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Old 24-08-2016, 15:38   #31
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Re: Content of onboard medicine chest

seadago,

You have got a lot of advice on this thread ranging from excellent to dangerous. How do you know which is which? You don't, of course, that is why getting medical advice from the internet is rarely a good idea. My suggestion would be to check out a few of the many books available on the subject. They will have at least been written by doctors or other medical professional with some knowledge of what medical issues cruisers are likely to encounter. Then, get together with your own doctor and get some prescriptions for the medications that you may need and set up a system whereby you can contact the doctor by email while you are sailing so you don't take the wrong medication or take an antibiotic needlessly.

You don't need to go overboard on the medical kit. I was a paramedic for 11 years and have been a doctor for 16, but my kit is pretty basic. A few antibiotics for common infections, vinegar for ear infections, an antihistamine and an antibiotic ointment. Blue masking tape makes great bandages, toilet paper makes a good substitute for gauze, crazy glue for small lacerations, duct tape for just about anything. Naproxen and acetaminophen for pain. We have a handful of ancient hydrocodone/APAP tablets for the serious stuff.
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Old 24-08-2016, 15:55   #32
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Re: Content of onboard medicine chest

I think the EpiPen is over-prescribed now. People here carry them around in prep for minor stings or food allergy.
Unless you have an allergy that will result in sudden and severe anaphylaxis - avoid EpiPens. After using an epinephrine injection, the Rx directive is to go directly to Emergency Room. They are somewhat fool proof now, but if used wrongly can trigger a heart attack.

Plus they expire rather quickly.
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Old 24-08-2016, 16:01   #33
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Re: Content of onboard medicine chest

i just thought of a novel use for EpiPen: legal self defense weapon.

If you have a bad guy onboard and you can manage to quickly stab a vein directly, he will suffer an instant heart attack. the injector easily penetrates most clothing. aim for the carotid vein in the neck. even an indirect hit will give him serious palpitations.

The official autopsy will report he had an overdose of speed.
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Old 24-08-2016, 16:09   #34
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Re: Content of onboard medicine chest

Quote:
Originally Posted by seadago View Post
Do I need a prescription for these?
Available from your favorite drug dealer. never heard of drug dealer taking credit cards.
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Old 24-08-2016, 18:09   #35
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Re: Content of onboard medicine chest

Quote:
Originally Posted by Symphony View Post
i just thought of a novel use for EpiPen: legal self defense weapon.

If you have a bad guy onboard and you can manage to quickly stab a vein directly, he will suffer an instant heart attack. the injector easily penetrates most clothing. aim for the carotid vein in the neck. even an indirect hit will give him serious palpitations.

The official autopsy will report he had an overdose of speed.

You haven't priced an Epi Pen, nor a... oh what do they call them, the the analgesic whistle... anyway both are $500+
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Old 24-08-2016, 18:34   #36
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Re: Content of onboard medicine chest

Check out my post here: Recommended First Aid Kits
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Old 24-08-2016, 22:36   #37
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Re: Content of onboard medicine chest

Epipen has been mentioned in previous posts, and the price of these. Check out this (today's) news report:
Mylan EpiPen US prices hikes unlikely to be experienced in Australia, experts say - ABC News (Australian Broadcasting Corporation)

Addit: Maybe I could start a business sending Epipens to USA........

Jedi, I liked your link and your posts there, but the (brand) names are not all familiar to me.
And for those who really (meaning: over the top) want to read about medication names, check this:
https://www.tga.gov.au/updating-medi...edients#active
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Old 24-08-2016, 22:57   #38
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Re: Content of onboard medicine chest

Getting refills for all the expensive expiring meds we had in our kit represcribed in the states from my cute 14 something year old Kaiser
doctor brought terror into her heart that we might either practice drunken sailor medicine or sell our codine on the black market. We took an offshore medical course some years back in Virginia and it was very worthwhile. Also usually helps when asking for opiates, medical marajuana, and anything else that might make your dislocated shoulder a little more tolerable. The third world is the place to get drugs that most of us are not responsible enough to dispense. But imagining a USCG rescue is another can of worms. I recommend books like " where there is no doctor" and wilderness medicine. Ita all about triage. comfort, hydrate, treat for infection ad reaction, and dump them off at the closest beach.
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Old 11-09-2017, 06:17   #39
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Re: Content of onboard medicine chest

Update on this topic

First of all, many thanks to all contributors. Much info available. I also went through previous threads I could find on th same/similar topic.

Attached (.XLS) is an attempt to synthesise and structure the list of drugs for a medicine chest by condition. It follows roughly the categories I identified in opening the thread.

A few observations:

Commercial names refer to the name the drug is marketed by. Different laboratories offer exactly the same drug under different names in different countries, or for very slightly different presentations. Not all names I came cross are included!! The ones that are, correspond to popular brands mostly in Europe and LatAm respectively. There are others in other parts of the world.

I included the name of the active principle(s) for each drug. Many market names to one active principle. This, IMO, is a critical bit of info. I have received commentary to the effect that it is best practice NOT to use anything we are not already familiar with. Whilst I wholeheartedly agree with this, it does not help if we are in a foreign country looking for a brand name the pharmacist or clinic nurse is not familiar with. Knowing the active principle helps a lot. It will also allow us to identify generics, which may work just as well.

Mind everyone! this is only a list of medicines, and what pathology the are normally used (or intended) for. How you use them however, is evidently your own affair.

Finally, there is a wealth of advise on medicines and drugs on the web (grugs.com, ndrugs.com, medicine.net, etc, etc) with more info that be readily digested. Also of great help in compiling the list was the British Medical Association "New Guide to Medicines and Drugs". ISBN0-7513-0444-1. Dorling Kindersley Ed. Worthwhile having this book in any household, let alone a cruising boat.

Any further contribution to the list with your own experience and insight (or corrections to list contents!), much appreciated. Thanks.

Rafa
Attached Files
File Type: xls cruising medicine chest WIP1.xls (32.5 KB, 18 views)
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