestion poisoning in children under three. And some common medications, such as diet pills, decongestant tablets, antidepressant drugs and high blood pressure medications, are potentially lethal to children. In some cases, as little as one pill can be fatal.

Never describe medicine as candy to coax your kids to take it. If they come across it on their own, they might think it's a harmless treat.

Know the difference between tamper-resistant caps (which indicate if the package has been opened) and child-resistant caps (designed to make it difficult for children to open the package). Be sure to "re-lock" the cap after each use. If you don't, the child-resistant device will be useless.

Child-resistant does not mean child-proof. The legal definition of child-resistant is that it must take more than five minutes for 80 percent of five-year-olds to get into the container. That means 20 percent can do it in less time, and the rest may be able to open it given more time.

CONTACT: Kristine A. Brown
Director of Public Relations
732-557-3902

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