National Drug Take Back Day is 10/24

Disposing of medications safely can help protect your family from getting or using medications that are expired or out of date; prevent the illegal use of unused medications and minimize any potential negative impact on the environment. For this reason, the DEA is giving the public an opportunity to dispose of unwanted and/or expired prescription drugs. This is a FREE and anonymous service—take medications back, no questions asked!

Why can’t I throw out my medications at home?

Unfortunately, throwing out your medications at home can lead to many harmful impacts on the environment or create safety risks for trash handlers. In addition, 53% of pain relievers for misuse are given by, bought or took from a friend or relative.1 It is important to safely dispose of your medications to help minimize the impact of the opioid epidemic.

Where do I go?

Visit the DEA’s website to find a collection site: https://takebackday.dea.gov/. Here you can input your zip code and find out where the closest drop off site is located.

What You Should Know  

The DEA can ONLY accept pills or patches. The DEA CANNOT accept liquids, needles, or sharps.

This initiative addresses both public safety and health concerns. Prescription medications left to expire in people’s homes are susceptible to misuse or abuse. Prescription drug abuse rates and overdose and accidental poisoning statistics are frighteningly high in the United States. Studies show that the majority or abused prescription drugs are obtained from family and friends, or from home medicine cabinets.

The DEA now advises against “usual methods” for disposing of unused medications. Flushing medications down the toilet or throwing them in the trash now both pose potential safety and health concerns.

 How can Tria Health Help?

As a member of Tria Health, if you have multiple medications and are afraid, you will throw away the wrong medication, we can provide additional assistance in selecting the proper medications. Tria provides one-on-one consultations with a clinical pharmacist who assists you with your medication management.

Questions?

Call the Tria Health Help Desk at 1.888.799.8742

Sources:

  1. https://www.samhsa.gov/data/sites/default/files/NSDUH-DetTabs-2016/NSDUH-DetTabs-2016.pdf

Recall of Metformin Hydrochloride ER Tablets

Metformin Hydrochloride Extended Release Tablets are being recalled for having more carcinogen NDMA than the FDA’s acceptable allowance. NDMA is classified as a probable human carcinogen (a substance that could cause cancer) based on results from laboratory tests.  NDMA is a known environmental contaminant found in water and foods, including meats, dairy products, and vegetables.1 With levels above admissible according to the FDA it is being recalled ensuring no adverse reactions arise during consumption. If any adverse reactions are experienced you can submit them online here or find more information on how to mail or fax here. Many different retailers might be involved so it is important to check your label and bottle.

What products are being recalled?

Metformin HCl Extended Release Tablets, USP, 500 mg and 750 mg, manufactured by Amneal, are being recalled. They are the prescription, solid oral products that are indicated as an adjunct to diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus.1

The Metformin Hydrochloride Extended Release Tablets, USP, 500 mg and 750 mg, subject to the recall, are identified by the NDC numbers stated on the product label.

Metformin HCl Extended Release Tablets, USP, 500 mg

Metformin HCl Extended Release Tablets, USP, 750 mg

*Amneal’s Metformin Hydrochloride Immediate Release Tablets, USP are not affected by this recall.1

Metformin HCI Extended Release Tablets manufactured by Bayshore Pharmaceuticals, LLC are also being recalled.

Metformin Hydrochloride Extended-Release Tablets USP, 500 mg and 750 mg lots subject to the recall are identified in the table below.

Metformin Hydrochloride Extended-Release Tablets manufactured by Marksans Pharma Limited, are being recalled due to the detection of N-Nitrosodimethylamine (NDMA) impurity.

Time-Cap Labs Inc. Metformin Hydrochloride for Extended-Release Tablets, USP 500 mg and 700 mg lots subject to the recall are identified below.

Metformin Hydrochloride Extended-Release Tablets, USP 500mg:

90 counts: 49483-623-09

100 counts: 49483-623-01

500 counts: 49483-623-50

1000 counts: 49483-623-10

Metformin Hydrochloride Extended-Release Tablets, USP 750mg:

100 counts: 49483-624-01

What’s next?

  • Because Metformin is used to treat serious medical conditions, patients taking the recalled Metformin should continue taking their medicine until they have a replacement product.
  • To determine whether a specific product has been recalled, patients should look at the drug name and company name on the label of their prescription bottle. If the information is not on the bottle, patients should contact the pharmacy that dispensed the medicine.
  • Patients should also contact their health care professional (the pharmacist who dispensed the medication or doctor who prescribed the medication) if their medicine is included in this recall to discuss their treatment, which may include another product not affected by this recall or an alternative treatment option.

Sources:

  1. https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/amneal-pharmaceuticals-llc-issues-voluntary-nationwide-recall-metformin-hydrochloride-extended#recall-announcement
  2. https://www.fda.gov/news-events/press-announcements/fda-alerts-patients-and-health-care-professionals-nitrosamine-impurity-findings-certain-metformin
  3. https://www.fda.gov/safety/recalls-market-withdrawals-safety-alerts/bayshore-pharmaceuticals-llc-issues-voluntary-nationwide-recall-metformin-hydrochloride-extended
  4. https://www.miamiherald.com/news/health-care/article245133825.html

Getting Through Winter: How to Survive SAD

Man walking in the snow
Image Source: Alice Donovan Rouse/Unsplash

With winter weather sweeping across the country, many individuals are experiencing winter-onset depression also known as seasonal affective disorder (SAD). While the cause of SAD is not known, brain chemicals that affect your mood can change according to the amount of light you get each day.1 While some may be more susceptible to SAD than others, there are ways of preventing and managing SAD until you get through the season.

