Medication is the most common place where good care goes wrong. A hospital changes three drugs. The GP changes one. The pharmacy dispenses a different brand. Nobody has the full list, and the person taking them is relying on memory.
Get one list
Ask your GP or pharmacist for a current medication list. It should include the name, dose, frequency, what it is for, and who prescribed it. Keep one copy on the fridge and one in your wallet.
Update it whenever something changes. A list from six months ago is a hazard.
Ask for a review
Ask your GP for a medication review, especially after a hospital stay, a fall, a new diagnosis or a change in function. Some medicines increase fall risk, confusion or drowsiness. The answer is not always to stop them, but someone should look.
Pharmacists can also do a Home Medicines Review. Ask your GP whether you are eligible.
Dose administration aids
A dosette box or blister pack reduces confusion. The pharmacy fills it, and you or a carer check it. It works best when one person is responsible for the refill.
Keep the original boxes. You may need the instructions or the expiry date.
What a carer can and cannot do
A support worker can prompt, remind and check that medication has been taken, where that is in the plan and they are trained. They generally cannot decide a dose, change a medicine or give injections unless specifically trained and authorised.
Nursing support is different. A nurse can manage medication within their scope and document it.
Signs of a problem
- New confusion, drowsiness or unsteadiness.
- Dizziness on standing.
- Nausea, constipation or incontinence that started with a new drug.
- Missed doses, double doses or running out early.
- A rash, swelling or breathing change after a new medicine.
Call the GP or pharmacist. If there is swelling of the face or throat, difficulty breathing, or a collapse, call 000.
One pharmacy
Using one pharmacy for everything gives you a single record and a pharmacist who can spot interactions. If you use several, tell each one about the others.
Travel and hospital
Take the list, not just the boxes. Hospitals need the generic names and doses. If you are travelling, carry enough for the trip plus a week, in the original packaging.
Common questions
Can a carer give me my medication?
Only where it is in the plan and the worker is trained and authorised. Complex medication needs a nurse.
What is a dose administration aid?
A blister pack or dosette box filled by a pharmacy, organised by day and time.
Who can change my dose?
The prescriber. Never change a dose without advice.
What if I miss a dose?
Check the instructions or call the pharmacist. Do not double up unless told to.
Can I get a medication review at home?
Ask your GP about a Home Medicines Review. Eligibility varies.
Sources and further reading
This guide is general information, not medical, legal or financial advice. If you are worried about your health, call your GP. In an emergency, call 000.