The Province

Make pills easier to swallow

Skipping medication can increase your health risks considerab­ly

- Drs. Oz & Roizen MEHMET OZ, M.D. AND MICHAEL ROIZEN, M.D. twitter.com/ Youn gDrMike RealAge.com

It’s a tough pill to swallow, apparently.

Seventy-five percent of North Americans don’t take their much-needed meds as directed, or skip them entirely. And almost 15 per cent of folks 40-plus with chronic medical conditions get a failing grade for mismanagem­ent of important medication.

This matters — big time. One study of people on high blood pressure medication found skipping doses boosts the risk for deadly strokes twoto five-fold. But only about half of you take those meds as prescribed.

Another example: If you’ve had a heart attack or other cardio event and you have recently stopped taking clot-blocking, low-dose aspirin — many of you have — you raise your odds for a non-fatal heart attack by 60 per cent.

And it’s estimated that up to half of folks on statins don’t take them regularly or at all, denying themselves protection from heart attack and (new info) some cancers.

But heart-related meds aren’t the only ones that go untaken. Only 30 per cent of teenagers stick with their asthma-control regimen, with potentiall­y lethal consequenc­es.

And, most startling, less than two per cent of adults with diabetes do regular blood-glucose monitoring, take their medication­s as prescribed and follow recommende­d dietary guidelines. That leads to a roster of complicati­ons, including cardiovasc­ular disease, neuropathy (nerve pain or numbness), blindness, amputation and kidney disease, not to mention impotence and brain dysfunctio­n.

Solution No. 1: Slash the cost of medication­s

You may not take your meds because they are too expensive, but boycotting them can seriously increase your long-term health expenses.

Talk to your doc about taking generics — the health-giving benefits are generally the same as brand-name drugs (only a few are known to not work for some people), but the price tag is 30-80 per cent lower. Use the website pharmahelp­er.com to find trustworth­y online drugstores; they can be cheaper. But stay away from online cut-rate, out-of-North-America pill pushers.

And if you have health insurance with drug coverage, chances are the company offers mail-order pharmacy services that are cheaper than if you go to the corner chain store for your monthly prescripti­on.

Also, ask your doc if you’re taking the most affordable drug for your condition. It’s a conversati­on just one person in 20 has.

Solution No. 2: Set up a reminder system

Using a pillbox with compartmen­ts for each daily dose can also increase your success 58 per cent. Or invest in electronic caps for your pill bottles. They light up, play a tune or send a phone call, text or email alert when it’s time for your next dose.

Solution No. 3: Talk about

side effects

Ask your doc about the range of potential side effects with different drugs — you may be able to switch from one drug to another until you discover the one with the least disruptive side effects.

Solution No. 4: Find inspiratio­n in numbers

You can’t feel the benefits of many important medication­s — like those for thinning bones and high cholestero­l. So track your blood pressure and cholestero­l numbers to get proof the meds are working. You’ll be more motivated to do the right thing.

Solution No. 5: Simplify your medicine schedule

Still feel like your medicine schedule is too complicate­d? Talk with your doctor and pharmacist about streamlini­ng it so that you can take medication­s less often during the day. (Don’t do this on your own!) Pharmacist­s are a very knowledgea­ble and underutili­zed resource.

Solution No. 6: Write a do-it-yourself Rx

A stellar diet, regular exercise and weight loss might let you reduce your dose or go off your meds. Start loading your plate with produce, whole grains and lean proteins. Replace fatty meats and whole dairy with good fats, such as olive and canola oil and nuts. Take a 30-minute walk every day. Get plenty of sleep, and slash stress.

 ??  ?? A study of people taking medication for high blood pressure found about half of them were not taking the medicine as directed, or that they skipped taking it entirely.
A study of people taking medication for high blood pressure found about half of them were not taking the medicine as directed, or that they skipped taking it entirely.
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