Over the Counter Medicines and Driving

medicines

The Food and Drug Administration shared the following release. It is about the use of over the counter medicines and how they may impact on your driving.

Anyone who operates a vehicle of any type—car, bus, train, plane, or boat—needs to know there are over-the-counter medicines that can make you drowsy and can affect your ability to drive and operate machinery safely.

Over-the-counter medicines are also known as OTC or nonprescription medicines. All these terms mean the same thing: medicines that you can buy without a prescription from a healthcare professional. Each OTC medicine has a Drug Facts label to guide you in your choices and to help keep you safe. OTC medicines are serious medicines and their risks can increase if you don’t choose them carefully and use them exactly as directed on the label.

According to Ali Mohamadi, M.D., a medical officer at FDA, “You can feel the effects some OTC medicines can have on your driving for a short time after you take them, or their effects can last for several hours. In some cases, a medicine can cause significant ‘hangover-like’ effects and affect your driving even the next day.” If you have not had enough sleep, taking medicine with a side effect that causes drowsiness can add to the sleepiness and fatigue you may already feel. Being drowsy behind the wheel is dangerous; it can impair your driving skills.

Choosing and Using  Medicines Safely

You should read all the sections of the Drug Facts label before you use an OTC medicine. But, when you know you have to drive, it’s particularly important to take these simple steps:

First, read the “active ingredients” section and compare it to all the other medicines you are using. Make sure you are not taking more than one medicine with the same active ingredient. Then make sure the “purpose” and “uses” sections of the label match or fit the condition you are trying to treat.

Next, carefully read the entire “Warnings” section. Check whether the medicine should not be used with any condition you have, or whether you should ask a health care professional whether you can use it. See if there’s a warning that says when you shouldn’t use the medicine at all, or when you should stop using it.

The “When using this product” section will tell you how the medicine might make you feel, and will include warnings about drowsiness or impaired driving.

Look for such statements as “you may get drowsy,” “marked drowsiness will occur,” “Be careful when driving a motor vehicle or operating machinery” or “Do not drive a motor vehicle or operate machinery when using this product.”

Other information you might see in the label is how the medicine reacts when taken with other products like alcohol, sedatives or tranquilizers, and other effects the OTC medicine could have on you. When you see any of these statements and you’re going to drive or operate machinery, you may want to consider choosing another medicine for your problem this time. Look for an OTC medicine that treats your condition or problem but has an active ingredient or combination of active ingredients that don’t cause drowsiness or affect your ability to drive or operate machinery.

Talk to your healthcare professional if you need help finding another medicine to treat your condition or problem. Then, check the section on “directions” and follow them carefully.

Here are some of the most common OTC medicines that can cause drowsiness or impaired driving:

  • Antihistamines: These are medicines that are used to treat things like runny nose, sneezing, itching of the nose or throat, and itchy or watery eyes. Some antihistamines are marketed to relieve cough due to the common cold. Some are marketed to relieve occasional sleeplessness. Antihistamines also can be added to other active ingredients that relieve cough, reduce nasal congestion, or reduce pain and fever. Some antihistamines, such as diphenhydramine, the active ingredient in Benadryl, can make you feel drowsy, unfocused and slow to react.
  • Antidiarrheals: Some antidiarrheals, medicines that treat or control symptoms of diarrhea, can cause drowsiness and affect your driving. One of these is loperamide, the active ingredient in Imodium.
  • Anti-emetics: Anti-emetics, medicines that treat nausea, vomiting and dizziness associated with motion sickness, can cause drowsiness and impair driving as well.

“If you don’t read all your medicine labels and choose and use them carefully,” says Dr. Mohamadi, “you can risk your safety. If your driving is impaired, you could risk your safety, and the safety of your passengers and others.”

 

 

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Rethinking the Bag Lunch

image of a bag lunchThe brown paper bag lunch was the only choice for school lunch when my son was in the elementary grades.

There was no school cafeteria, just a lunch room. He could purchase a container of milk. And, then sit with friends eating, sharing and trading what was in his brown paper bag.

Given the lack of refrigeration at his school, my daily challenge was to pack a lunch that wouldn’t spoil.  There were a few hours between the time he left for school and his lunch period.

Today’s elementary schools have cafeterias, where a child can purchase lunch or, if he or she qualifies, participate in a subsidized lunch program. However this is not the case in many daycare centers and preschools where a child must still carry his or her own lunch.

A recent study, funded by the National Institutes of Health, raised concerns about the safety of carrying and eating a bag lunch even when the lunch is in an insulated bag that contain ice packs or other coolant.

About half of daycare centers in the U.S. require kids to bring lunch from home. The investigators examined lunches of 235 daycare attendees at nine Texas centers. The individual contents of their bag lunches were assessed on three random days between 9:30 and 11 a.m.

Of the 705 lunches, 11.8% were stored in a refrigerator, but teachers often left them sitting out for a couple hours first. The rest were stored at room temperature without much air circulation.

