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Showing posts with label Medication. Show all posts
Showing posts with label Medication. Show all posts

Thursday, December 15, 2011

18 Tips to a Safer Medication Use


1. List all medicines you take. Include name, dose and frequency. Don't forget to include vitamins, minerals, herbs, topical medications, eye and ear drops, sprays, weight loss aids, oral contraceptives.

2. Know the brand and generic names of the medication. In fact, many people know the medications they take by its color and size rather than its name.

3. Know what condition/disease the medication is for. It's important because you are more likely to use it correctly, more likely to know what to expect from the medication, and better able to report what you are using and problems to your doctors and pharmacist.

4. Avoid getting the wrong prescription from the pharmacy. Check the medication you pick up. Make sure it matches up with the prescription.

5. Use online drug interaction checker that allows you to enter the medications you take and check for possible drug interactions.

6. Conditions that place person at higher risk for drug interactions include:

- Taking three or more medications for chronic conditions.

- Genetically based variations in drug-metabolizing capacity.

- Advanced age.

- Certain diseases (anemia, asthma, cardiovascular disease, critical care/intensive care patients, diabetes, epilepsy, gastrointestinal disease, liver disease, hypothyroid)

- People cared for by several doctors.

7. Drugs most likely to be involved in clinically significant interactions are:

- Drugs with a narrow therapeutic index (e.g. warfarin, digoxin)

- Drugs that require cautious dosage control (e.g. antihypertensives, antidiabetic drugs)

- Liver enzyme inducers (e.g. rifampicin, phenytoin) and inhibitors (e.g. cimetidine, ketoconazole)

- Drugs with multiple pharmacological effects

8. Pay attention to how you feel after starting the new medicine and note any changes. Assume that any new symptom you develop after starting a new medication might be caused by the drug. Use online tool to check for side effects.

9. Inform the doctor if medication doesn't seem to be effective. No medication has 100% efficacy rate.

10. Avoid treating adverse drug reactions and drug-induced disease with more drugs. Distinguish the real disease and adverse reaction to the medication. Adverse drug reaction should be managed by lowering the dose of the offending drug or replacing it with a safer alternative.

11. Weigh the benefits and risks, making the choice of drug treatment. If drug is the preferred treatment for the medical problem, try to choose the most safest and effective one. You must decide what risks you can and will accept in order to get the benefits you want.

12. Start the medication with as low a dose as possible. A lower dose will cause fewer adverse effects, which are almost always dose-related.

13. Eliminate the unnecessary drugs. At least every three to six months, regularly review with your doctor the need to continue each drug being taken.

14. Know when the medication should be taken: before, during, or after food. Food can increase, decrease, or delay the absorption of numerous drugs. Food-drug interactions can lead to a treatment failure or a toxic effects of drug therapy.

15. Be aware of your medication needs and be prepared for any emergency. Store 3-5 days supply of medications that are important to your health.

16. Don't skip or reduce the doses. Missed doses of glaucoma medicine, for example, can lead to optic nerve damage or blindness. Missed doses of heart medicine can lead to cardiac arrest.

17. Learn how to discontinue the use of the medication. Many medications (e.g. antidepressants, corticosteroids) should not be stopped abruptly.

18. Many sources recommend to throw out unused medication. However, if you expect you may need the same medication soon, it makes sense to reserve the rest of the drug. It may help you to save the money. So, if you decide to save the rest of unused medicine for future use "just in case"; follow the next steps:

- Save the medication in the original container with the cap closed. It will help to identify the drug over the time and provide proper storage conditions

- When use the old medication, check expiration date. In case you can't find the expiration date, throw out the drug.




This post was made using the Auto Blogging Software from WebMagnates.org This line will not appear when posts are made after activating the software to full version.

18 Tips to a Safer Medication Use


1. List all medicines you take. Include name, dose and frequency. Don't forget to include vitamins, minerals, herbs, topical medications, eye and ear drops, sprays, weight loss aids, oral contraceptives.

2. Know the brand and generic names of the medication. In fact, many people know the medications they take by its color and size rather than its name.

3. Know what condition/disease the medication is for. It's important because you are more likely to use it correctly, more likely to know what to expect from the medication, and better able to report what you are using and problems to your doctors and pharmacist.

4. Avoid getting the wrong prescription from the pharmacy. Check the medication you pick up. Make sure it matches up with the prescription.

5. Use online drug interaction checker that allows you to enter the medications you take and check for possible drug interactions.

6. Conditions that place person at higher risk for drug interactions include:

- Taking three or more medications for chronic conditions.

- Genetically based variations in drug-metabolizing capacity.

- Advanced age.

- Certain diseases (anemia, asthma, cardiovascular disease, critical care/intensive care patients, diabetes, epilepsy, gastrointestinal disease, liver disease, hypothyroid)

- People cared for by several doctors.

7. Drugs most likely to be involved in clinically significant interactions are:

- Drugs with a narrow therapeutic index (e.g. warfarin, digoxin)

- Drugs that require cautious dosage control (e.g. antihypertensives, antidiabetic drugs)

- Liver enzyme inducers (e.g. rifampicin, phenytoin) and inhibitors (e.g. cimetidine, ketoconazole)

- Drugs with multiple pharmacological effects

8. Pay attention to how you feel after starting the new medicine and note any changes. Assume that any new symptom you develop after starting a new medication might be caused by the drug. Use online tool to check for side effects.

9. Inform the doctor if medication doesn't seem to be effective. No medication has 100% efficacy rate.

10. Avoid treating adverse drug reactions and drug-induced disease with more drugs. Distinguish the real disease and adverse reaction to the medication. Adverse drug reaction should be managed by lowering the dose of the offending drug or replacing it with a safer alternative.

11. Weigh the benefits and risks, making the choice of drug treatment. If drug is the preferred treatment for the medical problem, try to choose the most safest and effective one. You must decide what risks you can and will accept in order to get the benefits you want.

12. Start the medication with as low a dose as possible. A lower dose will cause fewer adverse effects, which are almost always dose-related.

13. Eliminate the unnecessary drugs. At least every three to six months, regularly review with your doctor the need to continue each drug being taken.

14. Know when the medication should be taken: before, during, or after food. Food can increase, decrease, or delay the absorption of numerous drugs. Food-drug interactions can lead to a treatment failure or a toxic effects of drug therapy.

15. Be aware of your medication needs and be prepared for any emergency. Store 3-5 days supply of medications that are important to your health.

