Medications and treatments Archive

New information may affect your approach to treatment.

Millions of people turn to prescription and over-the-counter medications to cope with heartburn from gastroesophageal reflux disease or other stomach conditions. But navigating the risks of heartburn remedies can leave a sour taste in your mouth, since some have been tied to health concerns. Here's what you need to know about two mainstays of treatment, and how the latest developments may affect you.

H2 blockers

Histamine₂-receptor antagonists, better known as H2 blockers — such as famotidine (Pepcid) and cimetidine (Tagamet) — are available over the counter or by prescription. They block a chemical that signals the stomach to produce acid, and are the go-to drugs when an antacid like calcium carbonate (Tums) or aluminum hydroxide (Maalox) isn't strong enough.

Learn about a device's pros and cons so you're not stranded.

John was in trouble: The 84-year-old wound up on the floor after sliding out of a chair. While unhurt, John couldn't get up. He lived alone and couldn't reach his cellphone, house phone, or alert button; all were on a table next to his chair. After three long hours trying to inch across the floor, John remembered that his "smart" speaker (activated by voice commands) was connected to his smartphone. John called out for the speaker to dial his daughter, who sent help right away.

Electronic gadgets like smart speakers can be a great addition to the home.  But a smart speaker won't save the day in every emergency. Before investing in a gadget for security, learn about its potential limitations.

In the journals

Cholesterol-lowering statins and blood pressure drugs can improve heart health, but you still need to follow heart-healthy habits. That's the conclusion of a study published online Feb. 5, 2020, by the Journal of the American Heart Association, which found many people forgo healthy habits after they begin taking these medications.

Researchers in Finland identified 41,225 people who were free of cardiovascular disease. They collected such health data as body mass index, physical activity, alcohol intake, smoking status, and whether the people took statins or blood pressure drugs. Updated information was gathered from surveys every four years over a 14-year period.

There is disagreement over whether or not there is such a thing as a cannabis withdrawal syndrome, but it's definitely real, and with increased availability of legal marijuana and other products, even those who use it medicinally need to be aware of the symptoms, and what to do if they think they have it.

As more older people undergo surgeries, the risk of complications increases, including for cognitive decline following their procedures, particularly after cardiac surgery. But awareness and pre-planning with your care team can help you avoid such complications.

Here's what the numbers mean — and strategies to lower your cholesterol if it's too high.

For some women who've had normal cholesterol readings all their lives, that changes at menopause. "Going through menopause often results in lipid and cholesterol changes for the worse," says Dr. Samia Mora, an associate professor of medicine at Harvard Medical School and a specialist in cardiovascular medicine the Brigham and Women's Hospital. Drops in the female hormone, estrogen, are associated with a rise in total cholesterol levels due to higher amounts of low-density lipoprotein (LDL), the "bad" cholesterol, and another blood lipid (fat) known as triglyceride. Over time this can raise heart risks, which is a reason for concern, as cardiovascular disease is the No. 1 cause of death in postmenopausal women, says Dr. Mora.

"So, it's especially important to track the numbers in perimenopause and the early years after menopause, as LDL cholesterol and total cholesterol tend to increase," she says.

Research we're watching

Smart watches and wrist-worn fitness trackers that estimate your heart rate appear to be reliable in people with a range of different skin tones. But their accuracy may vary during different types of everyday activities, a new study finds.

Researchers recruited 53 people with different skin tones to test six different devices, which work by measuring changes in blood flow through the skin using a special sensor. The volunteers also wore electrocardiogram patches (which provide a gold-standard heart rate measurement) while they did different activities: sitting still, breathing deeply, walking, and typing.

Research we're watching

If you have children in your house — even for a few hours at a time — be certain to store your medications safely. A study in the January 27 issue of Pediatrics found that more than half of the time, accidental poisonings with prescription medication occurred because adults had removed the medicine from a child-resistant container before the child discovered it.

CDC researchers examined calls made between February and September 2017 to five poison control centers to determine how these accidents most often occur. Most of the time, the pills that children encountered belonged to a parent, but in more than half of cases involving particularly harmful medication, it belonged to a grandparent. These medications included drugs to treat diabetes or cardiac conditions. Child-resistant packaging can help protect children, but it's often inconvenient for adults. Study authors found that most often when poisonings occurred, it was because adults put the pills into pill organizers that were not child-safe, stored them in small plastic bags, or left them out on a surface that a child was able to reach. In other cases, a child found a pill that was dropped on the floor.

Here's what a heart rate monitor might do for you.

All kinds of high-tech exercise gadgets are available nowadays, from activity trackers to Apple Watches. However, one of the oldest technologies is still quite valuable: the simple heart rate monitor.

"For some people, a heart rate monitor is the ideal fitness tool to help them stay in tune with their body, so they can exercise better, smarter, and safer," says Dr. Meagan Wasfy, a cardiologist with Harvard-affiliated Massachusetts General Hospital.

In the journals

Men often rely on drugs to manage overactive bladder symptoms, such as frequent urination, urgency, incontinence, and nocturia (having to use the bathroom at night). However, a study published online Jan. 13, 2020, by JAMA Internal Medicine suggests that adding behavioral therapy may lead to better results.

Scientists recruited more than 200 men (average age 64) with overactive bladder symptoms and divided them randomly into three groups. One group received only drug therapy. One received only behavioral therapy, which consisted of learning pelvic floor exercises and relaxation techniques to help suppress urges and prevent urine loss. The third group had both behavioral and drug therapy.