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Ah, heartburn/acid reflux. This less-than-talked-about condition is more common than you might think. In fact, at least five million Canadians experience symptoms of acid reflux, like heartburn or regurgitation, at least once a week. 

 

The good news is that acid reflux is manageable, and Cook’s Pharmacy has some recommendations to help you manage your heartburn/acid reflux. Read on for advice that’ll help you live your life a little less burpy than before.

 

Know Your Heartburn Triggers 

One of the main ways you can manage your heartburn/acid reflux is by knowing what sets it off.  

 

Oftentimes, diet is a clear indicator of what your body is sensitive to. Many people notice that their heartburn/acid reflux is worse after eating spicy foods, high-fat meals, onions, caffeine, and generally acidic foods like citrus.  

 

Here’s a list of common foods that cause heartburn:  

 

• Citrus Fruits: Oranges, lemons, grapefruits, limes 

• Tomatoes: Fresh tomatoes, tomato sauce, ketchup 

• Spicy Foods: Chili peppers, hot sauces, curry 

• Fried and Fatty Foods: Fried chicken, French fries, potato chips, fatty cuts of meat 

• Garlic and Onions: Raw garlic, raw onions, onion powder 

• Chocolate: Milk chocolate, dark chocolate, chocolate desserts 

• Caffeinated Beverages: Coffee, energy drinks, certain teas 

• Carbonated Beverages: Soda, sparkling water, beer 

• Mint: Peppermint, spearmint, mint-flavoured products 

• Alcohol: Wine, beer, liquor 

• Processed and Fatty Meats: Sausages, bacon, pepperoni, deli meats 

• Dairy: Full-fat dairy products (cheese, cream, whole milk) 

• Refined Carbs: White bread, pastries, white rice, sugary cereals 

• Acidic Foods: Vinegar, pickles, mustard 

 

If you notice particular foods set off your heartburn/acid reflux, you can avoid them altogether or take preemptive measures such as taking antacids. 

 

Don’t forget to consider your medications! Some common medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs), aspirin, and certain blood pressure medications, can relax the lower esophageal sphincter (LES), which can allow stomach acid to flow back into the esophagus, causing or worsening heartburn.  

 

If this is the case, talk to your pharmacy professional and healthcare provider to find the right solution fitted to you. 

 

Adjust Your Diet and Weight Management Plan 

As mentioned, your diet plays a big role in the impact of heartburn/acid reflux. By adjusting your diet based on your triggers, you can reduce the impact heartburn/acid reflux has on your life. 

 

However, oftentimes, heartburn/acid reflux can be worsened or even triggered by your weight status. 

 

We understand that weight management is not an easy issue to address, as several causes may not be limited to just your personal choices. Stressors, emotional distress, eating disorders, and personal finances can all be elements that impact someone’s current weight struggles.  

 

Having said that, provided that diet and weight are the cause of your heartburn/acid reflux situation, healthy and sustainable weight loss can alleviate your symptoms.  

 

 

While adjusting your diet can certainly help manage heartburn, the benefits go far beyond that. Cutting back on processed, high-fat foods while adding more unprocessed, whole foods (like fresh fruits and vegetables, whole grains, nuts, beans, fish, and eggs) can do wonders for your overall health. It can help you manage a healthy weight, reduce your risk of chronic diseases, and so much more. 

 

And that doesn’t mean you can never have your “fun foods.” Rather, they can be a part of an otherwise balanced and optimized diet. 

 

Here are some examples of healthy food options you can include in your diet to help reduce weight and the presence of heartburn/acid reflux:  

 

• Fruits: Apples, bananas, berries (strawberries, blueberries, raspberries), oranges, pears, mangoes, avocados 

• Vegetables: Leafy greens (spinach, kale, arugula), broccoli, cauliflower, carrots, bell peppers, sweet potatoes, zucchini 

• Whole Grains: Brown rice, quinoa, oats, barley, farro, buckwheat, whole wheat 

• Nuts and Seeds: Almonds, walnuts, chia seeds, flaxseeds, sunflower seeds, pumpkin seeds, hemp seeds 

• Legumes: Lentils, chickpeas, black beans, kidney beans, edamame 

• Lean Proteins: Chicken breast, turkey, grass-fed beef, fish (salmon, trout, sardines), eggs, tofu, tempeh 

• Dairy (or Dairy Alternatives): Greek yogurt, cottage cheese, unsweetened almond milk, soy milk 

• Healthy Fats: Olive oil, coconut oil, nut butters (unsweetened), avocado oil 

• Tubers: Sweet potatoes, yams, beets 

• Herbs and Spices: Garlic, ginger, turmeric, basil, cilantro, rosemary, thyme, cinnamon 

• Beverages: Water, green tea, herbal teas (ginger, chamomile), coconut water 

 

Choose Foods that Help Prevent the Problem 

There are certain foods you can include in your diet that actually help manage the symptoms of heartburn/acid reflux.

 

• High Fibre Foods: Whole grains like oatmeal, couscous, or brown rice. Root vegetables like sweet potatoes, carrots, and beets. And green vegetables like asparagus, broccoli, and green beans.  

• Alkaline Foods: Bananas, melons, nuts, cauliflower, and fennel. 

