measles vaccine image

by Gabriel Rallison, PharmD. Candidate, Class of 2020
University of Arizona

If you follow recent news, you’ve probably heard about measles outbreaks cropping up in California1, Washington2, and New York.3 The Centers for Disease Control and Prevention (CDC) reports, as of September 2019 there have been 1,241 confirmed cases of measles in the United States this year, a number already higher than the previous four years combined.4 With so many cases, this year marks the largest outbreak of measles in the United States in 27 years.5

What is measles?

Measles, also known as rubeola, is a viral disease that can lead to fever, cough, runny nose, and red, watery eyes.4 These symptoms will usually appear about 7 to 14 days after being infected, before which a person may not even know they are sick.

In addition, a few days after these symptoms start to show, a measles rash will appear. This rash normally starts on the face and spreads down the body, starting with small red spots that will merge over time. The rash will usually remain for about five days before fading away.

Why should I be concerned?

The measles virus is spread when an infected person coughs or sneezes, releasing viruses into the surrounding area. Once in the air, the virus can remain there for up to 2 hours, with anyone passing through the area at risk of breathing in the virus and getting sick.3,4

This virus is very contagious, which means that if exposed people are not protected by a vaccine, they have a 9 out of 10 chance of catching the disease!2 While measles is technically considered eliminated in the US, recent cases come from unvaccinated people traveling outside of the country, catching measles abroad, and bringing it home with them.1,2,4

Measles symptoms generally are not very severe, but this disease can have very serious complications including:

  • permanent hearing loss
  • severe lung diseases
  • swelling of the brain
  • pregnancy complications
  • death.4

Before the vaccine for measles was developed, over 3 million people were infected annually, with 48,000 hospitalized and 400 dying from measles and related complications each year.

How can I protect myself?

The best protection for measles is the vaccination.1,2,3,4 The measles vaccination is available as a combination vaccination with mumps and rubella, together called the measles-mumps-rubella or MMR vaccine.4

This vaccine works by teaching your body’s immune cells what to watch out for and helps prepare the body’s defenses for the viral attack. The vaccine is very effective, and when used as recommended is 97% effective at preventing measles.4

For most adults, the CDC recommends getting one dose of the vaccine, with certain conditions requiring a second dose achieve full immunity.9 In small children, the recommendation is to get one dose at 1 year old, and a second dose between 4 to 6 years old.9 The vaccine can and should be given to children under 1 year of age if planning on traveling internationally.3,9

Is the vaccine safe?

Yes, the MMR vaccine has been shown in repeated studies and trials to be safe and effective.2,3,6 While there have been concerns expressed that vaccines may cause autism, dozens of studies over the last 25 years including tens of thousands of patients have found no link between vaccines and autism.7,8

Additionally, the vaccine component purported to cause harm, a preservative called thimerosal, has never been a part of the MMR vaccine.6 The most common side effect of vaccines is redness and soreness at the injection site, and in rare cases a mild fever or rash may arise.4

Where can I get the vaccine?

The MMR vaccine is available at your doctor’s office or your pharmacy and is free of charge with most insurance plans.  If you don’t have a regular doctor or pharmacy, you can use https://vaccinefinder.org/ to find a location near you.10

Pharmacies are especially convenient, with 9 in 10 Americans living within 5 miles of a pharmacy.  At most pharmacies, no appointment is required, and your pharmacist can have you vaccinated and on your way in mere minutes. So then, what are you waiting for?

References

  1. Disneyland, Universal Studios Hollywood Visitors Reportedly Exposed to Measles. TIME. Aug 24, 2019. https://time.com/5660904/new-zealand-teenager-measles-southern-california/ Accessed Sept 20, 2019.
  2. Measles Cases Mount in Pacific Northwest Outbreak. NPR News. Feb 8, 2019. https://www.npr.org/sections/health-shots/2019/02/08/692665531/measles-cases-mount-in-pacific-northwest-outbreak. Accessed Sept 23, 2019.
  3. US in danger of losing measles-free status, a ‘mortifying’ effect of anti-vax movement. USA Today. Sept 13, 2019. https://www.usatoday.com/story/news/nation/2019/09/13/us-could-lose-measles-free-status-if-outbreak-continues-new-york/2300281001/ Accessed Sept 19, 2019.
  4. Measles (Rubeola). Centers for Disease Control and Prevention. N.d. https://www.cdc.gov/measles/index.html Accessed Sept 19, 2019.
  5. U.S. measles cases reach highest level in 27 years. NBC News. May 31, 2019. https://www.nbcnews.com/health/kids-health/u-s-measles-cases-reach-highest-level-27-years-n1012401 Accessed Sept 23, 2019.
  6. Vaccine Safety. Centers for Disease Control and Prevention. N.d. https://www.cdc.gov/vaccinesafety/index.html Accessed Sept 20, 2019.
  7. Autism Occurrence by MMR Vaccine Status Among US Children With Older Siblings With and Without Autism. Journal of the American Medical Association. April 21, 2015. https://jamanetwork.com/journals/jama/fullarticle/2275444 Accessed Sept 23, 2019.
  8. MMR Vaccine Does Not Cause Autism: Examine the evidence! Immunization Action Coalition. N.d. http://www.immunize.org/catg.d/p4026.pdf Accessed Sept 23, 2019.
  9. Immunization Schedules. Centers for Disease Control and Prevention. N.d. https://www.cdc.gov/vaccines/schedules/index.html Accessed Sept 19, 2019.
  10. Vaccine Finder. HealthMap.  N.d.  https://vaccinefinder.org/


