4 posts tagged “medication”

Talking medication and sleep for National Sleep Awareness Week

Posted April 24th, 2017 by

Do medications disturb sleep?

Did you know this week is National Sleep Awareness Week? Sleep disorders affect around 50-70 million US adults, and troubled sleep is common within the patient community – just take a look at the results from a patient poll we did with you in 2015. There are many reasons someone might be struggling with a sleep disorder, and one of the contributors could be when you take your medication.

Some medications cause drowsiness, while others can keep you awake, so taking your medication at a certain time could impact your sleep schedule. Below are some medications that can affect sleep. Make sure you talk to your doctor before making any changes on your own!

  • Anti-arrhythmics (for heart rhythm problems)
  • Beta blockers (for high blood pressure)
  • Clonidine (for high blood pressure)
  • Corticosteroids (for inflammation or asthma)
  • Diuretics (for high blood pressure)
  • Cough, cold, and flu medications that contain alcohol
  • Headache and pain medications that contain caffeine
  • Nicotine replacement products
  • Sedating antihistamines (for colds and allergies)
  • SSRIs (for depression or anxiety)
  • Sympathomimetic stimulants (for attention deficit disorder)
  • Theophylline (for asthma)
  • Thyroid hormone (for hypothyroidism)

Find out more.

Think your medication might be causing difficulty with your sleep schedule? Bring it up with your doctor, they may be able to work with you on finding a solution. You can also join the conversation on PatientsLikeMe, there are over 31,000 topics in the forum on sleep!

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A PatientsLikeMe researcher’s take on the opioid crisis and new prescribing regulations

Posted January 25th, 2017 by

Meet Emily (EmilyMcNaughton), a PatientsLikeMe researcher with more than ten years of experience in both the private and public sector. She’s here to weigh in on the recent Boston Globe article addressing the aftermath of the opioid crisis. New prescribing regulations have some doctors hesitant to prescribe these drugs, but that could prove more harmful to the patients who rely on them for pain control.

Check out the Boston Globe article, and see what Emily has to say below.

 

A researcher’s perspective

Prescription opioid medications have been widely discussed over the past 15 years, especially with the surge of prescriptions dispensed during the 2000s, which created an epidemic of abuse and overdose-related deaths. Because the prescription-opioid landscape seems to be constantly changing, people all across the medical, public health, regulatory and pharmaceutical sectors have been working to find solutions that will still allow patients to access their prescribed pain medications while minimizing problems with abuse, misuse, death, and product diversion (when patients either share, give or sell their prescription medications, or medications are stolen).

Many would agree that it’s been helpful to increase awareness, education and open communication between doctors and patients about these medications, but some aspects of restricting the availability of prescription opioids might cause unintended harm to patients.  As this Boston Globe article highlights, many doctors are now prescribing fewer opioids than in previous years and in some cases doctors fear that these reductions may hurt patients.

With any public health problem, solutions are not always perfect and there are pros and cons to every decision. In terms of prescription opioid medication, here are some of my thoughts on public health recommendations, regulatory changes and how they might impact patients. 

Advantages

  • There’s more awareness around how to appropriately use prescription opioids, the potential risks they pose and the proper prescribing practices, both within the medical community as well as patients and the public.
  • We’re seeing recommendations for increased patient-doctor communication about goals for prescription opioid use as well as alternative treatments, when appropriate.

Potential Unintended Consequences

  • There’s a growing pressure among doctors who fear there may be consequences for prescribing opioid medications.
  • There’s a possibility that difficult regulatory hurdles might deter a physician’s willingness, or even ability, to prescribe opioid medications in appropriate situations.
  • Blanket regulations that set maximum prescribing limits do not take into account the individual needs of each patient or doctor expertise.
  • Patients might have insufficient access to or may be unable to afford alternative treatments or pain medicine specialists if a physician is reluctant to prescribe opioid medications.

Other Considerations

  • Regulatory changes don’t address the issue of opioid-deaths that are caused by abuse of non-pharmaceutical products, like heroin.
  • For individuals with opioid addiction, substance abuse treatment remains complicated and is not always affordable.

What do you think about this topic?

 

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