Tag: pills

  • What To Know About Rainbow Fentanyl

    WELL-BEING

    Image of rainbow fentanyl.

    Fentanyl is a powerful synthetic opioid, 50 times stronger than heroin and 100 times stronger than morphine. Doctors prescribe pharmaceutical fentanyl to treat severe pain. However, illegal fentanyl is often mixed with other illicit drugs, such as heroin and cocaine.

    Rainbow fentanyl is an illegally manufactured drug dyed in bright colors and shaped to mimic legitimate medication. It only takes a small amount of fentanyl to overdose.

    *  It’s impossible to know how much fentanyl may be present in a rainbow fentanyl pill.

    *  Fentanyl-laced drugs are among the most common drugs implicated in overdose deaths.

    *  The bright colors of rainbow fentanyl may increase the appeal among teens and young adults.

    *  Rainbow fentanyl is extremely dangerous. All it takes is one to be at risk for overdose.

    *  Signs of an overdose include pinpoint pupils, limp body, choking or gurgling sounds, loss of consciousness, and slow or weak breathing.

    *  Call 911 at the first sign of overdose.

    © American Institute for Preventive Medicine

  • Use Caution With Sleeping Pills

    Medication

    Image of women trying to sleep with pills on her nightstand.

    Used improperly, prescription sleeping pills (called sedative-hypnotics) can be as addictive as alcohol and can produce unpleasant withdrawal symptoms if stopped abruptly.

    You can develop a tolerance to sleeping pills in as little as two weeks of frequent use. In other words, you need higher and higher amounts to fall asleep. Older people should be especially cautious about taking sleeping pills, since their tolerance for medication is usually lower than middle-aged or younger adults.

    If you or someone you’re close to takes prescription sleeping pills, possible signs of misuse include:

    *  Taking sleeping pills nightly for more than two weeks.

    *  Needing to take higher doses to fall asleep.

    *  Increasing the dosage without consulting the doctor.

    If you’ve become dependent on sleeping pills, don’t quit cold turkey-you’re apt to suffer confusion, slurred speech, drowsiness, difficulty concentrating, relentless insomnia, and possibly death. So contact your doctor for instructions on how to wean yourself off the drug.

    Page from A Year of Health Hints book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Medication Safety

    Medication

    Smiling women holding a glass of water in one hand and a pill in the other hand.

    Knowing all the medicines you take makes it easier to list them on medical forms and to talk to your doctor and pharmacist about them.

    Keep a current list of all of the medicines you take. Include prescribed and over-the-counter ones, vitamins, minerals, herbs, etc. Give a copy of the list to your doctor (and pharmacist), as needed.

    Mixing some medicines with other medicines, alcohol, drugs, foods, etc. can cause harmful side effects. It can also limit or raise the desired effect of a medicine’s action.

    Mixing some “natural” products and foods with prescribed medicines can be harmful or make the medicine less effective.

    Follow warning labels on medicines and over-the-counter products, too.

    A Year of Health Hints book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Birth Control Options

    Women’s Health

    Women's hand holding up birth control pack.

    This page gives information on birth control methods. Discuss one(s) best suited for your needs with your doctor or health care provider. Ask for advice on more options. More than one birth control method may be needed to prevent  pregnancy AND sexually transmitted infections, including HIV.

    * Typical use failure rate is the number of pregnancies expected per 100 females per year when typically used. If no method is used, the chance of pregnancy is between 85% and 90%.

    Abstinence

    No sexual intercourse between a female and a male.

    Has no medical or hormonal side effects.

    Failure Rate*

    0%

    HIV / STI Protection

    Yes

    Birth Control Patch

    Hormones released from a skin patch worn on the skin weekly for 3 weeks. It is not worn the 4th week.

    Needs to be prescribed. Gives more estrogen than typical birth control pills. Increases the risk for blood clots and other serious side effects. May not be as effective for females over 198 pounds.

    Failure Rate*

    7%

    HIV / STI Protection

    No

    Birth Control Pill

    Hormones in pill form. Estrogen combined with progestin or progestin alone. Many types.

    Needs to be prescribed. The pill may be less effective when taken with other medicines. Risk of blood clots, breast cancer and strokes in women who smoke, especially over age 35.

    Failure Rate*

    3% (1% when used correctly)

    HIV / STI Protection

    No

    Cervical Cap

    Plastic cap placed over the opening of the cervix. Used with a spermicide.

    Needs to be prescribed. Inserted before intercourse. Should be left in place for at least 8, but no more than 48 hours after last intercourse. Should not be used if there is a history of abnormal Pap tests.

    Failure Rate*

    17%

    HIV / STI Protection

    No

    Condom (Female)

    Polyurethane barrier placed inside the vagina.

    Can get over-the-counter. Should not be used at same time with a male condom. Can take time and patience to use the right way.

    Failure Rate*

    21%

    HIV / STI Protection

    Yes

    Condom (Male)

    Latex or polyurethane sheath worn over an erect penis.

    Can get over-the-counter. Slight risk of breakage. Loses quality when exposed to ultraviolet light, heat, and oil-based lubricants and creams.

    Failure Rate*

    13% to 18%

    HIV / STI Protection

    Yes

    Depo-Provera

    Hormone given through a shot every 3 months.

    Needs to be prescribed. May cause irregular periods, weight gain, fatigue and headaches. Once stopped, it can take 4 to 18 months for a woman to be fertile again. Can cause bone loss if taken for more than 2 years.

