Medications – Es Farmacia Online http://esfarmaciaonline.com/ Wed, 03 Aug 2022 09:04:40 +0000 en-US hourly 1 https://wordpress.org/?v=5.9.3 http://esfarmaciaonline.com/wp-content/uploads/2021/05/es-farmacia-online-icon-150x150.png Medications – Es Farmacia Online http://esfarmaciaonline.com/ 32 32 Heat affects medication: what you need to know http://esfarmaciaonline.com/heat-affects-medication-what-you-need-to-know/ Wed, 03 Aug 2022 09:04:40 +0000 http://esfarmaciaonline.com/heat-affects-medication-what-you-need-to-know/

With another heat wave hitting Philadelphia, you now know that high temperatures and humidity can affect your vibeyour child’s behavior, your animal’s well-being and even your favorite zoo animal’s appetite.

Heat can also affect medications. Here’s what you need to know:

Extreme temperatures can affect the drug potency and effectiveness, so it is important to pay attention to the label storage instructions. Although some medications, such as those in pill form, may be more tolerant of temperature changes, liquid medications, such as insulin, are sensitive to temperature changes, according to Ohio State University Wexler Medical Center.

A cool, dry cupboard or drawer is usually a good place for drugs. Make sure any medications kept in the bathroom are kept in their original bottles, with tight seals to prevent damage from humidity and steam from a hot shower. Kitchen cabinets away from the stove and microwave, or a dresser drawer are storage options with less fluctuation in temperature and humidity. But be sure to put the medicine where children can’t reach it.

It depends. Pharmacies and drug manufacturers are required by the FDA to take precautions to protect drug integrity delivered by post. They may use special temperature-screening packaging, place temperature-monitoring devices in the packaging, or use expedited shipping, according to Good Rx Health, which tracks drug prices.

Yet even properly packaged medications can end up on the doorstep for several hours. Good Rx Health recommends tracking deliveries so you can plan to bring them inside as soon as they arrive. If this is not possible, call the mail order pharmacy to ask for delivery instructions to limit the time the medications are out in the heat. A pharmacist can also tell you how vulnerable your medications are to heat damage.

» READ MORE: Philadelphia suffers a heat wave. Here’s what to know about the symptoms and treatment of dehydration and heat exhaustion.

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When Prescription Costs Add Up, MedAssist Helps Santa Clara County Residents Afford Insulin, Inhalers and Epi-Pens | New http://esfarmaciaonline.com/when-prescription-costs-add-up-medassist-helps-santa-clara-county-residents-afford-insulin-inhalers-and-epi-pens-new/ Mon, 01 Aug 2022 18:37:56 +0000 http://esfarmaciaonline.com/when-prescription-costs-add-up-medassist-helps-santa-clara-county-residents-afford-insulin-inhalers-and-epi-pens-new/

Henry, a resident of Santa Clara County, has had diabetes for most of his adult life and started taking insulin about three years ago to treat his condition. But between him and his wife, Mary, who are battling a number of chronic illnesses together, the medical expenses have started to pile up.

The couple heard MedAssista Santa Clara County program that helps county residents pay for specific types of medications: insulin, asthma inhalers, and epinephrine auto-injectors, also known as Epi-Pens, which deliver medication vital in case of severe allergy. reaction.

According to county data, 118,900 adults have diabetes mellitus in Santa Clara County, 257,000 adults and children have asthma, and 21,600 people are prescribed epinephrine auto-injectors.

“So we thought, well, let’s see if we qualify,” Mary said. The Voice has agreed to identify her and her husband by their middle names to protect their privacy. “We were, I think, among the first to register, so the process was very, very quick.”

Henry was accepted in the inaugural 2021-22 program year and has just re-enrolled for 2022-23, for which the county is currently accepting applications. Patients can apply until April 30, during the funding period. Once the funding runs out, the county will open a waiting list.

Qualifying and the amount of financial assistance for the program is based on the patient’s income level and health care expenses, according to Joy Alexiou, communications manager for the Santa Clara Valley Health and Hospital System.

“People with high out-of-pocket expenses receive monthly subsidies that are inversely correlated to their income levels,” Alexiou said, meaning the lower a person’s income, the higher the subsidy.

