If you are prescribed a controlled substance, such as an opioid, your doctor will ask you to undergo drug monitoring. 4,5 What other concerns should I be aware of with regard to certain prescribed medications? Others may end up being admitted to a hospital or nursing home because they do not start or complete their prescribed treatment plans. In fact, approximately 125,000 people with treatable diseases die each year in the US because they do not take their medication as prescribed. In fact, deaths have occurred by taking too much medication, or combining a medication with alcohol, other prescribed controlled substances, or illicit drugs. When it comes to pain medications, most healthcare providers will have you sign a treatment agreement showing that you understand the risks of not adhering to the specific instructions with each medication. Others are longer acting and can accumulate in your system-especially if you take more drug than prescribed by your doctor. For example, many medications are short-acting and require that you take them on a schedule to maintain their levels in your system. If you skip doses or do not stick to your prescribed treatment plan, this will affect the outcome of your illness, condition, or overall health. What are “controlled substance” medications? For example, some people may not finish a 10-day antibiotic prescription because they feel better on Day 7 however, taking the full course of the 10-day prescription is necessary to ensure that any bacterial infection has left the body. Nonadherence can mean taking more medication than prescribed, skipping one or more prescribed doses, or stopping a medication early, that is, before your prescription runs out. Therefore, medication adherence also includes looking at how well a person follows a prescribed treatment regimen over time. When living with a chronic condition, such as chronic pain, long-term treatment plans are common, and it is your doctor’s role to monitor that plan to ensure that you move toward a positive outcome and that you do so in a safe manner. Medication adherence, sometimes called medication compliance, refers to how a person follows the advice of their doctor and/or pharmacist when prescribed a medication, such as how much of a particular drug to take and when to take it.
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