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July 29, 2024 16 mins
n this episode, Dr. Paul Anderson provides essential guidance on managing and optimizing pill-taking routines. He covers:
  • Understanding Medications: The importance of knowing what each medication is for, how it works, and potential side effects.
  • Establishing a Routine: Tips for creating a consistent schedule for taking medications, ensuring effectiveness, and reducing the risk of missed doses.
  • Organizational Tools: Recommendations for tools and techniques to keep track of medications, such as pill organizers, reminder apps, and medication logs.
  • Addressing Common Issues: Solutions for common problems like difficulty swallowing pills, managing multiple medications, and dealing with side effects.
  • Interacting with Healthcare Providers: How to communicate effectively with healthcare providers about medications, including asking questions, reporting side effects, and understanding instructions.
  • Safety Tips: Important considerations for storing medications safely, avoiding interactions, and understanding the implications of missing a dose.
  • Holistic Approaches: Integrating lifestyle changes and complementary therapies to support medication efficacy and overall health.
Dr. Anderson offers practical advice to help you manage your medications effectively, ensuring that you get the most benefit from your treatment plan while maintaining safety and adherence.





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Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 2 (00:00):
Good day, I'm doctor Paul. Welcome.

Speaker 1 (00:01):
Medicine and health in this series is called doctor pro Tips.
These are just little things that might make your either
interacting with doctor or doctors or healthcare providers and or
possibly following their instructions go a little bit more smoothly.
The first one is it's an area where a lot
of people have questions and it makes sense when we

(00:23):
look at the complexity and that's around pill taking. And
so in the world of pills, and this could be
prescription items or possibly supplements, et cetera, more and more
people are taking things that are both prescribed as well
as maybe over the counter, et cetera. So you really
need to think about your timing of pill taking and

(00:48):
certain other rules that go around with it. So the
first thing is is that pills, generally speaking, will digest
very similarly to whatever food item they are most similar to. So,
for example, if you take a pill that is a
fat based, say a capsule full of a fat based

(01:08):
medicine or something like that, or even a fat based nutrient, etc.
It's going to absorb in your digestive tract the same
way that other fats absorb, which means it's going to
go through a little bit different pathway than the water
soluble type things. If you take something that is say

(01:29):
an amino acid or an amino acid.

Speaker 2 (01:31):
Based product or drug, it's going to.

Speaker 1 (01:35):
Absorb the same way that amino acids that you eat
in protein will absorb. If you take other things.

Speaker 2 (01:41):
Are going to absorb similarly.

Speaker 1 (01:44):
So there are also some drugs that we don't normally
give orally because the digestive tract would break them down
too far and it wouldn't really be very useful or
there'd be just too much metabolism. So the next thing
is if it's prescribed or recommended by a healthcare provider,

(02:05):
and so what's that distinction. Well, generally speaking, we have
to prescribe to you something that would be say a
legend substance, and that means that in the state that
you're in, and usually this covers the whole country, it
is something that is on the order of prescription only,
and so that to be an antibiotic or whatever. So
there's a prescribed and then there might be a recommended

(02:28):
thing where it's not really a prescription, but your doctor
might say I want you to start taking calcium and
magnesium and vitamin D and K and here's the amounts.
So it's recommended as part of your chart usually, but
it's not really a prescription. So all of those together though,
will or should have some sort of instructions as far

(02:49):
as when and how you take them. So usually what
you have is either with food or before a meal,
or after a meal, or maybe between a meal, and
there's also bedtime posting. So the first thing is if
it's a bottle with a prescription information or sometimes you

(03:10):
got to walk out a receipt that will say take
this much of this at this time. That's your first
go to is, gee, what does the label say?

Speaker 2 (03:19):
Now?

Speaker 1 (03:20):
If the label is ambiguous, or if you have trouble
taking pills or you feel like you're going to get
nauseated from this pill, the next step is to talk
to the pharmacist when you're filling the prescription. There's always
a place where you can go and talk to the
pharmacist when you're picking up your medications and just say, look,
you know it doesn't really say it just says take

(03:42):
three times a day. Can I take this with food?
I get sick from pills, etc. And they'll break that
down for you. Now, one of the important things about
when you take pills can be that there's different fates
of digestion of the pill that your healthcare provider may

(04:04):
have in mind. So there might be a substance, for example,
that really is best with no food, and that'd be
something like thyroid hormone. A lot of people take thyroid hormone,
and we try and have them take that when they
first get up before they eat anything, because it binds
to other things, especially minerals, really easily. So the worst

(04:25):
thing that you could do would be to take your
thyroid and then a mineral product and or food that
has minerals at the same time, because the amount of
thyroid you're gonnas are going to go weigh down. Then
there are some medications, some supplements where we'll say, well,
take it with a meal. Now in the case of

(04:47):
pills that really require food in your stomach to keep
you from getting nauseated, to help the pill break down,
whatever the reason is for with food, what I usually
try and tell people, especially with things that might be
a little more upsetting to the stomach, is take it
in the middle of your meal. And so the best
way I've figured out to do this is to just

(05:09):
set them by my plate, and then I see them
there and I eat literally half of the food, and
then I take the pills with a sufficient amount of water,
and then I eat.

