Pill pitfalls: Tips to make sure your medication is safe
According to the Centers for Disease Control and Prevention (CDC), physicians prescribe or give 2.3 billion different kids of drugs a year, and medication is necessary in 74 percent of doctor's visits. Not only is the potential for counterfeit drugs to make its way to your cabinet a real threat, but properly prescribed medications can pose a safety threat if not taken properly.
Roger Bate, an economist who has written several books about the problem of counterfeit medications including "Phake: The Deadly World of Falsified and Substandard Medicines," has followed the dangerous trend for years. His recent work focuses on tracking down counterfeit and substandard medicines, and he consults organizations on the subject. With help from Bate, here are eight safety tips to help make sure what you're putting in your body will help cure you, not kill you.
Pill pitfalls: Tips to make sure your medication is safe
Take your own medication
Pill pitfalls: Tips to make sure your medication is safe
Only buy medicines from a licensed pharmacy
Ordering online? Some online pharmacies may claim to be credentialed, but the credentialing agencies may be fake, says Bate. The NABP also provides a list of legitimate web-based pharmacies consumers can check. You can also visit LegitScript.com as another resource. These two groups only approve sites based in the United States, which will sell FDA approved medicines. The prices charged at these licensed online sites are similar to physical pharmacies and may be reimbursable by your insurance provider depending on your insurance.
If you're abroad and need to pick up a prescription, it's best to ask the manager of your hotel or hostel whether there are any licensed chain pharmacies in the country. Research indicates that chain pharmacies are more reliable when it comes to the medication they sell. PharmacyChecker.com has a convenient list of pharmacy associations and guilds according to country so it could be a good place to double check that the place you are getting your medication from is legit.
Pill pitfalls: Tips to make sure your medication is safe
Check what your medication looks like
For all pills/capsules, ask yourself:
- Do these pills look okay?- Are they crumbling?
- Do they look discolored?
- Are they the correct color and shape, and have the proper stamps or logos on them?
If you are unsure about any of these questions, go back to the pharmacist or your doctor to double check. This may seem like a lot of work, but once you swallow the pill, you may be at risk.
Bate also warns that sometimes the same drug sold in U.S. and Europe may look different. For example, Nexium is a capsule in U.S. and a tablet in Europe. Foreign medications may come in a blister package - a box with each pill or capsule in aluminum foil - so don't be surprised - it doesn't necessarily mean that it's a fake medication.
If you find yourself in a very poor and remote location, you may be better off taking the medication life-threatening situations even if you can't double check it in , says Bate. There is a risk, however, so buyer beware.
Pill pitfalls: Tips to make sure your medication is safe
Read the instructions - and follow them
Pill pitfalls: Tips to make sure your medication is safe
Check expiration dates
Pill pitfalls: Tips to make sure your medication is safe
Don't sacrifice safety for a lower cost
If you are uninsured or under-insured, you may be tempted to look overseas for your medications. It is illegal to import large quantities of medicines into U.S., but the Food and Drug Administration does not prevent personal importation of prescription medicines for three months supply or less. If you are opting to do this, please make sure that you are using credentialed pharmacy. Sites like PharmacyChecker.com or the Canadian Internet Pharmacy Association offer lists of credentialed foreign pharmacies.
Pill pitfalls: Tips to make sure your medication is safe
Talk to your doctor before you travel
Pill pitfalls: Tips to make sure your medication is safe
If you can't get a prescription, don't take the medicine