16. Don't skip or reduce the doses. Missed doses of glaucoma medicine, for example, can lead to optic nerve damage or blindness. Missed doses of heart medicine can lead to cardiac arrest.

17. Learn how to discontinue the use of the medication. Many medications (e.g. antidepressants, corticosteroids) should not be stopped abruptly.

18. Many sources recommend to throw out unused medication. However, if you expect you may need the same medication soon, it makes sense to reserve the rest of the drug. It may help you to save the money. So, if you decide to save the rest of unused medicine for future use "just in case"; follow the next steps:

- Save the medication in the original container with the cap closed. It will help to identify the drug over the time and provide proper storage conditions

- When use the old medication, check expiration date. In case you can't find the expiration date, throw out the drug.




This post was made using the Auto Blogging Software from WebMagnates.org This line will not appear when posts are made after activating the software to full version.

18 Tips to a Safer Medication Use


1. List all medicines you take. Include name, dose and frequency. Don't forget to include vitamins, minerals, herbs, topical medications, eye and ear drops, sprays, weight loss aids, oral contraceptives.

2. Know the brand and generic names of the medication. In fact, many people know the medications they take by its color and size rather than its name.

3. Know what condition/disease the medication is for. It's important because you are more likely to use it correctly, more likely to know what to expect from the medication, and better able to report what you are using and problems to your doctors and pharmacist.

4. Avoid getting the wrong prescription from the pharmacy. Check the medication you pick up. Make sure it matches up with the prescription.

5. Use online drug interaction checker that allows you to enter the medications you take and check for possible drug interactions.

6. Conditions that place person at higher risk for drug interactions include:

- Taking three or more medications for chronic conditions.

- Genetically based variations in drug-metabolizing capacity.

- Advanced age.

- Certain diseases (anemia, asthma, cardiovascular disease, critical care/intensive care patients, diabetes, epilepsy, gastrointestinal disease, liver disease, hypothyroid)

- People cared for by several doctors.

7. Drugs most likely to be involved in clinically significant interactions are:

- Drugs with a narrow therapeutic index (e.g. warfarin, digoxin)

- Drugs that require cautious dosage control (e.g. antihypertensives, antidiabetic drugs)

- Liver enzyme inducers (e.g. rifampicin, phenytoin) and inhibitors (e.g. cimetidine, ketoconazole)

- Drugs with multiple pharmacological effects

8. Pay attention to how you feel after starting the new medicine and note any changes. Assume that any new symptom you develop after starting a new medication might be caused by the drug. Use online tool to check for side effects.

9. Inform the doctor if medication doesn't seem to be effective. No medication has 100% efficacy rate.

10. Avoid treating adverse drug reactions and drug-induced disease with more drugs. Distinguish the real disease and adverse reaction to the medication. Adverse drug reaction should be managed by lowering the dose of the offending drug or replacing it with a safer alternative.

11. Weigh the benefits and risks, making the choice of drug treatment. If drug is the preferred treatment for the medical problem, try to choose the most safest and effective one. You must decide what risks you can and will accept in order to get the benefits you want.

12. Start the medication with as low a dose as possible. A lower dose will cause fewer adverse effects, which are almost always dose-related.

13. Eliminate the unnecessary drugs. At least every three to six months, regularly review with your doctor the need to continue each drug being taken.

14. Know when the medication should be taken: before, during, or after food. Food can increase, decrease, or delay the absorption of numerous drugs. Food-drug interactions can lead to a treatment failure or a toxic effects of drug therapy.

15. Be aware of your medication needs and be prepared for any emergency. Store 3-5 days supply of medications that are important to your health.

16. Don't skip or reduce the doses. Missed doses of glaucoma medicine, for example, can lead to optic nerve damage or blindness. Missed doses of heart medicine can lead to cardiac arrest.

17. Learn how to discontinue the use of the medication. Many medications (e.g. antidepressants, corticosteroids) should not be stopped abruptly.

18. Many sources recommend to throw out unused medication. However, if you expect you may need the same medication soon, it makes sense to reserve the rest of the drug. It may help you to save the money. So, if you decide to save the rest of unused medicine for future use "just in case"; follow the next steps:

- Save the medication in the original container with the cap closed. It will help to identify the drug over the time and provide proper storage conditions

- When use the old medication, check expiration date. In case you can't find the expiration date, throw out the drug.




This post was made using the Auto Blogging Software from WebMagnates.org This line will not appear when posts are made after activating the software to full version.

ADHD Medication - Is it the Right Choice For Your Child?


If you are like me, when you first heard about ADHD medication, you were very concerned about giving it to your child. ADHD is an issue that a rapidly growing number of families are facing in the western world. They have experienced the stress and frustration that accompanies ADHD and are looking for the best solution for their child-one that is both safe and effective. Many choose medicine for ADHD, but a growing number of families are choosing to address ADHD issues from a natural approach.

Typically when a doctor diagnoses ADHD in an individual, he will immediately recommend stimulant ADHD medication. Doctors will tell you that children with ADHD make a complete turn around in school. For many children, it is true that grades and behavior improve when a child begins taking medicine for ADHD. The conflicts decrease, and grades increase, but at what cost.

It is unbelievable to me how little a doctor will discuss the importance of sleep and nutrition to a child with ADHD. Some professionals believe that 80% to 90% of ADHD issues are due to poor nutrition. Since most medicine for ADHD actually acts as an appetite suppressant, it may only make things worse.

The result is that a child who was very likely a picky eater in the first place, now almost stops eating completely. And what he does eat is usually void of nutrition. Most of the families I am familiar with whose children take ADHD medication have had serious weight loss issues to deal with soon after beginning medication. The solution the doctor often gives is to provide the child with protein shakes as often as they will drink them. Some children become malnourished to the point of developing physical health problems.

The other major problem with ADHD medication is that it is a stimulant and thus the primary side effect is that it affects sleep pattens. Many people take this same type of medication to stay awake through the night if studying for exams or driving all night. And because of the addictive nature of medicine for ADHD, it is a controlled substance.

With these problems associated with ADHD medication, what is the best way to address ADHD? To begin with, make sure your child is getting adequate amounts of sleep. Children typically need between 11 and 13 hours of sleep each night.

If they are having problems falling asleep, as many children with ADHD do, there are many natural herbal products that can help. Also removing as much sugar and red dye from the diet as possible will usually help. All children will benefit from getting more sleep, and most will show great improvement in ADHD symptoms. Medicine for ADHD will almost always decrease the amount of sleep a child gets.

