A good day for registered pharmacist Michelle Kasperowitz, 37, is when she's peppered with questions. They can range from which blood pressure monitor to buy to whether a rash is poison ivy. And, because she works in a supermarket, she gets lots of food-related inquiries as well. "One man came up to me recently, waving a bag of broccoli," says Kasperowitz, who works at the ShopRite Pharmacy in Woodbridge, N.J. "He's on a blood thinner, and he wanted to know if he could eat it."
Kasperowitz's job is to fill prescriptions. But she also offers advice and dispenses information about medication side effects, disease prevention, nutrition, tobacco cessation, diabetes management, and more. Kasperowitz is happy to assist and has done so since high school, when she worked in her neighborhood pharmacy. "I love it when people ask me questions. It motivates me to learn more, although I do have to say that I'm rarely stumped," Kasperowitz says.
The next time your doctor writes you a prescription, consider this: The medication may not be approved for your specific condition or age group.
But you probably shouldn't call the medical board. The practice, called "off-label" prescribing, is entirely legal and very common. More than one in five outpatient prescriptions written in the U.S. are for off-label therapies.
"Off-label" means the medication is being used in a manner not specified in the FDA's approved packaging label, or insert. Every...
Pharmacists learn how to engage with patients as part of their six to eight years in pharmacy school training. Students take such courses as medicinal chemistry, pathophysiology, and pharmacotherapy, and must pass both national and state licensing exams, says Jennifer Cerulli, PharmD, associate professor at the Albany College of Pharmacy and Health Sciences in New York. They also practice communication skills with other students and community pharmacists, who volunteer their time to pose as patients, and they spend more than 1,700 hours of their training interacting with patients in doctor's offices and hospitals. Here are just some of the things your pharmacist can help you do:
See the forest, not just the trees. Your pharmacist can review your entire medication record for potential interactions, see if you're taking drugs with duplicate effects, and check on prescription refills.
Learn what to take when. Is your asthma medication taken during an attack or all the time? Can you sip wine if you're on an antibiotic? When should you take your new birth control pill? Your pharmacist has the scoop.
Ease side effects. Is the niacin you are taking causing a burning sensation? Is your blood pressure drug causing impotence? Or is your antidepressant robbing you of sexual desire? A schedule change could do the trick, or your pharmacist might offer options you can discuss with your doctor.