pharmacist knows best

There seems to be, or at least there once was, a perception among some doctors that patients are more likely to take their medication if they only need to do so once a day, and at bedtime. Author Susie Bright discussed this when explaining why doctors preferred to prescribe a certain brand name medication that required one dose a day, as opposed to its generic counterpart that required two.

rx symbolMy doctor in Silicon Valley seemed to have that perception. When I first started seeing him I wasn’t taking any medication, but eventually I was taking both blood pressure and cholesterol medication. The blood pressure medication evolved to include a diuretic, but my doctor continued to reiterate the “once a day at bedtime” regimen. At one point my pharmacist in Gilroy raised his eyebrows when I said I was taking everything at night, but I didn’t change my routine.

When we switched to Kaiser this year we had to do consultations with the pharmacists on our medications as we were new in their system. Again, the pharmacist mentioned taking the diuretic combo pill in the morning. I decided that maybe I should pay attention.

I switched all of my medications to the morning. Big difference. Fewer bathroom trips at night and longer blocks of continuous sleep. My daytime routine is hardly altered at all.

It pays to listen to the pharmacist.

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