United States, FDA, Aspirin discussed on Purity Products
The heart. Your heartbeat rhythm and can also help with the hype, you know, what's in there. But then every medication that falls into those categories, and I can see how for a lot of patients if a heart attack or heart disease is something new for you. When you're exposed to all of this. It's a lot. Yeah. It can be very overwhelming. It's almost like looking at the science chart the elements chart for the first time in high school and going. Wow. Who came up with all of this and your job is to kind of help navigate and make sense to all of this stuff. Yeah. I mean, even the names alone are impossible to say something. Yeah. Yeah. It it is a lot. So you know, after if you've never had an event and you have a heart attack after your heart attack. You're probably going to be on at least five medications and those medications that typically the five that you would get you. I'm to guess a blood pressure c you'd get a baby dose of aspirin. We talked about because you've had an event aspirin to decrease future events. Probably another type of blood thinner like super aspirin. There's there's a couple of them. Okay. A beta blocker potentially something called an ace inhibitor astatine, and there could be plus or minus others. You mentioned those are the categories because they recognize that. So when you talk about a beta blocker, and an ace inhibitor, I think for a lot of folks it goes right overhead, and we don't know. So this is actually part of that that consultation like what does an ace inhibitor do. And what does a beta blocker? Yeah. So, you know, when meeting with patients, those are names, basically on how the drug is working. So what the mechanism is. So when I meet with patients, you know, we can get fancy and talk about the mechanisms what's happening at a cellular level in your body. But also I like to break it down. So that patients understand why they're taking it. So yeah, what it's doing? But also why you're taking it why it's important these medications SP in the setting of for talking about heart attacks, they've been extensively studied we know that they decrease death from cardiovascular. Causes we know that they decrease the risk of recurrent heart attacks. So, you know, kind of going through that information so patients, not just the doctor told me to take it. I'm just gonna take. But understanding why it's so important why it's important to not miss. You know doses. And then talking about side effects, and what they can expect what's common. What's not common winter, call drug interactions? So we kind of break it break it down. I've for many patients that have listened listen medications because these are just your heart meds. And then you have every other doctor that you see that's probably prescribing other medications as well. So putting together even a list for patients. When do I take this medication? I get that question a lot. Do I have to take it at a particular time? Does it have to be spaced out from other medications? Should it be in the morning? Should it be in the evening? So putting together a table for a patient. You know, what the medication is when to take it how to take it. And why am I taking it and give to the patient to take home? So they can keep that organized one thing that you kind of for lack of a better term police is a term that we use called adherence, and you want to make sure that they are taking their medications. And and this is the whole part of building up the routine. Because the scary part is is you you hear a folks that in their studies that come out all the time of patients who don't fill up their prescriptions afterwards, and how that increases their risk of death or a a second heart attack people who start feeling fine and say, hey, I feel much better. Now, I I don't need to take this medicine anymore. I it should be okay. That these particular prescriptions or medicines that are prescribed to you. It's not like that Flintstone vitamin or the Nyquil that you took to get out of cold and flu season that these these are now important factors in in keeping you alive. Absolutely non adherence is kind of an epidemic. So not taking your prescription as prescribed. It's a real issue in the country leads to a lot of adverse hospitalizations. It's costly. So yeah, these are these medications that are on for a good reason. So it's important to understand what that reason is. And if there is an issue if you can't take that medication if you're having a bad reaction, if you have a concern, it's important to talk to your provider to see if there's an alternative or understand if you're not taking that medication. What riskier putting onto your onto yourself by skipping it? Right. And I remember going out to dinner with my grandmother and her talking about needing to take her heart else. You know, all the time. And literally pull out bottles of things that she needed to take and looking at them, and as a young person, I would look at the labels and realize that, you know, nowadays in the main question, I have here is the importance of keeping all of your prescriptions with one pharmacy because to me I was looking at these and going. Wow, you go all over town to get these medicines. Are they that rare to find? Yeah. We encourage patients to go to one pharmacy. Sometimes they have a local pharmacy and then a mail order pharmacy. But it is important to have all of your prescriptions in one place if possible because the pharmacist who's filling your prescriptions can see what you're taking. They can make sure that there's no interactions that they're safe to take together. There's no duplicate of therapy. So a lot of times one doctor may be giving you a as we talked about beta blocker, and your other doctor doesn't know that. And they're giving you a beta blocker. And then you take both in your blood pressure drops. And you wonder why you