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Your health care team can help you make the best choices, but you have to ask the right questions. When you meet with a team member, have your questions written down and take notes on the answers. You also may want to bring along a friend or relative to help you understand and remember. Use the Question Guide at the end of this pamphlet to help you get the answers you need from your health care team. If you don’t understand an answer, ask again.
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Before you and your team decide on a prescription or OTC medicine, learn and understand as much about it as you can, including: brand and generic (chemical) names active ingredients—to make sure that you aren’t using more than one medicine with the same active ingredient inactive ingredients—if you have any problems with ingredients in medicines, such as colors, flavors, starches, sugars uses (“indications” and “contraindications”)—why you will be using it, and when the medicine should/should not be used warnings (“precautions”)—safety measures to make sure the medicine is used the right way, and to avoid harm possible interactions—substances that should not be used while using the medicine. Find out if other prescription and OTC medicines, food, dietary supplements, or other things (like alcohol and tobacco) could cause problems with the medicine
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After you have all the information, think carefully about your choices. Think about the helpful effects as well as the possible unwanted effects. Decide which are most important to you. This is how you weigh the benefits and risks. The expert advice from your health care team and the information you give the team can help guide you and your team in making the decision that is right for you.
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Read the label to know what active ingredient(s) is (are) in the medicine. The active ingredient in a prescription or OTC medicine might be in other medicines you use. Using too much of any active ingredient may increase your chance of unwanted side effects. Read the label each time you buy an OTC medicine or fill your prescription. When buying an OTC, read the "Drug Facts" label carefully to make sure it is the right medicine for you. Prescription and OTC medicines don't always mix well with each other. Dietary supplements (like vitamins and herbals) and some foods and drinks can cause problems with your medicines too. Ask the pharmacist if you have questions.
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Before you leave the pharmacy with your prescription, be sure you have the right medicine, know the right dose to use, and know how to use it. If you've bought the medicine before, make sure that this medicine has the same shape, color, size, and packaging. Anything different? Ask your pharmacist. If your medicine tastes different when you use it, tell your health care team. Read and save all the information you get with your medicine.
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Use this guide with your health care team to find out what you need to know about the medicines you use, and about the medicines you are thinking about using. Be sure to find the answers to these questions for any sample medicine your doctor gives you. What are the brand and generic (non-brand) names of the medicine? What is the active ingredient? Could I use a generic form? What is the medicine for, and what will it do for me? When should I start to feel better? When should I report back to the team? Will this medicine take the place of any other medicine I have been using? Should I avoid any drinks, foods, other substances, or activities while using this medicine?
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Can this medicine be used safely with the other medicines and treatments I already use? Does this include prescription and OTC medicines, vitamins, herbals, or other supplements, and other treatments? Should I avoid starting other medicines (prescription or OTC), dietary supplements (like herbals and vitamins) or other treatments while I am using this medicine? What are the possible side effects from this medicine? What do I do if I get a side effect? Is there any chance that I could become tolerant, dependent or addicted to this medicine? What can I do to avoid this? How and when should I use the medicine, in what amount, and for how long? Are there any special directions for using this medicine?
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Will I need any tests (blood tests, x-rays, other tests) to make sure the medicine is working as it should? How will I get the results? What should I do if I miss a dose? What should I do if I use too much by mistake? How and where should I keep this medicine? (Remember: Always put medicines out of the sight and reach of children and pets.) Where and how can I get more information about this medicine? Remember: To reduce the risks of using medicines and to get the most benefit, you need to be an active member of your health care team. When it comes to using medicine, there is no such thing as completely safe. All medicines have risks. The U.S. Food and Drug Administration (FDA) approval of a drug means that the benefits outweigh the known risks that are outlined on the drug's label. Physicians, physician assistants, nurses, pharmacists and YOU make up your health care team. To reduce the risks related to using medicines and to get the maximum benefit, you need to play an active role on the team.
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The possibility of a harmful interaction between the medicine and a food, beverage, dietary supplement (including vitamins and herbals), or another medicine. Combinations of any of these products could increase the chance that there may be interactions. The chance that the medicine may not work as expected. The possibility that the medicine may cause additional problems. For example, every time you get into a car, there are risks---the possibility that unwanted or unexpected things could happen. You could have an accident, causing costly damage to your car, or injury to yourself or a loved one. But there are also benefits to riding in a car: you can travel farther and faster than walking, bring home more groceries from the store, and travel in cold or wet weather in greater comfort. To obtain the benefits of riding in a car, you think through the risks. You consider the condition of your car and the road, for instance, before deciding to make that trip to the store.
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You must decide what risks you can and will accept in order to get the benefits you want. For example, if facing a life-threatening illness, you might choose to accept more risk in the hope of getting the benefits of a cure or living a longer life. On the other hand, if you are facing a minor illness, you might decide that you want to take very little risk. In many situations, the expert advice of your doctor, pharmacist, or other health care professionals can help you make the decision.
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Make sure you understand the directions; ask if you have questions or concerns. Always double check that you have the right medicine. Keep medicines in their original labeled containers, whenever possible. Never combine different medicines in the same bottle. Read and follow the directions on the label and the directions from your doctor, pharmacist, or other health care professional. If you stop the medicine or want to use the medicine differently than directed, consult with your health care professional.
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