Mary said the registration process was simple: the couple had to upload a tax return, proof of purchase of Henry’s insulin and proof of county residency.

“That’s really all there was,” Mary said. “They got back to us within 24 hours. We just signed up for the second year, and it’s been a slower process, but I think there’s probably a lot more people lining up outside their door now. Once we were approved, the process was quick.

Every month, Mary said, she and Henry submit proof of purchase of her insulin to the program.

“His insulin usage is variable, so we have to think a little bit to try to make sure we’re making a purchase every month,” Mary said. “Or, alternatively, there are times when the pharmacy dispensed us much more than we expected. Turns out we can download that, and if when we downloaded it we marked it as a three month supply, then they would credit the three months.

Rising drug costs in the United States are a major barrier to access, causing some people to take their medications less frequently than prescribed, Alexiou said. Under-treatment of diabetes can hasten vision loss, end-stage kidney failure and death. To help county residents with the cost of these life-saving drugs, Supervisor Joe Simitian proposed the program, which the County Board of Supervisors approved and then soft-launched in October 2021.

“The program is specifically designed to support the ‘missing’ population that resides in Santa Clara County,” Alexiou said. “These are the people who can be enrolled in a health insurance program, however, (they) are forced to pay high fees for life-saving drugs such as insulin, asthma inhalers and / or auto -epinephrine injectors. ”

For Mary and Henry, being a MedAssist recipient means more peace of mind and less medical expense to worry about.

“It’s just nice to have this benefit, considering we have such a huge amount of medical bills to pay,” Mary said. “It’s just a nice thing to have. It’s really easy, and they’re absolutely lovely there. … You get the feeling they’re happy to help.

To apply for MedAssist, recipients must be 18 years of age or older, reside in Santa Clara County, have a valid prescription for an asthma inhaler, insulin or epinephrine auto-injector, and respect the household health expenses and the annual gross household. income requirements. More information and a link to apply can be found here.

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Minnesota seniors’ residences besieged by staff stealing painkillers http://esfarmaciaonline.com/minnesota-seniors-residences-besieged-by-staff-stealing-painkillers/ Sat, 30 Jul 2022 21:51:58 +0000 http://esfarmaciaonline.com/minnesota-seniors-residences-besieged-by-staff-stealing-painkillers/

Eric Linn made a modest request to the nursing home caring for his mother as she died of Alzheimer’s disease in the spring of 2019. He asked that she be allowed to die peacefully and without unnecessary pain.

Yet Linn’s confidence was shattered when he learned that someone working the night shift had stolen several doses of morphine and anti-anxiety medication from his mother. No one could identify the perpetrator or care enough to investigate, he said. Shaken by the revelation, Linn moved her 65-year-old mother out of the facility the next morning and into her family’s home near St. Cloud, where she died four days later.

“I couldn’t bear the thought of my mother dying this way – alone and in pain,” said Linn, a plumber. “What little she had – her sense of peace – was stolen from her.”

In the middle of a spiral opioid abuse epidemic, Minnesota’s retirement homes have become attractive targets for drug addicts and drug dealers. New research shows that nursing homes and assisted living facilities across the state often fail to protect the elderly from the theft of highly addictive painkillers – with thousands of pills being stolen each year by people charged with caring for vulnerable residents. The consequences are devastating: many older people have suffered needlessly for long periods of time without knowing the cause of their misery.

Over the past eight years, more than 11,300 drugs, mostly narcotics for pain treatment, have been stolen from at least 368 residents of nursing homes and assisted living facilities across Minnesota, according to a study that will be soon to be published. In some cases, oversight is so lax that thefts go unnoticed for months, resulting in a dozen or more casualties at a single site. On average, the thefts occurred over 56 days with more than 30 doses stolen per resident, according to analysis of 107 substantiated drug diversion reports investigated by the Minnesota Department of Health.

The authors, nearly half of whom are nurses, sometimes used ingenious methods, the researchers found. They came out of the residents’ rooms with potent narcotics hidden in their pockets, belts, bras and socks. They sometimes replaced them with over-the-counter drugs like aspirin. They diluted liquid medicine into syringes and shaved pills – keeping some of the medicine for themselves. And they carefully covered their tracks by resealing the perforated medicine packages, forging staff signatures on the number of medicines and stuffing the pill packages into shredders, the researchers found.

