Energy drinks: Getting a buzz may be more than you bargained for

Why do people drink energy drinks? People often drink them to stay awake and to focus on a task. In addition, these drinks have been marketed to teens and young adults with edgy labels and claims of increased athletic performance and concentration.

But what is really in that can? Sugar and caffeine—and lots of them! Did you know that there are more grams of sugar in a SOBE Adrenaline Rush® energy drink than in a Krispy Kreme® donut? In fact, SOBE has more than twice the amount of sugar.

An energy drink once in a while might not be so bad, but they can cause some side-effects, including difficulty sleeping, upset stomach, headaches, dizziness, diarrhea and anxiety. In some cases, they can even land you in your local emergency department with a fast and irregular heartbeat or chest pain.

So, who needs to be careful not to drink too much caffeine? People who:

  • Have heart problems
  • Are prone to seizures
  • Have anxiety or bipolar disorder
  • Take medications for attention deficit/hyperactivity disorder

Athletes beware!

When you are exercising, your body loses fluid from sweating. Caffeine is a diuretic, which means you may lose even more fluid from peeing, which can lead to dehydration. Caffeine can also increase your heart rate, which is often already elevated when you are playing a sport. In some cases, this could send you to the emergency department.

Alcohol and energy drinks: A risky combination

If you combine energy drinks with alcohol you may feel like you are okay to drive a car, but the caffeine will not actually make you less drunk. In fact, mixing the two may make your driving and other activities worse than alcohol alone.

What can you do to stay safe and healthy?

  • Read the labels to find out how much caffeine and sugar are in your energy drinks.
  • Drink water when you are thirsty, especially when playing sports.
  • Never mix energy drinks with alcohol.
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Fall safety plan: Preventing carbon monoxide poisoning

If you are like me, it is a source of pride to wait as long as possible to turn on your furnace. This year, though, I did not wait very long because I wanted to be sure our house was warm enough for our infant son.

Melissa's old furnace
Melissa’s old, scary furnace (now replaced)

Because we turned it on so early, we did not get our heating system checked before we used it, so today I am going to call our heating service technician to come and do a fall tune up and safety check. Having our furnace checked will ensure that it runs as efficiently as possible, saving us money. More importantly, it will make sure that our furnace runs safely.

A furnace that isn’t running right can be deadly. Carbon monoxide is made when you burn fuels like oil, natural gas and wood. You cannot see or smell carbon monoxide and if you breathe it in you can get very sick, and even die. In addition to having the furnace checked every year at the beginning of the heating season, it is also important to have carbon monoxide alarms installed.

We have a carbon monoxide alarm on every level of our home, but most homes don’t. The Consumer Product Safety Commission recommends that you have at least one in the hallway of every sleeping area. They don’t cost much: Most carbon monoxide alarms are between $20 and $50.

Make sure you have the right kind of carbon monoxide alarms and that they are working and placed in the right areas of our home.

Your carbon monoxide alarms should be battery-powered or electric with a battery backup, in case of a power outage. Make sure the alarm is UL approved (UL #2034).

Place a carbon monoxide alarm in the hallway of every sleeping area. It should be plugged in or high on the wall, not covered by furniture or drapes. Check the manufacturer’s recommendations for more detailed information.

Do not place a carbon monoxide alarm in the kitchen. Also keep your alarm away from heating vents and fuel-burning appliances.

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Take a Child Outside Week – Stay away from poisonous plants

Discovering the outside world is one of my twin toddlers’ favorite activities. Our daily walk around the block can take five times longer than I think it should because they want to stop and look and touch pretty much everything in their path.

Milkweed photo by Brandon Keim. Licensed under Creative Commons 2.0.

Milkweed in fall. Photo by Brandon Keim, licensed under Creative Commons 2.0.

September 24-30 is Take A Child Outside Week, a program designed to help children discover the natural world. Check out the national campaign website for a wonderful list of outside activities for all ages, from making nature bracelets to a nature scavenger hunt.

Remember that some plants can be harmful if you touch them, eat them or burn them. Sometimes, the whole plant is harmful, but other times just part of the plant is harmful. Some potentially harmful plants you may find while walking outside in New England this fall are poison ivy, poison sumac and common milkweed. If you eat or touch a harmful plan you may:

  • Get a rash
  • Feel sick to your stomach
  • Feel dizzy
  • Feel like your heart is beating too quickly or too slowly
  • Have trouble breathing

If you think someone has eaten, touched or burned a plant that might be harmful and they are having any of the above symptoms, call the poison center at 1-800-222-1222 or chat now. Learn more about first aid for poisonous plants.

Prevent plant poisonings by closely watching your children and teaching them to ask before touching or eating plants, berries or mushrooms.

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Medication take-back event Saturday, September 29

The U.S. Drug Enforcement Agency is partnering with local law enforcement and municipalities throughout the country to hold a prescription drug take-back day from 10 a.m. to 2 p.m. this Saturday, September 29.

You can use this free service to get rid of your old, expired or other unwanted medications. Safely getting rid of medications you don’t need anymore helps keep children and pets from getting poisoned. It also helps keep the medications from getting into the water supply and from being abused to get high.

Medication take-back events are one of the best ways to get rid of your old medications. Check out the DEA’s take-back page to find a location near you!

Visit our medication disposal page for more information on getting rid of old medications.

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Arsenic in Rice

Many news outlets are talking about arsenic levels found in rice and rice products because of an article in the latest issue of Consumer Reports. Consumer Reports is recommending that the government set a limit on how much arsenic can be in food.

The federal limit for inorganic arsenic in water is 10 parts per billion, but there is no limit for food products. New Jersey has a limit of 5 parts per billion for water, which is the most conservative in the country, but also what’s recommended by the U.S. Environmental Protection Agency. Consumer Reports tested a variety of rice and rice products for the amount of inorganic arsenic per serving and found many that were higher than New Jersey’s standards, but not the federal limit.

Should you be concerned?

Arsenic is a metal that occurs naturally in the earth and is found in small amounts in some food and water. Unless you are eating a lot of foods that are high in arsenic, you should not be concerned. A good way to limit your amount of arsenic is to eat wide variety of fruits, vegetables and grains.

In Northern New England, a larger concern is arsenic in well water. If you have a well, get it tested for arsenic.  

To learn more, visit our arsenic page.

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More Vermont mosquito spraying tonight

The Vermont Department of Health will complete its aerial pesticide spraying in Brandon and Whiting tonight, Friday, Sept. 7, between 7:30 p.m. and 11 p.m. Please see our blog entry from yesterday for more information. Feel free to call us at 1-800-222-1222 or chat if you have any questions about this pesticide.

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My dog ate rat poison—now what?

Boston CBS affiliate WBZ-TV recently reported on two dogs getting into rat poison in a park in Boston’s North End.

At the NNEPC, we get many calls about dogs eating rat poison. Rat poison is normally put out in a place rats will be able to get into it, which makes it easy for dogs to get into as well. Sometimes other animals or kids get into it too.

Kids usually do not eat enough rat poison to cause a serious problem, but you should call the NNEPC to be sure.

Pets, on the other hand, sometimes eat enough to make them very sick. In one recent study of cases from poison centers, rat poison killed more pets than any other type of poison.
 
If you think your dog has gotten into some rat poison, call the NNEPC at 1-800-222-1222 or chat now. We can help you figure out if your dog has eaten enough rat poison to be a problem. We can also talk with you or your vet about signs of poisoning and ways to treat it. Because there are different types of rat poison, it is important to have the container when you call, if possible.

Pets are different from people. If the poisoning is serious or unusual, the NNEPC may recommend that you also contact the ASPCA Animal Poison Control Center. It has a 24/7 hotline and is staffed by veterinarians who specialize in pet poisonings. They may charge $65 for consultation, but will advise you and your vet, and will be available to help until your pet is out of danger. The ASPCA Animal Poison Control hotline number is 1-888-426-4435.

You might not realize right away that your pet has gotten into rat poison. The most common type can take 1 – 7 days to cause symptoms. Some animals have bleeding from their nose or stomach. Others look weak or tired, won’t eat and get short of breath. But there are many types of rat poisons—the timing and types of symptoms will be different depending on what your pet ate, how much and when.

The best way to deal with rat poison is to be sure not to leave it where your pet or child can reach it—or not use it at all. If you can, use a trap that does not contain poison.

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Aerial mosquito spraying in Vermont

 The Vermont Department of Health will do an aerial pesticide spraying around Brandon and Whiting between 8 p.m. and 11 p.m. tonight to reduce the risk of Eastern Equine Encephalitis (EEE) and West Nile Virus, which are diseases spread by mosquitoes. You can read more about the spraying on the Vermont Department of Health’s website.  

 The Vermont Department of Health reported yesterday that one of the two confirmed patients with EEE has died from the disease.  EEE causes flu-like symptoms (headache, body aches, fever) but can also get worse and cause seizures, paralysis or death. There is no specific treatment. Although EEE is serious, it is very rare. 

The aerial spraying will use a small amount of pesticide and the health risk to people and animals is very low. People with breathing problems may be sensitive to this pesticide and should take some simple precautions (although problems have not been reported by other states using this pesticide under similar circumstances).

For those in the spraying area (including anyone with breathing problems):

  • Stay inside between 8 p.m. and 11:30 p.m. Bring your pets inside too (if you can).
  • Close your windows and doors and turn off air-conditioning units between 8 p.m. and 11:30 p.m.
  • If you get the spray on your skin or in your eyes, wash your skin and flush your eyes call the NNEPC at 1-800-222-1222 for advice on how to do this.

If you are not feeling well after the spraying, contact your health care provider or the NNEPC.

