Drugs and Supplements
Many people don’t take their medications exactly as prescribed. While some do this purposefully, plenty more simply forget. Researchers have studied several different methods to help people remember their medication, but a new study has revealed one that stands out among the rest: texting. While the study does have some limitations, it’s an impressive reminder that the technology sitting in many people’s pockets and purses can be a powerful tool to help them improve their health.
In its early stages, osteoporosis has no symptoms but causes millions of bone fractures every year, often resulting in loss of function and, disability and even death from the complications of the fracture. There are effective medications to prevent osteoporosis, but they can have serious (though rare) side effects. It’s best to talk discuss with your doctor to understand all your options and make an informed decision on how to best protect your bones.
Osteoarthritis can contribute significantly to a reduced quality of life, and many arthritis sufferers have come to rely on pain medication for symptom control. A recent study compared NSAIDs against opioids for pain relief and found no significant difference between them. But as always, the right treatment choice for any individual person depends on their unique medical situation and what works best for them.
Many older adults take PPIs to treat heartburn, GERD, or stomach ulcers. Recently, a new study identified a link between chronic PPI use and an increased risk for dementia. If you take a PPI, check in with your doctor — you may be able to take it only when you have symptoms, not continuously (and this kind of usage was not associated with a dramatically increased dementia risk in the study).
Methylphenidate — known as Ritalin and Concerta, among other names — has been the standard medication for ADHD for over 50 years. But until now, there had been no comprehensive, systematic reviews of the benefits and risks of this drug. A recent review has concluded that, if prescribed correctly by a doctor who’s familiar with methylphenidate and its possible side effects, its downsides probably will not outweigh the positives.
One of the most dreaded side effects of cholesterol-lowering statins is myopathy, or severe muscle pains. A new test on the market can evaluate whether you’re genetically susceptible to myopathy. But true statin-induced myopathy is uncommon, and most muscle pain a person experiences while taking a statin likely isn’t caused by the statin. So, is this test really worth the (significant) price?
Much has been promised about the potential health benefits of vitamin D, but the evidence behind many of these promises is lacking. In fact, a recent study that tested whether vitamin D supplements protected older people from physical decline found that those on higher doses were more likely to have a fall. It’s important to get enough vitamin D in your diet. But when it comes to supplements, more is not always better.
The same BRCA mutations that increase a woman’s risk of breast and ovarian cancers can also increase a man’s risk of dying from prostate cancer. Recently, an ovarian cancer drug intended for BRCA-positive women has shown impressive results in BRCA-positive men with metastatic prostate cancer. This drug, and others like it, could provide another, much-needed treatment option for men with advanced prostate cancer.
If you’ve been having trouble sleeping, you may be concerned that there’s no other option besides prescription sleep aids. Fortunately, there are many other treatments to pick from. In fact, sleep specialists now agree that behavioral (non-drug) treatments should be the first treatment for most cases of insomnia. But beware: not all non-drug insomnia treatments are created equal.
A recent study of nearly 3,000 patients who had an overdose during long-term opioid treatment found that more than 90% of these patients continued to receive opioids — even after their overdose. Poor communication between emergency rooms and prescribing doctors is likely the culprit. What’s more, doctors receive little training in recognizing patients at high risk for overdose, or in treating addiction when they do spot it. An important strategy to address the current opioid crisis is to improve how doctors are educated about opioids.