UIC Pharmacy Blog

Information and tips for your health and wellness from UIC Pharmacy

Wednesday, May 14, 2014

Blood Pressure Education Month

May is High Blood Pressure Education Month.

"Hypertension is considered the "silent killer" because it can damage the heart, brain, and kidneys without any symptoms. Each day in the United States, nearly 1,000 deaths are associated with hypertension," says the Center for Disease Control (CDC). "National High Blood Pressure Education Month aims to save lives by increasing awareness and educating the public about cardiovascular risks and how to prevent them."

Five of our UI Health Pharmacies listed below have self-monitoring blood pressure machines in the waiting rooms, additionally our pharmacists are trained to provide counseling on high blood pressure disease and the medication used to treat this.

Stop in to one of these UI Health Pharmacies and get your blood pressure checked today:

Outpatient Care Center/OCC
1801 W. Taylor Street/Suite 3B
 312-996-9058

Taylor Street Pharmacy/EEI
1855 W. Taylor Street/1st Floor
312-996-6540

Wood Street Pharmacy
840 S. Wood Street
312-996-6887

University Village Pharmacy
722 W. Maxwell Street/2nd floor
312-355-2345

Mile Square Pharmacy
1220 S. Wood Street
312-413-1767


Thursday, May 1, 2014

Allergy Relief!

It's finally spring in Chicago and that means allergy season is here!!

Nationwide, allergies affect more than 50 million Americans and cause an estimated 3.6 million workdays to be lost each year. In addition, 2 million school days per year are lost due to allergies. It is Important for consumers to treat allergies and not just “live” with them. 

Typical allergy symptoms include sneezing, itchy, watery eyes and a runny nose.

Pollen levels in Chicago have been bothersome. The predominant pollens right now are from birch, maple and poplar trees.

In Chicago, tree pollen is particularly bad this time of year; flowers (an allergy myth) are unlikely to trigger allergy symptoms as flower pollen is heavy, waxy and sticky and unlikely to become airborne

Indoor allergy triggers include dust mites, animal dander, mold, cockroach droppings

Currently, the pollen count for the area around campus is predicted to be 9.8 by Sunday (5/4). Pollen levels between 8.1 and 12.0 tend to affect most individuals who suffer from the pollen types of the season. Symptoms may become more severe during days with high pollen levels.

Beating Allergies in the Windy City

• Monitor pollen counts (www.pollen.com) – highest pollen conditions occur on dry, windy days

• When pollen counts are high:
  • Stay indoors if possible, pollen counts are the highest between 5am-10am
  • Don’t line dry clothes or air out rugs outside, etc. You will just bring the pollen into your house
  • Keep the windows closed in the house; use air-conditioning, change the filters frequently
  • If driving, keep the windows closed and use the air-conditioner set to re-circulate air rather than bring in fresh air from the outside
  • If you spend time outdoors on high pollen days, take a shower, wash your hair and change your clothes when you get home to get rid of any pollen that may have built up on you or your hair or clothes; have children change their clothes when they come in from playing outside
• Nonprescription (OTC) medications are available to treat allergies but there are differences between them
  • Talk to your pharmacist about OTC allergy medications – new options are available OTC
    • Triamcinolone (Nasacort Allergy 24 hour) was recently switched from prescription to OTC status
      • It is the first topical steroid available over the counter
      • Will relieve the symptoms of runny nose, sneezing, nasal itching and stuffy nose; considered to be the first line treatment for allergic rhinitis by the Academy of Allergy, Asthma and Immunology according to the report of the Joint Task Force on Practice Parameters in Allergy
      • Advantages:
        • No risk of sedation or drug-drug interactions
        • Long duration of action allowing for once daily dosing
      • If no relief of symptoms after one week, see primary care provider
    • Patients who should NOT use Nasacort Allergy 24 HR before talking to their pharmacist or health care provider include:
      • Patients with recent nasal ulcers, nasal surgery or unhealed nasal injuries
      • Patients using an asthma medicine or prescription steroid medicine
      • Patients who currently have an eye infection, glaucoma or cataracts
      • When using Nasacort Allergy 24 HR, keep in mind the following points:
        • Nasacort should be used once daily regularly without missing a dose
        • May take up to 1 week to provide full benefit and symptom relief; most people will have some improvement on the first day
        • Use in children:
          • There is the potential for a slowed growth rate in children and it is important to talk to the child’s doctor if the child needs to use the spray for more than 2 months in a year
    • A non-sedating antihistamine like Claritin or Allegra is a good option for most people including children over the age of 2.  Relief from allergy symptoms begins within around an hour. 
    • If you also suffer from a stuffy nose, Claritin D or Allegra D may be a good choice.  Keep in mind that these products are OTC but are kept behind the pharmacy counter so you will need to ask for them.
  • Before getting behind the wheel, allergy sufferers need to carefully read labels on OTC medicines for precautions such as ‘marked drowsiness may occur’ and ‘be careful when driving a motor vehicle’ and heed those warnings
Allergy Medications