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dangers of vaping and e-cigarettes - blog image

by Marcos Puente, PharmD Candidate Class of 2020
University of Arizona

If you have transitioned from regular cigarettes to electronic cigarettes (e-cigarettes) or vaping products for a safer and healthier alternative, you may want to reevaluate your decision. Until recently, many people believed that e-cigarettes and vaping were considered a “better” option compared to cigarettes because they do not release tar as well as other toxic gases found in cigarette smoke.5

Although many individuals have found that transitioning to e-cigarettes or vaping has helped with reducing their use of traditional cigarettes, and in some cases have helped cigarette smokers quit overall, recent cases of lung illnesses have raised the question: are e-cigarettes and/or vaping truly a better, safer alternative to traditional cigarettes?

An Epidemic of Lung Ailments

Vomiting, coughing, shortness of breath, and fatigue have been the most common signs and symptoms most individuals have complained about after vaping/using e-cigarettes within the last 90 days4. As of September 7, 2019, there have been at least 450 cases of an unknown lung disease possibly related to vaping, which has already claimed the life of three people across the nation. The Food and Drug Administration (FDA) and Center for Disease Control and Prevention (CDC) are investigating extensively to pinpoint the exact cause of these lung disease outbreaks and if they are in anyway related to vaping and/or using e-cigarettes3.

What We Now Know

  • CDC and FDA are warning consumers about the vaping-linked lung disease
  • CDC is recommending avoiding e-cigarettes while the FDA is suggesting avoiding products that contain THC (marijuana compound that produces a high)3
  • It is still too early to pinpoint an exact cause or culprit for the outbreak of these lung illness cases3

Potential Cause of these Lung Illness Cases

Although an exact explanation has not been recognized as to what is causing these recent lung disease outbreaks, health investigators have linked vaping to the underlying cause of these lung ailment cases. A clinical psychologist from San Francisco, Dr. Danielle Ramo, suggests that certain additives in the vapor being released from these vaping products contain oils that can be highly dangerous and toxic if heated and inhaled.1 One of the oils being identified in many of these recent outbreak cases is vitamin E, which is commonly used as a supplement and topical moisturizer/cream. Although Vitamin E is safe when applied topically and consumed as a supplement, it can cause damaging effects when inhaled as smoke.3 Although not all vaping products and e-cigarettes contain these additives, it is sill highly recommended to avoid these products until further research and studies have been completed.1

What this Means to You

If you are currently using e-cigarettes or vaping as an alternative to traditional cigarettes, it is highly recommended to quit until a definitive cause is identified for the growing number of lung disease cases across the nation.4 It is too early to determine if a certain brand is responsible for these outbreaks or if the lung illness cases are related to a specific ingredient found in some products offered on the shelves, or possibly even a black-market product being sold which can potentially contain an unsafe chemical. Whatever the cause may be, quitting e-cigarettes and vaping overall can potentially decrease your risk of developing future lung disease (e.g. COPD, lung cancer).

Need Help Quitting?

There are services and support to help assist you in quitting vaping and/or using e-cigarettes. To get free, personalized support from an expert you can call 1.800-QUIT-NOW or 1.800.44U-QUIT to talk with a tobacco cessation counselor. There is also becomeanex.org, a website designed to help support and give you resources to help you quit smoking or vaping.2

Sources:

  1. Graff, Amy. “57 Cases of Lung Illness Linked to Vaping Reported in California, 1 Death.” SFGate, San Francisco Chronicle, 9 Sept. 2019, www.sfgate.com/bayarea/article/vaping-California-acute-lung-disease-death-14424730.php
  2. “Imagine Your Life without Tobacco. Looks Great, Right?” Become An EX Smoker, Learn to Quit Smoking, Stop Smoking Cigarettes, www.becomeanex.org/.
  3. Lavito, Angelica. “What Should People Avoid Inhaling during Mysterious Lung Disease Outbreak? Health Officials Disagree.” CNBC, CNBC, 7 Sept. 2019, www.cnbc.com/2019/09/07/cdc-fda-clash-on-warning-consumers-during-lung-disease-outbreak.html.
  4. Richtel, Matt, and Denise Grady. “What You Need to Know About Vaping-Related Lung Illness.” The New York Times, The New York Times, 7 Sept. 2019, www.nytimes.com/2019/09/07/health/vaping-lung-illness.html
  5. Ross, John. “E-Cigarettes: Good News, Bad News.” Harvard Health Blog, 5 Aug. 2019, www.health.harvard.edu/blog/electronic-cigarettes-good-news-bad-news-2016072510010


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by Nikki Buzzelli

Diagnoses, treatments, surgeries. At every stage of your health journey, finding a professional second opinion, gaining new perspectives or searching for different resources, in your community or online, is one of the best ways you can advocate for yourself as a patient.

