Stockpiling medicine is not an easy task: it’s about money, it’s about making the best choice, it’s about availability. You should have at least a month’s medical supply, and the medications you stockpile can be easy to come by and are over-the-counter medications available at any large pharmacy.
But others you need are more difficult to get. They include narcotic medication and other prescription medications you have been prescribed by a doctor. Narcotics are good for severe pain but are potentially addicting so most doctors–even yours–won’t write a prescription for it without good reason.
That’s why we made it easy for you, and put up a list of those meds that you should not skip from your medical stockpile.
Tips to Follow on Buying Meds
In some cases, the prescription medications can be gotten from your doctor. For prescriptions, including narcotics that you can’t get at the doctor’s office try looking for an overseas pharmacy online, but it’s hard to predict which ones will be reputable or not. Try purchasing just one or two items from them and if they deliver reliably a medication that has the manufacturing label intact with the right medication name, you can continue to purchase from them.
You have to familiarize yourself with the generic names of medications because when you purchase over-the-counter medications or buy them online, even overseas, the generic forms are often much cheaper by far than the name brands. Knowing the generic names will help you determine what medications you’re getting online as well.
Often the labels are in another language but the generic name of the medicine is very similar or the same as the English version. These should be good substitutes for American-made medications.
But there are also other ways to get these medications. I myself needed an antibiotic, and I went to the drugstore and didn’t tell them I was a doctor. In some situations and in some places, you can get antibiotics and non-narcotic pain medication over the counter. You just have to claim that you are on treatment and you need to continue it, but that you’re not at home and that you need a dosage for one day. Chances are good nowadays that they’ll ask for your ID and your doctor’s phone number.
What if you don’t have access to what you need, though? Can these drugs be replaced with other substances, such as veterinary substances? Yes they sometimes can, if you keep the proportions, and with caution, but you have to check the dose because this is really important. Otherwise, if you take a dosage for a horse you will die. Look on the blister and see what it is, then divide it with the knife, in 2, 3, 4, 5, dosages as necessary.
As for the storage, stockpile medications nearby medications that are related to one another. For example, stock the respiratory medications together, the stomach medications together, etc. In a crisis, it pays to be organized.
Items past their expiration date may still work, however the will have a lesser potency. In rare cases, a medication much past its expiration date will have altered its components to contain something dangerous if you take it but it is rare. When in doubt and if in need, you can take something past its expiration date but it will have a lesser efficacy (effectiveness).
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10 Categories of Medication that You Need
There are several categories of medications you’ll want to purchase, and you shouldn’t miss the following types of medication:
- Cold and flu medication: For congestion, cough, the pain of sore throat and body aches).
- Allergy medications: Include sedating and non-sedating types of medication.
- Pain medications: Include over the counter and prescription pain medications.
- Breathing medications: This especially includes inhalers.
- Gastrointestinal medications: For heartburn, stomach distress, diarrhea and constipation.
- Skin medications: These include sunscreen and medications for various rashes and skin problems.
- Antibiotics: Include those that cover for the majority of infections you might encounter.
- Birth control pills: A disaster is no time for a pregnancy, especially if nuclear radiation is present.
- Psychotropic medications. This especially involves medication for sleep and anxiety.
- Children’s medications: If you have a baby or young child, you’ll want liquid medications specially designed for their needs.
There needs to be many more medications taken and stockpiled in disabled people and seniors’ medications than in children’s medications, and these medications include:
- Fiber laxative
- Aspirin as a blood thinner
- Atherosclerosis medication. Mevacor (lovastatin); Zocor (simvastatin)
- Blood thinners for stroke Coumadin (warfarin)
- Medications for arthritis Aleve (naproxen)
- Heart burn medications. Zantac (ranitidine).
- High blood pressure medication. (Lisinopril); Tenormin (atenolol).
A Few More Words on Cold and Flu Medication
The cold and flu are different viral infections but they share some of the same symptoms, so they are included together.
Cold and flu symptoms include congestion in the nose, sore throat, sinus pain, and cough.
The flu also has a great deal of body aches and malaise, where you just don’t feel good at all and need to lie down and rest.
