Manual BEST PRESCRIPTIONS TO BETTER YOU

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But there are times when the addition of prescription sleeping pills may help you get some much needed rest. All prescription sleeping pills have risks, especially for people with certain medical conditions, including liver or kidney disease. Always talk with your doctor before trying a new treatment for insomnia. Prescription sleeping pills may help you fall asleep easier or stay asleep longer — or both. The risks and benefits of various prescription sleeping pills can differ. To find the right prescription medication to help you sleep, your doctor generally should:.

Insurance companies may have restrictions on which sleeping pills are covered, and they may require that you try other approaches to your insomnia first. Always ask your doctor about potential side effects before deciding which sleeping pills to consider taking. Depending on the type, prescription sleeping pills may include side effects such as:.

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Sometimes prescription drugs used mainly to treat depression may ease insomnia when taken in lower doses. Although widely used, these are not approved by the Food and Drug Administration for insomnia. When insomnia is secondary to depression or anxiety, antidepressants may improve both conditions at the same time.

Prescription sleeping pills and even some nonprescription sleeping pills as well as certain antidepressants may not be safe if you are pregnant, breast-feeding or an older adult. Sleeping pill use may increase the risk of nighttime falls and injury in older adults.

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If you're an older adult, your doctor may prescribe a lower dose of medication to reduce your risk of problems. Some health conditions — for example, kidney disease, low blood pressure, heart rhythm problems arrhythmias or a history of seizures — may limit your options. Also, prescription drugs and over-the-counter sleep aids may interact with other medications.

And taking certain prescription sleeping pills can lead to drug abuse or drug dependence, so it's important to follow your doctor's advice. If your best attempts to get a good night's sleep have failed, prescription sleeping pills may be an option. Here's some advice on how to use them safely.

Top 10 Most Abused Prescription Drugs

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References Bonnet MH, et al. Treatment of insomnia in adults. Matheson E, et al. Smith E, et al. Pharmacotherapy for insomnia in primary care. Safe use of sleep aids.

13 Smart Ways to Save on Prescription Drugs

All email addresses you provide will be used just for sending this story. While appealing the sudden and expensive change in coverage, he began rationing his remaining supply—a practice that landed him in the emergency room several times with dangerously high blood sugar levels. And then, even after his appeal succeeded, Vanderwist had a new problem: With other medical bills, rent, and child support, the father from Montrose, Colo.

As drug costs continue to rise, Americans are feeling squeezed and desperate. A nationally representative Consumer Reports survey of almost 1, adults who currently take a prescription drug found that high costs are forcing people to cut back on groceries, delay retirement , and even take on a second job. Americans spend more on drugs than people in any other country—and costs continue to rise. In total drug costs went up 6. There are lots of reasons, with lots of players—and with consumers stuck in the middle, says Stephen W.

The players include drug companies that continually raise prices for existing products, saying that the extra profit is needed to bring new drugs to market. It also includes physicians, who too rarely talk with patients about the affordability of the drugs they prescribe. And it involves a tangled web of insurers, employers, big drugstore chains, and companies called pharmacy benefit managers that act as go-betweens among them all. Each has its own interests and contributes to making our system so expensive, complicated, and confusing, Schondelmeyer says.

Trump, in his State of the Union address, acknowledged the problem. And a report from the National Academies of Science, Engineering, and Medicine, out late last year, identified possible fixes, including allowing the government to directly negotiate prices with drug companies and encouraging greater price transparency. But even its authors noted that industry and political resistance make it unlikely that meaningful reform will come soon.

Meanwhile, some large companies in the healthcare marketplace are trying to tackle the problem on their own.

Earlier this year a consortium of hospitals announced plans to make its own supply of drugs that it says cost too much or are in short supply. Consumers have also had to improvise. The high cost of drugs is forcing many Americans to cut back on groceries, delay retirement, or ration their own healthcare in potentially dangerous ways, a CR survey of nearly 1, American adults currently taking prescription drugs has found.

A Consumer Reports investigation has identified several ways consumers can lower their drug costs. To find these fixes, we talked with pharmacists, drugstore executives, insurance and Medicare experts, and consumers. These lists are often online, but in some cases you may need to request the document from a prospective insurer. Drug coverage is of particular concern for people on Obamacare plans, some of which have placed all the necessary drugs—even generics—for certain chronic conditions in the most expensive tier.

A study by the Pharmaceutical Research and Manufacturers of America identified higher drug costs for Obamacare enrollees with cancer, diabetes, rheumatoid arthritis, and even asthma. For many patients, drug co-pays kick in from the first day of coverage. That could require a big outlay for people with high drug costs. At least one change has delivered a measure of relief. So if you face high drug costs, you may be able to save by choosing a plan with higher premiums but a lower cap. Part D beneficiaries have a somewhat different set of rules and concerns.

Meanwhile, out-of-pocket costs can vary widely between plans, notes a KFF survey. You need to shop around every year; Fassieux says coverage lists change all the time.

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The Medicare Plan Finder at Medicare. Enter your medication information, including dosage and frequency. You can also enter the name of your favorite pharmacy in case some of the plans have preferred or limited pharmacy networks. The tool will show you your expected costs on both Medicare Part D and Medicare Advantage prescription-drug plans.

If you take a high-price brand-name drug and have exhausted other ways to reduce your costs, you may need extra help. Some drugmakers offer discounts directly to patients. Medicare beneficiaries are ineligible. Pharmaceutical companies also have patient-assistance programs to aid people who have a hard time affording their treatment.

There may be income limits and other requirements. Family Finance Health Care. Illustration by Pete Ryan.