just ahead i'd be well we're talking about our medicine cabinet with pharmacist tumhe carmel up paris some of the year to talk about over-the-counter medications drug interactions how to get rid of experi medications and a whole lot more that's coming up so don't go away well if you're from the paris area you probably know this gentleman very well tom paramount one-time pharmacist in paris how live you've retired before then but your practice i've been there for forty four and a half years i've earned the right to retire and i look forward to spending more time with the people in the community that we have served three years alka let's talk about uh... as a pharmacist you guys have a broad knowledge of thing uh... of information web site at the sorts of things that people should be talking to their pharmacist about will we get questions on anything and everything and i guess that's one of the important things we are trusted uh... worked restaurant as a knowledgeable sources of information and i uh... i have to agree with that possible free so if you can't call your doctor you can call your train get free information revenge for a walk in or call and talk with the pharmacist that for were you're ready to leave the most respected profession at realize so what the scope of questions that pharmacists can usually handle well just like the general practitioner pharmacists get them orders from everywhere dealing with specialties and uh... just general type of the health care issues therefore the questions we get a drift completely across the board ok not just always related to the medication that they're picking up that day uh... did that get your you're right because it goes much further than that we have to be a knowledgeable sources of information to be able to say i can't help you with that you need to go to the specialist for you'd need to see your physician in other words are are most appropriate intercept endless to say no okay but rear are the clearinghouse so people move further for us uh... additional information all cut well let's talk about you you were forty years as a pharmacist what were some of the most what is the most common questions that people have well we do have questions on how do i take this all one of the big ones come have a drink with this packaging of alcohol pat and programs and they're very few medication for youth camp so we cannot should not but the and and number of situations uh... it's encouraged improves circulation inherit there is no and maybe the problem with the medication actual people are not afraid to ask that question mechan down this typical at some point here you go and if it makes you feel better uh... of course the benefits of wine he said he's a wrong compact etc what are some other things that people often ask we have a a lot of questions about their children okay uh... pediatric doses man that gets to be a tough issue some kind of because we don't know that the use of the child aid through their body weight or their overall health condition and that's one big problems doing a lot of phone calls from people we don't know they got to medication elsewhere in the call us for advice and that's a real touch you want to mam i'm trying to help you but i'm limited uh... in the future of the glad to serve you need to do better job forty coming all let's let's let's talk about our medicine cabinet what are some of the things that you'd recommend for people to be should have at home you know uh... young medication certainly expire but what some things that we need to have in case of well at home and into the first thing most people just need to clear up to medical care k there's old stuff in their accom dot they don't know no wide even had so it's important to clear out old stuff then the into your question with what do you put in there and that depends upon the aged the individual the are uh... the number of people in the family are there are young children that are we talking on the old couple so that's a tough one to enter button the basic things and don't put more than you have to endure stuff gets all it does when it does not engage gettle yesterday's email sticky indicate kid you're going to love mom period but i talk a little later in the shelf out how to you know get rid of medications but i want to talk about common thing that a lot of people issues over the counter pain relievers what is best for what because we've got c_n_n_f_n_ we've got and saves we've got or k what's best for and had a if it had to know the wolves tough once tantrum headed if i don't know your health history okay in that again that's why people come to a pharmacist not good if i know them like a sick because of what you're taking or the condition that i know you have we need to consider time all receiving them down or we can move into the incidents and for those people who don't know what i'm incentives these are the non steroid none cortisone anti-inflammatory pack a leave motrin things of this and advil thing ok so what so those are for inflammation so what does really as cdom in attendance at a better as a pain reliever is the most popular pain reliever in fact that has created a big problem with the people take just handfuls of acetaminophen the problem is that there is a limit on how much you can safely take before defection liver ok in fact that total was that uh... four grams a day now they have backed that down to no more than three grams a day which is about how many film well if you're taking an extra strength acetaminophen there would be no more than six a day before a was day-to-day and there are people that take considerably more than that so i'd be pro skid acetaminophen isn't excellent pain reliever in fear reduce our ok does nothing for the inflammation okay so if you are talking about a uh... and injury or aren't arthritic type of paint logically we would do in in said acetaminophen up and getting the pain benefit from the in said along with the entire family career fair name here comes the straight pain relief from the settlement okay let's try another one in there than what is uh... like in approx and sodium which is the elite that something completely different lopez and then set ok ethic that effect on the proximal under the brand name believe and this is confusing for people you know we deal with this every day of the week so it doesn't mean no-brainer for a fact that uh... it's when you hear i'd be a profound and uh... but as you mentioned an approximate and there are of hers then people start to get confused and that's where we also have a lot of questions can i take this with that aunt with yes you can or somewhere conditions nope mhm thank you for calling is no you should not do that so it all depends