Some things you can do before the spraying:

  • Pick fruits or vegetables in your garden that are close to being ready to eat. 
  • Cover outdoor tables and play equipment with a tarp and wash them with soap and water after the spraying.
  • Bring laundry and small toys inside beforehand. Wash them with soap and water if they are left outside.
  • Bring pet food and water inside before the spraying begins and keep inside until after 11:30 p.m.

You can help prevent EEE and West Nile Virus: 

  • Get rid of standing water (like water left in a bucket or in a birdbath) in your yard. This is where mosquitoes breed.
  • Keep mosquitoes out of your home with screens.
  • Stay inside during peak mosquito times (dusk and dawn).
  • When outside, wear long sleeves, pants and socks and cover as much skin as you can.
  • Use effective insect repellent (DEET, picaridin, oil of lemon or eucalyptus, IR3535). Make sure you follow the directions on the label.

Call or chat with the NNEPC if someone gets a repellent in their mouth or eyes, has trouble breathing, or gets a rash.

 

 

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New Maine bath salts law takes effect today

Maine has banned additional synthetic drugs related to bath salts with a new law that takes effect today. NNEPC Director Dr. Karen Simone spoke with Portland’s WCSH 6 for a story on the law that aired last night:

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Poison centers and pharmacies: A natural partnership

How can pharmacists and pharmacies benefit from the poison center? How can pharmacies play a role in promoting the poison center?

As a pharmacy student intern, I conducted an awareness survey on behalf of the Northern New England Poison Center of all the pharmacies in the state of Vermont. According to the data I collected, a surprisingly large number of pharmacists have not referred a client to the poison center or educated patients about the poison center.  In addition, some pharmacies do not have a pharmacist on duty after normal business hours to answer questions regarding medication-related issues. This is where the poison center can step in and help fill in the gaps.

“It would be a great idea for pharmacies to be involved with the poison center,” said Ken Segreto, PharmD, one of the pharmicists I spoke to during my awareness campaign.  “We can increase accessibility to our patients. Our job is to be a resource and educate. A lot of pharmacists would like to have some sort of involvement with having patients be aware.”

Ken brings up a good point: pharmacies are an important resource and if they are able to spread awareness and promote the poison center during all hours of the day, the poison center would be used in appropriate situations. Many patients instinctively dial 911 for matters that could be handled by the poison center.

Poison exposures can happen to anyone and at anytime. However, a majority of the pharmacies around the nation are not open 24 hours for patient consultation or information on poisoning. Of poisonings that are called into the poison center, more than 70 percent are managed over the phone, which saves the caller a trip to the hospital or their primary health care provider. The poison center has physicians, pharmacists, nurses and other providers who are experts in poison information and toxicology taking these calls. This service is used by our entire community, from mothers at home to doctors at health care facilities.

Every pharmacy can benefit from this program by directing their patients to a reliable resource, especially outside the pharmacy’s regular hours. Not only is the poison center free and accessible 24 hours a day, 7 days a week, but it also offers interpretation into more than 150 languages and services for the hearing-impaired (TTY) to customize every patient’s call to better serve their needs.

Guest blogger Sarah Im is a pharmacy student at the Albany College of Pharmacy. She recently interned in the NNEPC’s Vermont education office.

Are you a pharmacist or other health care professional? Consider signing up for HRSA’s Poison 101 Webinar course. CEUs are available through September 28.

 

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Poison center webinar for pharmacists, nurses and doctors

We are excited to announce that the U.S. Health Resources and Services Administration Pharmacy Services Support Center is offering a new eLearning program called “Poison Centers 101: Operations, Staffing, Statistics and Resources.”

The training is aimed at pharmacists, nurses and physicians, with continuing education credit available until September 28.

The course describes how poison centers operate and how they can help health care providers in their professional roles. Poison centers help patients of all ages, and on average 16% of all calls are from health care providers.

 

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Uranium Marbles and Glassware: A Radiation Risk?

Recently, the NNEPC got a call from a middle school where a student had brought in some uranium marbles. Also known as vaseline glass or canary glass, these marbles and similar glass products date back to the 1840s. The glass turns a glowing, rich green color when put under a black light.

Uranium Marbles
Bre Prettis photograph. ©2007, licensed under Creative Commons.

Uranium glass items are often sold on the antique market, through a handful of online sellers and on eBay.

It’s easy see why a teacher or parent might be worried about a kid playing with these yellow-green glass marbles. These marbles do contain uranium, but not enough to be of concern.  Despite often being sold with a package sticker that states “Radioactive Materials,” there is very, very little risk from handling these products.  Uranium is found naturally in the environment, and we actually take in more uranium from food and water than you would get from these marbles and glassware.

There is little need to be worried about handling or being around uranium marbles and glassware.

Guest poster Patrick Cote is a class of 2013 PharmD candidate from Creighton University. He rotated with the Northern New England Poison Center in June 2012.

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