Because ADHD medication is an appetite suppressant, your child's nutritional intake will drop off and they will not receive the vitamins, minerals and amino acids that are so important to brain development. Before trying medication, see to it that your child is getting balanced nutrition. Begin each day with protein and avoid the empty carbs. A breakfast of waffles and syrup is a recipe for disaster while a breakfast of mostly protein and whole grains will help improve focus and concentration.

Lastly, instead of turning to medicine for ADHD, supplement the diet with a broad based nutritional supplement to provide what is missing in the diet. The importance of vitamins and minerals cannot be overstated.

Also target the specific type of ADHD with natural products. If the main symptom your child displays is hyperactivity, you may want to look into some herbal ingredients that have a calming effect. Herbs such as ginkgo help the brain receive more nutrients from the blood, thus improving concentration and behavior.

There you have it. Skip the ADHD medication until you have tried a more holistic, natural approach. Remember, the decision is yours, not the doctor's. Try various things to improve the amount of sleep and the quality of nutrition your child is getting. You will also find that natural remedies are very effective and can provide quick results. Following this plan will give you the peace of mind of knowing that you are providing the best and safest treatment for your child with ADHD.




This post was made using the Auto Blogging Software from WebMagnates.org This line will not appear when posts are made after activating the software to full version.

ADHD Medication - Is it the Right Choice For Your Child?


If you are like me, when you first heard about ADHD medication, you were very concerned about giving it to your child. ADHD is an issue that a rapidly growing number of families are facing in the western world. They have experienced the stress and frustration that accompanies ADHD and are looking for the best solution for their child-one that is both safe and effective. Many choose medicine for ADHD, but a growing number of families are choosing to address ADHD issues from a natural approach.

Typically when a doctor diagnoses ADHD in an individual, he will immediately recommend stimulant ADHD medication. Doctors will tell you that children with ADHD make a complete turn around in school. For many children, it is true that grades and behavior improve when a child begins taking medicine for ADHD. The conflicts decrease, and grades increase, but at what cost.

It is unbelievable to me how little a doctor will discuss the importance of sleep and nutrition to a child with ADHD. Some professionals believe that 80% to 90% of ADHD issues are due to poor nutrition. Since most medicine for ADHD actually acts as an appetite suppressant, it may only make things worse.

The result is that a child who was very likely a picky eater in the first place, now almost stops eating completely. And what he does eat is usually void of nutrition. Most of the families I am familiar with whose children take ADHD medication have had serious weight loss issues to deal with soon after beginning medication. The solution the doctor often gives is to provide the child with protein shakes as often as they will drink them. Some children become malnourished to the point of developing physical health problems.

The other major problem with ADHD medication is that it is a stimulant and thus the primary side effect is that it affects sleep pattens. Many people take this same type of medication to stay awake through the night if studying for exams or driving all night. And because of the addictive nature of medicine for ADHD, it is a controlled substance.

With these problems associated with ADHD medication, what is the best way to address ADHD? To begin with, make sure your child is getting adequate amounts of sleep. Children typically need between 11 and 13 hours of sleep each night.

If they are having problems falling asleep, as many children with ADHD do, there are many natural herbal products that can help. Also removing as much sugar and red dye from the diet as possible will usually help. All children will benefit from getting more sleep, and most will show great improvement in ADHD symptoms. Medicine for ADHD will almost always decrease the amount of sleep a child gets.

Because ADHD medication is an appetite suppressant, your child's nutritional intake will drop off and they will not receive the vitamins, minerals and amino acids that are so important to brain development. Before trying medication, see to it that your child is getting balanced nutrition. Begin each day with protein and avoid the empty carbs. A breakfast of waffles and syrup is a recipe for disaster while a breakfast of mostly protein and whole grains will help improve focus and concentration.

Lastly, instead of turning to medicine for ADHD, supplement the diet with a broad based nutritional supplement to provide what is missing in the diet. The importance of vitamins and minerals cannot be overstated.

Also target the specific type of ADHD with natural products. If the main symptom your child displays is hyperactivity, you may want to look into some herbal ingredients that have a calming effect. Herbs such as ginkgo help the brain receive more nutrients from the blood, thus improving concentration and behavior.

There you have it. Skip the ADHD medication until you have tried a more holistic, natural approach. Remember, the decision is yours, not the doctor's. Try various things to improve the amount of sleep and the quality of nutrition your child is getting. You will also find that natural remedies are very effective and can provide quick results. Following this plan will give you the peace of mind of knowing that you are providing the best and safest treatment for your child with ADHD.




This post was made using the Auto Blogging Software from WebMagnates.org This line will not appear when posts are made after activating the software to full version.

ADHD Medication - Is it the Right Choice For Your Child?


If you are like me, when you first heard about ADHD medication, you were very concerned about giving it to your child. ADHD is an issue that a rapidly growing number of families are facing in the western world. They have experienced the stress and frustration that accompanies ADHD and are looking for the best solution for their child-one that is both safe and effective. Many choose medicine for ADHD, but a growing number of families are choosing to address ADHD issues from a natural approach.

Typically when a doctor diagnoses ADHD in an individual, he will immediately recommend stimulant ADHD medication. Doctors will tell you that children with ADHD make a complete turn around in school. For many children, it is true that grades and behavior improve when a child begins taking medicine for ADHD. The conflicts decrease, and grades increase, but at what cost.

It is unbelievable to me how little a doctor will discuss the importance of sleep and nutrition to a child with ADHD. Some professionals believe that 80% to 90% of ADHD issues are due to poor nutrition. Since most medicine for ADHD actually acts as an appetite suppressant, it may only make things worse.

The result is that a child who was very likely a picky eater in the first place, now almost stops eating completely. And what he does eat is usually void of nutrition. Most of the families I am familiar with whose children take ADHD medication have had serious weight loss issues to deal with soon after beginning medication. The solution the doctor often gives is to provide the child with protein shakes as often as they will drink them. Some children become malnourished to the point of developing physical health problems.

The other major problem with ADHD medication is that it is a stimulant and thus the primary side effect is that it affects sleep pattens. Many people take this same type of medication to stay awake through the night if studying for exams or driving all night. And because of the addictive nature of medicine for ADHD, it is a controlled substance.

