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Medications and treatments Archive

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Why people faint: From common to very rare causes

All episodes of fainting results from insufficient blood flow to the brain. But there are many underlying causes for that diminished blood flow, ranging from common, usually harmless issues to rare, potentially serious problems. Common causes include vasovagal syncope and orthostatic hypotension; rare causes include carotid sinus hypersensitivity and rotational vertebral artery syndrome.

Battle of the bulges

A majority of people over 60 have diverticulosis, a condition in which tiny bulges (called diverticula) appear in weak areas of your colon’s inner wall. The bulges themselves don’t cause symptoms, but they can lead to bleeding or diverticulitis, which occurs when a diverticulum becomes inflamed or infected. People can reduce their risk by eating more fiber and staying physically active.

Right-sizing opioid prescriptions after surgery

It's common for doctors to prescribe opioid pain medications for their patients after surgery; however, prescribing large numbers of pills increases the possibility of dependence and overdose. Writing prescriptions for smaller quantities of pills while still monitoring people's pain is one way to reduce the likelihood that a person develops a problem.

Nicotine addiction explained — and how medications can help

Addiction is now understood to be a neurological disorder that results from changes to the brain's reward center caused by addictive substances. Ideally, treatment for nicotine addiction combines medication to suppress cravings with counseling to help patients reprogram their behavior.

A new Alzheimer's drug has been approved. But should you take it?

The FDA has granted accelerated approval to the first new drug in nearly two decades for Alzheimer's disease. But there are potential side effects, and results of studies of this drug have been mixed. It is not yet known whether the drug truly works, or how effective it will be, so the approval is contingent on the drug's maker conducting further studies over the next several years.

Ask the doctor: Which antidepressants have anticholinergic effects?

An article in your April issue, ?Common drugs linked to dementia,? states that anticholinergics are used to treat depression. I wasn?t aware of this. Which types of anticholinergics are used for depression?

A new treatment for advanced prostate cancer improves survival in phase 3 clinical trial

Radiation therapy is getting more precise, making it easier to kill tumors while sparing their surrounding tissues. Some newer therapies deliver radiation particles directly to the cancer cell itself. One of these new therapies is now generating promising data for men with the most aggressive prostate cancer.

A new way to take aspirin: Liquid-filled capsules

The FDA approved the first liquid-filled aspirin capsule, Vazalore, which will be marketed in standard and low-dose versions.

Chronic inflammation and your joints

The immune system sometimes launches a chronic inflammatory response in certain joints. That leads to pain, stiffness, and joint damage known as inflammatory arthritis. It’s usually unknown what triggers the conditions. Types of inflammatory arthritis include rheumatoid arthritis, gout, and psoriatic arthritis. Treatments include medications, such as biologic or nonbiologic disease-modifying antirheumatic drugs (DMARDs), and lifestyle habits, such as exercising, avoiding processed foods, reducing stress, not smoking, and getting enough sleep. Wearing a splint or brace on affected joints and seeking physical therapy may also help ease pain.

Autoimmune conditions and heart disease

People with systemic inflammatory conditions such as rheumatoid arthritis, lupus, and psoriasis are more likely to have heart attacks and to die of cardiovascular disease than people in the general public. The 2019 expert guidelines for preventing heart disease says these conditions should be considered "risk enhancers" when estimating heart attack risk. But this added risk may be underrecognized and undertreated.

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