Complaint about pill packaging. Has anyone else faced this barrier to taking the medication they are prescribed?
Our local rural island community is doing a pick up of old prescriptions, vitamins. OTC and expired medications.
Dad is a hoarder, not as bad as you see on TV shows, but bad enough. I have to empty all the medications into a bag. If they are blister packs, I have to pop the pills out.
Now I am in my mid 50's. I have full dexterity and glasses fix my eye sight.
Enter the Pradaxa, it is a blood thinner from NZ. The RX is dated March 2014, obviously he did not take them. If it any wonder he had a massive stroke in 2015?
Anyways these pills are individually packaged, but you cannot pop them out, you have to pull a tiny foil tab to get the pill out. I only have 120 of these to do and after the first 6 had to stop and complain.
How on earth is a senior whose vision maybe impaired, Dad had cataracts when he was prescribed this medication, whose dexterity may not be what it used to be, supposed to be able to access this medication?
Was the packaging part of the reason he did not take it and thus led to his stroke?
Has anyone else faced this barrier to taking the medication they are prescribed?
9 Answers
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Humour is a good thing.
I even handed a package to my 24 year old son. He is a strong young man who works in construction. When he went to open it the pill went flying.
I found a couple other RXs from when Dad snow birded to NZ. All of them come from the manufacturer blister packed. Some were great as they had the day of the week marked on the foil, a tiny font, but something. The ones that were tablets, were the push through variety, it was the ones that you have to separate each section in order to fold the corner, then pull the tiny foil tab that worry me.
To clarify, the expired medication pick up program is to ensure it is safely disposed of in a rural community where there is not even garbage pick up (there is a drop off, 2 days a week), people often flush their old medications, but then it is in the water table.
I used a steak knife and cut open the 120 individual pill compartments.
The grand total was 8+ cups of expired vitamins, OTC and other medications. 2 cups of RX medications, some that were over 40 years old. 3 boxes of unused lancets and needles for a insulin pen. I tossed in the regular garbage 3 packages of blood sugar test strips, all expired.
In 2018, I filled 1.5 gallon bags of expired vitamins and OTC medication. I tossed everything except RXs that expired prior to 2016. These were pills emptied from their containers too. I filled a milk crate with the containers.
What really ticks me off is there are so many people who cannot afford diabetes supplies, or prescriptions and here I am tossing it.
The oldest RX I found was not dated. It was for penicillin and had to have been for my grandmother. She died in 1982.
Dad has pills squirreled away in film canisters, some labeled most a variety of pills in one container.
In truth--it really is about dexterity and ability to maneuver small things. On top of THAT is the inserts with lettering so small we CANNOT read it.
Watching DH sort his many pills is a sad/funny thing. He is flinging pills right and left...and can't see when they land on the floor or on the bed. Luckily we have grands who don't eat everything they find. I do a literal 'sweep' after he's organized his pills for the week. He's requested bottles without childproof lids and we keep them up high. That's helped. His BP meds are so small he cannot see them when they fall out of the bottle.
I don't know what to do besides ask for the pills in bottles when possible, instead of blister packs.
then open the cap to find on top of the bottle the safety pull tab and it not easy to hold and takes the strength of Superman to pull off the bottle. I may need to use a needle-nose set of pliers the next time.
No wonder elders nap so much, there are just so many things that need opening in their daily lives that are not easy :P
I can imagine that your dad thought that they must not be that important or they wouldn't be in adult proof packaging.
A small set of craft scissors saved my sanity and my dad was able to gain access without losing any fingers or skin.
Countrymouse, you are hilarious the way you so aptly describe situations. Thank you for the laugh.
It's all about preventing lawsuits against the pharma companies I'm sure.
Can you just surrender the pills without removing them from the blister packs? Or what about using a box cutter- run the blade down the row of pills and then pop them out? Since the med is being destroyed it won't matter if you damage them.
I hardly know where to start. The waggly packets, the cast iron packets, the microscopic tablets, the horse-pill tablets, the blister packs so deep you practically need a collier's lamp and a rope ladder to get to the bottom of them, the blister packs made of flimsy plastic that bends when it mustn't, but almost impenetrable foiled paper that your 96 year old client is presumably supposed to rip open with his dentures...
Ugh.
And the Patient Information Leaflets that most clients believe are there purely to prevent them putting the tablets back in the box.
Actually, I'm quite enjoying getting this off my chest!
Pivotells are good, but somebody needs to fill them. AND the patient has to have space to keep them to hand, which is also easier said than done. The reason they are better than most dosette boxes or pill minders is that the patient can't accidentally open the wrong box: each dose is dispensed at the right time, with an audible alarm - I think there might be some with a flashing light too.
Sigh sigh sigh... You realise, of course, that the little foil tab was somebody's idea of a brilliant new foolproof method? It's easy! No more having to squeeze the pill through the packaging! - you just pull on the tab and Bob's your uncle! Visualise taking that designer warmly by the ear and dragging him off to see the average ninety year old's fingers in action...