    Failure Rate*

    4% to 6%

    HIV / STI Protection

    No

    Diaphragm

    Reusable, thin, soft, cap (plastic or silicon) that covers the cervix. Used with a spermicide.

    Needs to be prescribed. Should be checked for leaks. Size may need to be changed with weight changes. May dislodge during intercourse. Should be left in place at least 6, but no more than 24 hours, after last intercourse.

    Failure Rate*

    6% to 16%

    HIV / STI Protection

    No

    Emergency Contraception Pills

    High-dose birth control pills that need to be taken up to 5 days after unprotected intercourse. Called “morning after pill.”

    Progestin-only pills are available over-the-counter without age restrictions. Other types, such as ella®, are available by prescription only for all ages. Most require a single dose but some are taken as 2 doses, 12 hours apart. Can cause nausea, vomitting, breast tenderness and changes in menstrual periods.

    Failure Rate*

    11% to 25% (the sooner used, the more effective)

    HIV / STI Protection

    No

    Emergency IUD Insertion

    Needs to be done within 5 days of unprotected intercourse.

    Needs to be done by a health care professional. Used as an emergency contraception method.

    Failure Rate*

    Less than 1%

    HIV / STI Protection

    No

    FemCap®

    Silicone rubber device. Fits snugly over the cervix.

    Needs to be prescribed. Should be left in place for at least 6, but no more than 48 hours, after last intercourse.

    Failure Rate*

    17% to 23%; less effective if gave birth

    HIV / STI Protection

    No

    Nexplannon®

    Thin plastic implant about the size of a match stick. Releases a low dose of the hormone progestin for up to 3 years.

    Needs to be inserted and removed by a health care professional. Can cause irregular menstrual bleeding, mostly fewer and lighter periods, or no periods.

    Failure Rate*

    Less than 1%

    HIV / STI Protection

    No

    Intrauterine Device (IUD)

    ParaGard. Small copper device inserted into uterus. {Note: An IUD does not prevent an ectopic pregnancy. With this, an embryo starts to grow outside the uterus.}

    Needs to be inserted and removed by health care professional. Can be left in place for up to 10 years. May become dislodged. Risk of infection and piercing of the uterus. Need to check that the 2 strings hang from the bottom so the IUD is in the correct position.

    Failure Rate*

    Less than 1%

    HIV / STI Protection

    No

    Intrauterine System (IUS)

    Mirena®. T-shaped device placed in uterus. Releases low dose of hormones every day for 5 years.

    Needs to be inserted and removed by a health care professional. May lessen menstrual cramps. Needs to be replaced every 5 years.

    Failure Rate*

    Less than 1%

    HIV / STI Protection

    No

    Lea’s Shield®

    Silicone cup with an air valve and a loop (aids in removal) that fits snugly over the cervix. Used with a spermicide.

    Needs to be prescribed. Should be left in place at least 8, but no more than 48 hours, after last intercourse.

    Failure Rate*

    15%

    HIV / STI Protection

    No

    Natural Family Planning

    Ovulation signs need to be checked for and tracked.

    Sexual intercourse must be limited to “safe” days. Takes training, time and record keeping to work right. Method for planning a pregnancy, too.

    Failure Rate*

    2% to 23%

    HIV / STI Protection

    No

    NuvaRing®

    A soft, flexible ring that a female inserts deep into the vagina. Contains hormones.

    Needs to be prescribed. A new Ring is inserted once and kept in place for 3 weeks. It is removed the week of menstrual period. May cause increased risk for vaginal problems.

    Failure Rate*

    7% to 9%

    HIV / STI Protection

    No

    Spermicides (Foams, Jellies, Creams)

    Chemicals inserted into the vagina kill sperm before it enters the uterus.

    Can get over-the-counter. More reliable when used with condoms, diaphragms, etc. Inserted between 5 and 90 minutes before intercourse. Need to reapply for repeated acts of intercourse.

    Failure Rate*

    21% to 28%

    HIV / STI Protection

    No

    Today’s Sponge®

    Polyurethane barrier that contains spermicide.

    Can get over-the-counter. Must be left in place for 6 hours after last intercourse, but should not be worn for more than 24 hours after sex.

    Failure Rate*

    12% to 24%

    HIV / STI Protection

    Some

    Sterilization (Female)

    Tubal ligation (having the tubes tied). This surgery burns, cuts, blocks or ties off the fallopian tubes. Another type, tubal implants (Essure®), is not surgery. A device is inserted through the vagina and uterus into each fallopian tube. This causes scar tissue to grow and plug the tubes.

    Permanent form of birth control. Should be used only when no more children are desired. Surgery usually needs general anesthesia. Essure® is no longer sold in the U.S. but women who are using it to prevent pregnancy can continue to use it. Women who suspect they may be having symptoms related to the device, such as pain, should talk to their doctor about what steps may be appropriate for them to take.

    Failure Rate*

    Less than 1%

    HIV / STI Protection

    No

    Sterilization (Male)

    Vasectomy. The tubes through which sperm travels from the testes are cut.

    Permanent form of birth control. Done in an outpatient setting with local anesthesia. Not effective right away. Sperm can still be present for 20 ejaculations.

    Failure Rate*

    Less than 1%

    HIV / STI Protection

    No

    Withdrawal

    The penis is removed before ejaculation.

    Have to control ejaculation. Sperm can leak before this occurs.

    Failure Rate*

    Up to 27%

    HIV / STI Protection

    No

    Women's Self-Care book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine