Medications Archive

Many people with atrial fibrillation (afib) — a rapid, irregular heart rhythm — need to control symptoms, such as the feeling that the heart is racing or fluttering. Medication options include drugs that slow down the heart or help restore its rhythm. Because afib can also increase the risk of blood clots that can lead to a stroke, many of these people also need to take clot-preventing medications.

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.

Doctors have long prescribed drugs called beta blockers to all heart attack survivors. These drugs, which slow down the heart and lower blood pressure, include atenolol (Tenormin) and metoprolol (Lopressor, Toprol). Growing evidence suggests that these drugs offer no meaningful benefit for people whose hearts still pump normally after a heart attack. Sometimes, however, a heart attack leaves the left ventricle (the heart’s main pumping chamber) unable to contract effectively. When that’s the case, beta blockers are still recommended.

No evidence suggests that nicotine patches promote weight loss. Nicotine suppresses appetite but also raises health risks such as high blood pressure and narrowed arteries. People can talk to a doctor about medically supervised weight loss.

Over-the-counter cold remedies can be helpful, but they must be carefully considered before use. They contain drugs that can cause serious side effects, interact with other medications, and worsen certain health conditions. For example, decongestants can help ease a stuffy nose but also can increase blood pressure and heart rate. And cough suppressants can help someone stop coughing, but taking too much can cause dizziness, confusion, or even changes in mood or thinking.

A 2025 study suggests that urgent care clinics frequently prescribe prescription medications inappropriately for conditions such as ear infections, bronchitis, sprains or strains, or digestive discomfort.

An FDA panel was convened in July 2025 to review black box warnings on menopause hormone therapy, which includes both systemic and vaginal estrogen treatments. FDA panelists are primarily pushing to remove or revise warnings on low-dose vaginal estrogen, which is not absorbed throughout the body and doesn’t appear to carry the same risks of stroke, blood clots, or cancer that have been associated with systemic hormone therapy. Women considering hormone therapy should discuss their individual health risks with their doctor.

Obesity is a common, chronic disease that can harm the heart. The powerful weight-loss medications known as GLP-1s, semaglutide (Ozempic, Wegovy) and tirzepatide (Mounjaro, Zepbound), are now recommended as first-line therapy for eligible people, according to the American College of Cardiology. People using these drugs should work with a dietitian or nutritionist who can help them create a personalized eating plan that ensures they’re getting enough nutrients while minimizing common side effects.

In a 2025 study of nearly a million people with diabetes, those who took GLP-1 drugs had a reduction of 10% to 20% in heart failure, cardiac arrest, lung failure and pneumonia, and dementia, compared with people who took other diabetes medications.

A statement from a group of doctors and scientists raised concerns around taking acetaminophen during pregnancy, but research backing this is based on observational studies and animal studies, so that no firm conclusions can be drawn from it. Here's what to consider if you're pregnant.