While about 91% of the lunches were sent in insulated plastic bags, the mean temperature of food items reached nearly room temperature (63.7 °F). Just 22 of the 1361 perishable food items (1.6%) were in the “safe” range below 39.2°F.

Ice packs didn’t help much. Only five of the 61 perishable food items with multiple ice packs in the lunch bag stayed the right temperature (8.2%).

Investigators found nearly all lunches packed from home got too warm to prevent food-borne illness despite use of ice packs. Even with the use of multiple ice packs, more than 90% of perishables in the lunches reached unsafe temperatures.

The study points to the need for:

  • Preschool and daycare staff receiving more training in food safety
  • Parents finding better ways to pack lunches safely
  • Manufacturers developing ice packs and lunch bags that do a better job


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Mother’s Day and Food Safety

Here comes Mother’s Day; a day for hosting a gathering for our mothers. For many of us, it is a time to serve convenience food, so we have more time to enjoy our company.

The Partnership for Food Safety Education wants you to know that to prevent food-related illness due to under-cooking frozen or other convenience foods follow these four simple tips:

1. Read and follow package cooking instructions.

2. Know when to use a microwave or conventional oven.

3. Know your microwave wattage before microwaving food.

4. Always use a food thermometer to ensure a safe internal temperature.

The U.S. Food Safety and Inspection Service wants you to know the following about keeping party foods safe:

  • Make sure all food is cooked thoroughly before serving.
  • Store prepared foods in shallow pans so they cool quickly and evenly. Reheat and serve small amounts on platters while the remaining food stays hot in the oven.
  • Don’t let food stay at room temperature for more than two hours.
  • Use chafing dishes, warming trays or slow cookers to keep foods hot.
  • Surround dishes of cold foods with ice.

Both government agencies are quick to remind us that taking precautions when preparing and serving food can spare us the misery of a food-induced illness.

All of us at “Can Do” Street know how important mothers and grandmothers are to children young and old. So…from all of us to all of you…

Happy Mother’s Day!

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Fall Prevention at Play, in Sports and in the Home

This post is all about children taking falls and fall prevention at play, in sports and in the home. It comes to us from the Centers for Disease Control (CDC. The numbers of children getting injured as a result of fall related injuries are staggering.  Many falls can be prevented. Fall

We all want to keep our children safe and secure and help them live to their full potential. Knowing how to prevent leading causes of child injury, like falls, is a step toward this goal.

Falls are the leading cause of non-fatal injuries for all children ages 0 to 19. Every day, approximately 8,000 children are treated in U.S. emergency rooms for fall-related injuries. This adds up to almost 2.8 million children each year.

Thankfully, many falls can be prevented, and parents and caregivers can play a key role in protecting children. If children are to be safe, fall prevention at play, in sports and in the home must be a priority.

Fall prevention at play, in school and in the home

 

Key Prevention Tips

Play safely.
Falls on the playground are a common cause of injury. Check to make sure that the surfaces under playground equipment are safe, soft, and consist of appropriate materials (such as wood chips or sand, not dirt or grass). The surface materials should be an appropriate depth and well-maintained.

Home safety.

Use home safety devices, such as guards on windows that are above ground level, stair gates, and guard rails. These devices can help keep a busy, active child from taking a dangerous tumble.

Keep sports safe.
Make sure your child wears protective gear during sports and recreation. For example, when in-line skating, use wrist guards, knee and elbow pads, and a helmet.

Supervision is key.
Supervise young children at all times around fall hazards, such as stairs and playground equipment, whether you’re at home or out to play.

 Read these pages for more comprehensive descriptions of fall prevention at play, in sports and in the home

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Dietary Supplements Are Popular, but are They Safe?

supplementsThe NIH offers a look at dietary supplements including vitamins, minerals, botanicals and more. 

When you reach for that bottle of vitamin C or fish oil pills, you might wonder how well they’ll work and if they’re safe. The first thing to ask yourself is whether you need them in the first place.

More than half of all Americans take one or more dietary supplements daily or on occasion. Supplements are available without a prescription and usually come in pill, powder or liquid form. Common supplements include vitamins, minerals and herbal products, also known as botanicals.

People take these supplements to make sure they get enough essential nutrients and to maintain or improve their health. But not everyone needs to take supplements.

“It’s possible to get all of the nutrients you need by eating a variety of healthy foods, so you don’t have to take one,” says Carol Haggans, a registered dietitian and consultant to NIH. “But dietary supplements can be useful for filling in gaps in your diet.”

Some supplements may have side effects, especially if taken before surgery or with other medicines. Supplements can also cause problems if you have certain health conditions. And the effects of many supplements haven’t been tested in children, pregnant women and other groups. So talk with your health care provider if you’re thinking about taking dietary supplements.

“You should discuss with your doctor what supplements you’re taking so your care can be integrated and managed,” advises Dr. Craig Hopp, an expert in botanicals research at NIH.