While the medical community agrees second opinions aren’t necessary in every case–a cold is most likely a cold–most doctors recommend a second opinion in certain cases, and some insurance companies cover them. A good second opinion could save you time, money, even your life.

get a free scriptsave wellrx discount card

Seeking a Second Opinion

A few reasons to seek a second opinion are, if:

  • Your doctor is not a specialist or familiar with your condition. Specialists are dedicated to their field and can ask questions and notice symptoms so subtle others may miss.
  • You feel your concerns aren’t taken seriously. Mental health is as important as physical health and that starts with medical teams that listen to you, the patient.
  • You’re not confident in your diagnosis or treatment plan. Doubt, gut feelings, or intuition can all be enough reason to seek another opinion. You know best what is working for your body, or how well a diagnosis “fits.”
  • You’ve completed treatment and haven’t improved. Studies show our brains follow the same train of thought over time, creating natural blind spots in the way we think. Doctors are no exception. A fresh perspective could find a misdiagnosis or bring new skills that could lead to the correct treatment.

If you feel you want or need a second opinion, it’s easier than most people think. The important thing is to find a medical professional you are confident in and comfortable with.

You can ask your doctor for their recommendation or do your own research with the help of your insurance company. Make sure to get copies of your medical records to share with your new doctor. You’ll also want to compile lists of all the prescriptions you are taking, any relevant test results, and your past and current treatment plans.

Whether it’s a new approach or a different way of thinking about treatment, second opinions give you information necessary for you to make the best decisions about your health.

It’s clear we benefit from second opinions on treatments; but when’s the last time you thought about getting a second opinion on medical costs, like prescriptions?

The Two-Second Second Opinion

The ScriptSave WellRx app is the free, two-second ‘second opinion’ in your pocket that brings you lower prescription drug costs by negotiating drug prices with independent and chain pharmacies in bulk. Sometimes for even lower than your insurance cost.

Now, instead of taking the number at the pharmacy register at face value, one simple search shows you the out-of-pocket price for your prescriptions with a variety of discounts, all available for you to choose from. And because you can access WellRx online or through the app, it’s easier than ever to find the second opinion on prescription costs you need in real-time.

Simply go to WellRx.com, type in your or your family’s prescription and dosage information, and WellRx will find the biggest savings from the closest of over 65,000 pharmacies. The only thing you have to do is save your discount and show it to the pharmacist at the register. No extra costs, no sign ups, just the everyday savings you and your family needs.

See for yourself the difference a second opinion can make.

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After you leave the doctor’s office, you may find that there is an issue with the drug you were prescribed. You may be wondering whether you have to make another trip to the doctor or if your pharmacist could just change your prescription. The answer to this question depends on what state you live in, but there are generally a few things pharmacists are allowed to modify.

A pharmacist can change your doctor’s prescription in these ways:

  • Therapeutic Substitution: Switching out a prescribed drug with another drug in the same class.
  • Generic Substitution: Giving out a cheaper generic version of a brand name drug.
  • Pharmaceutical Compounding: Changing the form or taste of the drug to make it easier for the patient to take.

We provide more details about each of these below.

What Is Therapeutic Substitution?

Therapeutic substitution occurs when a pharmacist switches a prescribed drug for a different drug from the same class that has the same clinical effect. This type of drug switching (also called therapeutic interchange) could save a patient money, avoid side effects, or provide medication more quickly in the case of a shortage.

Your pharmacist may or may not be required to get your doctor’s approval before conducting therapeutic substitution. It depends on the specific drug and what kind of switch is occurring, as well as the laws of your state.

Risks Associated with Therapeutic Substitution

There are some types of medications that are not good candidates for therapeutic substitution. For example, antidepressants, cardiovascular medications, and epileptic medications should not be changed since doctors work closely with patients to find the right type of drug and exact dosage required.

Pharmacists may substitute medications without notifying you beforehand. If you do not want your drug to be substituted at the pharmacy, ask your doctor to note that on the prescription by writing DAW (dispense as written), “medically necessary,” or “may not substitute.”

Can a Pharmacist Change a Prescription to Generic?