With these problems associated with ADHD medication, what is the best way to address ADHD? To begin with, make sure your child is getting adequate amounts of sleep. Children typically need between 11 and 13 hours of sleep each night.

If they are having problems falling asleep, as many children with ADHD do, there are many natural herbal products that can help. Also removing as much sugar and red dye from the diet as possible will usually help. All children will benefit from getting more sleep, and most will show great improvement in ADHD symptoms. Medicine for ADHD will almost always decrease the amount of sleep a child gets.

Because ADHD medication is an appetite suppressant, your child's nutritional intake will drop off and they will not receive the vitamins, minerals and amino acids that are so important to brain development. Before trying medication, see to it that your child is getting balanced nutrition. Begin each day with protein and avoid the empty carbs. A breakfast of waffles and syrup is a recipe for disaster while a breakfast of mostly protein and whole grains will help improve focus and concentration.

Lastly, instead of turning to medicine for ADHD, supplement the diet with a broad based nutritional supplement to provide what is missing in the diet. The importance of vitamins and minerals cannot be overstated.

Also target the specific type of ADHD with natural products. If the main symptom your child displays is hyperactivity, you may want to look into some herbal ingredients that have a calming effect. Herbs such as ginkgo help the brain receive more nutrients from the blood, thus improving concentration and behavior.

There you have it. Skip the ADHD medication until you have tried a more holistic, natural approach. Remember, the decision is yours, not the doctor's. Try various things to improve the amount of sleep and the quality of nutrition your child is getting. You will also find that natural remedies are very effective and can provide quick results. Following this plan will give you the peace of mind of knowing that you are providing the best and safest treatment for your child with ADHD.




This post was made using the Auto Blogging Software from WebMagnates.org This line will not appear when posts are made after activating the software to full version.

Wednesday, December 14, 2011

Medicinal Cannabis - Sick of Your Prescription Medication? Medicinal Cannabis May Be Safer


Prescription medications can be dangerous. Even over-the-counter medications can sometimes cause negative reactions. These medications include chemicals that can cause allergic reactions, negatively react with other substances, and cause a wide range of other problems.

Every time a consumer turns on their television, they are bombarded with commercials for prescription drugs. However, half of these commercials are spent warning users of side effects, ranging from mild to sometimes fatal. It makes many people question what they are putting into their bodies.

The Advantages of Medicinal Cannabis Over Traditional Medications:

One of the main reasons for medical marijuana is that it's safe. It is almost impossible to overdose and very few people report negative side effects. The people that do report side effects complain of things like warped time perception or short term memory loss. The side effects of marijuana are extremely mild when comparing them with the effects caused by other medications.

Medical marijuana has been found to be even safer than aspirin. Aspirin, which was first introduced in 1899, has caused around 500 deaths every year. Aspirin can also cause stomach bleeding, stomach problems, liver damage, nausea, vomiting, and many other side effects.

Cannabis, on the other hand, has been used for thousands of years without one reported overdose. Cannabis can cause fatigue, hunger, paranoia, forgetfulness, and euphoria. Fortunately, except in the case of euphoria, these effects will wear off in approximately two to four hours.

The fact is, medical marijuana is safer than almost any prescription drug. For thousands of years it has been used by people all over the world for medical reasons. Until 1937, It was the leading medication for around 100 conditions in the United States. These are the marijuana facts that are rarely stated, but are true nonetheless.

The Disadvantages of Medical Marijuana, When Compared to Prescription Drugs:

Of course, there are also disadvantages to medical marijuana. The main disadvantage is that it is not a cure-all. However, neither is any synthetic drug.

Medicinal marijuana can usually not be used to cure medical conditions. Instead, it is used to manage the negative effects of these conditions. Obtaining a medical marijuana card will not save patients from requiring any other medication during their lifetime. Fortunately, patients that have difficulty with other medications or want to limit the amount of synthetic chemicals they put into their body, can use medical cannabis to successfully treat a wide range of symptoms.




This post was made using the Auto Blogging Software from WebMagnates.org This line will not appear when posts are made after activating the software to full version.

Medicinal Cannabis - Sick of Your Prescription Medication? Medicinal Cannabis May Be Safer


Prescription medications can be dangerous. Even over-the-counter medications can sometimes cause negative reactions. These medications include chemicals that can cause allergic reactions, negatively react with other substances, and cause a wide range of other problems.

Every time a consumer turns on their television, they are bombarded with commercials for prescription drugs. However, half of these commercials are spent warning users of side effects, ranging from mild to sometimes fatal. It makes many people question what they are putting into their bodies.

The Advantages of Medicinal Cannabis Over Traditional Medications:

One of the main reasons for medical marijuana is that it's safe. It is almost impossible to overdose and very few people report negative side effects. The people that do report side effects complain of things like warped time perception or short term memory loss. The side effects of marijuana are extremely mild when comparing them with the effects caused by other medications.

Medical marijuana has been found to be even safer than aspirin. Aspirin, which was first introduced in 1899, has caused around 500 deaths every year. Aspirin can also cause stomach bleeding, stomach problems, liver damage, nausea, vomiting, and many other side effects.

Cannabis, on the other hand, has been used for thousands of years without one reported overdose. Cannabis can cause fatigue, hunger, paranoia, forgetfulness, and euphoria. Fortunately, except in the case of euphoria, these effects will wear off in approximately two to four hours.

The fact is, medical marijuana is safer than almost any prescription drug. For thousands of years it has been used by people all over the world for medical reasons. Until 1937, It was the leading medication for around 100 conditions in the United States. These are the marijuana facts that are rarely stated, but are true nonetheless.

The Disadvantages of Medical Marijuana, When Compared to Prescription Drugs:

Of course, there are also disadvantages to medical marijuana. The main disadvantage is that it is not a cure-all. However, neither is any synthetic drug.

Medicinal marijuana can usually not be used to cure medical conditions. Instead, it is used to manage the negative effects of these conditions. Obtaining a medical marijuana card will not save patients from requiring any other medication during their lifetime. Fortunately, patients that have difficulty with other medications or want to limit the amount of synthetic chemicals they put into their body, can use medical cannabis to successfully treat a wide range of symptoms.




This post was made using the Auto Blogging Software from WebMagnates.org This line will not appear when posts are made after activating the software to full version.

Medicinal Cannabis - Sick of Your Prescription Medication? Medicinal Cannabis May Be Safer


Prescription medications can be dangerous. Even over-the-counter medications can sometimes cause negative reactions. These medications include chemicals that can cause allergic reactions, negatively react with other substances, and cause a wide range of other problems.

