Medications are often required to improve your health; for instance, to help lower blood pressure, cholesterol or blood sugar. Other medications may be taken only when needed for a specific ailment like pain, allergies or the common cold. Over-the-counter (OTC) drugs are medicines you can buy without a prescription from your healthcare provider. Prescriptions should be in child-proof bottles and stored out of sight and reach of children. The main source of childhood poisoning is medicine and it mostly occurs in the home. The abuse of prescription medicines is also a serious problem so securely storing medicines can help prevent access by someone else. Just as you would follow your doctor’s advice when taking a prescription medicine, you need to know the facts about how to take OTC medicines. Read the drug facts label and talk with your pharmacist for assistance in making the most appropriate choice to treat the ailment. OTCs are meant to treat minor health problems. If symptoms persist or worsen you should contact your doctor. It is important to sort through medicines at least once or twice a year and safely dispose of the unused or expired medicines. Check the expiration date for eye drops and eardrops, too. Never throw unused or expired medicine in the garbage or flush down the toilet or pour them down the drain. Remember medicine is a hazard. Unused or old medication should be returned to your pharmacy or household hazardous waste depot for safe disposal. Speak with your pharmacist if in doubt. All medicines have risks as well as benefits. Risks can result from an interaction between the medicine and another medicine, supplement; food or alcohol; or the medicine may not work as expected. Even if taken correctly, medicines may cause side effects like headache, dizziness or upset stomach. An allergic reaction may occur resulting in hives or a rash; or a more serious allergic reaction causing swelling of the lips, narrowing of the throat, or difficulty breathing. Up to 1 in 9 hospitalizations in Canada result from adverse drug reactions. The WHO estimates that 50% of people do not take their medicines correctly. Improper use of medicines can cause a risk to your health and may include: Overuse – taking more than prescribed; Underuse – taking less than prescribed, missing or skipping doses or failing to get a refill; or Taking medicines not prescribed for you. Storing your medicines safely is as important as taking them correctly. Many families store medicines in a bathroom cabinet where the warmth and dampness can cause medicines to break down and not work effectively. Medicines should be stored in a cool, dry place away from bright light and humidity. They should also be stored in their original containers or packaging to prevent confusion and also to locate in an emergency. Do not combine old pills with new pills as you won’t be able to tell the difference or know the expiration date. Keep an up-to-date record of all your medications, including prescription, non-prescription, vitamins, and herbal supplements to help you manage your health safely. This information helps your doctor determine the effectiveness of your treatment plan and make changes if necessary. Keep this list with you at all times and share it with your healthcare team. It is up to you to know this information. The Know your Medicine booklet provides tools and information on how to use medicines safely. Remember the 3 R’s for safe medication use from the Center for Improving Medication Management & the National Council on Patient Information and Education: All medicines, prescription and non-prescription, have RISKS as well as benefits. You need to weigh these risks and benefits carefully for every medicine you take. RESPECT the power of your medicine and the value of medicines properly used. Take RESPONSIBILITY for learning about how to take your medication safely. It is important to talk to your family about the power of medicines and be knowledgeable about what you are taking. Know your medications and how to best promote their safe use. To manage your medicines safely, a medication safety checklist is available at the Public Health Agency of Canada. Sources: Canada Safety Council, The Public Health Agency of Canada, Medicine Safety - A Toolkit for Families, Canadian Patient Safety Institute