Drugs and Supplements
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.
Many common cold and flu medications and prescription-strength pain relievers contain acetaminophen (Tylenol) as one of their active ingredients. If you take several of these drugs at once during a bout of cold or flu, you might accidentally take more than the safe dose of acetaminophen, potentially causing liver damage. It’s always best to read the labels — and to keep in mind that most winter viruses get better on their own with rest, fluids, and time.
Last year, only months after announcing that he had an aggressive form of melanoma, former President Carter declared that he was cancer free — thanks at least in part to a recently approved immunotherapy drug. Immunotherapy is a type of targeted therapy that helps boost the body’s own immune response to cancer. It does so while sparing healthy cells, thus minimizing side effects.
Doctors may prescribe medicines for teenage girls — for example for acne, depression, or migraines — that are known to cause birth defects. While most parents and doctors hope that these young women avoid pregnancy for many reasons, adults need to help adolescent girls understand the risks of the medications they take and have frank conversations about sex and birth control.