Mobility, safety, and fall prevention Archive

To stay on your regimen, you'll have to be organized and learn about each of your drugs.

Many older adults take five or more prescription medications, increasing the risk of harmful drug interactions.
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Taking several types of medications can be challenging. But this is something you have to get right. If you don't, you may have unwanted side effects, or you may not properly treat your chronic condition. "I see people who average 15 medications, and it's very difficult for them to juggle that many pills," says Joanne Doyle Petrongolo, a pharmacist at Harvard-affiliated Massachusetts General Hospital.

News Briefs

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A Harvard study published March 3, 2016, in JAMA Oncology adds to increasing evidence that aspirin use may help stave off colorectal cancer and suggests that aspirin is also associated with a small reduction of overall cancer risk.

Researchers looked at aspirin use among almost 136,000 men and women in two studies over 32 years. They noted that regular aspirin use—taking either a 325-mg tablet or an 81-mg tablet two or more times per week—was associated with a 3% reduction in cancers over all, although they saw no effect on major cancers like those of the breast, prostate, or lung. The researchers say the overall reduction was due mostly to a 15% risk reduction for gastrointestinal cancer and a 19% risk reduction for colorectal cancer.

News Briefs

The CDC wants doctors to stop treating chronic pain by prescribing opioids, such as oxycodone (OxyContin). The CDC published guidelines on opioid prescription March 15, 2016, in The Journal of the American Medical Association. Opioids are powerful painkillers typically used to treat severe pain after surgery or pain with terminal illness, and sometimes used to treat chronic pain. But long-term use of these drugs comes with the risk of dependence, addiction, overdose, and death, as we reported in March.

The CDC is recommending that doctors instead treat chronic pain with non-opioid painkillers, such as acetaminophen (Tylenol) or ibuprofen (Advil); anticonvulsants (gabapentin or pregabalin); tricyclic antidepressants; or serotonin-norepinephrine reuptake inhibitors. The CDC also suggests treating chronic pain with nondrug therapies, such as physical therapy. If you and your doctor feel the benefits of opioid therapy outweigh the risks, the CDC urges doctors to prescribe the lowest effective dose, and reassess risks and benefits at least every three months. The recommendation is not intended for people taking opioids for terminal illness or palliative care.

News Briefs

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A small study published in March 2016 in The Journal of the American Medical Association appears to support two nondrug options for treating chronic lower back pain. Researchers found that mindfulness-based stress reduction (MBSR), which includes yoga and mindfulness meditation (focusing on the moment), and cognitive behavioral therapy (CBT), which redirects pain-related thoughts and behaviors, were better at lowering back pain than usual care (other treatments received, if any).

Researchers randomly assigned more than 300 people (average age 49) to usual care or to eight weekly sessions of either MBSR or CBT. Six months later, researchers found that 45% of both the MBSR and CBT groups had less back pain, compared with 27% of the usual-care group, and about 60% of both MBSR and CBT participants had more back function, compared with 44% of those getting usual care.

Wearing lenses that screen out harmful ultraviolet radiation is essential for keeping your eyes healthy.

Large wraparound lenses offer the best protection.
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When you buy sunglasses, your primary aim might be to find a style that looks good on you and is comfortable. If so, like almost half of people selecting sunglasses from the racks, you've failed to consider the most important detail—the amount of harmful ultraviolet (UV) radiation the lenses screen out.

Dr. Michael Bierer explains the most common misconception about addiction and offers tips for recognizing if you might be developing an addiction.

Dr. Wynne Armand talks with Dr. Terry Schraeder about the increase in opiod addictions and shares prevention and treatment methods for those experiencing an addiction to prescription opioid medication.

Dr. Terry Schraeder and Uma Naidoo, MD, instructor in psychiatry at Harvard Medical School and a professional chef, discuss the significant amount of hidden sugar in everyday food and drinks.

Want to make a change but wondering how to stay motivated? Dr. Srini Pillay talks about the things that can impact personal motivation and the power of a sense of meaning to help you stick with your goals.

If you find yourself in a slump, Dr. Beth Frates shares what may be draining you and offers tips for getting more energy.