The Health Benefits of Mustard Leaves Another Reason to Be Careful in the Sun (Rayoo Ko Saag) Summer is here and we are spending more time outdoors. Did you know that many medications can Did you know many of the foods we eat have medicinal benefits? cause you to be more sensitive to the harmful ef- fects of the sun. Be sure to follow our tips for pre- Take a look at this awesome Indian cuisine recipe from our current venting sun damage even if you are not taking any phamacy student, Prem. of these medications.

Cooked mustard greens are common side dish Medications that increase sensitivity to the sun: in Nepali Cuisine. These are the one of the most - Antibiotics (Doxycycline, levofloxacin, cipro- popular and common winter vegetables in Nepal. floxacin) - Antifungals (griseofulvin) Ingredients to cook - Antimalarial drugs (Quinine) - Anticancer (methotrexate) 1. 3 to 4 bunches fresh mustard greens - Sulfonylurea drugs for diabetes (glipizide, 2. 2 tablespoons of vegetable or mustard or glimepiride) olive oil - Heart medications for arrhythmias 3. 1 dried red chili – halved (amiodarone ) 4. About 2 inches minced fresh ginger paste - Cholesterol lowering drugs (atorvastatin, 5. Add salt to taste simvastatin) Clear your head.New Partnership Clear- Antihistaminesyour (cetirizine, promethazine) head. Steps to cook Benefits: Nonpharmacological therapies: 1. Tear mustard leaves into bite sized pieces Announced Photosensitivity 2. Heat the oil in the pan overBring medium heat us your1. Anti-inflammatory, seasonal rich inallergy Vitamin K and symptoms.The Medicine Shoppe PharmacyBring and Care Capital us your- Avoid seasonal excessive sunlight allergy(limit exposure) symptoms. until lightly smoking omega-3 fatty acids Management is pleased to announce a Encourage residents to 3. Add dried red chilies, ginger paste and salt 2. Heart healthy – helps in decreasing partnership with local Area Agency on Aging - Use sunscreen, sunglasses 4. Add mustard, stir it and thenWe’ll cover pan help and you take cholesterol back levels andthe provides outdoors. good organizations throughout Pennsylvania.We’ll help you- takeWear a backhat, long-sleeved the outdoors.shirts, pants cook. Stir occasionally quantities of folate - During the middle of the day, stay in the 5. Cook until the green becomes soft and 3. Dietary fiber – helps in good colon heath Thanks to this partnership, we have been able to shade tender and most of the liquid evaporates and helps with digestion. provide Area Agency on Aging organizations Covid - Drink plenty of fluids (water, non-alcoholic) (8-10 mins) 4. Weight loss vaccines for homebound seniors and disabled 6. Transfer to a serving dish. You can serve 5. Improves mental health – Studies have individuals looking for ways to maintain their alongside rice and curry. shownRedeem that serving of threethis leafy couponvegetables health. for Redeem this coupon for 00 every day might help reduce the loss of 00 mental function by 40%. The Medicine Shoppe Pharmacy prides itself in Joke of Special T hanks 6. Excellent00 source of calcium and potassium – keeping community based pharmacy services 00 Thank you to the$ Medicine helps$1 in bone off diseases allergy like brittle bones remedies. alive. Our commitment to providing$ healthcare $1 off allergy remedies. Shoppe staff members who1 resources in our communities and providing1 the Day contributed to this newsletter. covid vaccinations to individuals that are in need, Why shouldn’t you write Diane Tokach, R.Ph One coupon valid per customer per alignsvisit. directly with the Care Capital One coupon valid per customer per visit. For more information on The Medicine Management mission: with a broken pencil? MarySue Brown,off Pharm D ShoppeOffer Pharmacy valid untilor the 01/01/12. content of this off Offer valid until 01/01/12. Laura Finn, Pharm D newsletter, please contact Greg DeSarro, “Create a culture that serves the public with Business Development, at (610) 390-7988 or services in the pharmacy health care arena in every It’s pointless! Prem Biswa, Pharm D Candidate [email protected] Bridge St. (717) 774-6262 aspect, through the team work of Care Capital 701 Bridge St. (717) 774-6262 New Cumberland, PA Management and The Medicine Shoppes.” New Cumberland, PA Drug Information - June, 2021 THE MEDICINE SHOPPE New Drugs New Formulations of Existing Medications GEMTESA 75mg tablets SHOPPE • Active ingredients: Vibegron Vol 1 Issue 1 • Summer2021 A quarterly publicationTALK of The Medicine Shoppe GIMOTI metoclopramide in a nasal spray. • Indication: Overactive bladder • Indication: Diabetic gastroparesis • Dosage: 75mg daily • Dosage: One spray (15 mg) in one nostril 4 • Drug interaction: Vibegron may increase the times daily (30 minutes prior to each meal Exploring Weight Loss - Could serum concentration of Digoxin. and at bedtime) for 2 to 8 weeks depending • Side effects(common): Headache, Runny or on symptomatic response. stuffy nose, Sore throat, Signs of a common Medications Contribute? cold, Diarrhea, Upset stomach. As we passed a year of COVID pandemic changes within • QDOLOL (Tramadol in liquid foumulation) May irritate stomach