Getting the most from your nonprescription allergy medicines

• Read the label, be sure you are not taking multiple products (Rx or OTC) containing the same ingredient (for example, some allergy products and some products for insomnia contain the exact same active ingredient (diphenhydramine); by taking them together, you are double dosing and can have side effects)

• Follow the directions. Don’t skip doses

• If you have questions, ask your UIC pharmacist! Don't suffer this allergy season, we can help!

 Submitted by:

Jan Engle, Pharm.D., Ph.D. (Hon), FAPhA, FNAP
Professor and Head, Department of Pharmacy Practice
Executive Associate Dean
University of Illinois at Chicago College of Pharmacy, Chicago, IL

Past President, American Pharmacists Association, Washington DC


Monday, December 16, 2013

Safe Medication Disposal


Do you have unused or expired medications sitting in your medicine cabinet? Don’t know what to do with these medications?
Here are 5 great reasons to motivate you to clean out your medicine cabinet and safely dispose of your unused or expired prescription and over-the-counter (OTC) medications:
o   Over 78,000 children under 5 years of age are treated for accidental drug overdose per year.1
o   Prescription drugs are more commonly abused than ecstasy, heroin, crack/cocaine and methamphetamines combined in adolescents 12 to 17 years of age.2
o   Drug overdose death rates more than doubled from 1999-2010 in those aged 10 to 19 years.2
o   Nearly one-third of people age 12 years and older who used illicit drugs for the first time in 2010 began by using prescription drugs non-medically.3
o   Drugs such as antibiotics, steroids, pain killers, estrogens, blood pressure medicines, and antidepressants were detected in 80% of water samples in 139 streams across 30 states and may be causing harm to fish and other wildlife.4
Unused and expired medications may be in the form of capsules, pills, inhalers/aerosols, creams, etc. Improper storage of these medications can lead to accidental use of the wrong medication, overdose (especially in the case of children and pets), or drug abuse by others in the household. A majority of patients continue to dispose of these medications in the trash or flush them down the toilet or sink. The Illinois Environment Protection Agency (IEPA) recommends against flushing a majority of medications down the toilet or sink. These medications wind up in our drinking water system through improper disposal and natural excretion, and our water treatment facilities do not have the expertise to remove medications from our drinking water supply. Several new changes are being implemented for the safe disposal of unused and expired medications, including an expansion in drug take-back programs across the nation.
Medication disposal dos and don’ts:
Dos:

Do reduce pharmaceutical waste whenever possible. Finish the full course of prescribed medications as recommended by your doctor or pharmacist, and only buy as much as you need.

Do store medications safely out of reach of children, pets, and others to prevent accidental overdose, misuse, or abuse.

Do take unused/expired medications to a local take-back program or mail them to a collection agency. To find a participating program:
·      Call your local police department, village, or city administrative office.
·      Check to see if your local pharmacies participate in the national “TakeAway Environmental Return System” mail-in medication disposal program.
·      Call (217) 524-3300 or visit the IEPA website at http://epa.state.il.us/medication-disposal/ for additional information and frequently asked questions.
·      For one-day collection events and long-term collection facilities, contact:
o   City of Chicago, 1150 N. North Branch on Goose Island, Phone: 311 or 312-744-7672
o   Rockford, 3333 Kishwaukee, Rock River Reclamation District, Phone:815-987-5570
o   Naperville, 1971 Brookdale Rd, Fire Station #4, Phone:630-420-6095
·      If you live in Lake County, contact the Solid Waste Agency of Lake County (SWALCO), Phone:847-336-9340
·      Visit the Solid Waste Agency of Northern Cook County (SWANCC) website for programs at over 20 Chicagoland member communities http://swancc.org/programs/pharmaceuticalsharps-disposal