Your pharmacist can often change a brand-name to a generic drug to save you money. They may do this automatically, or they may call your doctor for you and get an updated Rx. If your doctor prescribes you a name-brand drug that you’re struggling to afford, ask your pharmacist for a generic version.

Could You Save Money by Switching to a Generic Drug?

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Can a Pharmacist Change My Dosage?

A pharmacist cannot change the dosage of your prescription without talking to your doctor and getting their approval. However, the pharmacist may decide how best to dispense medications. For example, if your doctor prescribes 50mg of a drug to be taken daily, your pharmacist could give you 25 mg tablets and instruct you to take two daily. Or, they could give you 100mg tablets and tell you to split the pills, if the medication is safe to split.

What is Pharmaceutical Compounding?

Pharmaceutical compounding refers to the process of changing a medication so that it is easier for a patient to take. This may include changing the form from liquid to tablet or vice versa, adding a flavoring, changing the method of administration, eliminating inactive ingredients (such as allergens), or adjusting strength or dosage.

In short, pharmaceutical compounding is a way of customizing a patient’s prescription to fit their unique needs. When compounding, a pharmacist will work with you and your doctor to find the best solution.

What If My Medication Isn’t Working?

If you find that a drug your doctor prescribed is not working for you, a pharmacist cannot override a doctor’s prescription. You should see your doctor and have a discussion about the medications you are taking. It’s important to understand why your doctor prescribed a particular type or brand of drug.

Here are a few scenarios where you might need to modify a prescription.

Potential Interactions

Your doctor may have missed a potential drug or supplement interaction that your pharmacist catches. This is why it’s important to always inform your doctor and pharmacist of all drugs and supplements you’re taking.

There are also technology tools (like the free virtual Medicine Chest available from ScriptSave WellRx) that can automatically alert patients to potential adverse interactions for the medications they have been prescribed.

Adverse Side Effects

If you start to develop uncomfortable or dangerous side effects, let your doctor know immediately. Some side effects can be life-threatening. Be sure to carefully read all the information about your prescribed medication and report side effects as soon as they occur.

Insurance Coverage

You may find that your insurance company doesn’t cover a certain brand name or type of drug. In some cases, pharmacists can automatically substitute a drug that is covered by your insurance formulary.

Always Check Your Medication at the Pharmacy Counter

The next time you get a prescription filled, carefully check the medication that’s dispensed to you. Make sure the name and dosage match what your doctor wrote on your prescription. If it doesn’t, ask your pharmacist what has changed and how it will affect you. In many cases, pharmacists will automatically switch to a generic drug to save you money.

If you must have an expensive brand-name drug, know that there are several ways to save on prescription costs. Manufacturer coupons and patient assistance programs are available to patients who qualify. ScriptSave WellRx also offers a discount drug card to anyone, free of charge.

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EpiPen is a brand of epinephrine auto-injector that is used to treat anaphylaxis, a serious allergic reaction. An EpiPen prescription is life-saving for people with severe food allergies, but it is also expensive. Despite the risk of death with anaphylaxis, some patients choose not to fill their prescription for an EpiPen because they can’t afford it.

Here are some things to consider as you look for ways you can save money on EpiPen, to help ensure you always have epinephrine handy in case of an anaphylactic reaction.

How Much Does EpiPen Cost?

The cash price for a 2-pack of EpiPens ranges from $600-$800, while the authorized generic version could be anywhere from $150-$350 for the same dose. This is expensive for many patients, especially if they need EpiPens for multiple family members. 

Most insurance plans will cover some form of epinephrine auto-injectors, but you may still find yourself responsible for a high co-pay. Luckily, there are other ways to save.

Related: EpiPen Savings Tool

Use Generic Auto-Injectors

There used to be no generic versions of EpiPen available, which contributed to the high cost of epinephrine auto-injectors. Now, consumers have several alternative options:

  • Adrenaclick
  • Auvi-Q
  • Symjepi
  • Teva’s Epinephrine Auto-Injector

Depending on your insurance coverage, these generics can still sometimes end up being just as expensive as EpiPen. That said, Auvi-Q does have a savings program that offers the auto-injector for $0 to commercially insured, qualifying patients. Also, Teva offers a co-pay savings card, and CVS pharmacies sell Adrenaclick at a cash price of $109.99 for a two-pack.

It’s important to also be aware that these generics may have different injection procedures. You should always talk to your doctor or pharmacist about how to use your epinephrine injector. Some auto-injectors come with instructions, while others require you to order a trainer separately. Most manufacturers also post instructions on their websites.

Use a Prescription Discount Card

Unlike manufacturer coupons and patient assistance programs, prescription discount cards are available to everyone, and there are no requirements to meet. One of the big differences is that you cannot use a discount card in combination with your insurance coverage; you must use one or the other (usually patients will choose whichever one provides the lowest out of pocket cost). 

To receive a discounted price on your EpiPen, simply show your Rx savings card or mobile app when picking up your medication at a participating pharmacy.

