It is said that 79-year-old Leonard Kulisek had not suffered any major illness in the years before his unfortunate death, except he did have a prescription for his gout. The Walgreens pharmacist who filled Kulisek's prescription was working under the influence of OxyContin and hydrocodone. Instead of gout medicine, the bottle was filled with insulin pills. The next day, Kulisek slipped into a coma, and for the next 22 months suffered a series of health issues before he died.

The pharmacist admitted to being addicted to painkillers for eight years, and had stolen over 86,000 pills from the pharmacy where he worked. The jurors held Walgreens responsible for failing to catch the drug thefts or notice that the pharmacist had an addiction problem. Walgreens must pay $31 million dollars to the Kulisek family. Walgreens plans an appeal.

Medication errors can occur for a number of reasons. What can you do to avoid medication errors? According to Rx for Safety, the most common reasons that errors happen are:

• Incomplete information about a patient.
• Incomplete information about a medication, such as warnings or side effects.
• Poor communication regarding a prescription such as illegible handwriting, confusion between similar drug names, misuse of zeroes or decimal points or inappropriate abbreviations.
• Lack of appropriate labeling on the drug container or pharmacy shelf.

Before you leave the doctor's office, look at the written prescription. Can you read the handwriting? If you cannot, the pharmacist might have a problem reading it accurately. When you have your prescription filled, ask the pharmacist to answer any questions you might have regarding the medication. Check to make sure that printed literature is included with the prescription detailing information about side effects and proper dosages. On the side of the prescription bottle is a label that describes what the pill looks like. Check to make sure the description of the pill matches the pills inside the bottle.

For more information on additional safeguards, read Avoiding Medical Errors at RX for Safety.

Prescription drugs purchased online from Canadian pharmacies were intercepted before they reached the US, and after preliminary laboratory tests were found to be counterfeit. The U.S. Food and Drug Administration (FDA) is warning consumers who may have obtained prescription drugs from Mediplan Prescription Plus Pharmacy or Mediplan Global Health in Manitoba, Canada not to take the medication as it may not be safe.

The drugs in question are Lipitor, Diovan, Actonel, Nexium, Hyzaar, Ezetrol or Zetia, Crestor, Celebrex, Arimidex, and Propecia. Most of the drugs are prescribed for cholesterol disorders and high blood pressure; Actonel for osteoporosis in postmenopausal women; Nexium for gastroesophageal reflux disease; Celebrex for arthritis-related pain; Propecia for male-pattern baldness and Arimidex is a breast cancer chemoprevention medication.

Interestingly, the FDA conducted an investigation last year and discovered that nearly half of the imported drugs they confiscated from four selected countries were shipped to fill orders that consumers believed they were placing with Canadian pharmacies. The drugs did not come from Canada. According to the FDA, 85 percent actually came from 27 other countries around the globe. Buyer beware.

The world is a dangerous place for the trusting and the innocent -- which is probably one of the reasons we have some of the laws we do to protect everyone.

Still, even with laws in place, it seems we are not all that safe. Frankly, I am disturbed by what I learned that I did not know about prescription drugs being dispensed in this country and the estimated number of those prescriptions that are counterfeit drugs. Drugs of ineffective strength. Drugs made with unknown chemicals. Drugs switched with less expensive drugs meant for another medical condition. Basically -- the wrong drugs.