Did Apple fix its Drug Interaction Checker for Pregnancy?
I have tried out Apple's Drug Interaction Checker once again, a year and a half since the last time I looked at it. I had 4 complaints about the Interaction Checker when I first tested it:
Two drugs in the same category that are taken together do not bring any warnings to consult your Healthcare Team, even though they can cause severe problems.
Two of the literal same drugs, with one being the brand and the other being generic, when taken together do not bring any warnings to consult your Healthcare Team, even though taking the same medication twice can cause problems.
The Medications section does not give you warnings if you are pregnant and are taking dangerous medications.
The Medications section does not give you warnings if you are pregnant and drink alcohol, smoke tobacco, or use cannabis.
Has Apple fixed these issues?
They have not fixed problems 1 and 2, which you can read about in more detail.
Problem 4 is also not fixed. You do not get any warnings about pregnancy or lactation when you tell the Health app that you’re consuming alcohol, cannabis, or tobacco, even though these are all red flags.
Problem 3 has been fixed. I am glad to say that the Cycle Tracking section, which includes pregnancy, "talks" to the Medications section and gives you the proper warnings about your medications if you are pregnant.
Here was the list of drugs I used to test out the Health App (same as last year):
Crestor (generic name is rosuvastatin) - cholesterol medicine.
Zocor (generic name is simvastatin) - this is the same drug category as above, used for cholesterol medicine.
Simvastatin - literally the same drug as Zocor.
Rifampin - used for treating tuberculosis.
Lisinopril - blood pressure medication.
Accutane - for severe acne.
Chantix - for smoking cessation.
Promethazine VC with Codeine - used to treat cold, stuffiness, and allergy symptoms.
Now when you go to the Medications section in the Health App, you get critical alerts right at the top:
If you scroll to the bottom, you will see a new "Medication Information" section that lists your Drug Interactions, as well as Pregnancy and Lactation warnings.
If we go into the Pregnancy warnings, we get very useful information for each drug that is problematic. There are 4 other alerts mentioned, but are not as critical and don't have the yellow banner.
Lactation warnings also are available, which is great and gives people more time to consult with their Healthcare Team.
None of this information was available last year, so Apple did a great job of integrating medication alerts with a woman’s pregnancy and lactation status.
They still need to fix the other 3 issues I mentioned, and treat alcohol, cannabis, and tobacco as drugs instead of “medication factors,” which is their legal classification.