Get a free Rx discount card today

Look for Manufacturer Coupons or Savings Programs

Mylan, the manufacturer of EpiPen, offers co-pay cards for commercially insured patients who qualify. These cards, also known as manufacturer coupons, can save you $300 on an EpiPen 2-Pak or $25 on a two-pack of the Mylan generic version of EpiPen. Additionally, Mylan offers a Patient Assistance Program. 

Manufacturer coupons and savings programs can make EpiPens affordable, but keep in mind that you must qualify for assistance. Visit the official EpiPen website for full requirements.

Compare Pricing Between Pharmacies

When it comes to getting the best price for your medications, you should compare different pharmacies in your area. You might be surprised at how much of a difference you find. There are many online tools that compare pharmacy prices automatically. 

Always be sure to check the cash price against your insurance co-pay. You may find that the cash price is actually better, especially if you use a savings program or discount card.

Check Your Insurance Coverage

If your insurance plan has a high deductible or doesn’t cover EpiPen, you may find yourself paying most or all of the cost of your auto-injector. Be sure to check your insurance formulary to see if a generic version of epinephrine auto-injector is covered. You can ask your doctor to write you a prescription for the generic, which will be just as effective as the brand name.

You could also file an appeal for coverage. The appeals process can be somewhat complicated, so ask your doctor if you’re unsure how to proceed. If your insurance company still denies coverage after you appeal, you have the option of filing an external appeal where a third party will decide the coverage.

We hope to see lower pricing for EpiPens in the near future. Until then, use the above strategies to access the lowest price possible on your medication. We recommend downloading or printing a free prescription savings card to have on hand whenever you shop for your prescriptions.

Start Saving Today!

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by Cherokie Dyer, PharmD candidate class of 2020,
University of Florida

Alzheimer’s is an irreversible brain disease best known for the hallmark sign of dementia. It is believed that Alzheimer’s is caused by plaques that form in the brain and damage your memory, thinking skills, and ability to do simple tasks. Usually the disease shows up around 60 years of age, with rare exceptions.

Treatment for Alzheimer’s

Currently, there are a few treatments to help with the symptoms of Alzheimer’s disease including agitation, loss of appetite, mood, and paranoia but there is no cure for the disease itself. In the past, Alzheimer’s disease seemed to be a random occurrence in old age.  The good news is that we now have research to suggest that it can be prevented or delayed.

Five ways to Prevent Alzheimer’s

There is not one specific behavior that you can start to prevent or delay Alzheimer’s. Rather, the Rush study lends evidence to suggest that it is a combination of four or more of these lifestyle behaviors that can lower your chances of getting Alzheimer’s. These findings even apply to people with an increased risk of Alzheimer’s due to genetic factors and family history.

  • Not Smoking
  • Exercising for at least 150 minutes a week at a moderate or vigorous level
  • Eating a brain supporting diet
  • Very light to moderate alcohol consumption
  • Engaging in late-life cognitive activities

The Alzheimer’s study indicates that practicing two or three of these behaviors can reduce your risk by about 37%. Practicing four or five of these behaviors can reduce your risk by 60%.

What is a Brain Food?

While most of these Alzheimer’s preventing behaviors are self-explanatory, two may need further explanation: ‘Eating a brain supporting diet’ and ‘light to moderate alcohol consumption’.

The MIND diet was developed by the same researchers as the Rush Study and incorporates recommendations from two popular heart healthy diets. It stands for Mediterranean-DASH Intervention for Neurodegenerative Delay and it was adjusted based on foods that would be accessible for Americans to readily include in their diet.

The MIND diet emphasizes ten foods you should eat daily and five foods you should avoid.

Start Eating: Green leafy vegetables, other vegetables, nuts, berries, beans, whole grains, fish, poultry, olive oil, and one cup of red wine

Avoid Eating: Red meats, butter and stick margarine, cheese, pastries and sweets, and fried or fast food.

Key Take Aways

  • Alzheimer’s is a progressive disease that can manifest as severe dementia.
  • There currently is no cure, but there is hope to prevent or delay it as you age.
  • Embracing at least four out of five lifestyle adjustments found in the Rush Study can lower your risk of developing Alzheimer’s disease by 60%.

References:

https://www.nia.nih.gov/health/what-alzheimers-disease

https://www.nbcnews.com/health/aging/can-alzheimer-s-be-stopped-five-lifestyle-behaviors-are-key-n1029441

http://www.nbcnews.com/id/57163245/ns/technology_and_science-science/t/mind-your-diet-protect-against-alzheimers/#.XS5OzehKiUl

Mind Diet – https://www.ncbi.nlm.nih.gov/pubmed/25681666

Findings from the Rush Memory and Aging project – https://www.ncbi.nlm.nih.gov/pubmed/22471867



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by Cherokie Dyer, PharmD Candidate,
Class of 2020, University of Florida

When was the last time you felt stressed?