• Water-Based Foods: Celery, watermelon, lettuce, broth-based soups, cucumber, and herbal tea. 

 

Stop Smoking/Vaping and Avoid Alcohol  

The nicotine in cigarettes and vapes can weaken the lower esophageal sphincter. This muscle is what controls the opening between the esophagus and the stomach; when closed, it keeps the acid from your stomach from coming back up. If this muscle is weakened, it can cause and even worsen heartburn/acid reflux.  

 

There are several health benefits to quitting smoking, including reducing the likelihood of disease and multiple cancers.  

 

It’s also essential to limit your intake of alcohol. Alcohol can be a major aggravator of heartburn/acid reflux, and alcohol, overall, isn’t beneficial for the body as a whole.  

 

If you find you need help managing stress at the end of a long day, you can consider alternative forms of relaxation such as exercise, meditation, journaling, going for a walk with a friend, stretching, or even going on a long walk instead.  

 

If you feel your alcohol consumption is concerning, please see the Government of Canada website for resources. 

 

Adjust Your Bedtime Routine 

Certain bedtime practices can cause or worsen the symptoms of heartburn/acid reflux. You may find that adjusting these small things help alleviate your symptoms.  

 

1. Don’t eat right before bed: Make sure you eat 2-3 hours before you plan to go to bed to avoid worsening the symptoms of heartburn/acid reflux. You should also aim to eat mindfully and slowly and avoid any trigger foods.  

2. Sit up instead of lying flat: sleeping with your head leveled above your feet has been shown to help with heartburn/acid reflux. Try to avoid putting pressure on your stomach – this can actually make heartburn worse. 

 

Talk to Your Pharmacist and Healthcare Provider 

If you find daily changes haven’t helped to ease the symptoms of your heartburn/acid reflux, it may be time to talk to the professionals. A pharmacist can help match you with the right combination of medications to manage the impact of heartburn/acid reflux or can help find alternatives to current medications that are aggravating your condition.  

 

However, you should talk to your primary care provider if any of the following symptoms occur in conjunction with heartburn: 

 

• Blackened stools 

• Recurring chest pain 

• Trouble swallowing 

• Recurring bouts of vomiting  

• Unintended weight loss  

• Notice your symptoms are not improving even with lifestyle changes 

 

Update Your Vitamin Routine 

Few of us get all of the vitamins we need in a day from food and beverages alone. You could benefit from adding a few extra vitamins to your daily routine for both your health and your heartburn/acid reflux. 

 

Make sure you speak to a pharmacist or other medical professional before stopping and starting any new vitamins to make sure you’re only taking what’s required.  

 

Here are some vitamins you can consider adding to your supplement regime that could improve your heartburn/acid reflux symptoms.  

 

• Vitamin D: This may help reduce inflammation and support the immune system, potentially alleviating reflux symptoms. 

• Vitamin B6: Can help improve digestive health and reduce nausea and acid reflux symptoms. 

• Vitamin C: Acts as an antioxidant and may help reduce inflammation in the esophagus, though it's best to choose non-acidic sources like bell peppers and broccoli. 

• Vitamin E: Known for its anti-inflammatory properties, it may help protect the esophagus lining from acid damage. 

• Vitamin A: Supports mucosal health and can aid in healing the esophagus lining, potentially reducing irritation from acid reflux. 

 

 

Consider Home Remedies 

There are several home heartburn/acid reflux remedies that people report to help ease the symptoms and occurrence of heartburn/acid reflux. Make sure to talk to your healthcare provider before making any considerations for your current condition:  

 

• Baking Soda: Just a teaspoon of baking soda dissolved in a class of water can help to neutralize stomach acid and offer some temporary relief. However, it isn’t very tasty – be forewarned.  

• Apple Cider Vinegar: Contrary to what you’d expect, diluting a tablespoon of apple cider vinegar can help balance stomach acids.  

• Ginger: A knob of fresh ginger chewed or drinking ginger tea can help reduce nausea and inflammation in the digestive tract.  

• Aloe Vera: Drinking aloe vera juice (make sure it’s actually OK to consume – not all aloe vera juice is for drinking) can help south the esophagus and reduce acid irritation.  

• Chewing Gum: Sugar-free gum increases the production of saliva, which can help neutralize acid and wash it away from the esophagus.  

• Slippery Elm: Slippery Elm is an herbal remedy that can help soothe the esophagus and digestive tract. 

 

Choose Cook’s Pharmacy 

At Cook’s Pharmacy, we remember your face and your name, and we relate to your health experience in a way that ensures you’re receiving the best care. As an independent pharmacy, we take pride in serving our community and ensuring they’re able to be their happiest, healthiest selves. 
 
If you’re struggling with heartburn/acid reflux, come on down and book an appointment. We might just be able to help you find the heartburn/acid reflux remedy that’s right for you. 

 

 

 

Once the weather turns cool, feelings of autumn bliss fill the air. However, that same air can cause serious issues for those with dry skin or eczema.  

  

So, what do you do when you’re feeling flaky, itchy, and irritated? 

  

You call Cook’s Pharmacy, that’s what! Our specialists can help you find the best solution to combat your skin issues. 

  

There are many causes for dry, flaky skin:  

  

• Heat sources 

• Environmental factors 

• Excessive bathing or scrubbing 

• Harsh soaps and detergents 

• Other skin conditions 

• Medical treatments 

• Aging 

 

As for eczema, several things can irritate the condition. There are different types of eczema, each with its own triggers that can impact your skin's barrier function. More on that later. 
 
It’s also possible to experience more than one type of eczema at the same time, meaning it’s important to receive a proper diagnosis before starting treatment.  
 
Luckily, Cook’s Pharmacy is here to help. In this post, we’ll go through the several causes of dry skin and eczema this fall and winter season. 

 

Breaking Down the Causes of Dry, Flaking Skin 

In a lot of cases, the causes of dry, flaking skin are environmental or seasonal issues that are temporary and can be treated with relative ease. However, understanding the root cause will make it easier to find the dry skin treatment that works best for you. 

  

Some symptoms of dry skin can include:  

• Skin tightness 

• Skin that looks and feels rough 

• Skin that is either slightly flaking or flaking significantly 

• Scaling or peeling of the skin 

• Cracking skin that is painful 

• Ashiness 

 

The fundamental, underlying cause of dry skin is that the skin is losing water quicker than it’s being replenished. This imbalance can be worsened by everyday habits such as the use of soaps or harsh cleaning products that strip away oils from the skin. Living in cold or dry climates also contributes to this moisture loss. 

 

Here are some other potential causes of dry, flaking skin:   

• Your moisturizer contains ingredients that may not suit your skin type, such as isopropyl alcohol, benzyl alcohol, or sulfates. 

• Over-washing your skin or using excessively hot water can cause dryness. 

• You may not be moisturizing frequently enough throughout the day. 

• The type of moisturizer you’re using may not be appropriate for your skin – try a thicker one at night and a lighter one during the day. 

• The moisturizer you’re using could be expired. 

• Your dry skin might be a sign of an underlying condition that requires treatment or management. 

 

If your skin becomes excessively dry and/or painful, then it is best to contact your healthcare provider. They can offer treatment or refer you to a dermatologist to determine the best course of action.  

 

Some treatment options include:  

• Using gentler soaps without fragrance 

• Moisturizing several times a day, especially after bathing 

• Using thicker moisturizers at night, and a lighter one in the morning 

• Ensuring you’re not using expired products including moisturizers, facial products, makeup, etc. 

• Using sunscreen and avoiding prolonged sun exposure 

• Avoiding contact with harsh cleaning products  

• Drinking lots of water 

• Taking warm baths and showers (NOT hot) 

• Using a humidifier  

Remember, it’s best to talk to a healthcare provider before applying products to the affected areas to avoid further irritation. 
 
You should reach out to a healthcare provider if your symptoms resemble any of the following:  
 

• Consistently itchy skin that negatively impacts your life 

• Appears infected (red, hot, weeping, or swollen) 

• Painful to the touch 

• Develops into a rash 

 

Breaking Down the Causes of Eczema  

Eczema is a skin condition characterized by dry and itchy patches of skin, often flaking. Symptoms of eczema often flare up, due to contact with allergens or irritants, as well as factors like stress and anxiety. 

  

Eczema can cause skin to become dry, itchy, or bumpy. It weakens the skin’s barrier function, which helps retain moisture and protect the body from the elements. In severe cases, eczema can even become infected.  

  

While there is no cure for eczema, there are many effective treatments. With proper management, those with eczema can live fulfilling lives and manage their symptoms. 

 

 

Eczema is a form of dermatitis – a group of skin conditions that cause inflammation. There are several forms of dermatitis, such as:  

 

• Atopic dermatitis 

• Contact dermatitis 

• Dyshidrotic eczema 

• Neurodermatitis 

• Nummular eczema 

• Seborrheic dermatitis 

While the exact cause of eczema isn't known, there are many reported triggers for the condition, such as: 
 

• The body's immune response to an allergen or irritant 

• Issues with the skin's barrier that release moisture and let germs/bacteria in 

• A family history of eczema, other allergies, and even asthma 

• Overactive immune system 

• Stress and anxiety 

• Environmental factors such as dry/hot climate 

 

A common concern for people with eczema is that the condition is contagious. However, eczema is not contagious at all. Still, it’s better to limit touching the skin to avoid potential infection, especially if the skin is broken.  
 

There are several treatment options for eczema, and often, treatments will be compounded to address the issue. Everyone is different, and depending on your case, some treatment options may work better than others.  
 
Having a healthcare provider along for the journey can help you find the right treatment options for you.

 

Here are some of the common treatments for those struggling with eczema:  

  

Topical Treatments 

• Topical Corticosteroids: Commonly prescribed to reduce inflammation and itching (e.g., hydrocortisone, betamethasone). 

• Topical Calcineurin Inhibitors: Non-steroidal creams that help reduce inflammation and immune responses (e.g., tacrolimus, pimecrolimus). 

• Topical PDE4 Inhibitors: Non-steroidal anti-inflammatory creams for mild to moderate eczema (e.g., crisaborole). 

 

Systemic Treatments 

• Oral Corticosteroids: For severe cases, short-term use of oral corticosteroids may be prescribed (e.g., prednisone). 

• Biologic Drugs: Injectable medications that target specific immune responses, such as dupilumab (Dupixent). 

 

Phototherapy 

• UV Light Therapy: Exposure to controlled doses of ultraviolet light can reduce symptoms in moderate to severe cases. 

 

Moisturizers 

• Emollients: Creams, ointments, or lotions to hydrate the skin and maintain the skin barrier (e.g., CeraVe, Eucerin). 

• Occlusive Moisturizers: Thick creams or ointments that lock moisture in the skin (e.g., petroleum jelly). 

 

Lifestyle Modifications

• Avoiding Triggers: Identifying and avoiding irritants like certain soaps, fragrances, or allergens. 

• Wet Wrap Therapy: Applying wet bandages over moisturizers or medicated creams to enhance absorption and reduce itching. 

 

Antihistamines 

• Oral Antihistamines: Can help control itching, especially at night (e.g., cetirizine, diphenhydramine). 

 

Other Medications 

• Antibiotics: If eczema becomes infected, oral or topical antibiotics may be prescribed. 

• Immunosuppressants: Medications that suppress the immune system, used for severe cases (e.g., methotrexate, cyclosporine). 

 

Things to Avoid When You Struggle with Dry Skin or Eczema 

There are many treatments for dry skin and eczema, but there are also common things you should try to avoid. Sometimes, the pursuit of relief can leave us searching for a quick fix. However, properly treating any condition requires time and patience to find something that works. 

  

Here are some things you should try to avoid when dealing with dry skin or eczema. 

  

Scrubbing and Over-Exfoliating 

  

It can be very tempting to scrub or exfoliate flaky skin away.  While exfoliating can be a great way to remove dead skin cells, excessive scrubbing and over-exfoliating can actually make dry skin worse. It can also make your skin irritated and raw, worsening the condition. 

  

In the case of eczema, it’s generally not recommended that you exfoliate dry patches. Exfoliating the dry patches can aggravate the area. In the case of using chemical exfoliators – this could potentially cause a flare-up.  

  

If you struggle with eczema, you’re likely sensitive to certain products and need to use gentler ones that are approved by a healthcare provider or dermatologist.  

  

Stopping and Starting Treatments 

  

When it comes to skincare, consistency is key. It’s recommended that you try treatments for at least 4-6 weeks.  If you don’t notice any improvement, then it’s time to check in with your healthcare team. 

  

For eczema, it can take several weeks depending on the severity of the flare-up before significant improvements can be seen. What’s important is that you continue to use the products or medications as prescribed. 

  

One of the worst things you can do is to stop and start treatments. This not only prevents the products or medications from working effectively but changing treatments frequently can cause further irritation and worsen the problem. 

  

Patch Testing Treatments 

  

Before you start any dry skin treatments (especially over-the-counter ones) you should always do a patch test before using consistently. The last thing you want as someone with skin troubles is potentially causing further irritation.  

  

How to Perform a Patch Test 

1. Choose a Spot: Apply the product to a small area of skin where it won’t be easily washed or rubbed off, like the inside of your arm or the bend of your elbow. 

2. Apply the Product: Use a quarter-sized amount and apply it as thickly as you would normally use it. 

3. Wait: Leave the product on for as long as you would during regular use. If it’s a wash-off product like a cleanser, keep it on for 5 minutes or as directed. 

4. Repeat: Do this twice a day for 7-10 days. Reactions might not happen immediately, so it’s important to continue for the full duration. 

5. Check for Reactions: If your skin reacts, wash off the product immediately and stop using it. You can use a cool compress or petroleum jelly to soothe the skin if needed. 

  

Also, make sure you read the instructions on the packaging carefully and apply them according to said instructions. 

 

Cook’s Pharmacy Can Help 

       

The specialists at Cook’s Pharmacy can help you find the treatment plan that works best for you. You don’t have to struggle with dry skin or eczema alone – our team is equipped to provide insight and treatments to help manage your symptoms.  

 

Cook’s Pharmacy is proudly independent and treats all of our patients as unique cases, tailoring our services to meet your needs.  

 

Book an appointment today, and get ahead of your dry, flaky skin and eczema this season.  

 

 

 

STOP! Are you prepared for the fall season? We don’t just mean having your coats and boots ready for cold weather – we’re talking about the sniffle season! The fever festivities! The cough-and-wheeze pre-winter blues! 

 

Cook’s Pharmacy has compiled everything you need to know about the flu, COVID-19, and RSV vaccinations ahead of the chilly 2024 season. No need for formal introductions, let’s just dive right in: 

 

The Flu Vaccine 

Health Canada’s National Advisory Committee on Immunization (NACI) recommends that everyone in Canada who is six months of age and older get a flu vaccine. Protect yourself and your loved ones this flu season by keeping up with your vaccinations. 

 

It’s ideal to get your flu shot by Halloween (October 31, 2024) to help ensure you're protected throughout the fall and winter. 

 

It’s perfectly safe to get the vaccine even if you’re pregnant to help protect your baby in their first six months of life before they’re able to get their own flu vaccine. 

 

This year, both trivalent and quadrivalent vaccines are available. A trivalent vaccine protects against three strains of the flu, while a quadrivalent vaccine protects against four. 

 

Lucky for you, Cook’s Pharmacy has your back. Call us or book an appointment online today. 

 

The COVID-19 Vaccine 

As with the flu shot, Health Canada’s NACI recommends that everyone six months of age and older stay up-to-date with their COVID-19 vaccinations. This fall’s doses have been updated to include the most recent COVID-19 strain. 

 

The COVID-19 vaccine can both restore and enhance your protection against the current variants of the virus causing most infections and possible hospitalizations.  

 

This is beneficial not only for you, but the people around you as well. Health Canada adds that vaccination reduces your chances of suffering the effects of “Long COVID”, which can develop during or following infection and last for a long period of time. 

 

You can get your COVID-19 vaccine at the same time as your flu shot or at any other time. Remember, COVID-19 and influenza are two different viruses, so getting one vaccine won't protect you from the other. 

 

Q: I’ve just had COVID-19 in the last few months… when should I update the dose of the vaccine? 

 

A: It’s safe to receive a COVID-19 vaccine after you’ve had COVID-19. Evidence indicates that waiting a period of time after infection with COVID-19 before getting the vaccine can help improve your immune response. 

 

The RSV Vaccination - Infants and Babies 

NACI recommends that all infants entering or born during their first RSV season receive an RSV vaccine. Infants who have an ongoing increased risk (immunocompromised) may also be eligible for vaccination during their second RSV season.  

 

NACI also recommends RSV immunization for adults:  

 

• 75 years of age and older, particularly those at increased risk of severe RSV disease.  

• 60 years of age and older who live in nursing homes or other chronic care facilities.  

• Adults aged 60 to 74 may also consider RSV vaccination after consulting with their healthcare provider.  

 

Pregnant individuals may also consider getting the vaccine to protect their babies.  

 

It's important to consult with your healthcare provider to discuss the best options for you and your family. 

 

How to Prevent Illness During the Fall Season 

To be clear, the best way to reduce your risk of illness is to receive seasonal vaccines each year. However, there are additional preventive actions that can help you prevent illness. 

 

These can be simple things like avoiding people who are actively sick, covering your mouth when you cough, and regularly washing your hands, which helps stop the spread of germs.  

 

This can also include things you may have not considered before - such as taking steps to have cleaner air in your home as well as additional hygiene practices. 

 

Step 1 - Get Vaccinated 

 

Seasonal flu vaccines and keeping up to date with your COVID-19 shots is the most common and effective way to avoid getting sick. There are several options to receive said vaccines, including booking an appointment with your trusted and local pharmacy. 

 

 

 

These extra tips can further guide you on how to protect yourself and your loved ones from illness. 

 

Step 2 - Avoid Close Contact with Others 

 

One of the best ways to avoid getting sick is to keep your distance from those who already are. This may not be easy if someone in your household is sick but having them stay in a designated room or wear a mask can help prevent illness. 

 

If you’re the one who is sick, keep your distance from others to help reduce the spread of said illness. By putting physical distance between you and other people, you can help lower the risk of spreading disease.  

 

Step 3 - Stay at Home When You’re Sick 

 

We understand that work and school are important, but so is your health. If you can, stay home from work, school, and personal errands when you're not feeling well.   

  

Realistically, you should only return to normal activities provided you're not running a fever, and your symptoms have subsided for more than a day. 

 

Provided that these two things are true, you should be safe to resume work, school and errands. However, you can still take additional steps to be safe, such as wearing a mask and/or gloves. See the following link for more information on avoiding spreading respiratory illnesses while you’re sick. 

 

Step 4 - Cover Your Mouth and Nose 

 

When you are experiencing early symptoms, such as coughing or sneezing, it’s vital to keep your mouth and nose covered. It can help prevent you from making others around you sick. 

 

Flu-like viruses are believed to be spread primarily through droplets spread via coughs, sneezing, or even speaking. The best way to prevent this is to wear a mask over your mouth and nose and wash your hands regularly. 

 

When an infected person wears a mask properly, they can reduce the spread of illness to others. Masks can also protect the person wearing it from breathing in infectious particles from other sick individuals around them.  

 

Step 5 - Keep Your Hands Clean 

 

Washing your hands often can help protect you from germs and spreading germs. If you don’t have access to soap and water (the quintessential hand-washing combo) you can use an alcohol-based hand sanitizer. However, washing your hands thoroughly is ideal overall.  

 

This not only prevents you from spreading germs, but it’s also a good practice in general. 

 

 

Step 6 - Don’t Touch Your Eyes, Nose, or Mouth 

 

Germs often spread when someone touches something contaminated with germs and then transfers them by touching their eyes, nose, and mouth. 

 

A study published previously on hand hygiene and the global spread of disease via air travel revealed that if travelers washed their hands at the airport, pandemic transmission could be reduced by up to 69 percent. The same research group previously estimated that only about 20 percent of people at airports have clean hands. 

 

Avoiding touching your eyes, nose, and mouth and keeping your hands clean is essential to avoiding the spread of most diseases, including the flu and COVID-19. 

 

Step 7 - Improve Air Quality 

You can improve the air quality of your home by allowing fresh outside air in, by opening your windows and/or doors. Or you can purify indoor air with an air purifier. Cleaner air = reduced risk of exposure to viruses. This is also a good for your overall mental well-being, as fresh air has been proven to improve mood.  

 

Step 8 - Practice Good Hygiene and Healthy Habits 

 

There are a lot of good habits you can practice to help reduce your likelihood of illnesses: cleaning commonly touched surfaces like countertops, doorknobs, and hand railings regularly can help prevent the spread of certain illnesses. 

 

However, it’s also beneficial to maintain your overall health by getting lots of sleep, exercising, managing your stress levels, drinking plenty of hydrating fluids (water is supreme), and eating plenty of healthy, tasty, nutritious food.  

 

Trust Cook’s Pharmacy When It Comes to Your Health 

You can count on Cook’s Pharmacy, where we know your name and care about your well-being. When you come to Cook’s Pharmacy, you can trust we know your health history and will always go above and beyond to ensure you’re cared for. 

 

Unlike other pharmacies, Cook Pharmacy is not a chain – we’re your friendly neighbourhood pharmaceutical provider! And we offer the best care above anything else. Our mission isn’t just to offer services, but also to provide education to empower you to live a healthier life.  

 

Book an appointment with Cook’s Pharmacy today.

 

 

 

 

There are few topics more personal than talking to someone about their health, especially when it comes to medication. And just like that unique conversation, medications should be tailored to each patient - that’s why we compound prescription medication in necessary cases. 

 

Compounding medications is a process of creating customized prescriptions tailored to the specific needs of each patient. This practice is performed by pharmacists or registered pharmacy technicians. 

 

Compounded prescriptions meet the patients unique need by:  

• Delivering specific strength not commercially available 

• Offering various routes of administration such as liquid, dissolvable/chewable tablets, suppositories 

• Adding flavours to improve adherence 

 

However, approaching a patient to make these suggestions can seem daunting, as addressing someone’s unique health position is a very personal conversation; even if it’s a necessary one. Fortunately, the professionals at Cook’s Pharmacy are here to help. 

 

In this blog, we’ll explain to you how to talk to your patients about compounding prescription medication, the benefits of said medication, and how to maintain patient wellbeing during these conversations. 

 

As a medical or pharmacy professional, it’s essential for you to always speak with your patients about their medication options - especially when it comes to compounding. This process is designed to be very customizable because these prescriptions are tailored to meet the unique needs of each patient. 

 

When it comes to considering compounded medication for your patient, it's essential that you reassure them that they're receiving the best possible care. 
 

Here’s what you need to know about communicating to your patient about compounded medication.  

 

Understanding Compounded Medication 

Research on the benefits and risks of compounding prescription medication can raise a lot of questions; as a professional, you should be prepared to answer a list of questions and concerns ahead of time.  

 

Regardless of the situation, whether it’s imperative or simply a recommendation, you must ensure patient safety is at the forefront. 

 

Here’s a list of examples, including their purpose/applications.  

 

1. Pediatric Medications: Creating flavoured liquid formulations from pills or capsules for children who find commercially available formulation not palatable. 

2. Hormone Replacement Therapy (HRT): Customizing hormones like estrogen or testosterone to match a patient’s specific hormonal needs. 

3. Pain Management Creams: Combining multiple pain-relieving ingredients into a single topical cream or gel for localized treatment. 

4. Allergy-Free Medications: Formulating drugs without common allergens like dyes, gluten, or preservatives for sensitive patients. 

5. Medication for Dysphagia Patients: Converting oral tablets into liquid suspensions or dissolvable forms for those with swallowing difficulties. 

6. Dermatological Preparations: Creating custom creams or ointments for specific skin conditions. 

A healthcare provider may prescribe a compounded medication when a specific combination of drugs is not available commercially. For further example, a compounded topical cream for treatment-resistant neuropathic pain might include a mixture of: 

 

• Amitriptyline: A tricyclic antidepressant often used in lower doses to manage chronic pain, including neuropathic pain. 

• Baclofen: A muscle relaxant that helps reduce muscle spasms and stiffness associated with nerve pain. 

• Bupivacaine: A local anesthetic that provides long-lasting pain relief by blocking nerve signals. 

• Clonidine: An alpha-agonist that can help reduce pain by lowering nerve signal transmission and blood pressure. 

• Gabapentin: An anticonvulsant that is commonly used to treat nerve pain by stabilizing electrical activity in the brain. 

• Ketamine: An NMDA receptor antagonist that can help manage severe pain by blocking pain receptors in the brain and spinal cord. 

 

A combination of these medications in a compounded topical cream can provide targeted relief for treatment-resistant neuropathic pain, addressing different aspects of the pain pathway. 

 

However, there are some additional considerations when it comes to approaching your patient with compounding medication:  

 

 

Querying About Allergies and Potential Sensitivities 

 

It’s imperative to avoid including any substances that could trigger your patient based on allergy or possible adverse effect.  

 

Conduct Thorough Research into Current Medications, Including Over-The-Counter-Drugs, Supplements, and Herbal Medicines 

 

Pharmacists are medication interaction experts. Providing the pharmacist with medication history (including supplements and over the counter medications) can help them further refine the compound recipe to avoid any unwanted interactions. 

 

What to Recommend to Your Patient When Considering Compounding Prescriptions 

 

A crucial part of patient success is having open dialogue for your patient in terms of what is required to develop a care plan. Having clear and concise expectations can help not only determine the best care for your patient, but it can also ease the patient’s mind by clarifying what is required of them. Here are some examples of questions/requirements you can present your patient with:  

 

• Is the prescribed medication strength not commercially available? 

• Could difficulty or aversion to swallowing be alleviated by compounding the medication into dissolvable/chewable tablets, liquid/suspension, or suppositories? 

• Can allergies or intolerances to commercially available products, such as those containing allergens, lactose, gluten, bovine, fish, or pork derivatives, be mitigated with compounded medication? 

• How can patient care be maintained during medication backorders or shortages? 

• Has the cost of compounded medications been discussed, considering they are often more expensive than comparable commercial products due to material costs, professional mixing fees, and overhead? 

• What is the coverage for compounded medications under the patient’s private plan? Will it require prior authorization, partial coverage, upfront payment with manual claim submission, or is it not covered at all? 

 

Make Sure to Ask Questions

 

As the professional, the more questions you ask - the better you get to know your patient’s unique circumstance. This helps you and your patient to make informed decisions about the care plan and ensure that you provide the best possible treatment.  

 

Emphasize the Importance of Following Instructions 

 

You need to emphasize that your patient needs to follow their care plan carefully, including instructions and dosages for use. Make sure your patient knows that if your patient has concerns or questions, that they can come to you freely and without concern.  

 

Be Open to Hearing Feedback 

 

As a professional, you can dispel and ease the anxieties and concerns of your patient with your knowledge and experience.  

 

This ensures a healthy and communicative relationship between you and your patient. This also helps your patient take a more active role in their care plan, including being involved in any medication adjustments that may be required as they continue in your care. Empowering your patient ensures they take their health seriously.  

 

For more information, contact Cook’s Pharmacy today. Cook’s Pharmacy is a compounding pharmacy capable of providing personalized medicine for patients.  

 

At Cook’s Pharmacy, we focus on patient-centric care. The health and safety of our patients is what comes first, so we hope that you found this guide helpful. For more information about us and what we do, see our website for more details.

 

 

 

Ah, back to school. Fresh off the heels of summer break, it's both exciting and nerve-racking. Kids are going back to elementary school, and they are moving up to high school, college, and university—but one thing can make this a very trying time, and it's a lack of sleep.   

  

The call of summertime fun means there's rarely a set bedtime, but this can pose an issue if your kiddos and young adults aren't getting enough sleep. Sleep is imperative to maximize ideal health, so the professionals at Cook's Pharmacy have tips and tricks to get your sleep schedule on track. 

 

Why Is Sleep So Important? 

Sleep doesn't just provide the body with energy; it does much more than you might think. Sleep serves several beneficial functions that improve your overall physical and mental health. 

 

Understanding some of the ways sleep benefits your functionality might shine a bit of light on why you (and your kids) need to make sure your sleep schedule is on point:   

 

Improved Cognitive Function: Sleep is absolutely essential for maintaining cognitive processes such as memory, problem-solving, and overall decision-making. It makes it easier for you to learn (vital for young students) and helps you maintain optimal brain function. 

 

Improved Mood Regulation: A good night's sleep can improve your overall mood and emotional stability. Being well-rested has been proven to reduce irritability, anxiety, and stress and promote better emotional resilience.   

 

Improved Immune Function: Good sleep is essential for maintaining a healthy immune system. During sleep, your body makes cytokines (tiny proteins essential for regulating the growth and function of immune system cells and blood cells) that can combat infections and inflammation. A lack of sleep can also make you less susceptible to illness.  

 

Improved Physical Health: Sleep plays a major role in several of your body’s physiological processes, including imperative functions like muscle repair, tissue growth, and hormone regulation. It contributes to your overall physical health and can help support the healthy growth and development of young ones.  

 

Improved Cardiovascular Health: Good sleep has been associated with a lower risk of cardiovascular diseases, such as heart disease and stroke. It helps maintain the body’s blood pressure and reduces inflammation, both of which are essential for heart health.  

 

Improved Weight Management: Sleep directly influences certain hormones that regulate hunger (known as ghrelin) and fullness (known as lectin). Lack of sleep is linked to an imbalance in these hormones, which can increase appetite, which subsequently can result in weight gain. 

 

Enhanced Mental Health: Quality sleep is crucial for mental health and well-being. It can help prevent or alleviate symptoms of depression and anxiety disorders; deprivation of sleep has been shown to exacerbate mental illness. However, it's important to note that if you are struggling with your mental well-being, you should also consult a professional on top of practicing healthy habits. 

 

How to Improve Your Sleep for Back-to-School 

There are going to be factors that may interfere with your sleep that you can't entirely control. Having very young children, working late shifts, or suffering from insomnia or other sleep-related disorders. However, there are still things you can do to try and encourage better sleep: 

 

 

Establish and Stick to a Back-to-School Sleep Schedule 

 

If you’re well-known for not going to bed at the same time, let alone a good time, then you need to establish a back-to-school sleep schedule and begin consistently going to bed at the same time.  

 

You need to set aside at least eight hours of sleep, as the recommended healthy daily amount of sleep for the average adult is about seven hours. Most people don't need more than eight hours to be well rested, but of course, there can be instances where this varies. 