Some workers even ingested the stolen drugs during their shifts, jeopardizing patient care, the researchers found.

“The situation is out of control,” said Eilon Caspi, a gerontologist and professor at the University of Connecticut, who led the research project with researchers from Purdue University.

Although not new, the problem of opioid theft from seniors’ facilities has been exacerbated by the worsening opioid epidemic and a state workforce crisis that hampered efforts to combat thefts. The state’s long-term care groups say the overdue investigations prevent them from identifying the perpetrators quickly enough. It can take six months to a year for the Minnesota Board of Nursing to complete an investigation after a theft is reported. Meanwhile, a nurse may hop from nursing home to nursing home, stealing drugs from each location without providers knowing they pose a risk to patients.

Thieves have also become increasingly brazen, long-term care administrators say, exploiting their access to painkillers by stealing hundreds of pills for months at a time. In a 2018 case, a nurse from an assisted living facility in Grand Rapids stole more than 1,900 pills over a two-year period by regularly placing them in an “overflow storage area” in her office. When the facility ran out of drugs, the nurse made up excuses as to why she couldn’t access them. A total of 13 residents went without their painkillers, according to a state investigation.

“Our concern is that it’s not just drug addicts stealing for themselves,” said Patti Cullen, president and CEO of Care Providers of Minnesota, an industry group. “We see cases where the amount of drugs stolen far exceeds what a single person could use.”

But the public may find it difficult to learn about these crimes and where they occur. Indeed, state investigations of drug thefts from long-term care homes fall under the broad category of “financial abuse,” along with thefts of personal items like jewelry. Even in cases where narcotics have been found stolen, the term “theft” often does not appear in state abuse reports. Instead, regulators call it “drug diversion” — a term that some patient care advocates say understates crimes.

“We need to stop sanitizing this cruelty by calling it drug hijacking and that’s what it is – the criminal theft of painkillers,” said Kristine Sundberg, executive director of Elder Voice Family Advocates.

Recognized for years as a workplace hazard in seniors’ residences, drug thefts have resulted in a series of security protocols. Each dose of a controlled substance that is administered must be documented and medication counts are taken on each shift to detect discrepancies. Medications at high risk of theft should be stored in double-locked containers accessible only to authorized personnel, according to long-term care groups.

Aware that more changes were neededthe Department of Health and state long-term care industry groups came together in 2019 and developed a long list of recommended preventive measures measures, including stricter hiring practices and immediate reporting of suspected thieves to professional licensing boards.

Still, law enforcement officials say investigating such thefts poses unique challenges, due to the large volume of drugs administered and the number of rotating employees who have access to them. In one case this spring, more than 240 narcotic tablets for three residents went missing for several months from the Sanctuary, an assisted living facility in West St. Paul. State health investigators were unable to identify the perpetrator due to the facility’s poor record-keeping and lack of procedural oversight, according to a state report.

A spokeswoman for the Sanctuary said the facility has re-educated staff on drug administration and changed its procedures to require two staff members to sign off on all narcotics. After an internal investigation, she said, the facility fired an outside nurse believed to be responsible for the theft.

“The biggest problem is that too many people have access to these narcotics at one time,” said Brian Sturgeon, chief of the West St. Paul Police Department and former narcotics investigator. “It doesn’t just help inventory [of drugs] often isn’t done right – if it’s done at all.”

Once drug robberies are discovered, family members often feel guilty and regret not seeing the warning signs.

Lois Gildea, a research nurse at the University of Minnesota, said she had no reason to suspect a nurse was stealing painkillers from her mother-in-law at an assisted living facility in Wayzata. Then one day, a caregiver hired by Gildea discovered that some of the pills from her dispenser were a little lighter in color than the prescribed narcotic. Alarmed, Gildea placed a small camera in a teddy bear next to her mother’s bed. Video footage showed a nurse stealing narcotics while her stepmother was in the bathroom, she said.

“The most disturbing part was not knowing how long she was in discomfort and pain,” Gildea said.