lining, gastritis – Non-Ste- • Recommendation: Administer with or with- our facilities, your team may have needed to take a roidal Anti-inflammatory Drugs (NSAIDs) • Indication: pain out food. Swallow tablets whole with a glass closer look at residents’ weight loss. Even for residents • May cause sedation or confusion at mealtime – • Dosage: 5mg/1ml; use a calibrated oral of water. Tablets may be crushed and mixed who have remained infection-free, the social distance opioids, benzodiazepines syringe or other oral dosing device, with measures put residents at risk for changes in food intake Clear your head. with a tablespoonful (~15 mL) of applesauce. metric units of measurements (i.e., mL), to and potential weight loss. Isolation, depression, dining Swallow applesauce mixture immediately af- Determining medication related causes of weight loss correctly measure the prescribed amount of alone with meals on trays and loss of social contacts and can be challenging and drug effects conflicting. For ter preparation, followed by a glass of water medication. outings may have affected resident’s appetite. example, medications used to treat depression with the goal of increasing food Bringintake, may initially us result your in seasonal allergy symptoms. EYSUVIS ophthalmic solution 0.25% Medications are another source to consider for iden- nausea and loss of appetite. An individual approach is • Active ingredient: LoteprednolClear (corticoste- your head.tifyng causes of weight loss. ConsultantClear pharmacists, needed to exploreyour overall effects of medication head. includ- roid) along with the healthcare team, use medication reviews ing timing of medication administration,We’ll help use of nutri you- take back the outdoors. • Indication: Dry eye to identify medications that reduce appetite, cause al- tional supplements and meals. It can also be helpful to • Dosage: Instill 1 to 2 drops into each eye terations in taste or instigate gastrointestinal distress. In note the volume of fluids and number of medications four times daily for up to twoBring weeks. us your seasonal allergy symptoms.addition to individual drug offenders,Bring could medication us yourscheduled seasonalfor administration around allergy mealtimes. Assess symptoms. • Recommend: Shake well before using. The overload from polypharmacy contribute to weight loss? for unnecessary medications and review times of admin- manufacturer’s labeling for the 0.25% sus- As we have seen in observation of medication adminis- istration for essential medications and supplements to tration, the sheer volume of medications and nutritional pension formulation recommendsWe’ll separating help you take back the outdoors. We’ll help youmaintain take appropriateness. back the outdoors. Redeem this coupon for supplements can also be overwhelming for our older administration of other ophthalmic agents by 00 adults. With declining number of COVID infections and relax- at least 5 minutes ation of visitor and distancing guidelines in long-term 00 Here are a few ways that medications could affect nutri- care, we can expect improvement in the dining atmo- ONGENTYS 25mg, 50mg capsules $1 off allergy remedies. tional intake along with some examples: sphere. However, our vigilance$ in assessing the role of • Active ingredient: Opicapone medications related to weight loss is an 1expertise need- • Indication: Parkinsons Disease experiencing Redeem this coupon • forMay reduce saliva causing dry mouth – anticho- ed at allRedeem times. this coupon for “off” episodes 00 linergic effects could make swallowing difficult; 00 One coupon valid per customer per visit. th • Dosage: 50mg at bedtime antipsychotics, antihistamines, paroxetine… Reference: Food Medication Interactions. 19 Edition. Pronsky, Z, 00 Elbe, D. ISBN: 0-9710896-7-100 USA 2019 • Renal failure: There are no dosage adjust- • May change sense of taste– allopurinol, iron, off Offer valid until 01/01/12. ments provided in the manufacturer’s$ label- $1 off allergy remedies.levodopa, metronidazole $ $1 off allergy remedies. • May cause dysphagia (difficulty swallowing)- bis- ing; use with caution in severe impairment.1 1 phosphonates INSIDE THIS Avoid use in patients with end-stage renal 701 Bridge St. (717) 774-6262 • May cause constipation, delayed peristalsis and ISSUE disease (CrCl <15 mL/minute) One coupon valid per customer per visit.discomfort leading to loss of appetite – medica- One coupon valid per customer per visit. Exploring Weight Loss New Cumberland, PA • Side effects: Hypotension, Dyskinesia, Hallu- tions with anticholinergic effects, opioids Mixing Medications and cinations, psychotic disorder, impulseoff control Offer valid until 01/01/12. • May cause nausea – SSRI antidepressantsoff (citalo- Offer valid until 01/01/12. Sun Exposure disorder pram, escitalopram, sertraline), iron Health Impact of • Recommendation: Administer at bedtime; • May cause diarrhea, flatulence – metformin, Mustard Greens do not eat for one hour before and at least 701 Bridge St. (717) 774-6262 magnesium, laxatives 701 Bridge St. (717) 774-6262 New Drug Update one hour after dose New Cumberland, PA • New Cumberland, PA