Hours of Operation

Monday - Friday: 9 am to 6 pm
Saturday: 9 am to noon
Closed Sundays and holidays

Please follow & like us!
Follow by Email
Facebook
Twitter
RSS Feed
Subscribe by email
Get new posts by email:
Archives

Posts Tagged ‘Ticks’

Preventing Bug Bites. By Our Student Pharmacist, Cambree Fillis.

b - Mosquito Image

As the weather gets nicer, everyone enjoys spending more time outdoors–but, so do the bugs! It is important to be mindful of bug bites and their consequences. Bug bites can result in the spread of various diseases including dengue, chikungunya, malaria, Zika, yellow fever, Japanese or tick-borne encephalitis, Lyme disease, and more.

Some of the diseases that are transmitted by bugs can be prevented in several ways. Prophylactic medications and vaccinations are available in some cases. Be sure to talk with your doctor and/or check out the Center for Disease Control and Prevention’s (CDC) website for traveler’s information and specific health risks prior to any extensive travel this summer.

Additionally, staying informed on the prime times for bug bites can prevent illnesses. For instance, mosquito season begins at the start of summer and persists until autumn. Most mosquitoes tend to bite more often during the daytime; however, those carrying Malaria and West Nile are more active after dark, between dawn and dusk. Ticks, on the other hand, may be active during all times in grassy areas and woodlands. Be sure to check for ticks regularly if you spend time outdoors and remove them immediately if spotted.

The best way to remove ticks from pets, children, and yourself includes using a tweezer to grasp the tick as close to the skin’s surface as possible. With even pressure, pull the tick upward. Do not twist. Once the tick is removed, the area should be cleaned with rubbing alcohol or soap and water. The tick should be disposed of in a sealed bag or container, submerged alcohol, or flushed.

Here is an excellent article from the CDC about ticks, tick bites, what various ticks look like, and their removal. Click HERE to view it.

Additional preventative measures to avoid bug bites include keeping homes and businesses air conditioned. Also, empty and clean out anything that holds water at least once a week. If you are traveling and air conditioned sleeping spaces are not available, be sure to sleep with a bed net and stay covered up at all times. Long sleeve shirts should be tucked in to long pants and long pants should be tucked in to socks. Boots are also recommended as opposed to open-toed shoes.

b - Applying Bug Spray Image

Lastly, bug repellents can be used to lessen the risk of illnesses by deterring bugs from biting. The Environmental Protection Agency (EPA) regulates the safe and effective use of bug repellents in the United States.

As approved by the EPA, permethrin, although it should never be applied directly to the skin, can be used to wash and pretreat tents, sleeping bags, and clothing.

Other repellents are approved with the following active ingredients:

  • DEET
  • picaridin
  • oil of lemon eucalyptus
  • IR3535
  • para-menthane-diol
  • 2-undecanone

Each of these ingredients may be applied directly to exposed skin. They should not be applied to skin that is covered by clothing.

Please note that other products may be marketed as bug repellents, but if they do not contain the aforementioned active ingredients, they have not yet been approved by the EPA. The safety and effectiveness of those products are unknown. Approved repellents should be applied and reapplied as directed on the label. They should be used with caution as to avoid accidental ingestion. When applying to your face, spray repellent on your hands first and then rub gently onto your face, avoiding your mouth and eyes. Be sure to avoid applying repellents in areas with an open cut, wound, or irritated skin, as well.

When using insect repellents, the higher the concentration of active ingredients, the longer the duration of protection. For this reason, it is recommended to use at least 20% DEET to prevent mosquito and tick bites. However, in the case of DEET, there is thought to be minimal difference in the extent of protection as concentrations exceed 50%. Additionally, the effectiveness of all products may vary depending on temperature, extent and type of activity you are completing, as well as if you are sweating while doing it.

