In the last quarter century, pharmacy has expanded its role within the healthcare delivery system from solely focusing on the preparation and dispensing of medications to one in which pharmacists work with patients to maximize the effectiveness of their medications. In fact, on a yearly basis, more people see their pharmacist than their own doctor. While people over age 65 make up only 12% of the American population, they take 30% of all prescription drugs sold in this country.

Choosing Your Pharmacy

You should choose your pharmacy with the same care you take in choosing a physician. Although it's not uncommon to see more than one doctor, it's best to use only one pharmacy so all medication records are at one location. On your first visit to the pharmacy, take a few moments to answer questions regarding your medical history. A complete and accurate medication record will alert the pharmacist to any drug allergies, any conditions that may have an effect on the drugs you take, and any adverse effects you experienced from drugs in the past. This will also enable the pharmacist to detect any harmful drug interactions, and to avoid duplicate orders.

For example, Mr. Phillips has arthritis. His sister has been taking Celebrex, an arthritis medication, which like other medicines in its class, carries an FDA “black box” safety warning for persons with heart disease. Mr. Phillips' physician recently retired, so he went to see his sister's physician, who gave him a prescription for Celebrex. The pharmacist has known Mr. Phillips for many years and upon checking his profile, noticed that he has an allergy to sulfa drugs, which is contraindicated in patients taking Celebrex. After phoning Mr. Phillips' new physician, who had not been made aware of the sulfa allergy, the prescription was changed to a new arthritis medication that is not sulfa-based. A potential adverse reaction was averted.

Questions to Ask

The American Pharmaceutical Association says that every person should be able to answer the following questions before taking any new medication. Although each medication comes with instructions, your pharmacist should be available to answer any or all of the following questions in more depth and in language that is easier to understand.

  • What is the name of the medication and what is it supposed to do?

    You should know the names of all the medications—both prescription and nonprescription—you take so you can inform each doctor you see.

  • When and how do I take it?

    Taking your medication properly is an excellent way to decrease your healthcare costs. You need to know how often to take it, if the medication is best taken on an empty stomach or with food, and if you should take it at the same time each day.

  • For how long should I take it?

    Your prescription order indicates the length of time you should take the medication and whether refills are available. Skipping doses or stopping medication to save money or because you "feel better," can result in health problems requiring more expensive treatment in the future.

  • Does this medication contain anything that can cause an allergic reaction?

    If you always use the same pharmacy, the pharmacist will be able to detect any potential problems.

  • Should I avoid alcohol, any other medications, food and/or activities?

    Certain foods or alcohol may also interact with your medications. Some drugs can cause drowsiness and may affect activities such as driving.

  • Should I expect any side effects?

    All medications can cause side effects, but they are not necessarily serious. Your pharmacist will inform you of the most common side effects. If you experience any unexplained effects, contact your healthcare provider or pharmacist.

  • What if I forget to take my medications?

    Be sure you know the answer to this question when you receive the prescription. The decision to take a missed dose depends on the drug. Don't panic and don't take a double dose.

  • Is there a generic version of the medication?

    Not all medications have generic counterparts. If a generic version is available, the Food and Drug Administration (FDA) has judged it to be equivalent to the brand name product and can save you up to half the cost.

  • How should I store my medications?

    Proper storage ensures a medication's effectiveness. The bathroom medicine cabinet is not an ideal storage place. Heat and humidity can adversely affect your medication. Most medications require a cool and dry storage location, and some need refrigeration.

  • Does this medication replace anything else I was taking?

    Make sure you understand if this medication is replacing another medication.

Pharmacy Services

As part of the overall wellness movement, many pharmacies offer counseling about preventive care. Health screening and vaccinations may also be included in these services.

  • Chronic Disease Management

    Many pharmacies provide special services to help people with chronic diseases such asthma, diabetes, or high blood pressure.

  • "Brown Bag" Day

    Some pharmacies designate a day when you can bring in all the prescription and nonprescription medications in your medicine cabinet, and the pharmacist will check for expired products, duplicate orders, and harmful interactions.

  • Consultations

    Some local pharmacies have mini-consultation areas, where you can speak privately with the pharmacist. Since studies show that people interact with their pharmacist nearly twice as often as with their physician, your pharmacist is in a unique position to notice changes in your appearance, mood, or condition that may be related to your medications.

  • Cutting Costs

    Prescription costs constitute the largest out-of-pocket, health-care related expense for most older people. Your pharmacist can help you choose an insurance plan or government program that will help pay your prescription costs. For information about prescription programs available in your state, call your state Department of Elder Affairs.

Some More Helpful Tips

  • Keep a list of all your medications, both prescription and nonprescription.
  • Keep all medications in their original containers. Make sure you know what each is for, and the brand and generic names.
  • Never take someone else's medication.
  • Don't chew, crush, or break capsules or tablets unless instructed.
  • Flush old medications down the toilet, including used patches.
  • Turn the lights on to take your medications.
  • Keep medications for people separate from medications for pets or household chemicals.
  • Read the label everytime you take a dose to make sure you have the right drug.
  • Don't keep tubes of ointments or creams next to your tube of toothpaste.
  • If you forget your medications when traveling, don't panic. Most pharmacies will call your home pharmacy and get you enough pills to tide you over. If you're traveling overseas, or will be away for a long time, have your doctor write an extra set of prescriptions for you before you go.