Vim & Vigor - Fall 2013 - Parrish Medical Center - (Page 56)
ASK The ExpErt
Q&A
Sandra Ogata, MD, is boardcertified in family practice.
Her office is at 702 Country
Club Drive, Titusville. Call
321-268-1995 for free advice
and an appointment.
How Many Medications
Do You Take?
A
s a family practice specialist, I see
patients who have a variety of health
issues: acute (cold, flu, infection),
chronic, serious and unidentified
(or underdiagnosed).
Q
Make sure
they don’t
interact
adversely
with each
other
What problem do you see that
concerns you most?
A patient may be taking multiple medications—
for diabetes, hypertension, heart disease, depression, chronic pain, thyroid disease—prescribed
by many different physicians and specialists.
Each prescribes a different medication for a
specific condition.
Q
Why is this such a big problem?
The risk of adverse drug reaction in
patients 65 years and older increases by 13 percent with two medications, 58 percent with
five medications, and 82 percent with seven or
more medications prescribed. Adverse drug
events are responsible for more than 100,000
hospitalizations per year among seniors. The
Institute of Medicine estimates that 1.5 million
preventable adverse drug reactions occur every
year in the U.S.
Q
Doesn’t modern medicine help us live
healthier lives?
Absolutely. But when a person uses multiple
medications, often called polypharmacy, it can
cause problems if some of them interact negatively with others. A person’s age and ethnicity and genetic variations (DNA) can affect how
drugs are metabolized.
56
Fa l l 2 013
Q
What can people do to help
prevent this situation?
Patients should have one primary care physician to coordinate all their prescriptions
among different specialists. I follow strict
guidelines when checking for drug interactions
(e.g., the Beers Criteria from the American
Geriatrics Society).
I also use a genetic test that analyses the liver
enzyme genetic code that metabolizes more than
90 percent of the medications prescribed. It is a
simple mouth swab done in my office, which is
covered by insurance, and I have the results in
less than two weeks. I have helped my patients
with countless adverse side effects, such as dizziness, rash, anxiety, uncontrolled high blood
pressure and high blood sugar, depression and
insomnia. I can personalize a patient’s medication according to his or her genetic code, so the
chance of side effects decreases, along with the
number of different prescriptions used to control
the same disease.
Q
What’s the best way to ensure a
person’s physicians know about all
the medications?
I always ask my patients to bring all their medicine bottles to every appointment. This is the best
way to avoid overdose. Patients tend to know the
color and shape of their pills or tablets, but doctors know the drug names. Telling your doctor
that you take one blue pill a day and a small yellow pill at night doesn’t help him or her confirm
whether you are taking the prescribed medicaBy Sandra Ogata, MD
tion correctly.
Table of Contents for the Digital Edition of Vim & Vigor - Fall 2013 - Parrish Medical Center
Vim & Vigor - Fall 2013 - Parrish Medical Center
Contents
Tasty Tips
Opening Thoughts
Community Calendar
Someone to Guide You
Step It Up
Your Mightiest Muscle
Well, Well, Well
Are You Doing More Harm Than Good?
Is Your Shut-Eye Serving You Well?
Kate Middleton, the Duchess of Cambridge
Anatomy of an ER Visit
Next-Gen Surgery
Attack from Within
Virtual Health
Community Health
A Love for Helping People
Cruising with a Chronic Condition
Foundation Focus
Ask the Expert
Vim & Vigor - Fall 2013 - Parrish Medical Center
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