Stress is so common that there is an organization called, “The American Institute of Stress.” According to this group, there are 50 common signs and symptoms of stress. Many of the signs we think about when it comes to stress are difficulty making decisions, excessive anxiety, worry, guilt, and nervousness. Other common signs include increased frustration, irritability, and edginess. We can determine these signs based on our interactions with people. But… did you ever think about what stress is doing to your body on the inside?

How does Stress affect the body?

Stress can be a good thing in an emergency. It turns on your ‘fight or flight’ response. This gives you that ‘adrenaline rush’ feeling, which is the release of cortisol and epinephrine. Stress raises your blood pressure, makes your heart beat faster, and boosts sugar levels in your blood. It can also slow down your digestive tract, make your muscles tense up, and make your breathing become more rapid. All these bodily reactions are great to help you act during a crisis.

However, it’s not good when our bodies are constantly flooded with stress for a long period of time.

  • Heart racing and blood rushing may cause inflammation in arteries and lead to heart attacks or strokes.
  • Constant boosts in blood sugar can affect insulin and lead to pre-diabetes.
  • An impaired digestive tract can keep the body from getting valuable nutrients and lead to hard or loose stools.
  • Constantly tensed muscles can cause tension headaches and migraines.
  • Rapid breathing can cause hyperventilation and lead to panic attacks.
  • Increased cortisol may cause the body to hold on to belly fat.
  • These reactions can start to make the menstrual cycle irregular or lower sperm counts.
  • Stress can also affect eating patterns making us want to eat more or less than usual.

Believe it or not, constant stress can wreak havoc on our body in a multitude of other ways. Especially if you already have medical conditions like heart disease, diabetes, irritable bowel syndrome, or obesity. Your constant stress could very well be the thing that’s preventing your medications from helping you get better.

Two Key Strategies to Manage Stress

Try to prevent it and cope with it when it comes. Figure out the things that trigger your stress. Do your best to avoid them or work around them. For instance, if leaving on time for work stresses you out, invest in a new alarm or get up even earlier to give yourself more time.

There are other ways to prevent stress besides just avoiding your triggers.

  • Carve out some more alone time for yourself
  • Do more of the things that you bring you joy
  • Make the effort to get near 8 hours of sleep
  • Eat more fresh foods and whole foods
  • Avoid stimulants like caffeine.

If you are already feeling stressed out, then there are a ton of options that you can try:

  • Calming activities like prayer, yoga, massages, and/or deep breathing
  • Active movements like going for walks, jogs, lifting weights, or taking group classes like kickboxing
  • More of your favorite hobby, listen to music you like, play with your pet more often, or participate in volunteer work.

The options are endless and there is no correct answer!

Bottom Line

Stress can be negative for both our sanity and our bodies. There are a variety of ways to deal with stress. Identify when you feel the most stressed out. Do your best to avoid that trigger and/or cope with those feelings, and your body will thank you in return.

References

https://www.stress.org/stress-effects
https://www.stress.org/military/combat-stress/management
https://www.stress.org/daily-life



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transfer a prescription

The internet is a convenient option for purchasing many necessities, but can you fill your prescriptions online? In many cases, yes. There are generally two ways to fill a prescription online:

  1. Use an online pharmacy or mail-order pharmacy to fill your prescription; the pharmacy then mails you the prescribed medications.
  2. Use the patient portal on your pharmacy’s website to request an Rx refill online, and then pick up your medicine in person.

How Online and Mail-Order Pharmacies Work

An online or mail-order pharmacy allows you to order your medications over the internet (or by phone) and have them mailed directly to you. This is a convenient option but there are some drawbacks. Your medications take longer to arrive so you want to be sure you keep up with your refills. Some, but not all, online pharmacies have automatic refills available.

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Is It Safe to Buy Medication Online?

There are legitimate online pharmacies, and it is generally safe to use them. However, there are also several safety risks with online pharmacies. You may come across unethical companies that operate in a risky or even illegal manner. They may sell you counterfeit medications, drugs that aren’t FDA-approved, or medication that is expired or defective.

Unreputable online pharmacies may even sell Rx meds to people who don’t have a prescription. Be especially careful with international pharmacies. There are strict federal laws against importing certain substances from a foreign country.

How to Protect Yourself When Using Online Pharmacies

To protect yourself, watch out for these red flags.

  • Lack of contact information. Always check the website for contact information and verify that there is a U.S. address and valid phone number listed. Try calling the number to see if it is legitimate.
  • Availability of drugs without a prescription. If the pharmacy does not require a prescription to complete your transaction, or it advertises that you can obtain drugs without a prescription, do not go through with your order.
  • Drugs that are not FDA-approved. If you see any drugs that haven’t been approved by the FDA, stay away from the pharmacy.
  • No pharmacist available to answer questions. A reputable pharmacy will employ one or more licensed pharmacists to answer your questions.
  • Lack of a valid U.S. license. The National Association of Boards of Pharmacy (NAPB) verifies online pharmacies that are properly licensed. Look for a VIPPS (Verified Internet Pharmacy Practice Sites) seal and a “.pharmacy” website domain.