if there is not one answer that works for prairie and in fact that's a big issue and people were looking at this shelf you can tell that they don't know what they need the the are looking at a brand name that they recognize and yes advertising sells that uh... uh... they're trying to select the most appropriate thing when in fact they should just call right up to the pharmacist first and then we can see this is it or that poor this combination but nothing else so nl cold and flu season comes around and kept her psyche set there are a lot a lot to advertisements on t_v_ and there's a lot of stuff they're still scarce liquids how do you even know what to you'd you'd go well i have a runny nose and scratchy throat and look for the medication that takes care of those thank you love this is a real problem with your uh... cough and cold preparation because okay let's use the example the panel family it used to help eighty four combinations of things desires and and at additional product now to over a hundred well-run bob because uh... parallel with it the real this is good for cold fever congestion and cough all this stuff because they're handing these additional and rewrite well people are reading those boxes on the show us a global that's me and truly grant that there's a problem with that because the samples to dave may not be in the symptoms in two more days don't know if you may not need that in a history lorraine drive again saturation just come right up to the pharmacist msec here are my symptoms he replied i'm having a problem with what do you recommend so late and also you need an antihistamine but no more than five days of it and physically in the former drying you can get the congestion so there are no pat ethridge knowledge if you have if you're looking at a box it tears may be disposed to take care five symptoms and you only have two x not really a good idea to idea to say well i'll take that has been an ok take care of every care of everything in the end and that's where a lot of people think that that's the way these products are made to sell if ivan covering all of these symptoms also more that product uh... and that is not necessarily a bit so perfectly acceptable you know even if your at the pharmacy in you're not getting a perscription it's ok to come to the pharmacist and say hey i'm looking for an over-the-counter in fact we appreciated when people come and say please help me i have this problem okay rather than i know they were floundering over there but are we to leak and talked about having mhm yeah well let's not let's talk about that they're just because something is over the counter and you can buy it too much of it can be about and what are some some medications that can be actually dangerous if your take too much great question because people think over-the-counter and doctors think this too over-the-counter items are safe i do not agree and a classic example is benadryl benadryl should be on prescription status simply because it has so much drowsiness associated with it that's why it's the ingredient almost three page right d uh... maybe that are tell you something right there but people will supply needs have been a drill doctor said bloodbath this symptom of rare sure or whatever dixon benadryl them then they drive mail early fall asleep on the road so you're talking about adults terror unintentionally impaired yeah so benadryl is a product i had never recommend short-acting major drowsiness to meet a worthless product okay and if he did easily overdose on that as like a sleep aid and absolutely we had a and you you have this mindset all boxes take one or two three-mile yeah actually might be better at night and enforce the best yeah weeds and that is typical male guarantees leads and i think it ones better than four must be twelve-cc exactly the way people think maritza let's not let's talk real quick about uh... giving adults uh... over the counter stats children is it safe to go well just kept appellate half because the child is so much smaller than me will go seeing is a big issue there whether it's a pill that you can have four again you're guessing because almost every one of those references under the age of six ask their physician right that's good because what one it's legal protection from that but i think that manufacture so they don't get into trouble but the other thing is you don't really know the appropriate bills for child under the age of six because body weight is so different again you talk to the promise of weakened look into that unless we have a real issue with a young stirred that's very sick uh... multiple issues that's when we say you better carpenter doctor first okay so let's move on to prescriptions com and i bet you see this a lot someone gets at antibiotic or maybe a and i a separate scription painkiller unethical just maybe it's a best friend later on how do you dressed that well this is a typical mindset uh... spaceship it cost money right yes if it's an expensive what undertake all that i think they need but i'm sure going to save this for later and that can be a big problem are one rule of thumb is pick the medicine telephone and the reason the symptoms are improving then you feel really good with like two more days left of the embryonic but if you don't pay the remaining two days we're not completely over the infection were over the symptoms right but we need it completed to make sure that we uh... the issue is behind us and then again if you save it to the supply of an era where what good is that going to do a splendid kickstart your treatment he'll be out of the medicine then why do you do because the doctor lovell where you were self medicating i'm not sure what to you hike camp called for it so were trying to outsmart and it creates big problems and i think you can i probably a dentist myself i don't anymore but in alfavilli have a tooth extracted and you get that really did tyler out codeine anything go-live ominous able there that cuz i may be injured later that or share it with somebody else will hurt not a good idea in fact this is a huge problem that we have were you there adult medicine is share but will among adults a potent pain relievers sitting on a shelf and the kids nursing awaiting mum mom has this order for a fight for them manning behind terry here in order to do it there some guys who would like to have that yet in this happens a lot because adult to drop their guard down not needing it it in the cabinet i'm not going to worry about but i know plainly that there is pop all polls and so on okay may aso that because we do here more and more about prescription drug abuse and uh... we've seen public service announcement for kids rating the medicine cabinet taking