Many people are seriously injured and die each year from adverse reactions and side effects associated with prescription medications. Drug manufacturers are legally responsible for marketing medications that are safe to use, and the Food and Drug Administration (“FDA”) is the federal agency that is responsible for assessing the safety and effectiveness of prescription drugs before they are sold to the public.
However, even FDA approved drugs may still cause harmful side effects that are not identified during the approval process. Additionally, harmful effects can result from errors in the administration of medications; or, if a person is taking more than one medication at a time, from the interaction of drugs in the body.
If a person is injured because of a prescription medication, they may need to file a prescription drug lawsuit. This can help them obtain compensation from healthcare providers or the pharmaceutical manufacturer of the drug.
A high alert drug or medication (“HAM”) is a medication that carries an increased risk of causing significant harm if it is used in a way other than exactly as prescribed. These high-alert medications are considered to be dangerous because small changes in the dose that is given, or levels of the drug in a person’s blood, can lead to critical events. Adverse events caused by error in the administration of HAMs can be persistent, life threatening, permanent. Additionally, they can result in disability, hospitalization, or death.
These drugs differ considerably from over-the-counter-drugs such as ibuprofen or aspirin. While these medications can be misused, a small variance in the amount taken would not generally be life threatening. However, small differences in the amount of HAMs given can be critical, and could result in death.
The Institute for Safe Medication Practices maintains three categories of high-risk medications according to the settings in which they are used:
- Medications that are high alert medications in community or ambulatory care settings;
- Medications that are high alert medications in acute care settings; and
- Medications that are high alert medications in long-term care settings.
Some examples of HAMs include:
- Anticoagulants: Blood thinners, such as warfarin and heparin. Because they are used to treat blood clots, they are used for conditions such as venous thrombosis or pulmonary embolism. An excess of an anticoagulant can be life-threatening, so it is important to take only as much as is prescribed, as well as to take it on a strictly regular dosing schedule, neither missing a dose or taking more than a dose at one time;
- Insulin: As a prescribed treatment for diabetes, it must be taken as prescribed, as there are numerous risks to taking insulin;
- Opiates and Narcotics: OxyContin, hydrocodone, and methadone are opioids which carry a high risk of addiction. When taken in excess, death by overdose can result;
- Injectable Potassium Chloride or Phosphate Concentrate: Medications for treatment of electrolyte imbalance that require monitoring and careful supervision for administration; and
- Potassium and Other Electrolytes: Medications that are used to regulate electrolytes can be dangerous if not used correctly, and with supervision.
All of these medications are potentially life-saving treatments when they are prescribed correctly and administered strictly as directed by a physician’s prescription. However, when used incorrectly and not as directed, their effects might be life-threatening as was previously mentioned.
Generally speaking, in hospitals and in long-term care settings, there are specific protocols for administering these medications in order to avoid mistakes. If a person or their relative is taking medication that is on the HAM list, they should review the treatment with their doctor so that they are educated in terms of required protocols that are followed during administration of the medication.
It is important to note that it is not only drugs on the HAMs list that can injure a person; all medications have the potential for undesirable side-effects, even when used properly. Additionally, interactions between different drugs can result in serious health consequences.