Additional tips when using insect repellents include to:

  • Wash your hands after every application.
  • Rinse thoroughly with soap and water once returning back indoors.
  • Avoid use in children less than two months old, unless using oil of lemon eucalyptus or para-menthane-diol. These should not be used in children younger than three years old.
  • Avoid use of DEET concentrations greater than 30% in children.
  • Apply sunscreen first, let it dry completely, and then apply repellent.
    • You may need to apply sunscreen more frequently if using with a product containing DEET as studies have shown a decrease in sun protection factor (SPF) when combining these products.

Two natural products that we can order and have for you and that we recommend are:

Resources:

  1. Bonner L. Given CDC report, make sure patients know how to prevent insect bites. Published July 2018. Accessed April 2019. https://www.pharmacytoday.org/article/S1042-0991(18)30931-9/fulltext.
  2. Centers for Disease Control and Prevention (CDC). Avoiding Bug Bites. Updated March 2019. Accessed April 2019. https://wwwnc.cdc.gov/travel/page/avoid-bug-bites.
  3. Centers for Disease Control and Prevention (CDC). Mosquito Bite Prevention. Published October 2018. Accessed April 2019. https://www.cdc.gov/chikungunya/pdfs/fs_mosquito_bite_prevention_us.pdf.
  4. Mutebi JP, Hawley WA, Brogdon WG. Protection against Mosquitoes, Ticks, & Other Arthropods. Accessed April 2019.
  5. United States Environmental Protection Agency. Find the Repellent that is Right for You. Updated June 2017. Accessed April 2019. https://www.epa.gov/insect-repellents/find-repellent-right-you.

Lyme Disease. By Our August Student Pharmacist, Ann Kuttothara.

Planning a road trip or camping trip soon? Here at Plain City Druggist, we want to keep you prepared to face anything! So in continuing with the summer theme of bug bites, today’s topic is Lyme disease.

The majority of Lyme disease cases are reported in 13 states including Minnesota, Wisconsin, Pennsylvania, New York, and New Jersey. The incidence of Lyme disease in Ohio has been decreasing so help to keep that statistic down by keeping an eye out for ticks!

Lyme disease is caused by a bacteria called Borrelia burgdorferi which is passed to humans by blacklegged ticks. On the East Coast, this tick is called Ixodes scapularis and on the West Coast, the tick is Ixodes pacificus. A bite from an infected tick can result in a unique rash and Lyme disease. The official name of the rash is erythema migrans and it looks like a bull’s eye.

A tick bite can result in flu-like symptoms such as:

  • feeling tired
  • muscle or joint ache
  • headache
  • fever
  • chills

Even if a rash does not appear, tell your doctor about the exposure to ticks if any of these symptoms occur. Monitor for symptoms up to 30 days after tick exposure.

Prevention

An ounce of prevention is worth a pound of cure, right? So avoid Lyme disease by reducing your exposure to ticks and removing them if you detect one.

Use trails when outside and check often for ticks on clothing and hair.

Wear light colored clothes to identify ticks and wear long sleeves and long pants, which can prevent the tick from latching on to your skin.

Use repellants on clothing for an extra layer of protection (as described in Amy’s column: http://pcdblog.com/2013/07/insect-repellent-what-products-should-i-use-on-my-family-by-our-bite-free-july-student-pharmacist-amy-reed/).

The tick usually has to be attached to the skin for at least 36 hours to spread the bacteria. If a tick is found on the skin, it can be removed with tweezers (to refresh your memory on how to remove a tick, re-read Amy’s blog: http://pcdblog.com/2013/07/). Do not hesitate to mention the tick to your doctor if you experience any of the symptoms described above after removing the tick.

Treatment

Lyme disease is usually treated with antibiotics. Visit your doctor if you notice the bull’s eye rash or experience symptoms. Early treatment is ideal for quick recovery. Symptoms such as muscle and joint ache can persist for months or years after a bite so make sure to visit the doctor as soon as you think there might be a problem.