Every time a consumer turns on their television, they are bombarded with commercials for prescription drugs. However, half of these commercials are spent warning users of side effects, ranging from mild to sometimes fatal. It makes many people question what they are putting into their bodies.

The Advantages of Medicinal Cannabis Over Traditional Medications:

One of the main reasons for medical marijuana is that it's safe. It is almost impossible to overdose and very few people report negative side effects. The people that do report side effects complain of things like warped time perception or short term memory loss. The side effects of marijuana are extremely mild when comparing them with the effects caused by other medications.

Medical marijuana has been found to be even safer than aspirin. Aspirin, which was first introduced in 1899, has caused around 500 deaths every year. Aspirin can also cause stomach bleeding, stomach problems, liver damage, nausea, vomiting, and many other side effects.

Cannabis, on the other hand, has been used for thousands of years without one reported overdose. Cannabis can cause fatigue, hunger, paranoia, forgetfulness, and euphoria. Fortunately, except in the case of euphoria, these effects will wear off in approximately two to four hours.

The fact is, medical marijuana is safer than almost any prescription drug. For thousands of years it has been used by people all over the world for medical reasons. Until 1937, It was the leading medication for around 100 conditions in the United States. These are the marijuana facts that are rarely stated, but are true nonetheless.

The Disadvantages of Medical Marijuana, When Compared to Prescription Drugs:

Of course, there are also disadvantages to medical marijuana. The main disadvantage is that it is not a cure-all. However, neither is any synthetic drug.

Medicinal marijuana can usually not be used to cure medical conditions. Instead, it is used to manage the negative effects of these conditions. Obtaining a medical marijuana card will not save patients from requiring any other medication during their lifetime. Fortunately, patients that have difficulty with other medications or want to limit the amount of synthetic chemicals they put into their body, can use medical cannabis to successfully treat a wide range of symptoms.




This post was made using the Auto Blogging Software from WebMagnates.org This line will not appear when posts are made after activating the software to full version.

Monday, December 12, 2011

Tips for Giving Medication to your Baby or Toddler


Occasionally, babies and toddlers need medication. This can be a challenge for some parents. The following tips may help:


If you blow gently on a baby's face, he or she will blink and swallow
Try using a straw so your toddler can sip up the medicine
Give an ice block to your toddler before giving the medicine - it will numb the taste buds
Have something to give your child after the medicine that he or she likes - a reward
Get your toddler to hold his or her nose - it will reduce the sensation of taste
If you use a syringe, syringe the medicine onto the inside of the cheek - there aren't any bitter taste buds there
Remember to shake the bottle well before you give the medicine


Of course, when giving medication it is always important to remember safety as well.


Only give medication to the child it's prescribed to
Never mix medicine with milk in a bottle - your child may not finish the bottle
Always finish the course of antibiotics - it reduces the emergence of resistant bugs
Always replace the cap and make sure it's tightly screwed on
Don't refer to medicine as a "sweet", a "candy" or a "lolly" - if you do, your child may try and get some when you're not looking
Never store medicines in drink or food containers
Keep medicines out of reach of children - remember toddlers are exploring their world and can climb

Have the number of your local poisons center handy, so if your child does take some medicine he or she shouldn't, you can phone for advice. Here are a few numbers:


United States: 1-800-222-1222
New Zealand: 0800 POISON or 0800 764 766
Canada: (800) 567-8911
Australia: 131 126
United Kingdom: 0870 600 6266 From outside the UK:+44 870 600 6266



Tips for Giving Medication to your Baby or Toddler


Occasionally, babies and toddlers need medication. This can be a challenge for some parents. The following tips may help:


If you blow gently on a baby's face, he or she will blink and swallow
Try using a straw so your toddler can sip up the medicine
Give an ice block to your toddler before giving the medicine - it will numb the taste buds
Have something to give your child after the medicine that he or she likes - a reward
Get your toddler to hold his or her nose - it will reduce the sensation of taste
If you use a syringe, syringe the medicine onto the inside of the cheek - there aren't any bitter taste buds there
Remember to shake the bottle well before you give the medicine


Of course, when giving medication it is always important to remember safety as well.


Only give medication to the child it's prescribed to
Never mix medicine with milk in a bottle - your child may not finish the bottle
Always finish the course of antibiotics - it reduces the emergence of resistant bugs
Always replace the cap and make sure it's tightly screwed on
Don't refer to medicine as a "sweet", a "candy" or a "lolly" - if you do, your child may try and get some when you're not looking
Never store medicines in drink or food containers
Keep medicines out of reach of children - remember toddlers are exploring their world and can climb

Have the number of your local poisons center handy, so if your child does take some medicine he or she shouldn't, you can phone for advice. Here are a few numbers:


United States: 1-800-222-1222
New Zealand: 0800 POISON or 0800 764 766
Canada: (800) 567-8911
Australia: 131 126
United Kingdom: 0870 600 6266 From outside the UK:+44 870 600 6266



Tips for Giving Medication to your Baby or Toddler


Occasionally, babies and toddlers need medication. This can be a challenge for some parents. The following tips may help:


If you blow gently on a baby's face, he or she will blink and swallow
Try using a straw so your toddler can sip up the medicine
Give an ice block to your toddler before giving the medicine - it will numb the taste buds
Have something to give your child after the medicine that he or she likes - a reward
Get your toddler to hold his or her nose - it will reduce the sensation of taste
If you use a syringe, syringe the medicine onto the inside of the cheek - there aren't any bitter taste buds there
Remember to shake the bottle well before you give the medicine


Of course, when giving medication it is always important to remember safety as well.