know, so so it if you can it's best to try to keep all of your prescriptions at one pharmacy. Gotcha. Now, let's say you have a question, and we were talking about this earlier this week. I'm like, oh, I can't wait to get on the radio and have this conversation. You know ordering drugs from Canada. It seems to be a very popular thing. People are paying these high these high prices here, and I even said you well, if it's the same thing, how could it be different? But it's not the same thing as it. We don't know and there's risk of. So the US does we the US spends more money on drug costs? I think I read that we pay like three times the med cost of other countries for the same medication. A lot of manufacturers produce the medication and then ship some to Canada ships them to the US. The the issue is that we don't necessarily if your order going online ordering a medication. We the US cannot regulate what that is. So it may be a counterfeit it might not be the actual medication. It might have. Less active ingredient active medication in it. It might have other harmful kind of additives in it. So because it's not being sold and produced or you know, being dispensed from the United States, the FDA cannot guarantee the regulation. I mean, essentially, it is a legal to to do so to order medications from another country. I'm a lot of the pharmacies. Online are not. Regulated or not enlisted with the United with our country. So. So I think my take home message would be if you're going to order online from pharmacy website, Goethe reliable pharmacies. The some of the big names. A pharmacies. But I would I would not order medications. Even though it may be. It may be, you know, cheap tractive because it's cheaper the other thing that I was reading and maybe this just a way to justify it. But in the US, we pay more for brand new medications that then when they turn generic they get cheaper and more for -able, whereas in other countries their pain, they're not getting the generics. As fast as the United States is. So like, you knew where I was going with this because I grew up in Arizona, very close to the Mexican border, and we would go into Mexico all the time. And that's where we would get all of our our prescriptions. My dad fluent in Spanish, and so he would go I remember going in and coming back to the US side with with our pills. And now after the conversation that we had had I'm like, oh, I wonder if I was really taken one hundred percent of what that that medication was penicillin usually. Obviously, I'm okay now, but folks are seeking cheaper alternatives lower price alternative. So you probably get this question a lot. What is the difference between a generic prescription in that brand name? So when a medication I comes to market, it's going to be brand name only. So the researching company the pharmaceutical companies spent a lot of money researching that medication developing at getting FDA approval bringing it to market ensure it's safe and effective. So that's costly that caused millions of dollars that whole process. So initially as its brand name, it has to be, you know, it's going to be costly now after a certain amount of time when the patent expires it can go to generic which makes it. Cheaper. So that loses kind of its fancy name. But it still has the same original compound. So we could be talking about something like aspirin, which now is a headache relieve, you know, when you look at the two labels at the pharmacy. There's the brand name aspirin. But now there's the the store brand version of that which is the generic in the surveys. Okay. So when talking about generics, and you know for I guess speaking more towards the prescription. So let's say you were on tour, which is a stat. In generic is a tour of astatine will now you can get the brand name Lipitor, which is going to be higher co pay than a tortoise Staten, which will be less of a copay. So the FDA still reviews generic medications that has to meet criteria to make sure it's active ingredients are pure and stable as the original drug. They have to make sure they're effective. They do all of the different studies looking at how it's broken down in your body, how it's eliminated the concentration FDA will go inspect the manufacturing plants. So there is still a lot of regulations in place for these generic medications the the place where they may differ is the inactive ingredients so some of the preservatives, the fillers or the dyes that are included in generic medications may differ from brand new. So this comes into play sometimes patients, they'll be on brand name the generic comes out. So the pharmacy automatically fills the generic and will start taking it and say, you know, I just I feel different. I feel like this isn't working, although it's the same medication. I can't take this generic. And so and so that could be why. So if we're talking about mom who had a heart attack. Now, I understand that she could be getting up to five different medications that are going to be prescribed to her what the differences between a generic or the brand name that the doctor is prescribing the importance of having one pharmacy to pick up all moms medicines app. Let's get to this other big question the side effects issue. How do you know when you are actually allergic or have a reaction or one of the side effect issues that is in that very long? Disclaimer that we tend to see in the television commercials through remember in the television commercials and even in the the information the pharmacy gives you less every single possible reaction that's been report. So it's important to look at. Well, what were the percentages? Are we talking twenty percent or like point one percent of patients? You mentioned. So the allergy versus a side effect is basically. An unwanted effect of of the medication. They can be different for every patient. They can differ depending on your age your.