I use a drug that comes in a Diskus format and it's very easy and very effective. However, the pharmacy benefits management PBM company used by my health insurer recently informed me that they were raising the co-payment on my Diskus to a "higher-tier" and encouraged me to have my doc prescribe two other inhaled medication forms that are still less expensive even when combined.
Ease-of-use and minimization of the number of drugs needed by formulating two or more drugs together into one product is well-known to increase patient compliance, the percentage of doses taken as directed.
Increasing patient compliance is the single most-cost effective approach in pharmacy to result in the most optimal management of disease. A ridiculous and cumbersome dosage form is not consistent with improving patient compliance, nor is asking a patient to use two separate drugs when a reasonable combination agent exists and has been used successfully by the patient.
Yes, yes, I know that cost issues influence these decisions and choices. And, yes, pharmacists can play a crucial role in educating patients on how to use these new inhalers, when they have the time to step away from the sweatshop.
This is especially true for children, who often have to use a spacer with the traditional style inhaler, which is not portable, tricky to use, and very slow.
It could take five minutes or more to take two separate medicines in this way. Not very good for compliance. I was glad that my doctor switched my daughter to the Diskus instead of adding a second inhaler, even though my copay for it was a little more than it would have been for the two separate drugs.
Should be easier, but I'll settle for attainable. While I sympathize with people having trouble managing their meds, it's tempered by the fact that they can actually get the meds in the first place. Something that could help a lot, is more doctors doing what the one I grew up with does, make sure before they leave, that they understand the medications that have been prescribed.
Make sure they know how to take it, why exactly they are supposed to take it, how it works and why they need to follow the directions so closely. This needn't be done specifically by the doctor, if Dr. Troyer was too busy, his nurses would go over it with patients. Some people will experience an allergic reaction to bleach-based solution of any concentration , with varying symptoms and onset as described below.
It goes without saying that you must read the directions of the product you use. These instructions have been formulated with user safety in mind. They must be followed. As the example cases above demonstrate, denture cleaner misuse is often associated with elderly persons and conditions they may have. False teeth should always be rinsed off thoroughly with cool water before they are inserted back into your mouth.
Reactions can include but are not limited to the signs and symptoms listed below, not all of which will occur immediately. The symptoms you experience may appear immediately, or possibly not for some hours after your exposure. Prolonged exposure to products days, months may cause chronic tissue irritation. Tissue bleaching, irritation, burns or damage. Foaming from the mouth.
Especially in the case of ingestion, abdominal pain, breathing problems, seizures, vomiting, hypotension or blood in urine. Commercial products for cleaning false teeth generally fall into one of the following four categories.
It typically comes packaged in tablet or powder form and is used for daily overnight soaks. One characteristic of these products is they effervesce release oxygen bubbles. These products typically are effective for denture disinfection. Ingredients frequently included: sodium perborate, sodium percarbonate, sodium bicarbonate, potassium monopersulfate, troclosene potassium.
The FDA has issued a report about safety concerns associated with the use of persulfate compounds, see our discussion above. Hypochlorite is the active ingredient found in bleach, which makes these products good for disinfecting dentures as well as removing stains. Carmel , IN Facebook Twitter YouTube. Close Font Resize. Readable Font. Choose color black white green blue red orange yellow navi.
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