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Announcer: Need reliable health and wellness information? Don't listen to the guy in the cube next to you. Get it from a trusted source, straight from the doctor's mouth. Here's this week's listener question on The Scope.

Interviewer: Today's listener question is about drug side effects. This particular individual is taking a prescription medication, and there are some side effects that the label warns about. What should you do if you experience one of those side effects? And to answer our listener question this week, it's Barbara Crouch. She is the director of the Utah Poison Control Center.

Barbara: I think the first thing you should do is talk to your pharmacist about it. They may be side effects that we can do something about, reduce the severity of those adverse effects and allow you to continue with the medication, especially if it's necessary. But if this is a side effect that comes up after hours, certainly the Poison Control Center is there 24 hours a day and is staffed around the clock with pharmacists and nurses who have expertise in toxicology and adverse drug effects.

And always, the next time you visit with your doctor, you should be talking about those adverse effects. I mean, some are natural extensions of what the drug does, and in order for the drug to work, we sort of, it's sort of a risk/benefit balance. But there are many of these adverse effects that we don't need to deal with, and there are other ways that we can deal with it, so always communicating with your pharmacist about those issues, certainly feel free to contact the Poison Control Center, and it's also a good conversation with your doctor.

Interviewer: And you'd say if you start experiencing those side effects, do that pretty immediately?

Barbara: Absolutely. You don't want to wait on that. I mean, some adverse effects are just that - they're nuisances. They're annoying. But there are some that are more severe in nature that are warnings, and so absolutely, you should communicate immediately.

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Interviewer: You may have seen the pictures or heard about the algae bloom at Utah Lake. I've read in a couple of articles that if you were in Utah Lake that you should contact Poison Control so we did. We're going to talk to Barbara Crouch right now, she a director of the Utah Poison Control Center.

Interviewer: What questions are people asking and what are you telling?

Barbara: So I guess the most common call that we've gotten are people that have been recreating in Utah Lake initially and then are concerned because they've heard about the bloom. And so they're concerned about their exposure, whether it's been boating or swimming or kayaking or sailing in there. And so that's probably the most common call to date.

People have complaints of adverse effects. We certainly don't know, at this point, whether they're related or not. But at this point, we have, again, a healthy degree of caution with that. And we do know that from previous information about these toxins that they produce some nonspecific effects. So they're not totally characteristic, which makes this difficult. But most commonly, abdominal pain, vomiting, diarrhea, as well as headache, skin irritation, and eye irritation are the most common complaints that we've heard about to date.

Interviewer: Skin irritation, eye irritation probably because you got water on you. These other ones, do you have to actually have ingested some water to have those or could it just be on the lake and breathing the fumes?

Barbara: It's aerosolized water so it's spraying and you inhale that. Certainly, that's a risk factor.

Interviewer: So that's enough?

Barbara: As well as swallowing it. And also aerosolized, so if you think about the water being used in your sprinkler system that you can inhale those droplets of water and so that is also a significant concern.

Interviewer: What are you telling a caller if they call in if they have some of these nonspecific symptoms that may or may not be related?

Barbara: So we're monitoring those and these are nonspecific symptoms that we can generally manage on site, but we're monitoring those. So if it's diarrhea, we want to make sure that that diarrhea is resolving. And in most situations, it is resolving within a reasonable timeframe. But if it's at all persistent and it's lingering for several days or it's more severe in nature, then we are referring folks to see their doctor for evaluation. And to date, most of the situations, 95% of them, are managed on site and are resolving in a reasonable period of time.

Interviewer: And the same would apply for if you're vomiting as well or a skin irritation? Just kind of keep an eye on it. If it goes away in a couple of days, then you're probably all right. Otherwise, go see your doctor.

Barbara: That's right. And feel free to call the poison center We're there 24 hours a day. When you call the poison center, you're talking to a pharmacist or a nurse with additional training in clinical toxicology. So they're the experts. They're there, it's free, it's confidential. And they'll provide you some guidance immediately on the situation. And then, we're also being able to catalog these and be able to share it with the health department so we can be able to help to describe the extent of this issue, this public health problem in Utah.

Interviewer: So you really want people to call?

Barbara: We do.

Interviewer: Even if they're not completely concerned. Just because it would help gather more information.

Barbara: That's right. Anybody that's been exposed and is concerned, we do welcome their call. And that number is 800-222-1222 and, again, we're there 24 hours a day.

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