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Managing Changes in Your Medication Blister Pack

Blister pack changes can cause errors. See how one mistake was caught just in time!

Volume 12 • Issue 1

January 14, 2021

SafeMedicationUse.ca received a report from a consumer who picked up a blister pack from the pharmacy. The pack contained a blood pressure medication that had been stopped by the doctor. It was fortunate that the consumer was aware of the change and caught the error before taking the medication.

Blister packs, also known as compliance packs or bubble packs, can help consumers keep track of their medications. Medications in the blister pack are organized and labelled according to when they are to be taken during the day.

Blister packs are prepared ahead of time. When there are changes to the medications, such as the addition of a new medication or a change in dose, extra checks are required to prevent a mistake.

SafeMedicationUse.ca has the following tips for consumers and caregivers on how to use blister packs safely when there are changes to medications:

  • Be familiar with your medications, including the dose and what each medication looks like.
  • Be aware of any changes to your medications. Use the “5 Questions to Ask about Your Medications” (Change Link after migration) for more information. For example, you can ask about the reasons for stopping certain medications, starting new ones, or changing doses.
  • If your medications need to change, take your blister packs back to the pharmacy to be updated. Or your pharmacy may prefer to deliver new packs to you and pick up the old ones, even if you haven’t used up all the medication.
  • Check the medications listed on the label of the new or updated blister pack. Ideally, you do this together with your pharmacist.

Read some additional tips in “Tips to Prevent Medication Errors with Your Blister Pack“. (Change Link after migration)

This newsletter was developed in collaboration with patients and families.

Learning from consumer reports is shared with health care providers through ISMP Canada publications.