Medications and treatments Archive

Many common medications can affect oral health, causing issues like dry mouth, taste changes, gum swelling, mouth sores, or thrush. Patients should check side effects on medication labels, report persistent symptoms, review medications annually, and keep up with regular dental visits.

Several tools can help people with incontinence stay dry and comfortable. Tools can include medications; basic supplies, such as protection pads, leakproof underwear, adaptive clothing, and portable urinals; bedwetting alarms; and bathroom locator apps. Some of the most important tools aren't pills or gadgets, but strategies-such as controlling underlying conditions that can lead to incontinence (such as diabetes), weight loss, lifestyle or behavioral changes, and pelvic floor training.

Men who could benefit from therapy often resist it because it carries a negative stigma for them and they feel uncomfortable about seeking help. For these individuals, cognitive behavioral therapy (CBT) may be an option. Many men find CBT appealing because it is short-term, structured, and focused on current issues. CBT is regularly used to treat depression and anxiety disorders, but it can help with managing other common ailments, such as insomnia, chronic pain, irritable bowel syndrome, chronic fatigue syndrome, fibromyalgia, and migraines.

A 2025 analysis of 19 randomized controlled trials involving 6,500 people found that tramadol, a widely prescribed opioid drug, was only mildly effective at reducing chronic pain. It increased the risks for both mild and serious side effects, including heart problems.

The 2025 blood pressure guidelines recommend starting drugs to treat hypertension if people don't meet blood pressure goals after three to six months of lifestyle changes. The guidelines also recommend that everyone with high blood pressure be screened for primary aldosteronism, and suggest that people with resistant hypertension (stubbornly high blood pressure) consider renal denervation, a procedure that disrupts some of the nerves around the arteries supplying blood to the kidneys.

Prescription eye drops, such as pilocarpine hydrochloride (Vuity, Qlosi) and aceclidine (VIZZ), can ease blurry close-up vision that occurs in middle and older age. The eye drops temporarily shrink the eye's pupil, which focuses light and makes near vision sharper. The eye drops are considered generally safe to use daily or occasionally, depending on preference. However, they can have side effects, such as dim vision and headaches. In rare cases, they might cause retinal problems.

The long-term outlook for men diagnosed with prostate cancer continues to improve. These medical advances, however, have also drawn attention to the mental health challenges many survivors encounter. It's still common for survivors to struggle with loss of masculine self-esteem and changes in body image.

Women over 60 need less iron than they did before menopause, when they lost iron through menstruation. Many conditions can lead to iron loss and iron-deficiency anemia, when the body can't make enough red blood cells to properly carry oxygen throughout the body. Signs of iron deficiency include pale skin, fatigue, shortness of breath, weight loss, and chest pain. Tests can reveal iron deficiency and underlying reasons for iron loss. People should not take iron supplements without checking with their doctor. Too much iron can damage organs.

Low libido can include both less desire for and less satisfaction with sex. A variety of medications can dampen sex drive by altering hormone levels or nerve signals, dulling sensation in the genitals, or triggering fatigue or mood changes. They include some antidepressants, cardiovascular drugs, antihistamines, antiseizure drugs, opioids, chemotherapy, hormone blockers, oral contraceptives, and fertility drugs. People whose medications affect their libido can ask their doctor to adjust the dose or timing or substitute another drug without sexual side effects.

Four classes of drugs commonly prescribed to older adults-opioids, benzodiazepines, gabapentinoids, and antidepressants-may be driving the dramatic rise in deadly falls over the past three decades. Known as fall risk-increasing drugs (FRIDs), these drug classes affect brain function and can make people feel sleepy, dizzy, or confused-all of which can leave them vulnerable to falling. People currently taking these drugs shouldn't stop taking them abruptly, as doing so may cause withdrawal symptoms. People should ask their primary care clinician to review all their medications at least once a year.