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2008 winter - Blueprint for Health magazine - St. Anthony's Hospital

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Managing Medicines:<br />

How to <strong>St</strong>ay Safe During<br />

Cold and Flu Season<br />

Cold and flu season is<br />

upon us! To relieve<br />

symptoms, many people<br />

count on products such as Tylenol,<br />

Panadol and Feverall — all<br />

of which contain the medicine<br />

“acetaminophen.” As with all<br />

kinds of medicine, it’s important<br />

to keep safety in mind whenever<br />

you take this common drug.<br />

FOLLOW RECOMMENDED DOSES<br />

Acetaminophen is used to relieve<br />

mild to moderate pain and to<br />

reduce fever. When used properly,<br />

it can be safe and effective. But<br />

overdoses can be fatal. And, taking<br />

low doses of acetaminophen<br />

every day <strong>for</strong> several months can<br />

cause serious liver and kidney<br />

problems. To be safe, always<br />

follow the instructions on your<br />

medicine’s label and never exceed<br />

the recommended daily dose.<br />

AVOID AN OVERDOSE<br />

Accidental overdoses of acetaminophen<br />

can occur when<br />

people do not realize that a<br />

medicine they are taking contains<br />

acetaminophen or that they<br />

have taken two or more products<br />

containing acetaminophen at the<br />

same time.<br />

To stay safe, follow the<br />

recommended dose: 1,000 mg of<br />

acetaminophen every 6 hours, <strong>for</strong><br />

a total of 4 grams per day. If you<br />

have kidney or liver problems,<br />

ask your doctor or pharmacist<br />

what’s right <strong>for</strong> you.<br />

SAFETY TIPS<br />

To make it through cold and flu<br />

season safely, follow these tips:<br />

• Always read labels. The chart<br />

to the right shows examples of<br />

common medicines that contain<br />

acetaminophen.<br />

• Ask your doctor or pharmacist<br />

about the ingredients in your<br />

prescriptions and whether your<br />

prescriptions could interact with<br />

your cold or flu medicine.<br />

• If acetaminophen doesn’t<br />

improve your symptoms, don’t take<br />

more. Instead, consult your doctor.<br />

• Remember to provide a<br />

complete list of all medications<br />

you are taking to all of your<br />

health care providers.<br />

• Get a flu shot each fall. •<br />

Examples of Prescription Products<br />

Containing Acetaminophen:<br />

Acetaminophen<br />

Product Name<br />

per Tablet/Capsule<br />

Vicodin, Esgic Plus, Lortab, Tylox, Percocet<br />

7.5/500, Endocet 7.5/500, Roxicet<br />

Darvocet-N 100, Percocet 10/650,<br />

Endocet 10/650, Lorcet Plus<br />

Vicodin HP<br />

Vicodin ES<br />

500 mg<br />

650 mg<br />

660 mg<br />

750 mg<br />

Examples of Over-the-Counter<br />

Products Containing Acetaminophen:<br />

Product Name<br />

Actifed Cold & Sinus Maximum<br />

<strong>St</strong>rength, Midol Pre-Menstrual Syndrome,<br />

Excedrin Tension Headache,<br />

Tylenol PM Extra <strong>St</strong>rength<br />

TheraFlu Daytime Severe Cold Hot<br />

Liquid<br />

TheraFlu Flu & Chest Liquid<br />

Acetaminophen<br />

per Tablet/Capsule<br />

500 mg<br />

650 mg<br />

(per packet)<br />

1,000 mg<br />

(per packet)<br />

ECHINACEA: CURE-ALL FOR THE COMMON COLD?<br />

Some studies show that echinacea can<br />

reduce the length and severity of a<br />

cold. But one study says this popular<br />

herb may have no effect on a cold —<br />

or its symptoms.<br />

About 70 college-aged women and<br />

men agreed to take an echinacea<br />

supplement. The participants took six<br />

1-gram doses of the herb on the first<br />

day cold symptoms appeared. Then,<br />

they took three 1-gram doses per day<br />

<strong>for</strong> up to 10 days. Another group of<br />

about 70 young adults followed this<br />

exact pattern, but used a placebo<br />

instead.<br />

Both groups had colds <strong>for</strong> the same<br />

length of time: about two to 10 days.<br />

There also was no difference in the<br />

severity of their cold symptoms.<br />

The researchers concluded that the<br />

dried mixture of unrefined echinacea<br />

they tested had no benefits. However,<br />

they also noted that another echinacea<br />

preparation may have different<br />

results — and further studies of the<br />

herb are needed.<br />

Annals of Internal Medicine, Vol. 137, No. 12<br />

<strong>Blueprint</strong> <strong>for</strong> <strong>Health</strong> | Winter <strong>2008</strong><br />

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