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Tuesday, February 7, 2012

Aging population raises the question, bottles or blister packs?

Children are taught at a young age that a hospital, doctor’s office or dentist’s chair is a safe place to be. I don’t always agree. And I’m not just saying that because I still cringe at the thought of going to the dentist. My conclusion is based on a simple fact; people make mistakes, even medical professionals. Read about how packaging prescribed medications in blister packs instead of bottles may be the key to keeping patients safer, healthier and happier.

Bottles over blister packs
The U.S. pharmaceutical industry packages vitamins, supplements and other over the counter goods in packer bottles of all sizes. Most Americans have seen blister packs before, small plastic shells enclosing pills or gum with a sheet of metal or paperboard backing, but users still prefer bottles.

When paired with child-resistant caps bottles are a fine packaging solution for prescribed medications. But although the kids are safe, elderly individuals often struggle with the safety closure. Due to the popularity of blister packs throughout the world, this issue is predominantly limited to those living in the United States.

It is estimated that 80% of all medications in the U.S. are packaged in bottles, while the other 20% are offered in blister packs. The bottles and blister packs percentages are nearly reversed when reflecting medical packaging throughout the rest of the world (Lobby for Blisters).  

Blisters on the rise, for a good reason
U.S. retailers and consumers are slowly but surely catching up with the rest of the world when it comes to packaging prescribed medications. The demand for blister packaging is rising. Though such a move could be expensive (blister packs are slightly more costly than bottles), for some the benefits greatly outweigh the costs.  

Blisters have better adherence rate than bottles
It doesn’t really matter who you are, sometimes it’s just difficult to remember to take your medications. Studies have proven that patients using prescriptions packaged in blister packs are more likely to follow through with the regimen and future refills than those taking the same medication from bottles. And to boot, the prescriptions are not only safer from the sneaky hands and mouths of children, but are a convenient alternative to child-resistant caps for the aging baby boomer generation.  

Are blisters a new safety feature?
People, both young and old, sort through a dozen plus prescriptions every day. Every now and again a pill for evenings makes its way into the daytime doses, and duplications are often spotted here and there. Luckily, most of these errors are noticed before tragedy strikes, but that’s not always the case. Believe it or not, sometimes even medical professionals forget whether they’ve distributed the proper prescriptions to the right patients. Imagine the convenience and safety associated with personal blisters packs, prepackaged by the pharmacy and filled with the appropriate medications for any individual’s needs (the same way they toss the pills into bottles, except in this case they organize all of the patient’s prescriptions in daily blisters).

The concept of universal design is based on the idea of creating something that can be experienced by everyone. With sick and disabled communities, and a growing senior citizen population it is important to consider the safety and usability of packaged products, especially bottles full of life-saving prescriptions. Is it time for the U.S. to give blister packs a whirl?   

What’s your vote? Given the choice would you have your prescriptions packaged in blister packs or bottles? Tell us in the comments!

18 comments:

  1. This is an interesting article. I hadn't really given much thought to the topic. Blister packs aren't so bad if they make them super easy to access the pill. There is nothing more frustrating than destroying the pill trying to get it out of the blister pack. I've had to resort to using scissors on very stubborn packages. I definitely would not want blister packs for any medication I take on a daily basis. It's okay for an antibiotic that is short term or a cold medicine I take once in a blue moon, but don't make me open a blister pack for my daily dose of vitamin C. Plus I like re-using my pill bottles for storage of thumb tacks, earring backs, picture nails, etc.

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    1. You're right, Jana. Bottles are definitely more handy and convenient for everyday use medications, for active and able-bodied adults. I have run into some blister packs that are easier to open (those used in prescription packaging) than others, but as a whole, they have a long way to go before they can become as consumer-friendly as bottles.

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  2. Bottles all the way! I am not a fan of blister packs. Bottles are better in so many ways. Blister packs are a huge pain to store and to open. They are also not as good at providing one of the essential functions of packaging - protecting the product. Bottles look better and have more potential for eye catching designs with labeling, printing, bottle colors and shapes, etc.

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    1. Very true, Bob. Blister packs aren't equipped to protect products the way bottles do, which is a big blow to their argument when it comes to packaging delicate items like prescription drugs. I'm totally on board with you there!

      The lack of variety in blister pack appearances is also a point of disappointment, as we all know a product won't sell unless it captures the attention of consumers.

