Medicines – when problems occur

Medicines are important for managing many health conditions, but sometimes problems can occur. We discuss the different types of problems that can happen and provide useful tips to help you use medications safely.

What sorts of problems can happen with medicines?

Problems with medicines fall into three areas: side effects, interactions and mistakes.

Side effects can range from mild symptoms, such as drowsiness or feeling sick (nausea), to life-threatening conditions, although these are rare. Some side effects may go away after a while, once your body gets used to the medicine, but some side effects can last much longer and be troublesome.
Interaction is the term used to describe the effect different medicines have when you take more than one of them. Adding another medicine may change the effect the first medicine has on your body. Some medicines also interact with herbal or complimentary and alternative medicines.
On rare occasions, health professionals can make mistakes when they prescribe or give a medicine. They may forget about the interactions or get the dose wrong. You can also make mistakes with your medicines if you get confused about when and how much to take of each medicine.

For these reasons, it’s good to know when problems might occur with your medicines and what you can do about that. Here are is our guide to what problems to watch out for and tips to help you avoid them:

1. Starting a new medicine

Side effects are more likely when starting new medicines. This can be because your body isn’t used to the effects of the medicine yet. With time, most side effects ease. If you are already taking medicines, starting a new medicine may cause an interactions between the medicines.

Tip: When you are prescribed a new medicine ask your doctor or pharmacist about the most likely side effects and interactions, and if there is anything you can do to ease them. Read more about side effects of medicines.

2. Changes in the dose of your medicines

Side effects and medicine interactions may depend on the dose of the medicines you are taking. Generally, the higher the dose of a medicine you take, the more likely you are to experience these problems.

You may begin to experience side effects and interactions when your medicine dose increases.
With some medicines, decreasing the dose could also affect another medicine you take.
Dose adjustments can mean changes to when and how much of your medicines you take, which may make it harder for you to manage your medicines, or easier to confuse and mix them up.
Having to take a medicine for a long time can cause problems too.

Tip: When you have had a change in dose of your medicine, ask your doctor or pharmacist about any effects that you should be aware of.

3. Buying non-prescription medicines

Non-prescription medicines including over-the-counter (OTC) medicines from a pharmacy or supermarket, and complementary medicines such as herbal remedies, vitamins and minerals can have some risks and side effects and may interact with some medicines.

Tip: When buying a non-prescription medicine, tell your pharmacist about any medical conditions or illnesses that you have, and they can check if the medicine is safe to take or if there is a safer one. If you are already taking medicines, ask your doctor or pharmacist to check if there are any interactions with your new medicine.

4. Going to and leaving hospital

Changes to medicines are quite common during a stay in hospital. New medicines may be started, or medicines you have been taking at home may be changed or stopped. This can increase the chance of medicine problems especially when you go home. For example, you may:

end up taking more medicines after you leave hospital
be prescribed medicines that can cause serious problems
have to take your usual medicines differently
be given a different brand of medicine from the one you usually take.

Tip: if you have just spent time in hospital, ask your doctor or pharmacist to check your medicines. You can ask to have a family or whānau member with you when your new medicines are explained to you before you leave the hospital.

5. Seeing many health professionals

It is important that all the people involved in your health care know about all the medicines you are taking, including over-the-counter medicines from a pharmacy or supermarket, and complementary medicines such as herbal remedies, vitamins and supplements. This will help to make sure that they have all the information they need when prescribing or recommending medicines for you.

Tip: Keep an updated list of the medicines you are taking (also called a yellow card) including non-prescription medicines (over-the-counter medicines, herbal remedies and vitamins or supplements). Tell all the people involved in your health care about all the medicines you are taking.

6. Taking medicines not prescribed for you

Problems can also happen if you take a medicine left over from a previous illness or a medicine that is not prescribed or recommended for you. What’s right for one person or medical condition may not be right for you now.

Tip: Don’t share medicines with other people, even if they have the same health problem as you, and take your old medicines back to your pharmacy once you no longer need them.