Prescription pill bottle label instructions get better

Ever find the instructions on your prescription bottle baffling? You’re not alone. Nearly half of people taking medication say they’ve been confused by a label. In Wisconsin, for example, a

survey showed that almost 23 percent said the problem caused them to take drugs incorrectly, says Steve Sparks, director of the nonprofit Wisconsin Health Literacy. The reasons: vague

instructions (“Take as directed”), tiny print and the difficulties of coordinating dosages of multiple medications. Sparks says, “You would not believe how many people say, ‘I take five

medications, each one of them has a different schedule, and I can’t keep track of them — so I just take them all in the morning.’ ” But efforts are underway to make prescription labels

simpler and schedules easier to manage. Wisconsin Health Literacy has worked with patients to design new labels, which are being rolled out in many pharmacies across that state. The most

important information is at the top in a large, bold typeface, including the names of the patient and the drug.  Sparks calls the labels “a critical line of defense against medication errors

and adverse drug effects.” CVS is in the process of introducing its new ScriptPath prescription labels, which the company hopes will be available in all of its more than 9,700 pharmacies

nationwide by midsummer. “Our objective is to make it clear when and how customers should take their medications,” says Kevin Hourican, president of CVS Pharmacy, the company’s retail

business. The Department of Veterans Affairs introduced simpler standardized medication labels in 2013, with clear directions at the top and the name of the drug in bold and highlighted in

yellow. The VA used veterans’ input to make them “easy to read, intuitive and safer,” says Douglas Paull, M.D., acting chief officer of the VA’s National Center for Patient Safety.  The

changes both in Wisconsin and at the VA are in keeping with the latest patient-friendly recommendations from the nonprofit advisory group U.S. Pharmacopeia (USP), which sets recommendations

for prescription labeling. Each state has its own specific requirements, which focus mostly on what the labels must state but not on the clarity of that content.  Many pharmacies offer

services to ease the hassles of taking medication. LANGUAGE ASSISTANCE Federal law requires pharmacies to make reasonable efforts to provide translation services for prescription

instructions, but they’re often very limited. California is one of a handful of states with firmer regulations, requiring pharmacies to offer instructions in Spanish, Chinese, Vietnamese,

Korean or Russian on request. MAGNIFIED TEXT At Walgreens, customers can request prescription instructions that are in large print and easier to read. Rite Aid offers “large-font-format”

labels. TALKING LABELS Walgreens pharmacists will record audio instructions for people with vision impairment. An audio device is attached to the medication bottle.