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  3. I would also have to vote for bottles because they are awesome. Blister packs are inconvenient and cause headaches. I have to agree with Jana that some blister packs are so tough that you're more likely to crush your pill or vitamin into a powder before getting it out of the pack. Bottles are BIG and STRONG and protect your product way better than bottles.

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    1. I meant to say that bottles protect your product way better than blister packs. I hope this doesn't discredit my previous statement.

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    2. Stephen,
      Even though you confused yourself (and all the other readers!) you make a good point. Prescriptions need strong and easy-to-open packaging in order to stay safe. Thanks for your insight. Previous statement not discredited!

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  4. I vote for bottles. Blister packs can be hard to source, they have to be so specific in terms of their dimensions. Basically every blister pack is a custom order with the manufacturer. With all of the different pills that are out there with all their different sizes the cost and time to create blisters for each individual prescription would be hard on the industry.

    Bottles are also much easier to recycle. Bottles are made from just one plastic in most cases. You can drop them off at the appropriate recycling facility (depending on the recycle code on the bottom of the bottle). Blister packs will have plastic, foil, and paper sealed together, making them nearly impossible to recycle.

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    1. Justin,
      Thank you for introducing the sustainability argument into this discussion. I hadn't thought through the complicated (seemingly impossible)process blister packs have to go through to be recycled.

      If we as a planet are practicing greener living maybe the rest of the world should look to us as an example and bring the bottle back, as a more eco-friendly form of packaging. Thanks again for the comment!

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  5. For mass-produced brand-name prescribed medications (or powerful meds like SudaFed or Benadryl, etc), I vote blister packs. For everything else, bottles. It's definitely easier to see how many pills you've taken, or how many doses you've had when using a blister pack than a bottle. Undoubtedly this reduces the risk of over/under dosing.

    But to have pharmacies whip up a prescription for you and then blister pack it, seems a bit labor intensive and cost-prohibitive. I'm always hoping to get the lowest price when it comes to prescribed medications, and something like this could drive up the price. That's why I'd vote bottles for this scenario. Additionally, I vote bottles for over-the-counter meds, painkillers, supplements, vitamins, and stuff like that.

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  6. Bottles are much easier to say than blister packs. We are talking 2 syllables vs. 3 syllables. And as for how much space it takes to write blister packs vs bottles? Its not even close. Bottles really do seem to be the better option.

    OK - so perhaps my argument isn't the greatest . . . I couldn't really think of anything different to add to what was said in the other comments, but I wanted to have my vote be counted for bottles too.

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    1. Ben,
      Thanks for bringing the linguistic aspect of the bottles vs. blister packs discussion to light. Without you we would have completely overlooked it. Your vote has been counted.

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  7. Will you marry me?

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    1. Anonymous, I hate to damper the beauty of Valentine's Day, but I'm going to have to turn you down, as I'm already taken. On the other hand, I'm more than willing to "marry" you to the perfect packaging solution for your product. That I can help you out with!

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  8. Do consumers who spend their own money buying products for their use express any preference? I suspect that the consumer demand for blister packages is underwhelming.

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    1. Hi Anonymous,

      The answer to your question depends on different classes of consumers. A large number of consumers search for products based on price, in that case bottles will offer them a better deal.

      On the other hand, special needs consumers are a growing demographic (aging baby-boomers)and some of them are willing and interested in paying a little extra for the convenience of blister packs.

      Does this help answer your question?

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  9. I definitely can't see the benefit of blister packs at all. Right now, I am taking cold medicine contained in blister pack. It sure is difficult to even open the thing especially when it has 2 layers of protection, foil and paper. When I had those with just the foil, I can just pop it out and wouldn't have mind so much.

    For the seniors and those who arthritis, it must be torture instead of a benefit. Their eyes aren't as good as they are used to be. The control of their fingers are not as good either. Those cover peels broke off easily too, so the final outcome... scissors. Not to mention those who don't have long fingernails. Example here: http://www.merchantcircle.com/business/Jacobus.Pharmaceutical.Company.Incorporated.Plainsboro.NJ.609-799-8221/review/list

    I would say bottles require less effort than these blister packs and blister packs cost more.

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    1. Really great insights, Lin! We're on team bottle too! Thanks for sharing.

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