Rao bulletin 1 February 2017 html edition this bulletin contains the following articles pg Article Subject



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TRICARE Podcast 381 Prescription Refills | Energy Drinks
Prescription Refills -- Did you know you THAT beneficiaries don’t have copays for prescription drugs at military pharmacies? Military pharmacies can fill prescriptions written by military or a civilian provider for up to a 90-day supply of most drugs. Military pharmacies stock most drugs on the basic core formulary and many brand name maintenance drugs on the uniform formulary. Be sure to check with the pharmacy first to make sure they carry your drug. You just need to bring your prescription to a military pharmacy to have it filled. Or your civilian provider can send the prescription electronically, saving time and cutting down on potential errors from using paper prescriptions. If you’re picking up a prescription for a family member, then you may need to bring their ID card or a photocopy of the front and back of the card, and a written consent of release if your family member is under 18 years old. Ask your specific military pharmacy what you’ll need to bring with you to fill a family member’s prescription. You can find the military pharmacy closest to you at www.TRICARE.mil/MTF.
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Energy Drinks -- Caffeinated drinks promising an energy boost when you’re feeling sleepy may seem like a great idea, but too much can be harmful. Consuming high amounts of caffeine can lead to increased blood pressure, panic attacks, heart palpitations, anxiety, dehydration and insomnia. You shouldn’t consume more than 200 milligrams of caffeine every four hours. These drinks are also loaded with sugar, which can increase blood sugar levels and lead you to gain weight. And never mix energy drinks with alcohol. According to the Centers for Disease Control and Prevention, if you mix caffeine with alcohol, you may not realize you’re drunk and may be more likely to binge drink. Though you might start using energy drinks to make up for a lack of sleep, the CDC reports that those who drank three or more energy drinks per day were more likely to say they slept less than four hours per night. Their sleep was also disrupted. You should stop all caffeine consumption at least six hours before bedtime. Learn more about healthy living, including tips on getting a better night’s sleep, at www.TRICARE.mil/healthyliving.
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The above is from the TRICARE Beneficiary Bulletin, an update on the latest news to help you make the best use of your TRICARE benefit. [Source: http://www.tricare.mil/podcast | January 20, 2017 ++]
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TRICARE Podcast 382 ► High BP | E-cigarettes | Hydration
High Blood Pressure -- When you have high blood pressure, the force of blood pushing against the walls of your arteries is too high. When you’re active, it is normal for your blood pressure to increase. Once the activity stops, your blood pressure should return to your normal range. When it doesn’t, you may have high blood pressure. According to the American Heart Association, some common high blood pressure complications are: heart attack, stroke, kidney disease, vision loss and heart failure. The best way to know if you have high blood pressure is to get your numbers checked. A blood pressure check is quick and easy and it can be done in your health care provider’s office or clinic. TRICARE covers blood pressure screening as part of its clinical preventive benefit. Children are screened every year between the ages of three and six, and every two years after. Adults may get a blood pressure screening every two years, but usually your health care provider checks it each time you visit.

If you are diagnosed with high blood pressure, your health care provider will work with you to come up with a way to treat your condition. You may have to make lifestyle changes, like weight loss and exercise. You may benefit from prescription medications. Whatever you do, be sure to follow your provider’s plan for your care. This may be the best way to lower your blood pressure and maintain normal blood pressure readings. For more information, including tips on a heart healthy lifestyle visit www.heart.org .
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E-cigarettes -- Electronic cigarettes are the most commonly used tobacco product among youth in the United States. In The U.S. Surgeon General recently released the first report by a Federal agency to review the public health issue of them. E-cigarettes are tobacco products that deliver nicotine and other chemicals to the user. These products come in a variety of forms, including e-cigs, e-hookahs, vape pens and tank systems. Nicotine is highly addictive. Exposure to nicotine can harm adolescent brain development and pregnant women and their fetuses, according to the report. Although e-cigarette aerosol generally contains fewer toxins than traditional tobacco products, it’s not harmless. It can contain nicotine and other harmful chemicals. Even e-cigarette flavorings can be harmful! If you’re trying to quit using tobacco products, TRICARE covers tobacco cessation services and products. These include nicotine replacement therapies, prescription drugs, counseling and quit lines that are safe and proven effective. Learn more about TRICARE’s tobacco cessation benefits at www.TRICARE.mil/HealthWellness/Tobacco.
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Hydration -- Winter isn’t over yet, so here’s a reminder: You can get dehydrated in cold weather. And it isn’t always easy to hydrate, especially when it’s cold outside. If you’re active outside for less than two hours, it isn’t likely to be a problem. But if you’re out in the cold for hours, the combination of heavy clothing and high-intensity exercise can lead to sweating, which contributes to dehydration. You might not even feel as thirsty in cold weather as in the heat, because your cold-weather body chemistry could affect your brain’s ability to tell you when you need liquid. Cold weather also tends to move body fluids from your extremities to your core, increasing your urine output and adding to dehydration. So when you’re in a cold climate, don’t rely on thirst to tell you when you need to drink. Drink often and before you’re thirsty. Water and sports drinks are the best fluids to maintain hydration, even in cold weather conditions. Carbonated and caffeinated beverages, including energy drinks, have a dehydrating effect. Also avoid consuming alcohol in cold weather. It might make you feel warm initially, but it can reduce your body’s ability to retain heat. Enjoy exercising in the cold weather, but be sure to keep your water bottle in tow. Visit www.ready.gov for winter weather tips, resources and safety ideas.
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The above is from the TRICARE Beneficiary Bulletin, an update on the latest news to help you make the best use of your TRICARE benefit. [Source: http://www.tricare.mil/podcast | January 27, 2017 ++]
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Depression Update 05 ► Things Women Need to Know About It
Although people use the words depressed or depression to refer to a sad mood, it is much more than just a bad day. Depression is a complicated condition with many aspects. According to the National Institute for Mental Health, depression is a common but serious mood disorder. It causes severe symptoms that affect how you feel, think, and handle daily activities, such as sleeping, eating or working. Misunderstandings about depression can hinder proper identification and treatment. Additionally, the signs and effects of depression can differ from person to person. The Deployment Health Clinical Center outlines six key aspects of depression:

  • Depression is one of the most common mental health conditions. Symptoms of depression and depressive disorders are often underdiagnosed because many people never seek treatment.

  • Depression is more than a mood. Although a depressed mood is one indicator of the condition, others include loss of interest or pleasure in regular activities, decreased energy, feelings of guilt or low self-worth, disturbed sleep or appetite, and poor concentration.

  • Depression is a major cause of disability. In fact, it’s the leading cause of disability in the United States for individuals 15-44 years of age.

  • People with chronic illnesses are at a higher risk for depression.

  • Depression impacts all services, ranks and ages. Service members returning from combat deployments have an increased risk of developing depression.

  • Depression is treatable, even severe depression.

While these aspects are universal, depression may manifest in different ways for different people. How depression shows up can vary depending on several of factors, including gender. The following infographic outlines symptoms of depression and risk factors specific to women.

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