Speaker 2 (05:20):
The rest of my food.

Speaker 1 (05:21):
Now why is that Because if you take the pill
at the beginning of your meal, it's with food, right,
but it's going to go in there. There's not a
lot of food or liquid in there, and it might
stick to your stomach lining and make you very nauseat
or even make you throw up. That happens with zinc
and other zinc based products that are used in a

(05:41):
number of drugs, like certain antibiotics, et cetera.

Speaker 2 (05:44):
Will do that as well.

Speaker 1 (05:46):
So if you imagine that your stomach, you know, it's
sort of this big oblique bag, sort of an organ,
and you got half your meal in there. Your stomach
is literally sort of churning the food around. So the
pill goes in with the water drink and it just
makes us in and then it's going to digest more easily.
It's not going to stick to the wall of your
stomach and make you sick, which is what we don't want.

(06:08):
Then you eat the rest of the food and it
helps to push any of the you know, any of
the pill down that didn't get there, et cetera. Now,
there were some medications there are that are better without food,
but still you don't want to get them stuck in
your esophagus the tube that you swallow through to your stomach.
So we would tell people then to take that pill

(06:32):
and drink a large glass, like a twelve ounce glass
of water with it, just to make through there was
enough fluid going down.

Speaker 2 (06:38):
Because if you've ever tried and had.

Speaker 1 (06:41):
This happen and felt like you had a pill stuck,
that's generally because the pills are you know, they're sticky,
they have different things on the outside, and they will
stick to the lining of your esophagus. So the more
fluid you can put down, if you can't eat with it,
eat food is better. But if you can't eat with it,
the more fluid you do the better. Now why would

(07:04):
and these are some of the hardest things to remember
as far as prescriptions or recommendations, why would your healthcare
provider recommend between meals? Well, one reason is to keep
it away from foods. So like with thyroid, we usually
say first thing in the morning before eating. But there
are some medications and other things that we want between meals,

(07:24):
and again you may have to set an alarm for yourself,
or having a little pill container if you work at
a desk and just have it there and remember when
the alarm goes off to take that and it kind
of goes back to that same thing. These are probably
things that are better to move through your system and
not have a lot of food going with them so

(07:45):
that we get maximum absorption, etc. Now the other thing
is if you have a reaction to anything but a medication,
a recommended supplement of whatever you're doing with your health
care provider, you want to get a hold of the clinic.

(08:06):
Leave a message. Nowadays, with electronic medical records, you can
just send a message electronically and just say, Okay, I
started this new prescription and here's what's happening. It could
be any number of things. It makes me nauseated, it
makes me get flushed, it makes me feel dizzy when
I take it, It does this, that or the other thing.

(08:30):
Let them know soon and then often they can tell you, okay,
if that's happening, try this okay. So, for example, in
our clinic, in most people's clinics, if you're getting nauseated,
from it will reiterate the idea of eating half of
your food and a meal, taking the pill with no fluid,

(08:51):
and eat the other half of the meal of the food.
That usually does take care of a lot of those problems. Now,
sometimes there's other things like you're asking me to take
this at bedtime, and I'm taking these other pills at bedtime.
Can we just double check, you know, check with a
practitioner who's adding on the new pill, and can we

(09:12):
just double check and take a look at, you know,
making sure everything goes together that we're taking at night.
And this is very important, especially with certain medications and
a lot of supplement recommendations, because let's say, for example,
there's some nighttime medication you're taking that's fairly critical for

(09:34):
a function. Let's it helps you with a dysrhythmia, a arrhythmia,
or it helps you with some other thing. And then
let's say somebody adds on another thing to take that
may actually bind to the other medication.

Speaker 2 (09:50):
And I've actually seen this with.

