Start living your best life!

Get Dr La Puma's Healthy Bites & Weekly Wows in your inbox to help you feel your best inside and out. Insights, healthy recipes and recommended household, culinary, literary, botanical and natural products to make your life easier, healthier and more fun.

Get Your 2 Free Downloadable Mini-Books When You Sign Up!

Green Rx & Real Age Excerpt


Free Healthy Recipes

Chef MD



Healthy Bytes

Generic filters
Exact matches only
Filter by Custom Post Type

No Meds Rx III: Why Patients Stop: Communication

By DrLaPuma 14 years agoNo Comments
Home  /  High Cholesterol  /  No Meds Rx III: Why Patients Stop: Communication
Dr John La Puma

Why do patients stop taking their medication? 3 reasons: reminders, money and communication. 

Nonadherence is costly, physically dangerous, unnecessary and important. One in four patients prescribed antihypertensives stop them within 6 months.  One in three patients are off their statins within 12 months.

And not because they have lowered their cholesterol level with food (although they could learn how in the WSJ. Or by ChefMD video).

To improve the chances that people will take their meds:
*For clinicians: provide clear written instruction, anticipate side effects, and have another person available to answer questions within a few days of Rx.

In the office, have patients repeat back to you how they will take the meds and for how long.

*For patients: empowerment. Keep a daily log of blood pressures/sugars (here is one I use for weight control; adapt it). Is the medicine helping? You need to know.

Bring it every visit and ask the doctor to review it.  Show how you were feeling when your blood pressure/sugar was high or low. Does the pharmacy’s have an automatic refill program? Use it.

*Both: discuss pill splitting (which ones?). A larger quantity purchase (means lower co-pays). Look for duplicate medications to omit. That’s the first thing I do when I look at a list.

  High Cholesterol

Get Dr La Puma’s Healthy Bites free newsletter designed to help make your life easier, healthier and more fun.

Simply add your email below and we'll send you a confirmation.