Kari Shaw says her 88-year-old mother is still traumatized by what she went through three years ago.

A home nurse was discovered stealing narcotics from her mother, LaVonne Borsheim, who had a severe case of rheumatoid arthritis, and replacing them with allergy pills. The change caused such an alarming deterioration in her mother’s health that family members thought she might be dying. She slept most of the day, then woke up in agony, sometimes sobbing and begging for pain medication. No one suspected the home nurse until Borsheim’s husband took her to a pain clinic, and blood tests showed there were no opioids in her system, said Shaw.

The nurse, La Vang, hired to care for Borsheim pleaded guilty in May 2019 to stealing prescription opioids and has been condemned to 18 months in prison.

“It was a nightmare,” Shaw said. “My mum kept saying, ‘The pain is unbearable’, but no one could figure out why.”

Now Borsheim is afraid to be alone in her room in an assisted living facility in Maple Grove. She spends most of her days in the building’s lobby, playing dominoes and sharing stories, and only returns to her room at bedtime. “When someone invades your private space and almost kills you, it’s just -” Shaw said, searching for the right words. “It’s a memory that won’t go away.”

The following findings are based on a review of 107 state Department of Health investigative reports that substantiated drug thefts from Minnesota seniors’ residences between 2013 and 2021.

Number of drugs stolen: 11,328

Number of victims: 368

Average number of doses stolen per capita: 30

Average duration during which the thefts took place: 56 days

Percentage of drugs stolen from assisted living facilities: 85%

Percentage of drugs stolen from nursing homes: 15%

Sources: Eilon Caspi, University of Connecticut; Wei-Lin Xue, School of Nursing, Purdue University; Pi-Ju (Marian) Liu, School of Nursing, Purdue University

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Ghana: Stick to prescribed medication… GHS advises public http://esfarmaciaonline.com/ghana-stick-to-prescribed-medication-ghs-advises-public/ Fri, 29 Jul 2022 10:36:32 +0000 http://esfarmaciaonline.com/ghana-stick-to-prescribed-medication-ghs-advises-public/

The Ghana Health Service (GHS) kicked off this year’s World Hepatitis Day by appealing to those infected to stick only to prescribed medications during treatment processes.

“The truth is that not everyone needs treatment depending on the stage of infection. For example, for hepatitis B, only 10-25% of patients need treatment, it therefore, there is no need to subject yourself to herbal and other non-prescription drugs that could damage your liver,” said National Viral Hepatitis Program Manager Dr. Atsu Godwin Seake. -Kwaku.

Around 60-80% of liver cancer cases worldwide may be linked to viral hepatitis.

In Ghana, approximately 1.5 million new hepatitis B and C infections are recorded each year.

GHS data indicates that the prevalence of hepatitis B is around 12.3% of the population, with hepatitis C around 3.3% in 2019.

About 820,000 deaths from hepatitis B and 299,000 from hepatitis C are recorded each year in the country.

Dr Seake-Kwaku, in a presentation at the launch, said the condition was rapidly increasing in the country, which called for scaled-up interventions to reduce the flare-up.

A major shortcoming in the fight against hepatitis, he noted, was the lack of a birth dose for newborns within 24 hours of delivery, which exposed a large number of citizens to the infection later in life.

Other factors, including risky sex and injections, blood and surgeries, he said, put people at risk of infection.

The program manager observed that low disease awareness, poor screening and testing, under-reporting, high cost of medical treatment, myths and misconceptions about viral hepatitis were also a challenge.

He said the Service, together with the government and its agencies, was working to fill the gaps in the fight against hepatitis, including ensuring that viral hepatitis drugs were included in the list of National Health Insurance Scheme (NHIS) emergency medicines.

“We are doing everything we can to make sure we get the birth dose as soon as possible to fill the gaps of zero to six weeks without vaccination against the virus,” he added.

Dr Seake-Kwaku called on businesses and development partners to support the fight against viral hepatitis to reach the World Health Organization (WHO) elimination goal by 2030.

Director of Public Health, GHS, Dr Franklin Asiedu-Bekoe, said the service was embarking on a project to determine the number of pregnant women with the disease to effectively vaccinate them at delivery.