·      Follow these general tips for medication disposal at participating take-back programs:
o   Keep medications in original containers but blacken-out any personal information with a permanent marker.
o   Acceptable items include: unused/expired prescription medications and expired OTC products.
o   Unacceptable items include: Pharmaceutical controlled substances (e.g. Norco, Vicodin, hydrocodone, oxycodone etc.).
o   Check with your local program for guidance on acceptable/unacceptable items.
·      For pharmaceutical controlled substances disposal, visit:
o   DEA website for designated take-back days and a list of pharmaceutical controlled substances:
o   Save A Star’s drug disposal program website for location of disposal boxes and a list of all acceptable items:
Don’ts:
Don’t share medications with friends and family.
Don’t store medications in the bathroom as this may compromise the integrity of the product.
Don’t flush medications down the toilet or sink or dispose of in the trash as they end up in our environment and drinking water supply.
Don’t burn medications as this may release toxic fumes and lead to air pollution.
If you do not have access to a local take-back or mail-in program, the IEPA recommends disposing of unused/expired medicines in the trash to avoid accidental overdose, misuse, and abuse by following the steps below:
·      Remove medications from original containers or blacken-out any identifying information on the label
·      Mix medication with a small amount of alcohol or water to dissolve or grind them up with kitty litter or coffee grounds
·      Place them in a plastic bag, and dispose of them in the trash
Drug abuse and misuse of prescription and OTC medications has become a significant problem. The medicines we take are increasing ending up in our environment and may be causing harm to wildlife. The previous recommendation to flush unwanted medications down the toilet or sink or dispose of in the trash may no longer be effective in addressing this problem. It is currently recommended to dispose of expired and unused medications at local or mail-in medication collection programs.
Protect your loved ones, drinking water sources, and the earth--dispose of your medications in a safe and environmentally-friendly manner.
References:
1.     Nettesheim T, Boehme SE, Malloy EH. Disposal of unwanted medications. Illinois-Indiana Sea-Grant website. http://www.istc.illinois.edu/special_projects/ppcp-env/1315-boehme.pdf. Accessed October 31, 2013. 
2.     Disposal of unwanted or unused pharmaceuticals fact sheet. IEPA’s medication disposal website. http://www.epa.state.il.us/medication-disposal/facts.html. Accessed October 30, 2013.
3.     A response to the epidemic of prescription drug abuse. Whitehouse drug policy website. Published April 2011. http://www.whitehouse.gov/sites/default/files/ondcp/Fact_Sheets/prescription_drug_abuse_fact_sheet_4-25-11.pdf. Accessed October 31, 2013.
4.     Results from the 2011 national survey on drug use and health: Summary of national findings, NSDUH series H-44, HHS Publication No. (SMA) 12-4713. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2012.
5.     A national action plan for child injury prevention: reducing poisoning injuries in children. CDC website. http://www.cdc.gov/safechild/NAP/overviews/poison.html. Updated April 1, 2013. Accessed October 31, 2013.
6.     Barnes KK, Kolpin DW, Meyer MT, et al. U.S. geological survey website. 2002. http://toxics.usgs.gov/pubs/OFR-02-94/index.html. Accessed October 29, 2013.
7.     How to dispose of unwanted medicine and personal care products. Illinois-Indiana Sea-Grant and University of Illinois Extension website. http://web.extension.illinois.edu/unusedmeds/. Accessed October 30, 2013.
8.     Medication disposal programs offered across the nation. NABP website. http://www.nabp.net/news/medication-disposal-programs-offered-across-the-nation. Updated August 26, 2011. Accessed October 30, 2013.
Masooma Razvi
Doctorate of Pharmacy Candidate, 2014

Monday, December 9, 2013

What is Mental Health?

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What is mental health?
Mental health encompasses many aspects of our overall health and well-being and is made up of emotional, psychological, and social components.1 Emotion well-being refers to how satisfied an individual is with their current life situation, happiness, and peacefulness. Psychological well-being includes components such as self-acceptance, personal growth, openness to new experiences, optimism, and self-direction. An individual’s social well-being includes social acceptance, personal self-worth in society, and sense of community. Our mental health plays an integral role in how we function on a day-to-day basis and impacts our thoughts, feelings, and actions. It can also determine how we handle certain situations and has an impact on our personal relationships. Mental illness refers more specifically to a diagnosable mental disorder.2 Common mental illnesses include anxiety disorders, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, eating disorders, mood disorders, personality disorders, and schizophrenia. Depression is the most common mental illness, affecting more than a quarter of the U.S. adult population.

When to see your doctor or mental health provider.
Although it may be difficult to recognize when something is impacting your mental health, there are a few signs that may suggest it is time to have a discussion with your doctor or a mental health provider.3

Mood: Mood swings from feelings of “highs” to feelings of “lows” may be a sign of poor mental health. Also, persistent feelings of sadness, depression, or irritability lasting beyond two weeks may be an indication that it is time to speak with your healthcare provider about your mental health. Feeling more tense, nervous, or anxious than usual are also signs of many mental health concerns. Other changes in mood could include the inability to cope with daily problems or stress, feelings of guilt, or excessive anger, hostility, or violence.