Medications you’ll want to have on hand include the following (the brand name is capitalized, the generic name is in parentheses):
- Sudafed (pseudoephedrine): This is for nasal and sinus congestion. You have to ask for it behind the pharmacy counter even though it is not a prescription medication because it is one of the main ingredients in methamphetamine, and they don’t want people to purchase large quantities of it at a time. Follow package instructions for sinus and nasal congestion. Usually you take 1-2 pills every four hours.
- Tylenol (acetaminophen), Advil (ibuprofen) or Aleve (naproxen): These are all good medications for fever, sore throat, and body aches. Take two every four to six hours.
- Robitussin DM (dextromethorphan): This comes in pill or liquid form and helps the cough. You need to be careful and just purchase plain Robitussin DM. Robitussin CF contains a decongestant that you already are taking when you take Sudafed. Robitussin DM also contains guaifenesin which breaks up the thick mucus in your system.
What About Pain Medications?
There is a range of medications that are successful for pain. The three main categories are simple pain relievers, anti-inflammatory medication, and narcotic pain relievers.
- Tylenol (acetaminophen): This is a simple fever and pain reliever that works on all sorts of pain. It is safe to take by anyone who does not have liver disease as it is metabolized by the liver. It is usually taken in adults as 2 500-milligram tablets every 4-6 hours. It has the added advantage of being able to be taken with anti-inflammatory medication in a pinch when the pain is severe and you want to take something more than Tylenol.
- Advil or Motrin (ibuprofen), Aleve (naproxen): These are anti-inflammatory medications that work best on pain caused by inflammation like arthritis. They also work on fever and generic pain. Some people will get stomach upset if they take these medications on an empty stomach so it’s best to take them with a small amount of non-acidic food. Try taking 2-3 tablets or capsules of ibuprofen every 4-6 hours. Take naproxen at 2 tablets every 8 hours.
- Narcotic pain relievers. These work for strong pain and include Vicodin (hydrocodone and Tylenol) and oxycodone. Give one to two tablets every 6 hours. Be alert for signs of confusion if the patient is taking too much. You can get this online or get a prescription from your doctor.
What You Need to Know about Antibiotics
Choosing a simple antibiotic is difficult because people have allergies and intolerances to antibiotics and there is no perfect antibiotic for every illness. Poll your family members for allergies before selecting one.
Any antibiotic must have several properties: it must be inexpensive, easy to administer, it mustn’t cause resistance and it must act on as many bacteria as possible, in as short a time as possible. A good choice is a broad spectrum antibiotic like cephalexin or Keflex. Two other choices include erythromycin (or azithromycin) and sulfa antibiotics like Bactrim or Septra (trimethoprim and sulfamethoxazole).
If you have these five classifications of antibiotics, you’ll have covered for several kinds of infections including:
- Cephalexin: Respiratory and upper respiratory infections, skin infections
- Erythromycin or azithromycin: Upper respiratory infections and lower respiratory infections such as “walking pneumonia”, skin infections
- Bactrim or Septra: bladder infections, some gastrointestinal infections.
- Cipro or Levaquin: used for bladder infections, respiratory infections, or skin infections
- Flagyl: used for parasitic infections and some gastrointestinal infections
Antibiotics won’t cure the common cold and they will do nothing for influenza but it does wonders for sinus infections stemming from the cold, a case of strep throat, and certain cases of bronchitis, pneumonia, bacterial skin infections and bladder infections.
You need to use them judiciously, when you know that you’re dealing with a bacterial infection. This means you have a fever, yellow or green drainage from the nose or coughed up from the lungs and redness around a wound. Strep throat and bladder infections are hard to determine. You just have to guess.
Give the body, the limb or the spot in question where the injury occurred, time to recover. Do not immediately jump to drugs, don’t start pouring the entire reserve of drugs down the patient, because you won’t solve anything like that. Sometimes the simplest solution is to not do anything, not to force it.
If you dole out antibiotics before you give the body a chance to heal, you’re wasting valuable medical supplies that may be needed later. Wait and see, and only when things are going towards the worse end should you start with antibiotics.
Breathing Medications You Need to Stockpile
In some disaster situations, even people without asthma will have problems with wheezing and shortness of breath. The best choice for this is an inhaler containing a beta-agonist, which opens the breathing passages.
