MEDICINES FOR THE ZOMBIE APOCOLYPSE The 5 – 5 – 5 Plan Or Pills For Dummies Almost all of us have experienced the same overwhelming feeling of panic as we started out prepping. The sheer size and scope of what is needed to know, own and stock can send even the strongest of us into the fetal position, sucking our thumb and crying for mommy. I was fortunate enough when I started to stumble across a great group of seasoned preppers who made my beginnings so much easier. The greatest advice I ever got as I started down this path consists of two key points – start slow and basic, and utilize other like-minded people and their knowledge base as you go. Now that I have reached a point where I consider myself having graduated from beginner to advanced beginner (I have so much more to do and learn), I felt it was time to give back in the one way I could – using my area of expertise to help and instruct others. As a veterinarian, my pre zombie apocalypse skills are limited, but as a medical professional, my grasp of medicines and their uses will transfer quite nicely into the human prepping realm. This paper’s goal is to outline for you basic medicine information sources, preferred forms of medications for preppers, recommendations for medicines that I believe are essential for preppers to stock, and finally discussions of acquisition of these medicines both pre and post zombie apocalypse. I hope that you will find this both interesting and helpful in your preparations. INFORMATION SOURCE: For those who have no or limited medical background, simple information on medications can be difficult enough to find and understand. However, as you put your library together, I must strongly recommend that you also include in it a copy of the Physician’s Desk Reference (PDR). This is an essential source of medicine information. This book lists all human medications and the variations, and is divided into easy to follow sections (Manufacturer, product category, picture reference, product name and generic name). I recommend that you get the large hardback copy. These can be purchased off of Ebay or Amazon quiet easily and cheaply. A book a few years old can be obtained for less than $10. Don’t worry too much about getting the newest version out – remember, you will mostly be dealing with very basic drugs and not too interested in the newest drugs out there, those with specific targeted problems that you will likely not need to face. Even a 20 year old copy would still cover the basic medications that a prepper would most likely need to be aware of very well. WHICH MEDICINE FORM? Medicines usually come in three forms – tablet/capsules (oral), liquid (oral) and injectable. Without going into great detail, always stock the tablet or capsule form of any medication. The shelf life will be the longest and they will be the lightest and simplest forms to stock and carry. For those of you reliant on injectable medications for your health (diabetics, for example), the sad reality is that in the event of a catastrophic breakdown of society, you will probably only have a 6 month supply of medications available. There will be a large percentage of the population that will die in these scenarios simply due to the lack of available medications. THE 5 – 5 – 5 PLAN With apologies to Herman Cain for blatantly ripping off his idea, I came up with a simple layman’s guide for medications that I feel are imperative for all preppers to stock. This list was not just my idea – I consulted with other veterinarians and human doctors to get a general consensus as to which medications would be the most likely to be needed (I employed the old “if you were stranded on a deserted island. . .” question – and oldie but a goodie!!). Simply put, I asked them if they were to be the medical administrator for a diverse group of adults and children, and had only 5 over the counter (OTC) medicines, 5 antibiotics and 5 non-antibiotic prescription mediations to choose, which would they carry? The following list mirrors the suggestions I received. ** IMPORTANT CAVEAT!!** These choices are made on what veterinarians call the “Herd Health” mentality – which medications will most likely do the best for the herd as a whole, not taking into consideration any one individual or a specific need of one individual. If you are on specific medications, it would be advised that you stock at least a two to three month supply of that medication as a back-up at all times. In the case of a short term society breakdown, this will more than likely get you through the immediate crisis. Problems that will last for a longer time period may prove difficult or fatal for those dependent on specific medications. OTC MEDICATIONS 1) 2) 3) 4) 5) Aspirin/Ibuprofen: Pain/swelling associated with increased activities Benadryl: Allergies, rashes, mild sedation Famotidine/Pepcid AC: Heartburn/pain associated with diet changes Ex-Lax: Constipation associated with diet changes Pepto-Bismol: Diarrhea associated with diet changes NOTE: Remember, tablet forms are the best, especially when dealing with the last two. Liquids or chocolate forms will not stand up to travel/heat very well ANTIBIOTICS Amoxicillin/Augmentin (veterinary name – Clavamox) Aerobic Bacteria (ear infections, respiratory infections, skin infections, pneumonia) Augmentin better in adults, good for deep infected wounds, UTI, respiratory Metabolized by liver and kidney AD EFF – severe allergies to penicillins exist in people – rash, anaphylactic shock. Know your status before taking if at all possible Dosage – amoxi in children – 80-90 mg/kg/day (divided in 2 to 3 doses) for 7 to 10 days. Augmentin adults – 250-500 mg every 8 to 12 hours for 7 to 10 days Cephalexin/Keflex Aerobic bacteria (ear infections, wounds, pneumonia) Good choice if allergic to Penicillins Metabolized by liver/kidney AD EFF – skin rash/hypersensitivity, diarrhea, seizures Dosage: Adults – 1000 mg divided into two or four dosages Child – 12.5-25 mg/kg every 12 hrs Ciprofloxacin/Cipro Aerobic bacteria (ear infections, respiratory infections, abdominal infections, anthrax) Do not use if pregnant or in children if at all possible Metabolized by liver and kidney AD EFF – limited to nausea/diarrhea, rash, very rare Dosage – 250 to 750 mg twice a day from 5 days to 6 weeks Doxycycline Aerobic bacteria (tick borne diseases, anthrax, plague) Kills symbiotic bacteria in some nematodes, making it a dewormer as well Only used in children if no other option Metabolized mostly by kidneys AD EFF – photosensitivity, rash. Taking with milk or food decreased effectiveness Dosages – adult: 100 mg twice a day for 10 to 60 days Metronidazole/Flagyl Anaerobic bacteria and protozoa (gut problems, deep tissue wounds) IBD with Cipro Metabolized by liver AD EFF: nausea, diarrhea, metallic taste in mouth (rare); high dose/long dose – blood production problems, neurological disease Dosage: 500 mg 2-3 times a day for 10 to 14 days (adult) Child: 15-30 mg/kg/day divided into 3 doses for 7 to 14 days, not to exceed 1-2 gm/day NON ANTIBIOTIC PRESCRIPTION MEDICATIONS Ondansetron/Zofran Oral anti-nausea medication Also used to control addiction (alcohol, opioids), IBD symptom treatment AD EFF – Constipation, dizziness, headaches (rare) Dosage – 8 mg by mouth three times a day (adult) 4 mg by mouth three times a day (child) Prednisone Potent anti-inflammatory medication Used in treatments for asthma, COPD, arthritis, IBD, allergies, migraines, chemotherapy ADD EFF – high blood sugar, insomnia, fluid retention, increased thirst and urination, behavior changes Dosages – wide range of dosages based on age and disease. Length of dosing also based on age and disease. Tramadol/Ultram Oral analgesic used to treat moderate to severe pain Metabolized by the liver AD EFF – nausea, sweating, itching and constipation Dosage – 25 mg by mouth three times a day up to a maximum of 400 mg/day Not recommended in children Percocet/Vicodin/Morphine Potent short term analgesic – combination of narcotic and anti-inflammatory Highly controlled substance, difficult to acquire AD EFF – potent addiction potential, severe mental depression/sedation, decrease in gut activity, nausea, dry mouth, decreased appetite Dosage – 1 to 2 tablets every 4 to 6 hours as needed for pain (adults) Sudafed Used to treat symptoms of common cold, sinusitis and nasal congestion. Can help in shocky patients. Due to use in making Crystal Meth, amounts restricted to purchase AD EFF – elevated heart rate, dizziness, high blood pressure, restlessness Dosage – 2 tablets every 4 to 6 hours (adult) 1 tablet every 4 to 6 hours (child) MEDICATION ACQUISITION For most preppers, this will be the hardest aspect related to this very valuable item(s). Of course, the over the counter medications will not be a problem, and you should keep at least a 6 month supply on hand of any and all of the recommended OTC meds, along with any others you deem necessary for you and your situation. However, prescription medications will be much harder to come by for the average person. In preparing for the zombie apocalypse, cultivating a relationship with a medical professional would be your best option. Doctors or persons in the medical field would have a much more likely ability to procure medicines. However, do realize that it is illegal for them to sell or prescribe medications to people who are not in immediate need of these items. A much more likely scenario would be to include a doctor or medical professional in your prepping group. Their ability and willingness to ‘offer assistance’ will be based on their own personal morals and ethics. Post-apocalyptic acquisition of medications will be even trickier. Although I cannot give you advice on where and how to get medications in this situation, I will caution you on places you should probably stay away from. Pharmacies and grocery stores will be a no-go. Everyone and their brother who is not prepared will be heading to these stores for immediate supplies, meaning the chance of violence and harm will be very great. Avoid these at all costs. Likewise, hospitals will be either overrun by gangs or, more likely, being controlled by armed groups. My best suggestion is to think outside of the box when looking for items in this category. By their very nature, preppers tend to think ahead and reason out likely scenarios for survival in hard times. This is a very important area on which to plan ahead.