Advice Regarding Recall of Zantac/Gertac/Ranitidine to Patients attending Tallaght University Hospital / Trinity Health Kidney Centre for care of their Kidney Transplant:
You may have been contacted by your Pharmacy regarding the recall of products containing Ranitidine. As yet we do not know how long this medication will be unavailable for.
We advise the following:
1. If you have been on this medicine for a long time and get no symptoms of heartburn, it may be possible to simply discontinue the medicine following discussion with your prescriber.
2. If you get heartburn after a trial of discontinuation, We advise use of famotidine 20mg daily or 40mg daily. This is not automatically reimbursed by various drug reimbursement schemes and may require individual re-imbursement request forms to be completed.
3. In some circumstances, it may be necessary to use a class of drug called “Proton Pump Inhibitors” such as omeprazole or lansoprazole.
If you are affected by the Ranitidine recall, you should discuss these options with your prescriber.
Nobody wants to have a chronic or long-term illness. For some, changes due to illness can bring both physical difficulties and emotional distress. However, it is possible to live a healthy life while managing a chronic illness. Health is feeling well in body and mind, and a healthy life is one that seeks balance for both body and mind. Therefore, a healthy way to live with a chronic illness is to work at overcoming the physical and emotional difficulties that kidney disease can cause. The goal is to achieve the greatest possible physical capability and pleasure for life.
The following hints and ideas are suggestions to promote a healthier way of living:
Learn about your illness:
You are the only one who lives with your illness daily so…..
Observe your illness so that you can accurately report to your medical team
Manage your Medication:
Learn about what your medication is and what it is for
Imagine that the medication is helping you. Keep in mind why you are taking the medication
Learn to communicate with your Health Care team:
PREPARE for meetings/appointments (write it down if necessary); ASK your questions; REPEAT the information you get so you know you have heard it correctly; TAKE ACTION or put it into practice
Follow the instructions your dietitian gives you!
Quality & quantity have direct relationship to our mood and time for our body to heal
Think about what changes you may need to prepare for or things you may need to gig around
Exercise releases ‘happy hormones’ that have a big impact on how well we feel and how good we feel about our bodies
Keep up with friends, social clubs, work and activity. Your illness may not change your lifestyle that much and you will need the support and fun of the people and things that mean the most to you
Learn something new
Once you have ‘settled into’ the changes that your illness brings think about learning something new, either through books or an adult education course. Learning something new, for example a new craft or hobby, has a direct positive affect on our personal sense of achievement and can provide a new outlet for friendship, activity or creativity.
Talking to My Children or Grandchildren About My Illness
Your first reaction when you are trying to adjust to your illness is to protect your children from things that could upset them. Because of this it can be hard to know whether you should tell children about your illness or what and how much to tell them.
Even though you know your children or grandchildren best, you may be surprised at how well they deal with the news and detail of your illness and treatment. We cannot stop children from feeling sad at difficult news, but by giving them information and helping them understand their own reaction we can support them in their reaction to the news. Children can often ‘know’ that things are changing for a parent or grandparent without any news being given to them. For that reason it is important that they do not feel isolated by the lack of conversation around the changes that they see or hear about. Children who are included in what’s going on are less likely to have problems adjusting to your illness, though it may still be hard learning to adjust.
When should I tell the children/grandchildren?
Often there may not be a ‘right time’ to tell children. You may need to come to terms with the news yourself before you talk with your children. Children can feel more included in the treatment plan if they are informed in the early stages of the illness. A good time to talk with them is before some obvious change occurs, like significant fatigue, hospital admissions or Dialysis commencement
Who should tell my children/grandchildren?
In general it is easier if the information comes from someone who is close to the child, so you or your partner or a close relative.
How can I tell my children/grandchildren?
This can take some time and thought, and it can help to rehearse what you are going to say. Try to use the most clear and simple explanations possible, it can help to link the information with things they have already observed or been told.
What should I tell my children/grandchildren?
- Use the correct words for the illness – e.g. Renal or Kidney failure, Dialysis
- Explain how your health may be affected – e.g. tiredness, feeling sick sometimes, needing Dialysis
- Give some info on how the treatment works in simple, clear language
- Reassure them about their daily routine and that as a family you will all continue to make each day as good as it can be
If you feel you would like help around talking with your children/grandchildren, then do ask for support from your Renal Social Worker.