Do Online Pharmacies Save You Money?

Many people turn to online pharmacies to save money. Some legitimate online pharmacies offer discounted prices on medications, but many cut corners to offer discounts. The drugs may not be properly manufactured and as a result, may be too strong or too weak.

Rather than focusing only on price, you should focus first on safety. Once you have a list of reputable online pharmacies, then you can compare pricing.

Some online or mail-order pharmacies allow you to use discount drug programs when ordering your medication. Call or chat with a customer support representative and see if they accept any savings programs. For example, PillPack and Health Warehouse accept the ScriptSave WellRx prescription discount card.

Online Patient Portals

Online patient portals are offered through a traditional brick-and-mortar pharmacy like Walmart or CVS. These online portals offer a convenient way to request Rx refills from your home, office, school, etc. Once your prescription is filled, you must go to the pharmacy in-person to pick up your medication.

Patients can still use a pharmacy discount card with these portals. Simply bring your card or mobile app with you to the pharmacy when picking up your medications.

Rx Savings On The Go

ScriptSave WellRx is dedicated to negotiating discounted prices on as many medications and at as many pharmacies as possible. If you’re struggling to afford your medication, try downloading our mobile app. It allows you to search and compare drug prices to find the best discount in your area.

Get the ScriptSave WellRx App

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by Emily Ross, PharmD Candidate,
Class of 2020

Improving Medication Adherence and Management

Managing several different medications can be overwhelming, confusing and time-consuming. Without effective medication management, errors and missed doses may happen easily. This can lead to ineffective drug therapy and not getting results from taking medications. One key to proper medication management is organization. There are simple ways to create organizational systems into your daily routine to get the most benefit from your drug therapy.

Medication Management Tools

  • Pill Box: One of the simplest ways to keep medications organized is to use a daily or weekly pill box. There are a variety of sizes and colors to fit your needs. These range from simple ones that have a compartment for each day to more complex ones that have dividers for each dosage time (ex: morning, afternoon, evening).
  • Medication List: Keeping and maintaining a current list of all the medications you take is very useful to keep up to date on your treatment. It is important to include all over the counter drugs, supplements, and herbals that you may take as well. Taking this to your doctor appointments and the pharmacy ensures all your providers are aware of your medications and can help prevent duplicate drug therapies and potentially harmful drug interactions.
  • Medication App: There is an app for about anything – including managing your medications! There are several apps available to download to your phone or mobile device. Read about the different features of each one and then choose one that best meets your needs. These are available for both android and apple devices. Some examples are:
    • MyMeds: Connects patients, caregivers, and providers to help have better understanding of current medications
    • MyMedSchedule Plus: Simple and easy to use, offers reminders, pictures of medications and tracks how often the medication is taken
    • The ScriptSave WellRx App: In addition to providing prescription price transparency, the ScriptSave WellRx app allows patients to set Take Your Pill reminders, as well as when it’s time to refill prescriptions.

      The WellRx platform also provides free access to some potentially life-saving functionality:
      • Drug Interaction Warnings: Patients can receive and share warnings with their caregivers when drugs in their personal in-app Medicine Chest might interact with each other.
      • Lifestyle Interaction Warnings: This includes warnings about potential drug interactions with certain foods patients eat, or activities they might engage in.
      • Expanded Drug Information: Patients can view detailed information, images, and videos for drugs within the Medicine Chest. Much of this information is available in English and Spanish.

Tips for Managing Your Medications

Now that you have all your medications organized, the next step is remembering to take them! It is easy to forget or miss a dose of your medication but with a few helpful tips – you can minimize the amount of times this happens and improve adherence.  

  • Reminders: This can be as simple as programming a daily reminder or alarm into your phone that alerts you when it is time to take your medication. You could go the more classic route and have a note that is posted in a spot that you see it every day such as the bedside table, bathroom mirror or fridge. You can also set reminders in the ScriptSave WellRx mobile app.
  • Timers: If a device separate from your phone is more your style, there are several options that can provide an alarm or noise to help remind you that it is time to take medication. Likely, there are many items you already own, such as an alarm clock or kitchen timer, that can be set to the time you need to take medication. E-pill® offers several medication alarms and even has devices that combine pill boxes with reminder alerts.
  • Routine: Include taking medications into a daily routine. First, think of a task you do every day, such as brushing your teeth. Make a point to take your medication at the same time you brush your teeth. By joining the tasks together, taking your medications will become part of your daily routine and decrease the chance of missing a dose.
  • Medication Synchronization: Many pharmacies offer medication synchronization programs that allow you to pick up all your medications at one time. This not only cuts down on trips to the pharmacy but also lessens the chance of allowing a prescription to run out before returning to the pharmacy for more refills.
  • 90-Day Supply: If allowed by your insurance, obtaining a 90-day supply of medication is a good way to have adequate stock and minimize pharmacy trips. Similar to the idea of syncing your medications, there is less of a chance of running out of medication and missing doses.