Dietary supplements are regulated by the U.S. Food and Drug Administration (FDA) as foods, not as drugs. The label may claim certain health benefits. But unlike medicines, supplements can’t claim to cure, treat or prevent a disease.

“There’s little evidence that any supplement can reverse the course of any chronic disease,” says Hopp. “Don’t take supplements with that expectation.”

Evidence does suggest that some supplements can enhance health in different ways. The most popular nutrient supplements are multivitamins, calcium and vitamins B, C and D. Calcium supports bone health, and vitamin D helps the body absorb calcium. Vitamins C and E are antioxidants—molecules that prevent cell damage and help to maintain health.

Women need iron during pregnancy, and breastfed infants need vitamin D. Folic acid—400 micrograms daily, whether from supplements or fortified food—it is important for all women of childbearing age.

Vitamin B12 keeps nerve and blood cells healthy. “Vitamin B12 mostly comes from meat, fish and dairy foods, so vegans may consider taking a supplement to be sure to get enough of it,” Haggans says.

Research suggests that fish oil can promote heart health. Of the supplements not derived from vitamins and minerals, Hopp says, “Fish oil probably has the most scientific evidence to support its use.”

The health effects of some other common supplements need more study. These include glucosamine (for joint pain) and herbal supplements such as echinacea (immune health) and flaxseed oil (digestion).

Many supplements have mild effects with few risks. But use caution. Vitamin K, for example, will reduce the ability of blood thinners to work. Ginkgo can increase blood thinning. The herb St. John’s wort is sometimes used to ease depression, anxiety or nerve pain, but it can also speed the breakdown of many drugs—such as antidepressants and birth control pills—and make them less effective.

Just because a supplement is promoted as “natural” doesn’t necessarily mean it’s safe. The herbs comfrey and kava, for example, can seriously damage the liver.

“It’s important to know the chemical makeup, how it’s prepared, and how it works in the body—especially for herbs, but also for nutrients,” says Haggans. “Talk to a health care provider for advice on whether you need  supplements in the first place, the dosages and possible interactions with medicine you’re already taking.”

For vitamins and minerals, check the % Daily Value (DV) for each nutrient to make sure you’re not getting too much. “It’s important to consider the DV and upper limit,” says Haggans. Too much of certain supplements can be harmful.

Scientists still have much to learn even about common vitamins. One recent study found unexpected evidence about vitamin E. Earlier research suggested that men who took vitamin E supplements might have a lower risk of developing prostate cancer. “But much to our surprise, a large NIH-funded clinical trial of more than 29,000 men found that taking supplements of vitamin E actually raised—not reduced—their risk of this disease,” says Dr. Paul M. Coates, director of NIH’s Office of Dietary Supplements. That’s why it’s important to conduct clinical studies of supplements to confirm their effects.

Because supplements are regulated as foods, not as drugs, the FDA doesn’t evaluate the quality of supplements or assess their effects on the body. If a product is found to be unsafe after it reaches the market, the FDA can restrict or ban its use.

Manufacturers are also responsible for the product’s purity, and they must accurately list ingredients and their amounts. But there’s no regulatory agency that makes sure that labels match what’s in the bottles. You risk getting less, or sometimes more, of the listed ingredients. All of the ingredients may not even be listed.

A few independent organizations conduct quality tests of supplements and offer seals of approval. This doesn’t guarantee the product works or is safe; it just assures the product was properly made and contains the listed ingredients.

“Products sold nationally in the stores and online where you usually shop should be fine,” Coates says. “According to the FDA, supplement products most likely to be contaminated with pharmaceutical ingredients are herbal remedies promoted for weight loss and for sexual or athletic performance enhancement.”

To make it easy to find reliable information, NIH has fact sheets on dietary supplements at http://ods.od.nih.gov/factsheets/list-all/.  NIH also recently launched an online Dietary Supplement Label Database at www.dsld.nlm.nih.gov. This free database lets you look up the ingredients of thousands of dietary supplements. It includes information from the label on dosage, health claims and cautions.

“Deciding whether to take dietary supplements and which ones to take is a serious matter,” says Coates. “Learn about their potential benefits and any risks they may pose first. Speak to your health care providers about products of interest and decide together what might be best for you to take, if anything, for your overall health.

Safe Use of Supplements

  • Tell all of your health care providers about any dietary supplements you use. Some supplements can interact with medications or affect medical conditions.
  • Read the label instructions for use.
  • “Natural” doesn’t always mean safe. For up-to-date news about the safety of particular supplements, check http://nccam.nih.gov/news/alerts.
  • Too much might be harmful. Don’t take more than the recommended dose.

Source: NIH News in Health

NIH Office of Communications
and Public Liaison
Building 31, Room 5B64
Bethesda, MD 20892-2094
nihnewsinhealth@od.nih.gov
Tel: 301-402-7337

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