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Choosing the right ED drug

Men have a higher risk of having erectile dysfunction (ED) as they age and many can benefit from taking an ED drug. There are currently four choices in the US, and men usually adopt a trial-and-error approach to find the drug and dosage that works for them. The choice also can be dictated by how fast they want the drug to work and how long the effect will last.

Alternatives to warfarin may be safer, more effective for afib

For people with certain types of valvular atrial fibrillation, drugs known as direct oral anticoagulants (DOACs) may be safer and more effective than warfarin (Coumadin). DOACs include apixaban (Eliquis), dabigatran (Pradaxa), and rivaroxaban (Xarelto).

When pain slows your new walking regimen

There are lots of aches and pains that can slow down a new walking regimen. Examples include heel pain from plantar fasciitis, shin pain from spinal stenosis, and joint pain from osteoarthritis. Treatment varies, depending on the cause. Once pain has been addressed, it’s important to set realistic goals for a walking routine, starting with five or 10 minutes per day and gradually increasing the time. Doctors recommend an ultimate goal of 30 minutes of daily brisk walking.

Pain relief: Taking NSAIDs safely

NSAIDs can help relieve pain and reduce inflammation from arthritis and other chronic aches and pains. However, you want to use the lowest dose for the shortest time.

Diastolic blood pressure: Worth a second look?

A diastolic blood pressure reading lower than 60 mm Hg may be linked to an increased risk of heart attack and stroke in people at high cardiovascular risk. Diastolic pressure tends to fall with age. Some people with a low reading have a leaky aortic valve, which interferes with normal blood circulation throughout the heart and causes diastolic pressure to fall. But in people with healthy aortic valves who can be physically active without any symptoms (such as chest pressure, shortness of breath, or lightheadedness), a low diastolic blood pressure should not pose a problem.

Common questions about medical cannabis

While cannabis is still illegal at the federal level, more than two-thirds of US states have made it partly or fully legal for medical purposes. People who decide to use marijuana for a medical condition often have questions about its safety and proper use — the same considerations doctors weigh when determining whether it should be prescribed for a particular patient.

American Heart Association issues statement on cardiovascular side effects from hormonal therapy for prostate cancer

The American Heart Association issued a statement addressing cardiovascular risks from hormonal therapy for prostate cancer, emphasizing the need to identify men with pre-existing cardiac risk factors or a family history of cardiovascular diseases who should be monitored closely during treatment.

What's causing the ringing sound in my ear?

A ringing sound in one or both ears is usually a form of an annoying condition called tinnitus. When tinnitus persists, treatment  such as cognitive behavioral therapy, tinnitus retraining therapy or biofeedback, can ease symptoms.

Harvard finding: Aspirin tied to reduced colorectal cancer risk

News briefs

Regular aspirin use is associated with a reduced risk for developing colorectal cancer in older age — but you won't get the benefit if you start the therapy too late in life, according to a Harvard study published online Jan. 21, 2021, by JAMA Oncology. Researchers combined the results of two large studies involving a total of more than 94,000 people who answered health questionnaires regularly and were followed for three decades. Compared with people who didn't take aspirin, people ages 70 or older who took either 325 milligrams (mg) or 81 mg of aspirin at least twice per week had a 20% lower risk for developing colorectal cancer — but only if they had started the therapy by age 65. Starting aspirin therapy at or after age 70 was not associated with significant protection against colorectal cancer. The study was observational and does not prove whether aspirin can or cannot ward off colorectal cancer. But other observational studies have also shown an association between aspirin use and lower colorectal cancer risk. Like any medicine, aspirin isn't risk-free: regular use increases the risk for gastrointestinal bleeding. If you happen to be taking aspirin regularly for other reasons, this might be an added benefit.

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Cancer survivors: A higher risk of heart problems?

If you're among the nearly 17 million adults in this country who's had cancer, pay extra attention to your heart health.

Thanks to advances in early detection and treatment, people with cancer are living far longer than in past decades. But cancer survivors should be aware that cancer and its treatments can compromise cardiovascular health, according to a recent study from the CDC.

Researchers studied more than 840,000 adults, including about 69,000 cancer survivors, to see how much cancer "ages" the heart. They found that adult men treated for cancer had hearts that appeared to be 8.5 years older than their actual age, while the hearts of women who survived cancer appeared to be 6.5 years older.

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