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The December 2004 issue of Money magazine has a worthwhile article
about recent concerns of new drugs and their safety and side effects.
Many were devastated to learn of the adverse effects of Vioxx on the
heart.
We wonder how this can happen. One problem is that the clinical trials that
lead to government approval of drugs are conducted in relatively idealized
populations and only for a limited time. So when a drug hits the general
population, the variations among us--race, gender, age, weight, health
conditions--can bring to light previously undetected side effects. On top of
that are all the other drug interactions you need to be aware of in an
increasingly medicated age. Now, more than ever, it's important to take an
active role in understanding the risks of your medications. A study of 548 new
drugs approved by the FDA between 1975 and 1999 showed that the worst adverse
side effects weren't known for about seven years. It's easy to be impressed with
a new remedy, but often, the older more established medicines will do just fine
with less risk.
Of course, you can't turn yourself into a physician or pharmacologist, but you
can follow a few prudent practices and use a growing number of online resources
to find the right questions to ask before popping those pills. Here is a
checklist of things to ask your doctor whenever he or she recommends that you
begin a new drug.
- Why do I need this drug?
- Are there non-drug therapies that I can try instead?
- How will it interact with medications I am presently taking (including
over the counter medication, vitamin, and mineral supplements)?
- What are the risks and side effects of this drug?
- How is this an improvement over existing drugs?
- Can I take a lower dose?
- Can I discontinue another drug?
Most of us can't name a complete list of what we are taking--name of drug,
dosage, strength, etc. To prevent potential drug interactions, you should have a
printed list, including over the counter medications, and take it to every
doctor you consult. If you can't do this, put all
your pills in a bag and bring them to your doctor(s).
Gather as much information about the drug as you can. Some suggested websites
are:
http://www.pdrhealth.com/
http://www.clinicalstudyresults.org/
www.fda.gov/medwatch
http://www.medlineplus.gov/
http://www.worstpills.org/
Don't rely on just one reference; get as much information as you can. Each
site is unique in the type of information it gives.
Note from Dolores: Some of my favorite sites for learning about
medications including their indications for use, dosage, storage, side effects,
drug interactions, warnings and precautions, missed doses/overdoses, etc. are
the following:
www.rxlist.com
www.my.webmd.com/medical_information/drug_and_herb/default.htm
www.mayoclinic.com/findinformation/druginformation/index.cfm
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