Medication Adherence

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[youtube  id=BY1HhnYmh3Y?rel=0  width="600" height="338"] The way medications are packaged has a significant impact on adherence and clinical outcomes. A multi-med blister card is a visual reminder of what medications to take, when to take them and whether they've taken them or not. In this video I'll show you how easy and quick it is to assemble a medication multi-med blister card.  We'll package 6 medications that our patient takes each day, some medications this patient takes once a day and some medication this patient takes twice a day.

I'll show you how easy it is to keep track of these medications as we assemble a 1 week blister card.  You can assemble 2 or 3 weeks worth of cards at one time saving you time. Once you're finished with the card at the end of the week you just throw away the old card, thus using a clean fresh multi-med card each week.

Visit our site at http://www.medicationpackagingsolutions.com   to purchase and to learn more about out multi-med cards.

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Caregiver1. Not taking your medications as prescribed For many, especially the elderly, medication adherence and compliance is a real problem.  Up to one-third of older people don't take their medications as directed. Sometimes it’s due to the cost of medication but most of the time it’s because they forget. What can we do to help?  A pill box can really help out, especially ones that break your meds into safe manageable doses each day.  Certain medications shouldn’t be taken together and pill boxes such as our clean, disposable pill box card is a great choice.  You’ll also want one that you can leave out in full view all day to help remind you to take your medications.  Our pill box card is bright and looks like a book so you’ll want to leave it out. Many times seniors can also forget whether they even took their prescribed dose, this can lead to either not taking the dose or taking the dose twice.  A correctly filled pill box  can fix this, with our pill box card the torn foil on the blister is a reminder as to whether the dose was taken or not. [youtube  id=yO166WfUoGk?rel=0  width="600" height="338"] 2. Getting your prescriptions filled from different  pharmacies If you’re having your prescriptions filled at several different pharmacies you can't be screened for drug interactions. If you use your HMO's pharmacy and also use its mail-order service, each may not have a list of the medications being filled by the other. If you need to use multiple pharmacies due to the convenience and/or for cost savings, make sure they each have a list of every medication you take. If you use several health care professionals such as your primary doctor, a heart doctor, a dermatologist, etc. they should all be asking you for a list of all medications you’re presently taking.  If they don’t make sure you give them a list anyway, you must be proactive when it comes to your good health. 3. Mixing alcohol with your prescription drugs You can get an addiction effect by mixing alcohol with antianxiety and pain medications such as Xanax and Valium. Your driving response time will suffer as you’ll be drowsy, so don’t mix these together. In older adults especially, alcohol use may increase the risk for falls, serious injury, and disability related to balance problems. Alcohol use also may trigger or worsen certain medical conditions. When alcohol use is combined with multiple medications, it may magnify these problems. Older adults don't metabolize alcohol as quickly as younger adults do, so alcohol stays in their systems longer and has a greater potential to interact with medications. Even though most people over 65 drink less than the maximum recommended amount, this drinking is still considered harmful in over 50% of them, due to their general condition, medical problems and medications. 4. Leaving your doctor's office or hospital without enough information Make sure when you leave your doctor's office or hospital that you know the name of your prescribed medication and what it’s for.  That you also know how many times a day you should take it and how you might react to that medication.  Especially if it will interact with any of your other medications.  Make sure you get all of this in written instructions to take with you. At home make sure to use a pill box such as our clean disposable pill box card to help you to take your medications correctly and as prescribed.

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[youtube  id=Rze3hnYhp8Y?rel=0  width="600" height="338"] Poor medication adherence diminishes the health benefits of pharmacy medications. Elderly patients with coronary heart risk factors frequently require treatment using multiple medications.  This places them at a high risk for medication non-adherence. A study was conducted to test the benefits of using multimed blister packaging to improve medication adherence and its associated effects on blood pressure (BP) and low density lipoprotein cholesterol (LDL-C). The study was conducted at Walter Reed Army Medical Center from June 2004 to August 2006.  It centered around 200 community-based patients aged 65 years or older taking at least 4 chronic medications. After a 2-month run-in phase (measurement of baseline adherence, BP, and LDL-C), patients entered a 6-month intervention phase (standardized medication education, regular follow-up by pharmacists, and medications dispensed multimed blister packaging). Following the intervention phase, patients were randomized to continued pharmacy care vs usual care for an additional 6 months.  It’s Outcome Measures Primary end point of the observation phase was

fame-study-graphic change in the proportion of pills taken vs baseline; secondary end points were the associated changes in BP and LDL-C. Primary end point of the randomization phase was the between- group comparison of medication persistence. The Results for the 200 elderly patients (77.1% men; mean[SD] age, 78 [8.3] years), taking a mean (SD) of 9 (3) chronic medications were enrolled. Coronary risk factors included drug-treated hypertension in184 patients (91.5%) and drug-treated hyperlipidemia in162 (80.6%). Mean(SD) baseline medication adherence was 61.2% (13.5%).  After 6 months of intervention, medication adherence increased to 96.9% (5.2%; P.001) and was associated with significant improvements in systolic BP (133.2 [14.9] to 129.9 [16.0]mm Hg; P=.02) and LDL-C (91.7 [26.1] to 86.8 [23.4] mg/dL; P=.001).  The short version, medication adherence increased from 61.2% to 96.9%. Six months after randomization, the persistence of medication adherence decreased to 69.1% (16.4%) among those patients assigned to usual care, where as it was sustained at 95.5% (7.7%) in pharmacy care (P.001).  This was associated with significant reductions in systolic BP in the pharmacy care group (−6.9 mm Hg; 95% CI, −10.7 to −3.1 mm Hg) vs the usual care group (−1.0mm Hg;95% CI, −5.9 to 3.9mm Hg; P=.04), but no significant between-group differences in LDL-C levels or reductions.  The short version, for those patients that stopped using the blister packaging, medication adherence dropped to 69.1%.  Those that continued with their medications in blister packaging sustained their medication adherence at 95.5%. The Conclusion.  A pharmacy care program using multimed blister packaging led to increases in medication adherence, medication persistence, and clinically meaningful reductions in BP, whereas discontinuation of the program was associated with decreased medication adherence and persistence.