With all these organization and adherence tips, you’ll be a pro at knowing your medication and taking them on time! There are many benefits that come from organization, such as reducing the stress of managing and taking multiple medications. Additionally, it may decrease health care cost by saving the need for more doctor appointment or medications due to gaps in drug therapy.

These are easy steps that can be done to increase how well your medicines work for you. By using the tools for a good organization system and following the adherence tips, you can improve your overall health and well-being.

References:

Fayed, L. (2019, June 24). How to Manage and Organize Medication for Your Safety. Retrieved from https://www.verywellhealth.com/ways-to-manage-your-medication-514511

MyMeds: Redefining the Medication Experience. (n.d.). Retrieved from https://my-meds.com

MyMedSchedule: Free medication schedules, reminders, and health tracker. (n.d.). Retrieved from https://secure.medactionplan.com/mymedschedule/

Pill Timers. (n.d.). Retrieved from https://www.epill.com/alarms.html

ScriptSave WellRx App Makes Medication Management Easier: https://news.wellrx.com/2019/01/23/scriptsave-wellrx-app-makes-medication-management-easier/



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There are a variety of reasons to move your medications from one pharmacy to another. It could be that you found a better price, you’ve recently moved to a new area, or you’re looking for a location closer to your workplace. Regardless of the reason, transferring prescriptions between pharmacies is a straightforward process.

Here are the steps to transfer your prescription to a different pharmacy:

  1. Call or visit the new pharmacy to request an Rx transfer.
  2. Give the new pharmacy the names of all the medications you want to transfer, along with dosage and Rx numbers.
  3. Provide your current pharmacy’s contact information. The new pharmacy will contact your old pharmacy and take care of most of the process.
  4. Wait for the transfer to be completed, allowing at least 1-3 business days.

Information to Share with Your New Pharmacy

When you contact your new pharmacy, be sure you have your health and prescription information available. Specifically, you will need to tell the pharmacist:

  • Your full name and date of birth
  • Your address and phone number
  • All known allergies (food and medicines)
  • The names of all the prescriptions you’re transferring
  • The strength and dosage of your medications
  • Rx number for each medication (the 7-digit number on the top left of the label)
  • Phone number and address for your current pharmacy
  • Contact information for your prescribing physician

Allow the New Pharmacy to Handle the Transfer

After you let the new pharmacist know that you wish to move your medications, they will contact your current pharmacist and handle the transfer. If your prescription is out of refills, the pharmacist will also contact your doctor.

To expedite the process, you can check with your doctor and make sure you still have refills before reaching out to the new pharmacy.

Allow Enough Time for the Transfer

Although prescriptions can be moved to a different pharmacy quickly, you should still err on the side of caution and allow at least 1-3 business days for the switch to take effect. If you’re out of medicine and need a refill immediately, you might not be able to access it at the new pharmacy right away. It’s important to make sure you have a sufficient Rx pill supply before making the move.

Be Aware of Exceptions

There are certain prescriptions that cannot be transferred or have a limited number of transfers.

Schedule III, IV, and V medications are classified as controlled substances. You are only allowed one transfer with these types of medications, regardless of how many refills you have left. If you’ve run out of transfers, contact your doctor for a new prescription before attempting to switch pharmacies.

Some examples of Schedule III, IV, and V medications include Tylenol with Codeine, Xanax, and Robitussin AC or other cough suppressants with codeine.

Schedule II controlled substances are not able to be transferred at all due to the risk of substance abuse and dependency they pose. These medications also cannot be refilled, so your doctor will have to write you a new prescription whenever you run out. Examples of these substances include Adderall, Ritalin, and OxyContin.

Additionally, be aware that if any of your Rx medications have run out of refills, your doctor may require you to come in for an appointment before refilling the prescription.

Establish a Relationship with Your New Pharmacist

It’s important that you inform your new pharmacist of all medications and supplements you take, including over the counter medicines that may interact with your prescriptions. Your pharmacist is there to make sure you stay safe and manage your prescriptions effectively. You should establish a relationship with them so they can properly advise you on your medications.

Different Pharmacies Charge Different Prices

Did you know that patients commonly switch pharmacies because it allows them to save money? Many pharmacies charge different prices for the same prescription medication. Consider comparing your Rx prices at different pharmacies from time to time so you can be sure you’re getting the best deal possible.

Are your prescriptions cheaper at another pharmacy?


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