Only give medication to the child it's prescribed to
Never mix medicine with milk in a bottle - your child may not finish the bottle
Always finish the course of antibiotics - it reduces the emergence of resistant bugs
Always replace the cap and make sure it's tightly screwed on
Don't refer to medicine as a "sweet", a "candy" or a "lolly" - if you do, your child may try and get some when you're not looking
Never store medicines in drink or food containers
Keep medicines out of reach of children - remember toddlers are exploring their world and can climb

Have the number of your local poisons center handy, so if your child does take some medicine he or she shouldn't, you can phone for advice. Here are a few numbers:


United States: 1-800-222-1222
New Zealand: 0800 POISON or 0800 764 766
Canada: (800) 567-8911
Australia: 131 126
United Kingdom: 0870 600 6266 From outside the UK:+44 870 600 6266



Friday, November 18, 2011

Medical cannabis - sick of their prescription drugs? Medical cannabis co


Prescription medications can be dangerous. Sometimes even over-the-counter medications can cause adverse reactions. These drugs include chemicals that can cause allergic reactions, adversely react with other substances and cause a wide range of other problems.
Each time that a consumer turns on his television, they are bombarded with advertisements of prescription drugs. However, half of these announcements are spent warning users of side effects, ranging from mild to sometimes fatal. It is that many people question what are putting into their bodies.
The advantages of the Medicinal Cannabis on traditional medicines:
One of the main reasons for medical marijuana is that it is safe. It is almost impossible to overdose and very few people report negative side effects. People who complain about the side effects of things as the http://www.webmd.comperception of time deformed or short-term memory loss. Side effects of marijuana are extremely mild when compared to the effects caused by other drugs.
Medical marijuana has been still safer than aspirin. Aspirin, which was introduced in 1899, has caused about 500 deaths each year. Aspirin may also cause bleeding stomach, stomach, liver damage, nausea, vomiting problems and many other side effects.
Marijuana, on the other hand, has been used for thousands of years no one had reported overdose. Marijuana can cause fatigue, hunger, paranoia, oblivion and euphoria. Fortunately, except in the case of euphoria, these effects will wear in approximately two to four hours.
The fact is that medical marijuana is safer than any prescription medication. For thousands of years it has been used by people around the world for medical reasons. Until 1937, was the main drug for around 100 conditions in the United States. These are the facts of marijuana which rarely declared, but however are true.
The disadvantages of medical marijuana, compared to prescription drugs:
Of course, there are also disadvantages to medical marijuana. The main disadvantage is that it is not a panacea. However, nor is any synthetic drug.
Usually medical marijuana may not be used to cure medical conditions. Instead, it is used to manage the negative effects of these conditions. Get a medical marijuana card will not save patients require any other medication during his lifetime. Fortunately, the patients who have difficulty with other drugs or wish to limit the amount of synthetic chemicals that threaten your body, you can use medical marijuana to treat successfully a wide range of symptoms.http://www.nlm.nih.gov

Medical cannabis - sick of their prescription drugs? Medical cannabis co


Prescription medications can be dangerous. Sometimes even over-the-counter medications can cause adverse reactions. These drugs include chemicals that can cause allergic reactions, adversely react with other substances and cause a wide range of other problems.
Each time that a consumer turns on his television, they are bombarded with advertisements of prescription drugs. However, half of these announcements are spent warning users of side effects, ranging from mild to sometimes fatal. It is that many people question what are putting into their bodies.
The advantages of the Medicinal Cannabis on traditional medicines:
One of the main reasons for medical marijuana is that it is safe. It is almost impossible to overdose and very few people report negative side effects. People who complain about the side effects of things as the http://www.webmd.comperception of time deformed or short-term memory loss. Side effects of marijuana are extremely mild when compared to the effects caused by other drugs.
Medical marijuana has been still safer than aspirin. Aspirin, which was introduced in 1899, has caused about 500 deaths each year. Aspirin may also cause bleeding stomach, stomach, liver damage, nausea, vomiting problems and many other side effects.
Marijuana, on the other hand, has been used for thousands of years no one had reported overdose. Marijuana can cause fatigue, hunger, paranoia, oblivion and euphoria. Fortunately, except in the case of euphoria, these effects will wear in approximately two to four hours.
The fact is that medical marijuana is safer than any prescription medication. For thousands of years it has been used by people around the world for medical reasons. Until 1937, was the main drug for around 100 conditions in the United States. These are the facts of marijuana which rarely declared, but however are true.
The disadvantages of medical marijuana, compared to prescription drugs:
Of course, there are also disadvantages to medical marijuana. The main disadvantage is that it is not a panacea. However, nor is any synthetic drug.
Usually medical marijuana may not be used to cure medical conditions. Instead, it is used to manage the negative effects of these conditions. Get a medical marijuana card will not save patients require any other medication during his lifetime. Fortunately, the patients who have difficulty with other drugs or wish to limit the amount of synthetic chemicals that threaten your body, you can use medical marijuana to treat successfully a wide range of symptoms.http://www.nlm.nih.gov

Medical cannabis - sick of their prescription drugs? Medical cannabis co


Prescription medications can be dangerous. Sometimes even over-the-counter medications can cause adverse reactions. These drugs include chemicals that can cause allergic reactions, adversely react with other substances and cause a wide range of other problems.
Each time that a consumer turns on his television, they are bombarded with advertisements of prescription drugs. However, half of these announcements are spent warning users of side effects, ranging from mild to sometimes fatal. It is that many people question what are putting into their bodies.
The advantages of the Medicinal Cannabis on traditional medicines:
One of the main reasons for medical marijuana is that it is safe. It is almost impossible to overdose and very few people report negative side effects. People who complain about the side effects of things as the http://www.webmd.comperception of time deformed or short-term memory loss. Side effects of marijuana are extremely mild when compared to the effects caused by other drugs.
Medical marijuana has been still safer than aspirin. Aspirin, which was introduced in 1899, has caused about 500 deaths each year. Aspirin may also cause bleeding stomach, stomach, liver damage, nausea, vomiting problems and many other side effects.
Marijuana, on the other hand, has been used for thousands of years no one had reported overdose. Marijuana can cause fatigue, hunger, paranoia, oblivion and euphoria. Fortunately, except in the case of euphoria, these effects will wear in approximately two to four hours.
The fact is that medical marijuana is safer than any prescription medication. For thousands of years it has been used by people around the world for medical reasons. Until 1937, was the main drug for around 100 conditions in the United States. These are the facts of marijuana which rarely declared, but however are true.
The disadvantages of medical marijuana, compared to prescription drugs:
Of course, there are also disadvantages to medical marijuana. The main disadvantage is that it is not a panacea. However, nor is any synthetic drug.
Usually medical marijuana may not be used to cure medical conditions. Instead, it is used to manage the negative effects of these conditions. Get a medical marijuana card will not save patients require any other medication during his lifetime. Fortunately, the patients who have difficulty with other drugs or wish to limit the amount of synthetic chemicals that threaten your body, you can use medical marijuana to treat successfully a wide range of symptoms.http://www.nlm.nih.gov

Tuesday, November 15, 2011

Tips for migraine headache medication


Many people suffer from severe migraines in the world. There are many medications available today. There are many tips available now a day to deal with the severe migraine headaches now a day. But any how these diseases are or can be easily administered with appropriate and recommended drugs. On the other hand, the appropriate treatment for this pain also depends on the type of headache you have.

