Spinal Cord Injury (SCI): Managing Medicines
Treatment for SCI often includes medicines. These help relieve symptoms or prevent infections. They also help improve your health. To work their best, medicines must be taken as directed. Doing this while juggling everything else you need to focus on may be difficult, but it’s important. When medicines aren’t taken properly, they may not help you. And they can even harm your health. To protect yourself, learn all you can about your medicines and how to use them safely.
Changes in your body
Your body goes through many changes after an SCI. This includes how your body absorbs medicine. If you used a medicine, herb, or vitamin before your injury, it may work differently now. And you may be at higher risk for side effects and interactions between drugs than before. So be sure all of your healthcare providers know about all the medicines you take. This includes things you buy over-the-counter. It also includes herbs, vitamins, and other supplements. This will help keep you safe and healthy.
Tips for managing medicines
Your doctor or other healthcare team members can help you create a medicine plan. Follow this plan to ensure the best and safest use of your medicines. In addition:
Know what you’re taking and how to use it. Check with your doctor, nurse, or pharmacist before taking anything new. Know what the medicine is for. Ask about side effects. Also ask if there are precautions you need to take when using it. These include taking the medicine with food or on an empty stomach and avoiding taking it with other medicines.
Don’t stop taking a medicine without talking with your doctor. If you think a medicine isn’t helping or that you no longer need it, talk to your doctor or nurse first. Stopping medicines suddenly can cause problems. And your doctor needs to know what medicines you are or are not taking.
Report problems. Tell your doctor if you have any concerning side effects or symptoms after taking a medicine. He or she may change the dosage or type of medicine you’re using.
Get the best form for you. Medicines come in many forms, not just pills. If you have trouble swallowing, for instance, some medicines can be given as liquids or drops. If you have any problems taking a medicine, let your doctor know. Don't t crush or break a medicine without talking to your doctor or pharmacist first.
Keep a current list of your medicines. This may be needed in case of emergencies. Include the names, dosage, and times of the day you take each medicine. Carry this list with you for any healthcare visits or hospital admissions. Also give a copy to your caregiver and loved ones.
Fill all your prescriptions at the same pharmacy. This keeps your records in one place. This also makes it easier to check for potential drug interactions.
Consider using a pillbox to help you keep track of daily medicines. Get one labeled by the day of the week. Fill the box each week for the entire week.
Take proper care of your medicines. Store your medicines as directed. Also, don’t keep old medicines around. Dispose of them properly when they expire.
December 16, 2017
Mestre, H., Spinal cord injury sequelae alter drug pharmacokinetics: an overview, Spinal Cord (2011); 49; pp. 955-960
Fetterman, Anne, RN, BSN,Image reviewed by StayWell art team.,Jasmin, Luc, MD