New public research shows that there are gaps in communication between healthcare providers and
patients about the benefits and potential risks of prescription medicines. Nearly half of Americans
are taking prescription medicines, and over 20 percent of Americans take at least three. Yet
research shows that approximately 62 percent of patients are not aware of any safety warnings about
their medicines, and 10 percent of patients unaware of the possibility of a severe reaction or side
effect to any of the medicines they are taking actually experience a serious drug reaction.
Improving communication about prescription medicines can help ensure that patients avoid adverse
drug reactions, improve adherence, and live healthier lives. Today the National Council on Patient
Information and Education (NCPIE) is launching a national education campaign, Talk Before You Take,
designed to address these gaps and encourage informed patient and healthcare provider engagement
and conversation. The campaign and its foundational research have been developed through a grant
provided by the U.S. Food and Drug Administration’s (FDA) Center for Drug Evaluation and Research.
"We want to help patients fully understand how to maximize the benefits and minimize risks from
medications,” said Janet Woodcock, M.D., director of the FDA’s Center for Drug Evaluation and
Research. “This NCPIE project aims to provide healthcare providers and patients with educational
materials and information that can spark more conversations during office visits and with the
"As pharmacists, we are trained to constantly ask ourselves how we can be sure that patients
understand instructions provided with medicines,” stated Elizabeth Keyes, RPh., Chief Operating
Officer, American Pharmacists Association and Chair of the NCPIE Board of Directors. “This is
especially important for patients who have multiple chronic conditions, are likely taking multiple
prescriptions and over-the-counter medicines, and typically have more than one prescriber and
sometimes even more than one pharmacy. This means that patients and caregivers have to keep track
of and manage a great deal of information about different medicines from different sources. All of
these factors can lead to a lack of patients' full understanding of their prescriptions' benefits,
potential risks, and instructions to promote safe and appropriate medicine use. This new research
underscores the need to focus on communications around prescription medications."
The research was conducted by the Evidence Generation, Value and Access Center of Excellence within
Ipsos Healthcare, a global independent research company, with input from the FDA and the Center for
Drug Safety and Effectiveness (CDSE), Johns Hopkins Bloomberg School of Public Health.
Approximately 2,000 consumers and 800 healthcare professionals across the U.S. were reached via
surveys, representing individuals and their caregivers, pharmacists in community-based retail
settings, and prescribers, including primary care physicians, nurse practitioners, and physician
"This is an important undertaking given the critical role that consumer education and empowerment
can play in improving safe medication use,” said G. Caleb Alexander, MD, MS, Associate Professor of
Epidemiology and Medicine and a co-Director of the Center for Drug Safety and Effectiveness, Johns
Hopkins Bloomberg School of Public Health (CDSE).
As part of the Talk Before You Take,
campaign, NCPIE has convened a multi-stakeholder project
advisory team to provide expert guidance for communicating essential medication safety and risk information.
In addition, NCPIE is partnering with key stakeholder organizations to promote the campaign and disseminate
educational materials designed for healthcare providers and patients. The campaign’s website,
, will serve as a resource and include free educational materials for download.
The campaign seeks to reinforce four important tips for patients and caregivers to guide conversations
with healthcare providers:
1. Talk to your healthcare provider and ask questions about the benefits and potential risks of
prescription medicines you take.
2. Tell your healthcare provider about all of the medicines you are taking—including
over-the-counter medicines, vitamins, and dietary supplements.
3. Tell your healthcare provider about any allergies or sensitivities that you may have.
4. Read and follow the medicine label and directions.