Speaker 1 (09:51):
Patients where all of a sudden they start having you know,
arrhythmias again, or their blood pressure went up or something,
and there was no reason for it, and you go
back and you look, and it turns out that there's
two things going in at the same time with say
their heart medication or something else, and one is inhibiting
the other, so you get those symptoms from that. I've

(10:13):
also seen this with neuropsychiatric meds and other things, So
you just want to make sure you get a good
top down look at that. And in another section we're
going to talk about doctors disagreeing and stuff like that.
But generally speaking, whomever the healthcare provider is that's adding
this new thing for your regimen, you should be able

(10:34):
to say, Okay, look at my med profile or my
supplement profile, is there any reason I shouldn't be able
to take this at that time? And so for some people,
for example, there would be things that we would prefer
were at bedtime, but there were other medications that were
a little bit more critical that they'd be taken at
that time, and so we would have them back up

(10:56):
and take it right before dinner or some other time,
just to make it work out a little bit better
for them. Now, one thing that comes up as far
as tolerance of pills, et cetera, is sometimes you'll have
a pharmacy and one of their jobs is to make
sure you're not going to have drug interactions and things

(11:18):
like that, and so drug interactions generally, there's pretty decent
data on most drugs. It's like, don't take this with that, etc.
We get into the world of some supplements and some
botanical or herbal medicines, et cetera. Sometimes the interaction checkers
are very theoretical, so it's a good place to start

(11:39):
because there's maybe a paper that showed, you know, in
a Petri dish that this reaction happened, but there's no
papers showing was that a problem or not when we
put it into people. Okay, there's a big difference between
a Petrie dish reaction and people reaction. So again, if
you are working with healthcare provider in adding something like that,

(12:02):
the things that they should be looking for to help
you out. Number one are is there anything we're adding
in here that's going to create a problem for anything
else you're taking. The next thing is are the things
that we're adding in going to pharmacologically play well with
the other stuff that you're taking. We do this constantly
and well all the types of patients I see, but

(12:24):
especially on ecology patients because there are a lot of
critical drag metabolism things, which thankfully most of them work
out pretty well, but there's some that are a little
more dicey than others. So as you're going through communicate, communicate, communicate.
Remember if it comes to pills, the person who's recommended

(12:47):
or prescribed whatever it is in question should be able
to answer questions about is it okay to take the
new stuff you're giving me with these old drugs or
supplements I'm taking. Sometimes there's a replacement where one of
the new things will take over for the new thing
and one of the old things and they'll take you

(13:07):
off of it. But again that's a communication thing. If
you start having a problem and you can't trouble shoot
it yourself. For example, I've got a lot of people
who got sick from certain pills and they looked and
it said don't take with dairy products, and they took
that to me, don't take with any food, And indeed
it was just saying don't take with dairy products or

(13:28):
calcium containing things. So they were able to eat a meal,
they just couldn't have dairy products with it. And then
that took care of some of the problems. But if
you're not getting a resolution, then ask your healthcare provider
what to do about it. Because one of the things
that's not going to help you medically speaking, and we're

(13:49):
just about a time here, but I'll get into this
real quick. It's not going to help you medically speaking
or for your medical management is if you stop taking
a person decribed or recommended therapy and you don't see
your doctor for two, four, six, eight weeks and then
you get back and they're like, well, are you better
or what has changed? And they don't realize that you've

(14:10):
been off of things that they recommended for that whole time,
and so you know, they're not mind readers. So you
can go back and you know, just communicate with their office,
let them know. Usually it's something fairly simple. If you're
really having a bad reaction, you have an allergy or
something like that, they also need to know about that
because they're going to have you stop taking it and

(14:32):
look for an alternative v and do, or if there's
a bat allergic reaction, they're going to have you go
to the emergency room. And so that pretty much goes
through everything on the basics around pill taking, how to
optimize them how to help out your pill taking journey
and experience. And then there are other things that can

(14:55):
be helped or done. Sometimes these are things that the
pharmacy can do. For example, in our patients that have
a little trouble keeping track of things, or there's a
lot of different pills at different.

Speaker 2 (15:09):
Times, they can be packaged by.

Speaker 1 (15:12):
Different pharmacy services into bubble packs that will allow and
it will say, you know, mourning, you know, lunchtime, bedtime,
something like that, and that really helps us sort of
keeping track of things. The other thing is we've had
people sometimes where they because of various reasons, due to digestion,

(15:36):
absorption and all of the other things that go on,
they were unable to really swallow the pills or it
was really really difficult. And so in some cases what
was done is either through the pharmacy or somebody who's

(15:56):
competent to do it, they got you knowed versions of
a medication or powdered versions of supplement, etc. And they
can mix it into a smoothie or other things like that.
So as we kind of wind down here in the
pill taking discussion, we'll just go back through the first

(16:20):
thing is communicate with your provider as they're recommending the
new things. It doesn't hurt ever to just double check
that everything is copasetic together, read the labels, and communicate
back if you're having any trouble at all. All right,
well we're going to go on to the next session
and we'll take a little break here
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