Before knowing the suggestions of this medication also you must know the types of these drugs. There are basically two types of strategies of medication for migraines, which are as follows:

1 Abortado - these medicines are used to stop this disease. When it comes to abortion drug, the idea is usually obtained as quickly as possible the medicine in your body.

2 Prevention - clear of the name, this drug is used to prevent migraines.

Here are some tips for migraine headache medication:

1. Firstly, you and your doctor are partners in the development, adjustment and following a plan for effective treatment of migraine or headache. Talk about what to expect from medications for what you can know if your treatment plan is working.

2. Prior to any prescribed medication, tell your doctor if you have some kind of allergy. Also tell your doctor about all other medicines you are taking including drug over-the-counter, vitamins, and herbal products.

3 Track drugs previously have tried and failed, so his doctor them not prescribe again.

4. When traveling, keep your medicines with you to make as planned. On longer trips, have additional medications and copies of your prescriptions week supply, in the event that you need to get a fill.

But the best key to get rid of headaches is to predict if you are a symptom of migraine or thing will give you the keys you need to find the right treatment for migraine headaches waved away from your body before you even arrive. Also, with some relatively simple lifestyle changes such as regular sleep patterns, moderate exercise and proper diet, many people with migraines much can reduce the appearance without excessive medication.




This post was made using the Auto Blogging Software from WebMagnates.org This line will not appear when posts are made after activating the software to full version.

Tips for migraine headache medication


Many people suffer from severe migraines in the world. There are many medications available today. There are many tips available now a day to deal with the severe migraine headaches now a day. But any how these diseases are or can be easily administered with appropriate and recommended drugs. On the other hand, the appropriate treatment for this pain also depends on the type of headache you have.

Before knowing the suggestions of this medication also you must know the types of these drugs. There are basically two types of strategies of medication for migraines, which are as follows:

1 Abortado - these medicines are used to stop this disease. When it comes to abortion drug, the idea is usually obtained as quickly as possible the medicine in your body.

2 Prevention - clear of the name, this drug is used to prevent migraines.

Here are some tips for migraine headache medication:

1. Firstly, you and your doctor are partners in the development, adjustment and following a plan for effective treatment of migraine or headache. Talk about what to expect from medications for what you can know if your treatment plan is working.

2. Prior to any prescribed medication, tell your doctor if you have some kind of allergy. Also tell your doctor about all other medicines you are taking including drug over-the-counter, vitamins, and herbal products.

3 Track drugs previously have tried and failed, so his doctor them not prescribe again.

4. When traveling, keep your medicines with you to make as planned. On longer trips, have additional medications and copies of your prescriptions week supply, in the event that you need to get a fill.

But the best key to get rid of headaches is to predict if you are a symptom of migraine or thing will give you the keys you need to find the right treatment for migraine headaches waved away from your body before you even arrive. Also, with some relatively simple lifestyle changes such as regular sleep patterns, moderate exercise and proper diet, many people with migraines much can reduce the appearance without excessive medication.




This post was made using the Auto Blogging Software from WebMagnates.org This line will not appear when posts are made after activating the software to full version.

Tips for migraine headache medication


Many people suffer from severe migraines in the world. There are many medications available today. There are many tips available now a day to deal with the severe migraine headaches now a day. But any how these diseases are or can be easily administered with appropriate and recommended drugs. On the other hand, the appropriate treatment for this pain also depends on the type of headache you have.

Before knowing the suggestions of this medication also you must know the types of these drugs. There are basically two types of strategies of medication for migraines, which are as follows:

1 Abortado - these medicines are used to stop this disease. When it comes to abortion drug, the idea is usually obtained as quickly as possible the medicine in your body.

2 Prevention - clear of the name, this drug is used to prevent migraines.

Here are some tips for migraine headache medication:

1. Firstly, you and your doctor are partners in the development, adjustment and following a plan for effective treatment of migraine or headache. Talk about what to expect from medications for what you can know if your treatment plan is working.

2. Prior to any prescribed medication, tell your doctor if you have some kind of allergy. Also tell your doctor about all other medicines you are taking including drug over-the-counter, vitamins, and herbal products.

3 Track drugs previously have tried and failed, so his doctor them not prescribe again.

4. When traveling, keep your medicines with you to make as planned. On longer trips, have additional medications and copies of your prescriptions week supply, in the event that you need to get a fill.

But the best key to get rid of headaches is to predict if you are a symptom of migraine or thing will give you the keys you need to find the right treatment for migraine headaches waved away from your body before you even arrive. Also, with some relatively simple lifestyle changes such as regular sleep patterns, moderate exercise and proper diet, many people with migraines much can reduce the appearance without excessive medication.




This post was made using the Auto Blogging Software from WebMagnates.org This line will not appear when posts are made after activating the software to full version.

The last line of defense against medication errors: you need to know to keep your family safe


This is a true story.

Yesterday, I picked up a new recipe of antibiotic for my daughter in my local pharmacy.

(We recently adopted my daughter of the India where he had recurrent ear infections resulting in severe hearing loss). (And she is about to undergo the second of several planned surgeries in an attempt to repair the damage.)

Before put to sleep, he left the new drug of the bag, he looked at the instructions and prepared to give the medication according to the instructions on the label.

Just before doing so, I had a quick double-take.

Something seems wrong. I looked at the instructions again and slowly, thought * it * s happening... This * t think right.* then, hit me the dose seemed terribly high for her.

It took me a minute or two to put the pieces together (it had been unusually heavy fighting him preparing for bed, I was tired, I trusted my daughter * s medical and I was thinking perhaps less critically that I have). And then I noticed. The label had a stranger * name s.

After another moment or two, I saw what had really happened.

Medication entered into a table. Each side of the box had a different label... a label was for my daughter and a label for a stranger. And the stranger * s dose was more than twice as much as my daughter * s surgeon had recommended.

(This error * t happens in a homemade pharmacy.) (It happened in a pharmacy in modern new chain whose name would recognize ad on TV.)