school and people are josh not paying attention to the possibility of that happening in their house that always happens to be out of yesterday either common on maybe with antibiotics are there certain drug interactions are things that we shouldn't take you for taking not prescription drugs how they shouldn't means that make it less effective on may be a food or either over-the-counter drugs that can interact with prescription drugs became willis of why we want school for submitting your trip prescription medications in themselves there are orcas interactions with other so that's important for the promises to be able to screen that in fact were running more and more about some of these thing you can't keep it all straightened her head that there's a across check to the computer ok so it does in the nation's signal then or once we are ordered will do a little starting to see if it's an issue that we should be aware of or not that it goes much further than that so we've talked about to prescription medications all but over-the-counter items now there is no talking be tween these two categories because they are they're not being used through the computer in the priority then you hear i'm a loss and then you have food okay now we have all huge bailiwick your handled what are we doing so because it i'm not feeling well uh... and i'm taking this medicine uh... and we need to talk about on number of things everything everything that you're doing yeah heads of the very open with your pharmacist doctor about everything you're taking advantage and that is so important that nobody does that uh... now that brings up another very important issue everybody goes to multiple positions uh... one specialist here one specialist there yes i have a family physicians but not everybody communicates have to stay with one pharmacy sold all of those things or cleared through one pharmacy so we could said or wait a minute doctors prescribing this but i'll bet you he is not aware that the other physicians prescribe back and we have a problem we need to talk with both of them if i feel that one medication in the change storm down the street from the other you know nobody knows nobody knows ok ad that you see that a lot to me fearful terror our customers who just have a lot of medications of that and the problem of mail order how all-white didn't know your again and and minority you didn't tell me now we have a problem with this combination health care so be very aware and be very open about what with very little looking so i think and do the job of the prospects now you have federal usually talking about having you know stocking a medicine cabinet for the first thing you need to do is go through get read of your old stuff how do you get rid of it how he should you go crippled aspirins and rob people typically would just dump it down the toilet and that was a good safe way to get rid of things only troubling goes right into the city water supply which which is peter dumped into uh... well in our community it's a large lake right but the late has been destroyed uh... in viral mentally ecologically because of uh... medications and other stuff rise in the right but now they're saying if you have medicine to destroy if you don't know what to do with it picked in your pharmacist ok he'll destroy it uh... ticket to the police department or the jail or the share of whoever does a 'em cook control here and they would be pool this and then they do a group destruction in fact we have a great program going on in paris where there is a medication um... that disposition uh... and and on it given saturday you drive through new year's stroller bottled in this big buck atmosphere for standing right there screening at and this is good and this is really good if you have a number of things but another bag but everything is destroyed them nam the proper way by the uh... by the ship now instead of dumping things down the toilet what would you do if you have a but few remaining uh... tools in the bottle one thing we suggest doing his to dump it in your trash but peel dump it so it's spread all around that way of somebody is dumpster diving right they may find one pill but they're not going to find a bottle cool so if you have to dispose of the yourself that's a safe and effective way to do it or you can go up very your backer gill that big a little holmberg the pills and for should never have a look at your let's bring in the area him for a living and selling cases when they expired generally they are losing their effectiveness a relatively calm or hazardous or what that yes that's a very good question because when things are put on the market or actually made manufactured and putting on the shelf they do have an expiration date generally it's no more than three years this is an arbitrary thing so in some ways it and i'm open this bottle and and purpose unit that this prescription i got a three years ago i'll be a rule looked as shells insect you're right at the edge of exploration don't take it for don't worry about it because they know that is good for an additional like that remembered this country is to take outdated medications and then they'd ship them to third world countries so that right there's just they're safe there uh... there are still he sexually fully effective ramiro itself if something stays in your shit but you shell for uh... in your cabinet for a length of time and is exposed to heat and humidity as bathrooms are uh... things do change so if you have a pill that looks like there's alot color change or a breakdown of the the nice hard for that uh... for message dispose of ok and yes if things do stay on the chauffeur a long period time they can mutate okay and its unpredictable gas better safe than sorry clean it out it's hard to sometimes there is something you pay good money for the only took one outside to play that uh... here's another issue if you look at the bottle uh... and pile always label medicine so that says uh... take as needed for whatever the condition is so many bottles on a show uh... one every four hours as needed is needed for what so people will be searching for something in the south will stay as needed but they have no idea for what dispose of all right well our time here wit mary fast thank you for coming on the show and sharing some good information about what week need to be doing with our over-the-counter and prescription drugs tom good luck in the retired and we will have to have you back again now that you got all the three-time well hunt amit like i was not free to contact him hectic it but i do appreciate the invitation to beyond so i can communicate the important things people need to know about the medicines all right thank you very cute