For more information visit: http://www.cdc.gov/lyme/

References (info and pictures obtained):

Centers for Disease Control and Prevention. Lyme disease. Available from: http://www.cdc.gov/lyme/

The Clinical Assessment, Treatment, and Prevention of Lyme Disease, Human Granulocytic Anaplasmosis, and Babesiosis: Clinical Practice Guidelines by the Infectious Diseases Society of America. Available from: http://cid.oxforjournals.org/content/43/9/1089.full

 

Spiders, Ticks, and Bees–Oh, My! Management of Bites and Stings By Our July Student Pharmacist, Amy Reed.

Have you ever had a lovely day in the great outdoors tarnished by the nuisance of a bite or sting? They can be uncomfortable and most people are unsure of how to treat themselves when a bite or sting occurs. We’re here to help you learn how to take care of any pesky encounters with bugs!

Here in Ohio, some of the most common offenders for stings and bites are bees, wasps, spiders, and ticks. If someone starts to swell excessively from a bite or sting, especially in the neck or facial region, they will need immediate medical attention. Most individuals with a known allergy (i.e. bee stings) should have an emergency EpiPen on their person. These people need that quick dose of epinephrine to keep their airways from swelling shut, and may even need to be taken to the emergency room or urgent care afterwards.

 

Management of:

 

Spider Bites:

  • Wash the bite area with soap and water and apply a cold compress (10 minutes on, then 10 minutes off for 30-60 minutes).
  • To prevent infection, use a topical antibiotic (ex. Neosporin).
  • For discomfort or pain, take Tylenol (acetaminophen).
  • Elevating the bite area can help reduce swelling.
  • If possible, catch the spider in a baggie for identification if any unusual symptoms occur.
  • Some spiders found in the Midwest are poisonous and may cause tissue damage (ex. Brown Recluse Spider and Black Widow Spider). If you experience the following symptoms, report to the nearest emergency room or urgent care:
    • Headache, fever, nausea/vomiting, cramping, dizziness, a blue/purple coloring around the bite with a whitish outer ring (like a bull’s eye), or a burning pain that is delayed (hours to days after the bite).

Tick Bites:

  • Remove the tick gently. Using fine tweezers, grasp the tick as close to your skin as possible and pull gently. You do not want to puncture the tick’s body, as it contains contaminated blood from yourself and possibly other creatures that the tick has taken a bite out of. Do not try to dig out any remnants left in the skin as this may cause further damage.
  • Place the tick in a sealed plastic baggie. This will suffocate the tick and retain it just in case there is a risk of Lyme disease and it needs to be tested.
  • Wash the bite area with soap and water.
  • Apply a topical antibiotic to prevent infection (ex. Neosporin).

Bee Stings:

  • Remove stinger by gently scraping a flat object (like a credit card) across the skin. Do not use tweezers to pinch the stinger since there is a venom pouch on the end. Pinching this pouch may either push more venom into the skin or burst the pouch, increasing the skin reaction.
  • Wash the area with soap and water and apply a cold compress (on the skin for 10 minutes, then off for 10 minutes for 30-60 minutes).
  •  You can reduce itching and discomfort by trying some of the following:
    • Wet baking soda with water and apply paste to the wound for 15-20 minutes.
    • Use a non-prescription (over-the-counter) product made for stings.
    • Use Tylenol (acetaminophen) for pain.
    • Use Benadryl (diphenhydramine) orally or topically to help reduce allergic symptoms/itching/inflammation.
    •  If any of the following occur, these can be a sign that the stung individual has a potentially life threatening allergy to bee stings and must seek emergency medical treatment:
      • Coughing, a ‘tickle’ in the throat, swelling, tightness in throat or chest, dizziness, sweating, nausea/vomiting, a rash that is no longer just at the sight of the stinger, etc.

 

 

 

 

 

 

 

 

 

 

 

For more information:

http://medicalcenter.osu.edu/patientcare/healthcare_services/emergency_services/non_traumatic_emergencies/spider_bites/Pages/index.aspx

http://medicalcenter.osu.edu/patientcare/healthcare_services/emergency_services/non_traumatic_emergencies/bee_stings/Pages/index.aspx

http://www.uptodate.com/contents/what-to-do-after-a-tick-bite-to-prevent-lyme-disease-beyond-the-basics