Medication reconciliation: Who do I talk with to review all my meds?

Posted by gcranor @gcranor, Aug 27, 2022

Has anyone just got tired of taking so many medicines that they want to see what drug is causing other sign effects?
I am currently takeing;
Gabapentin 1800 mg daily
Metronic’s drug pump
Sumatriptan
Migraines monthly injections
Sterling
Purple pills for stomach
Tylenol 3000 mg daily

I want to stop all of them to see what I really need.

Any suggestions?

I know what the medical staff will say talk to you doctor, however I have 4 different doctors and I know they do not really read all the other doctors notes.

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Profile picture for slkanowitz @slkanowitz

I use an app called Drugs.com. It has everything about your meds including drug-drug interactions, contraindications and pill ID to identify pills by picture. It’s a great resource! As a person with many ailments and on a long list of drugs, I find I have to be on top of what I am taking and why.

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I use it too, but found the Pharm D was even more helpful
- replaced one allergy med with another that is better with my dry eyes and glaucoma
- suggested a few changes in time of day for taking meds
- pointed out that one of my supplements had too much Vitamin B based on my blood tests

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I would have whoever is prescribing you the most meds, be the one. That's how I handle it. My psychiatrist is the one who I go to when they want to put me on something new. I also keep a sheet from XL with all my meds, surgeries, conditions, and allergies. Which i give to every doctor I see. It really helps.

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I asked my PCP for all my doctors information and I was surprised to see that any test I’ve had and how many doctors I’ve been to was in my chart. Specialist included. Doctors are supposed to send my meds and procedures and healthcare notes to your PCP.

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My insurance secondary checks in once a year and goes over all the various meds . Blue cross blue shield. Might call-

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Profile picture for Sue, Volunteer Mentor @sueinmn

I use it too, but found the Pharm D was even more helpful
- replaced one allergy med with another that is better with my dry eyes and glaucoma
- suggested a few changes in time of day for taking meds
- pointed out that one of my supplements had too much Vitamin B based on my blood tests

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@sueinmn with dry eyes have you been checked for Sjogren’s ?

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Profile picture for sbtheplumber1 @sbtheplumber1

@sueinmn with dry eyes have you been checked for Sjogren’s ?

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Thanks for asking - yes, we have looked at that possibility, but that's not it.
My ophthalmologists are very careful and thorough because I have other eye issues. I feel like I would like a reservoir in my head I could fill, and just push a button when my eyes get dry. As it is, I have single use vials of drops in all my pockets, purses, car, and all over the house.

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You might have tried them but I’ll ask have you tried gel drops at night? I’m on a prescription stop called Miebo their expensive but their oily feeling so my eyes stay lubricated better. Reason I always ask I slept with a heated ceiling fan in my bedroom and woke up from a dry eye and tore the tissue on my eye ( the week of my 40 th birthday then 2 years later my wife turned 40 her and my son were wrestling around and his toenail went across the same eye and tore her tissue , doc said he never had a husband and wife wife the same issue, I had to have surgery after being treated by 7 different doctors )

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Talk to a pharmacist. Why are you taking a high amount of Tylenol?

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Do you have a pain management doctor?
Between pain management and primary care, should be able to figure out your med situation!
I would not advise going off more than one med at a time, to see and feel the changes in your body! Let them help guide you, which meds to start with, one at a time!

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Good evening. I think I have found an important group tonight. I am currently trying to come back from a pretty scary event based on a severe reaction to way too many medications. Recently, I required cortisone attention at our local orthopedic center for an attack of bursitis on my right hip. At about the same time, I began a new program for help with osteoporosis, which seemed to be taking advantage of my 82nd birthday. All of a sudden I started feeling numbness in both my hands and arms.

In addition, I have an increasing reliance on the medication(s) that help with the pain and discomfort of 10 years of SFN (small fiber neuropathy). There are also bottles of ibuprofen stacked up in the corner of my medicine case. Then there are Dupixent injections every two weeks and some daily meds that I have been taking for years.

It seems like it all came crashing down on me a few weeks ago when my body put up a bit of a fight that was frightening.

I noticed that different medical professionals are listed above as responsible for medical care and pain management.
How are PCPs (Primary Care Professionals) chosen? What are their responsibilities? How does a patient evaluate the impact of adding another medication to their current list without medical assistance?

Letting me know your experience would be very helpful.
Chris

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