Unsafe at older age

As we age our bodies change, and we become more susceptible to complications or medications and supplements. In most other countries, where there is universal health care, it is relatively easy to do large population studies and examine complications and effects of drugs and medications. The government databases contain records of deaths, illnesses, and medications.

In several studies, researchers have discovered that drugs which were considered safe may have complications in those with underlying illnesses. These include some common antibiotics.

UNSAFE ANTIOTICS

BIAXIN, ZITHROMAX, LEVAQUIN and its relatives all have very rare cardiac side effects. These do not seem to be an issue in younger and healthy individuals, but in older patients, and those with heart issues, there is a small but significant increased risk of complications and death. If possible we should try and avoid the use of these medications; however when indicated they are usually safe. As well, SEPTRA has been found to be potentially dangerous in those who are taking certain blood pressure drugs called ACE or ARBs.

USELESS VITAMINS

In a related study, Dutch researchers addressed the concept that elevated homocysteine levels were related to Alzheimer's and could be treated with B vitamins. Although the association may be valid, and B vitamins do decrease homocysteine levels, unfortunately there is no affect on Alzheimer or heart disease.

DANGEROUS BLOOD PRESSURE TREATMENT

Blood pressure treatment is important in older patients, but in a recent study it was found that the prevalence of orthostatic hypotension (drop in pressure when standing up) increased by a level of 5 from 4% to 20% between the ages of 60 and 80. This is associated with more frequent falls and fainting.

It is important for doctors to understand that those patients should not be as aggressively treated; there needs to be a balance between treatment and over-treatment. If you or someone you know is getting the symptoms of fainting or dizziness when standing and they are on medications that can cause this discuss it with your doctor!