Medications and treatments Archive

Seasonal affective disorder, or SAD, is less common in summer, but a seasonal pattern of depressive symptoms can occur despite exposure to many hours of daylight. Many summertime SAD symptoms resemble overall depression markers, but eating and sleeping patterns can deviate. People can combat summertime SAD by sticking with antidepressants and psychotherapy, maintaining routines, exercising, and taking a break from social media.

People with knee osteoarthritis often gain temporary pain relief from joint injections. However, there is uncertainty about long-term risks of steroid injections. A 2022 study suggests that the risk may be minimal if these injections are done infrequently.

Active surveillance allows men with low- or intermediate-risk prostate cancer to avoid temporarily the side effects of invasive therapies, but men often feel anxious about their cancer. Emerging evidence suggests there may be a middle path between no treatment and aggressive therapies.

Nighttime skin itching can stem from dry skin, hormone changes, certain medications and skin care products, and rarely, a more serious illness. It can help to change bedding or pajamas, take short baths or showers, apply moisturizer liberally, and use a humidifier.

Psychedelic drugs such as psilocybin (found in "magic mushrooms") and 5-MeO-DMT (a compound derived from toad venom) are being tested for treating cases of depression that don't respond to standard treatments. New depression approaches are needed since current treatments don't work in nearly half of patients. Hallucinogenics may change longstanding thought patterns or promote new connections in brain neurons. Benefits of psilocybin on mood appear to be long-lasting. FDA approval for psilocybin will likely take several more years.

When doctors say that it's okay to take proton-pump inhibitors (PPIs) "on demand" for chronic heartburn, the advice doesn't apply to everyone. PPIs inhibit the production of stomach acid, which can back up into the esophagus and can cause pain (heartburn) and damage the lining of the esophagus. People with damage to the esophagus often stay on PPIs long-term to prevent further problems. People without damage to the esophagus can take a short course of PPIs as needed.

Acetaminophen (Tylenol) is often recommended for pain relief in people with high blood pressure because most other options can raise blood pressure. A 2022 study suggests acetaminophen might sometimes have a similar effect.

People who have been taking antidepressants for some time may wish to stop taking them due to unpleasant side effects. This can be accomplished, but it is best to taper the dosage slowly and be aware of the potential for discontinuation symptoms.

The medical world agrees that daily aspirin can help people with cardiovascular disease lower their risk of heart attacks and strokes. However, most people over age 70 without cardiovascular disease should avoid aspirin as a way to prevent a heart attack or stroke. Even if a person has taken aspirin for a long time as primary prevention of heart disease, it's time to talk to your doctor about potentially stopping it.