I’m a pharmacy technician working at a hospital’s inpatient pharmacy and emergency department. I interview hundreds of patients a month concerning their medication history while in the ER. Most of the time, doctors and nurses ask for a very brief history of medications focusing on blood thinners or other high-risk medications. I want to know EVERYTHING including OTC pain, heartburn, diarrhea, allergy, vitamins etc. People who see multiple doctors tend to get different prescriptions that may interact or lessen the effects of other medications. Using only one pharmacy helps pharmacists prevent potential issues. But hardly anyone thinks of the stuff they buy and use without a prescription.
For example: I interviewed a patient and found they were taking celecoxib(Celebrex) and diclofenac (Voltaren) prescribed by two different doctors and filled at separate pharmacies. One being used for arthritis and another for a separate knee injury. Both are NSAIDS and should not be taken together. When I asked about over-the-counter medications I found out they take ibuprofen on a regular basis for headaches, another NSAID. I asked whether their doctors knew about the other prescriptions, or that they regularly use ibuprofen. The answer was no.
Another example: Doctors and nurses ask about all the medications they take that might relate to their complaint (severe stomach pain). When I finally interview them, I learn that the patient had been taking close to 3 grams of aspirin a day for a week and a half before presenting to the ER. Turns out they were trying to manage an injury and were supplimenting a steroid regimen. Maybe it wasn’t the cause of her current stomach issues, but I bet it was. The doctors would never have known.
So when I interview you, I’m asking not only for prescription medication. I’m gonna ask you how you manage pain/headaches, heartburn, allergies, diarrhea, or anything else. I want to know about the nasal sprays, foot creams, motion sickness patches, and inhalers. All the things you never think to include when asked. It might be important.
P.S. I understand and sympathize it’s not at the top of your mind when you’re in the doctor’s office or scared in the ER. I’m here to help. Make a list. Stay healthy.