What is Seasonal Affective Disorder?

Seasonal affective disorder (SAD) is a type of depression that happens during a change of seasons, usually occurring during autumn and winter months when there is less sunlight. Symptoms usually go away in late spring or early summer.1

How is SAD Treated?

There are four primary treatment methods for SAD: Light therapy, medications, psychotherapy, and mind-body connection techniques.2

  • Light Therapy: A method that mimics natural outdoor light using a special light box with the goal of changing the brain chemicals linked to mood. It typically takes a few days to a few weeks before becoming effective. Your doctor will be able to help determine if this is the best option for you and identify which product would be the most effective.
  • Medications: Individuals with depression are more susceptible to SAD, making antidepressant treatment a good option. 
  • Psychotherapy: Psychotherapy, also called talk therapy, is another option to treat SAD. Therapy can help you learn coping mechanisms to manage your stress and changing your negative thoughts and behaviors.
  • Mind-Body Connection: This includes a variety of techniques such as meditation, guided imagery and music or art therapy.

How Can Tria Health Help?

If Tria Health is offered through your benefits plan, you have the option of receiving a one-on-one, private consultation with one of Tria Health’s pharmacists over the phone. During your consultation, your pharmacist will review all your current medications, including vitamins and supplements. If you’re interested in exploring medication treatments for SAD, Tria’s pharmacist will be able to provide you with recommendations and coordinate with your doctor(s).

Questions?

Call the Tria Health Help Desk at 1.888.799.8742

Sources:

  1. https://www.drugs.com/cg/seasonal-affective-disorder.html
  2. https://www.mayoclinic.org/diseases-conditions/seasonal-affective-disorder/diagnosis-treatment/drc-20364722

Taking Multiple Medications Can Put You at Risk for Drug Interactions

Older man holding white pills
Image Source: iStock.com/Neustockimages

Taking multiple medications can be overwhelming. Some medications need to be taken with food while others need to be taken in the evening. It can become ever more complex with the fear of drug interactions involved. While most interactions are usually not life-threatening, some mixtures of medications can lead to serious – and even fatal – consequences.1 It’s important to talk with your doctor and pharmacist about your current medication regimen to help avoid any possible reactions.

The more medications you take, the higher the risk

The more medications a patient takes, the higher the risk that drugs will interact with each other. According to drugwatch.com, the drug-interaction risks are:

Drug Interactions_drugwatch.com.png2

A recent study from the University of Illinois at Chicago also concluded that children taking multiple medications are also at risk for drug interactions. “Among those using multiple medications, one in 12 was at risk for a major drug interaction, and the vast majority of these potential interactions involved antidepressants.”3

Drug Interaction Types

There are four main types of drug interactions:

  1. Drug-Drug Interactions
  2. Drug-Food/Beverage Interactions
  3. Drug-Condition Interactions
  4. Drug-Supplement Interactions

Simple steps to avoid drug interactions

  • Talk with your doctor and pharmacist about any new medications. Make sure they know about any vitamins and supplements you are currently taking.
  • Follow all the dosing instructions listed on each of your medications.
  • Keep an updated medication list on hand for any of your medical appointments.
  • You can also use AARP’s online drug interaction checker

Tria Health can help

If Tria Health is offered through your benefits plan, you have the option of receiving a one-on-one private consultation with one of Tria Health’s pharmacists over the phone. During your consultation, your pharmacist will review all your current medications, including vitamins and supplements. Tria Health will assist you in identifying any possible drug interactions or savings opportunities!

 

Have any questions for us?

Contact the Tria Health Help Desk at 1.888.799.8742

 

Source:

  1. https://www.drugs.com/article/preventing-drug-interactions.html
  2. https://www.drugwatch.com/health/drug-interactions/
  3. University of Illinois at Chicago Study

Tips for Traveling with Medications

Airplane
Image Source: Deniz Altindas/Unsplash

Memorial Day is approaching and many of you are most likely preparing for weekend travels to see family or friends. We all know the worst part about any vacation is packing. What makes packing even more complicated is packing for air travel. There are a multitude of regulations to keep track of and if you have a chronic condition, the idea of managing your medications can seem overwhelming.

To help you get ready for vacation season, here are a few tips and tricks to keeping your medications safe and organized!

The Medication Screening Process

The Transportation Security Administration (TSA) requires that medications in pill or other solid form must undergo security screening. You can also bring any medically necessary liquids or creams, but they must be screened separately from the rest of your belongings.

To make things easy, the TSA recommends you:

  • Store medications in clearly labeled containers
    • Check with state laws regarding prescription medication labels
  • If you’ve already thrown away your prescription containers, get a letter from your doctor explaining what the medication is and why you need it.
  • Declare any accessories associated with your liquid medication

Dosage Schedule

If you happen to travel to somewhere in a different time zone, you may need to discuss the time you take your medications with your doctor. If you must take your prescriptions at a certain time, we recommend setting alarms on your phone or watch to help remind you when to take your medications.

 

Have Any Questions?

Contact the Tria Health Help Desk:

1.888.799.8742