 

When it comes to younger individuals, the average amount of sleep required is as follows:  

• Toddlers (1–2 years old): Need 11–14 hours of sleep, including naps. 

• Preschoolers (3–5 years old): Need 10–13 hours of sleep, including naps. 

• School-age children (6–13 years old): Need 9–12 hours of sleep. 

Try to go to bed at the same time every evening and wake up at the same time every day. If you struggle with this, give yourself a 30-minute window for wiggle room in case you can’t get up. Being consistent is going to reinforce your body’s internal sleep schedule. 

 

If you aren't able to fall asleep within 20-30 minutes of your head hitting the pillow, find something relaxing you can do to help ease you into sleep. Try reading a chapter of a book or listening to soothing music (or the more popular ASMR) until you're able to get to sleep. Regardless, maintain that pre-determined sleep schedule and wake-up time.    

 

Whatever you do, don’t turn on the TV or begin scrolling on your phone! 

 

Consider Your Diet and Nutrition 

 

Never allow yourself to go to bed hungry or too full – the discomfort could end up keeping you awake or causing you stomach issues. Nicotine, caffeine, and alcohol need to be approached with serious caution as well.  

 

Not only are these things not good for your health, but their stimulating effects of nicotine and caffeine can take hours to wear off and can disrupt your sleep. And while alcohol could make you feel tired at first, it also disrupts your sleep schedule later in the night. 

 

Creating a Relaxing and Calming Environment to Sleep In 

 

Keep your sleeping space tidy, cool, dim, and quiet. Have objects that bring you comfort and consider investing in a humidifier or an essential oil diffuser. These can also add an extra layer of comfort.  

  

Exposure to light in the evening can make it more difficult to fall asleep, so even if you fancy yourself the type to need a movie or show to sleep, it could be a good idea to cut off screens once it's time to lay your head down.   

  

You can use darkening curtains to keep outside lights out of your room, such as passing cars or streetlights, earplugs, or a fan or other device that emits white noise to help ease you back into a more restful sleep.  

  

You can also participate in calming activities before you go to bed – a nice bath, a relaxing healthy skincare routine, or meditation – all of which could help your sleep schedule. 

 

Keep Daytime Naps to a Minimum (DEPENDING) 

 

Now, for elementary school kids and younger, there’s little reason to be concerned about a nap as long as said naps are on a proper schedule. Kids are growing and need the extra sleep to help promote their physical well-being. 

 

However, if you’re a high schooler or college-age adult, limiting daytime naps to no more than an hour a day could be beneficial. It's also important not to nap too late in the day; it could throw off your sleep schedule to the point where you can't get to bed. 

 

HOWEVER! If you work nights/have long shifts (we see you, healthcare workers!), you may need to take a nap late in the day before work to help catch up on your sleep debt. Do not deprive yourself of sleep just to stick to a schedule – you need to make sure you’re getting your 7-8 hours a day, if you can. If you can’t, feel free to take a nap the following day when you can.  

 

Include Physical Activity in Your Daily, Healthy Routine 

 

Regular physical activity can promote better sleep by expending extra energy, allowing you to feel more tired. However, exercising too close to bedtime can increase your adrenaline and make it more difficult to sleep, so try to incorporate activity well before bedtime.  

 

 

Quick Fire Back-to-School Sleep Schedule Tips 

1. Schedule Studying and Homework Hours: Listen, we understand that tests, projects, and homework are important – but if you've learned anything, sleep deprivation does nothing to improve your academic performance. Believe it or not, it might be better to go to bed having not finished studying than it is to force yourself to stay up until the wee hours of the morning. By that point, you may not be retaining the information. Instead, you should carefully schedule your studying and homework hours to ensure you have enough time to finish what you need to finish BEFORE you have to go to bed.    

 

2. Manage Your Back-to-School Stress: Many educational institutions have resources to help you adjust to your new normal when returning to or starting school. Take advantage of these resources if you find yourself stressed and struggling to manage your school responsibilities.  

 

3. Maintain Your Energy Throughout the School Day: While getting to sleep is important, so is avoiding a mid-day crash in the middle of the day. If you don’t maintain your energy throughout the day, you could be tempted to indulge in caffeine and additional naps to compensate for your lack of daily energy. To do this, you should maintain a good sleep schedule (that’s what the article is about), eat 3 healthy square meals a day, along with snacks, maintain a good healthy routine, and take regular breaks when you can. Part of keeping your sleep schedule on track is to not burn out before it’s time to lay your head down to sleep. 

 

4. Seek Medical Intervention: As we mentioned, there can be medical reasons and conditions that disrupt your sleep. If you're suffering chronically from being unable to sleep, seek out medical intervention. You may require a sleep aid such as over-the-counter or prescription medication to induce sleep. However, you should never take these medicines without consulting a doctor.    

 

Choose Cook’s Pharmacy 

With Cook’s Pharmacy, you can trust we have your best interest at heart. Getting to know you and your health history is an essential part of us offering you specialized care.  

 

Cook’s Pharmacy isn’t chain – we’re your neighbourhood pharmaceutical provider who keep your care at the top of mind. If you’re struggling with sleeping and maintaining your energy levels, we may be able to help.  

 

We want you to live a long and healthy life and hope to give you a bit of education along the way!