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A medicine or medication can work in different ways, it might:
Here are some questions for you to think about and discuss with your health professional:

©2011 NPS
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CMI stands for consumer medicine information. This is a leaflet that comes with all prescribed medicines, and some of the medicines that you buy at the pharmacy, and it gives you information about what the medicine is for, how and when you should take it, what to do if you miss a dose and other very important information, such as possible side effects and interactions with other medicines.
CMIs have a lot of information in them and it’s not necessary to read them from beginning to end. You may just pick it up and try to find when you should be taking the dose, what time of day — or with food or without food. You may pick it up because you want to check on side effects, and the important thing to remember about these CMIs, which can be a bit daunting when you first see them, is that they’re all in exactly the same order, so that if you have several medicines you will find that the structure of the CMI is the same and you will quickly learn how to go straight to the piece of information that you are looking for.

Sometimes it is helpful to take notes when you are talking to your health professional. The Your medicinewise questions and answers sheet has space for you to write answers to questions about both the benefits and side effects of your medication.
Different things are important to different people, so think about what benefits are important to you. When you talk to your health professional, explain which benefits are most important to you — or what aspects of your illness trouble you the most — and find out if the medicine can help, or if there is another reason for taking it.
When you start taking a new medicine, ask your health professional:
Even when a medicine is known to work, it is usually not expected to be 100% effective for 100% of people. You might want to try to find out how much of an effect it is likely to have.
Your health professional can’t predict exactly how well a medicine will work for you. Sometimes you may need to try different medicines to find one that works for you.
As well as your health professional’s experience with other people taking the same medicine , information about how well it works usually comes from clinical trials and other research. These trials can tell you how many people in a scientific study received a benefit from treatment, and how great (or small) that benefit was.
If you want to find out more detail about clinical trials and other research, the links below provide some guidance on where to find this information and how to interpret it.
When starting a new medicine, you might also want to think about side effects, alternative treatment options, interactions with other medicines, costs and how the medicine has to be taken.
I know the calendar says I’m getting older. I’m 65. But it gave me a real surprise. I mean, I eat pretty healthy foods and I love swimming and walking and playing with my grandkids. I thought I was alright health-wise but when I went to see my GP for an annual check-up the other week, she told me I had an irregular heatbeat and was at risk of a stroke!
I hadn’t felt anything really. She asked me to go for an ECG and I had to lie down and get hooked up to a machine that measured my heartbeats. It didn’t hurt at all, but my mind was racing about what could happen in the future.
I took the results back to her and she said this condition was officially called ‘atrial fibrillation’. She told me my heartbeats were irregular and because of this, blood flow from my heart could become sluggish and there was a risk of blood clots forming. That sounded pretty scary but even worse was when she told me they could break off and travel around my body or to my brain.
I asked her if we could stop this. She said warfarin was a medicine that reduces the risk of stroke, as it thins the blood and makes it less likely to form clots. She also said doing nothing was another option.
Well I definitely wanted to know more about warfarin, since doing nothing didn’t sound too good to me if there was a risk of stroke. My doctor told me it wasn’t a simple medicine to take — it was pretty complex because it had to be carefully monitored, because the dose for each person was really specific for that person.
She said it could also interact with other medicines and food, so I’d have to be careful about what else I took it with. There were also side effects that made me feel a bit wary of it — I’d bleed easily and bruise easily. And I’d have to have a blood test regularly to measure how fast my blood clots.
I really didn’t like the sound of taking a medicine like warfarin, having to watch this and watch that, and then also going for blood tests all the time. But then I just thought about having a stroke and I thought about my family, especially my grandkids. I’m just about to retire and I want to enjoy life at this stage, still stay active and all that. I just couldn’t do that to them — be at risk of stroke and not do anything.
It wasn’t too hard a decision to make about warfarin. I know everyone’s got to weigh up these kinds of decisions for themselves, but for me, I’d much rather take something as a precaution, especially if doing nothing could lead to stroke. My health’s pretty important and my family all support my decision.
This is a fictional account for educational purposes.
Date published: 2011-01-24 00:00:00
Reasonable care is taken to provide accurate information at the date of creation. This information is not intended as a substitute for medical advice from a qualified health professional. Health professionals should rely on their own expertise and enquiries. Where permitted by law, NPS disclaims all liability (including for negligence) for any loss, damage or injury resulting from reliance on or use of this information. Read our full disclaimer.
References to brands should not be taken as an endorsement by NPS.