Wrong Dose: What Happens When You Take Too Much or Too Little Medication

When you take a wrong dose, an incorrect amount of a medication that can lead to harm, reduced effectiveness, or death. Also known as a medication error, it’s one of the most common and preventable causes of hospital visits. It doesn’t matter if you meant well—taking two pills instead of one, skipping days, or crushing a time-release tablet can have serious consequences.

A overdose, a dangerous amount of a drug that overwhelms the body’s ability to process it isn’t always intentional. Older adults mixing prescriptions, parents giving kids adult doses, or people doubling up after forgetting a dose are all at risk. The same goes for underdose, taking less than prescribed, which lets conditions like high blood pressure, diabetes, or infections worsen unchecked. Both are silent emergencies. A wrong dose of warfarin can cause internal bleeding. Too little insulin can send blood sugar soaring. A missed dose of antibiotics might let a simple infection turn deadly.

These mistakes aren’t rare. They happen because people forget, don’t understand instructions, or assume more is better. Some drugs—like anticoagulants, diabetes meds, or opioids—are especially unforgiving. Even harmless-seeming pills like Benadryl or NSAIDs can cause serious harm at the wrong amount. And it’s not just about pills. Liquid meds, patches, and inhalers all have precise dosing rules. A teaspoon instead of a milliliter? That’s a 5x error. A patch left on too long? That’s a slow overdose.

You don’t need to be a pharmacist to avoid these errors. You just need to know what’s in your medicine cabinet, why you’re taking each drug, and how to spot when something doesn’t feel right. The posts below show real cases: how a simple mix-up with TMP-SMX and warfarin spiked INR levels, why ginseng can crash blood sugar when taken with diabetes pills, and how skipping doses of antibiotics or antidepressants can undo weeks of progress. You’ll find out what to ask your pharmacist, how to spot a pharmacy mistake, and what to do if you think you’ve taken the wrong dose—even if you’re not sure.

This isn’t about fear. It’s about control. You have the right—and the power—to understand your meds. The next time you pick up a prescription, ask: "What happens if I take too much? What if I skip one?" Those questions could save your life.

How to Prevent Wrong-Dose Errors with Liquid Medications: A Practical Guide for Patients and Providers

How to Prevent Wrong-Dose Errors with Liquid Medications: A Practical Guide for Patients and Providers

Wrong-dose errors with liquid medications are a leading cause of preventable harm in children and adults. Learn how using oral syringes, milliliter measurements, and smart habits can stop these errors before they happen.

Ruaridh Wood 5.12.2025