I * m not a surgeon... and I * m not a paediatrician... but I'm a doctor trained in internal medicine and I have spent most of the last twelve years writing about speaking and development of systems to reduce the frequency of medication errors and improve the safety of the practice of pharmacy.

This pharmacy error brought the issue of the safety of drugs home for me... literally.

What I can tell you is that this type of error occurs all too often in the United States (and worldwide). And you can have devastating consequences for the people involved.

A recent study in the New England Journal of Medicine indicates that 25% of patients taking one or more prescription medications will experience an adverse event within three months--and 39% of these are preventable or avoidable.

The Harvard Medical practice study found reported in JAMA in 2001 that 30% of patients with drug-related injuries died or were disabled for more than 6 months.

And what almost everyone who studies accepts this problem is that current systems to select drugs, them, communicating a prescription at a pharmacy, drug dispensing, dosing teaching patients about their safe use are woefully inadequate.

In this series, let's take a close look at the processes that cause medication errors (some things your doctor and pharmacist may not even want you to know) and what measures can be taken specifically to make sure that you and your love are protected from this threat.

Ten years ago, your ability to get current, objective, accurate information about their drugs's fast and easy way was practically non-existent. It would have probably involved a trip to the library and requires considerable knowledge of Pharmacology for the answers.

Today, that * s is not the case. There are a lot of tools online, databases and resources to obtain information about medicines that even your doctor and pharmacist may not know.

We * re going to talk about them, show off to go tell them the key things you need to know about drugs, exposing some myths and let you know the questions you should ask. It * s not as difficult as it may seem.

In fact, it needs to become the last line of defense in the battle against medication errors.

Throughout, we will give you some basic rules that should guide their defense.

Thus rule number 1. Trust, but verify. Never assume that the medication is dosed correctly for you or it has received the right medication for you. Specifically, you should check:

the name of the patient in the bottle;

the name of the doctor in the bottle;

the name of the medicinal product (and cross check to make sure that is a problem or a disease actually have... There are many names of drugs look alike/sound alike out there);

dose (an independent source... to make sure that it is a plausible dose for you);

the * path * (to ensure, for example, be prescribed eyedrops for eye and no mouth or ear... amazingly drug loss injuries occur all the time);

the expiration date.

We * ll talk about some specific resources that will help with each of them throughout this series.

The result, hopefully, will be the piece of knowledge that you and your family are receiving their 7 rights:

drugs right;

correct patient;

correct dosage;

right time;

correct path;

right reason;

correct documentation.

In!

© 2004 Timothy McNamara, MD, MPH




This post was made using the Auto Blogging Software from WebMagnates.org This line will not appear when posts are made after activating the software to full version.

The last line of defense against medication errors: you need to know to keep your family safe


This is a true story.

Yesterday, I picked up a new recipe of antibiotic for my daughter in my local pharmacy.

(We recently adopted my daughter of the India where he had recurrent ear infections resulting in severe hearing loss). (And she is about to undergo the second of several planned surgeries in an attempt to repair the damage.)

Before put to sleep, he left the new drug of the bag, he looked at the instructions and prepared to give the medication according to the instructions on the label.

Just before doing so, I had a quick double-take.

Something seems wrong. I looked at the instructions again and slowly, thought * it * s happening... This * t think right.* then, hit me the dose seemed terribly high for her.

It took me a minute or two to put the pieces together (it had been unusually heavy fighting him preparing for bed, I was tired, I trusted my daughter * s medical and I was thinking perhaps less critically that I have). And then I noticed. The label had a stranger * name s.

After another moment or two, I saw what had really happened.

Medication entered into a table. Each side of the box had a different label... a label was for my daughter and a label for a stranger. And the stranger * s dose was more than twice as much as my daughter * s surgeon had recommended.

(This error * t happens in a homemade pharmacy.) (It happened in a pharmacy in modern new chain whose name would recognize ad on TV.)

I * m not a surgeon... and I * m not a paediatrician... but I'm a doctor trained in internal medicine and I have spent most of the last twelve years writing about speaking and development of systems to reduce the frequency of medication errors and improve the safety of the practice of pharmacy.

This pharmacy error brought the issue of the safety of drugs home for me... literally.

What I can tell you is that this type of error occurs all too often in the United States (and worldwide). And you can have devastating consequences for the people involved.

A recent study in the New England Journal of Medicine indicates that 25% of patients taking one or more prescription medications will experience an adverse event within three months--and 39% of these are preventable or avoidable.

The Harvard Medical practice study found reported in JAMA in 2001 that 30% of patients with drug-related injuries died or were disabled for more than 6 months.

And what almost everyone who studies accepts this problem is that current systems to select drugs, them, communicating a prescription at a pharmacy, drug dispensing, dosing teaching patients about their safe use are woefully inadequate.

In this series, let's take a close look at the processes that cause medication errors (some things your doctor and pharmacist may not even want you to know) and what measures can be taken specifically to make sure that you and your love are protected from this threat.

Ten years ago, your ability to get current, objective, accurate information about their drugs's fast and easy way was practically non-existent. It would have probably involved a trip to the library and requires considerable knowledge of Pharmacology for the answers.

Today, that * s is not the case. There are a lot of tools online, databases and resources to obtain information about medicines that even your doctor and pharmacist may not know.

We * re going to talk about them, show off to go tell them the key things you need to know about drugs, exposing some myths and let you know the questions you should ask. It * s not as difficult as it may seem.

In fact, it needs to become the last line of defense in the battle against medication errors.

Throughout, we will give you some basic rules that should guide their defense.

Thus rule number 1. Trust, but verify. Never assume that the medication is dosed correctly for you or it has received the right medication for you. Specifically, you should check:

the name of the patient in the bottle;

the name of the doctor in the bottle;

the name of the medicinal product (and cross check to make sure that is a problem or a disease actually have... There are many names of drugs look alike/sound alike out there);

dose (an independent source... to make sure that it is a plausible dose for you);

the * path * (to ensure, for example, be prescribed eyedrops for eye and no mouth or ear... amazingly drug loss injuries occur all the time);

the expiration date.

We * ll talk about some specific resources that will help with each of them throughout this series.

The result, hopefully, will be the piece of knowledge that you and your family are receiving their 7 rights:

drugs right;

correct patient;

correct dosage;

right time;

correct path;

right reason;

correct documentation.

In!

© 2004 Timothy McNamara, MD, MPH




This post was made using the Auto Blogging Software from WebMagnates.org This line will not appear when posts are made after activating the software to full version.