Loss of interest or pleasure: A recent loss of interest or pleasure in activities, hobbies, or work that you once enjoyed is a common sign that you may need to discuss your mental health with your doctor. You may also find that it is more difficult to complete tasks or assignments in an efficient manner. Withdrawal from friends and family can also signify a significant mental health problem.

Appetite: Changes in eating habits such as eating too much or too little may indicate that it is time for a mental health checkup. Craving certain types of foods that are high in fat or sugar is also a stress response that could result in lower levels of energy and could have an even more negative result on your mood. A significant amount of weight loss without attempting to lose weight or a significant weight gain could be diagnostic of a mental health problem.

Sleep: Recent changes in sleep patterns or habits may also signify a problem with your current mental health. When faced with higher amounts of stress, people often respond with having trouble either falling asleep or staying asleep throughout the night. The quality of sleep could also be impacted and you may find yourself waking up without feeling re-energized. In comparison to not being able to sleep well at night, sleeping more than the normal amount of 7 to 9 hours per night can also be a symptom of a mental health problem.

Feeling of restlessness or being slowed down: You may feel that you are unable to sit still and must always be up moving. You could also experience feeling shaking or have unusual movements. By contrast, you could also feel slowed down and not able to move as quickly or as graceful as you normally would.

Energy: Along with problems getting the appropriate amount of sleep each night, feelings of not having enough energy to get through the day are also common with many mental health problems. Many patients with depression or anxiety issues complain of feelings of significant fatigue and low energy and are not able to complete things that they either must do or want to do.

Concentration: Many mental health issues can contribute to an individual’s ability to focus and concentrate. You can recognize your ability to concentrate by noticing if your productivity levels have decreased, if you’re unable to make deadlines, or if you’re unable to complete simple daily tasks such as housework. You may also find that you are unable to make appropriate decisions in a timely manner.

Physical symptoms: some mental health illnesses may manifest with physical symptoms such as stomach pain, back pain, headaches, and other general body aches and pain.

Preparing for your first visit.
Experiencing even just a few of these signs and symptoms is a reason to see your doctor or a mental health provider, especially if they are interfering with your ability to function on a day-to-day basis. You may choose to discuss your mental health concerns with your primary care doctor or you may go directly to a mental health provider, such as a psychiatrist or psychologist. In preparation for your first appointment, you should think about a number of questions that your doctor may ask you. These include:

When did you first notice your symptoms?
Has your day-to-day life been affected by your symptoms?
What have you tried to treat your symptoms on your own?  
Do you notice anything that makes you feel worse? Do your symptoms have a specific trigger?
Have your friends or family members commented on your mood?
Does mental illness run in your family?
What do you expect from treatment?
What medications, supplements, or herbs to you currently take?
Do you drink alcohol or use illegal (street) drugs?

It is important for you to think about the types of questions you should ask your doctor or other mental health provider prior to your first appointment. Examples of the types of questions to ask your doctor include:

What type of treatment will I receive?
Will counseling or therapy help?
Are there medications that will help?
How long will it take for my treatment to start working?
Is there anything I can do on my own to help myself?
Do you have any brochures that I can have to read?

Suicide Prevention.
If you feel that you are in a crisis or having thoughts of killing yourself please call the Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) immediately. The Suicide Prevention Lifeline is a 24-hour service available to anyone in need of help.

Where to find more information.
If you would like to find out more about mental health or mental illness, below are a few helpful resources:
American Psychological Association: http://www.apa.org/
National Institute of Mental Health: http://www.nimh.nih.gov/index.shtml
American Psychiatric Association: http://www.psychiatry.org/mental-health
Mental Health America: http://www.mentalhealthamerica.net/
National Alliance on Mental Illness: http://www.nami.org/

Maggie Thomas
Doctor of Pharmacy Candidate
College of Pharmacy, University of Illinois at Chicago
UIC Pharmacy
November 2013

References
1.     What is mental health? U.S. Department of Health and Human Services. http://www.mentalhealth.gov/basics/what-is-mental-health/index.html. Accessed November 12, 2013.
2.     Mental health. National Institute of Mental Health. http://www.nimh.nih.gov/health/publications/depression/index.shtml. Accessed November 12, 2013.
3.     Warning signs of mental illness. American Psychiatric Association. http://www.psychiatry.org/mental-health/more-topics/warning-signs-of-mental-illness. Accessed November 12, 2013.