Did you
know that over 600,000 emergency room visits each year involved adverse
reactions to or interactions of prescriptions or over-the counter drugs
or supplements? Here are some of the main risks:- Taking different
drugs prescribed by more than one doctor
- Using drugs to
treat conditions for which they weren't originally prescribed
- Taking leftover
drugs that were stockpiled and later used incorrectly
- Using a drug that
was appropriate initially but caused a toxic interaction when a new drug
was prescribed
- Taking
OTC medications or supplements incorrectly or in combination with
prescription drugs
Some examples of types of drugs that can result in dangerous
interactions with others are:
- Central
nervous system depressants. Opioid painkillers (e.g. Oxycontin) on
their own can be dangerous when taken in sufficient quantities.
Sedating drugs such as benzodiazepines (e.g. Valium) taken for anxiety
added into the mix can result in a deadly combination.
- Blood thinners. The drug warfarin
(Coumadin) has what's call a 'narrow therapeutic range,' meaning that
just a bit too much or too little in the blood can be dangerous. Taking
antibiotics can lead to higher levels of warfarin in the body, resulting
in hemorrhaging. NSAIDS (aspirin, ibuprofen, etc.) can result in the
same consequences. Acetaminophen (Tylenol) can be a safer OTC pain
killer for those on blood thinners.
- Antidepressants. Combining one type of
antidepressant with another can result in a rare but potentially fatal
reaction called 'serotonin syndrome.' This is most likely to occur when
moving from one type of antidepressant to another without allowing one
to clear the system before starting the new one.
- Acetaminophen. Various cold and flu
"combo" medicines may contain acetaminophen. Before taking acetaminophen
tablets or capsules, always read the labels of any of these combo cold
medications you're taking. An overdose of acetaminophen can result in
liver damage or even failure.