The trick is to use these medications in such a way that the medication gets in your lungs and not in the back of your throat. With inhalers, you take a deep breath with the inhaler in your mouth and when you’re in the middle of the deep breath, press the plunger and keep breathing in. The medicine should get sucked down into your bronchial passages.
This is the main medication you’ll need:
- Albuterol: This is available in an inhaler form but it can be given in liquid form to young children. It needs a prescription so get one from your doctor or on the internet. Take two puffs as directed above every four hours for wheezing and cough.
- Primatene Mist: This is a less effective over-the-counter medication containing aerosolized epinephrine. Take two puffs every four hours. Use it when you absolutely can’t get albuterol.
There are a large variety of medication choices for the gastrointestinal system and you’ll need to condense them down to just a few. You’ll need something for the upper part of your GI system—your stomach.
Medicines for excess stomach acid and heartburn include TUMS, a medication like Zantac, and a medication like Prilosec. TUMS is just calcium carbonate and it quickly neutralizes the burn of heartburn or the rumbling of an acid stomach. If you can’t afford to wait for a few hours, try Zantac, which is a histamine-2 blocker, blocking the production of stomach acid.
If you can afford to wait a few more hours but want all day relief, try Prilosec, which is a proton pump inhibitor. It more thoroughly blocks the production of stomach acid; it just takes a few hours to kick in. The medication or medications you choose for stomach problems and heartburn depend on your personal preference and on how much room you have in your stockpile.
For nausea, the standard treatment is Compazine, given as 10 mg tablets or 25 mg suppositories if the person cannot tolerate oral medications.
There are medications for constipation and diarrhea — problems that can befall anyone in a disaster situation. For constipation, you can choose Miralax, a medication that must be mixed with a glass of water, X-Lax, which contains natural sennosides, or Correctol, which contain biscodyl. Of the three, biscodyl is the strongest, which means it might result in diarrhea if taken to excess. Choose the medication you are most familiar with and stockpile it.
For diarrhea, you can choose Kaopectate, which is for use in adults and very small children. It is a liquid medication that doesn’t need water to use. You can also choose something like Imodium-AD (loperamide), which is a pill form of a medication helpful in treating diarrhea when the disease is not a result of an infection. It can be taken only by adults as 1-2 pills every 6 hours or closer together if the diarrhea is persistent. If space is an issue, select only one of these medications.
What You Need for Treating Your Skin
No medication stockpile would be complete without items for the treatment of wounds, sprains and strains.
There are a number of items to choose from. While no one might become injured, disaster situations put people in positions they can’t predict so make sure your injury kit is well stocked.
Items to stockpile include:
- Antibiotic ointment like bacitracin or Neosporin
- Antiseptic cleansing wipes
- Cloth or paper medical tape 1-2 inch wide
- 4 x 4 gauze; it can be folded over when the injury is small.
- Ace bandages — 3-5 inches wide for the lower and upper extremities
- Sling for the arm in adult and children’s sizes
- Splinter remover to remove foreign bodies
- Ice pack; you can buy chemical ice packs that turn cold on hitting it with a fist
You can get very elaborate with injury supplies, such as buying upper and lower extremity air splints and buying cervical collars for neck injuries but that may be overkill. The above list will cover the vast majority of injuries you’ll get in a disaster situation.
As for skin ointments and creams, there are several medications you need to have on hand for your skin. The first is antiseptic ointment. Use this for cuts and scrapes so they don’t get infected. Conditions may not be optimum for keeping a cut or scrape clean so using the ointment is the next best thing. Most antiseptic ointments contain either neomycin or bacitracin or even both. An ointment called Neosporin is good for all types of open injuries to the skin and contains both medications.
You might add a cream or ointment that contains hydrocortisone. The maximum over the counter strength of hydrocortisone you can get is 1 percent, which is effective for many different rashes. Rashes like poison ivy or other itchy rash can be managed with hydrocortisone cream. Allergic rashes can be treated with hydrocortisone cream as well.
These should be the basic when preparing your medicine supply. But don’t forget about the healing power of nature, and prepare yourself for replacing meds with natural remedies if needed.
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by Radu Scurtu for Survivopedia