Lifestyle
Doctors Warn Seniors About Hidden Dangers in Common Over-the-Counter Medications
As we age, our bodies undergo numerous changes, including how we process medications. This makes it crucial to be vigilant about which over-the-counter (OTC) medications we choose to take. Aging can slow down the metabolism of drugs, leading to prolonged presence in the body and potentially unsafe levels. This can cause unexpected side effects or dangerous interactions with other medications, posing serious health risks. Even OTC medications that seem harmless can be risky for those over 60. Here’s a closer look at six OTC medications that could be particularly hazardous for seniors, as advised by doctors.
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)
NSAIDs, including aspirin, ibuprofen (Motrin and Advil), and naproxen (Aleve), are common choices for pain relief but can be problematic for seniors. Meredith Bourne, MD, highlights their potential dangers: “These medications can cause ulcers, GERD, bleeding in the gastrointestinal tract, kidney problems, and can increase blood pressure.” While these issues often arise with prolonged use, they can also occur after just a few doses, particularly if taken in high amounts or without enough food or hydration. Bourne also warns about aspirin’s blood-thinning effects, which could lead to uncontrolled bleeding, especially for those on other blood thinners. “Never take over-the-counter aspirin without consulting your doctor first,” she advises.
Calcium-Containing Antacids
Calcium-containing antacids like Tums and Rolaids should be used sparingly by those over 60, according to Raj Dasgupta, MD. “Occasional use is fine, but overuse can potentially lead to high calcium levels, which can cause constipation, confusion, and kidney problems,” he explains. Seniors, particularly those with reduced kidney function, should be cautious about their total calcium intake from all sources.
Proton Pump Inhibitors (PPIs)
PPIs such as omeprazole (Prilosec OTC), lansoprazole (Prevacid), and esomeprazole (Nexium) are often used for short-term treatment of stomach ulcers and acid reflux. However, caution is necessary if you’re over 60. Bourne warns, “Using them long-term for acid reflux symptoms can increase the risk of life-threatening infections like Clostridium difficile (C. diff) and pneumonia.” PPIs have also been linked to bone loss, fractures, gastrointestinal cancers, and potentially dementia, all of which can disproportionately affect seniors.
Antihistamines
For those over 60, antihistamines like diphenhydramine (Benadryl) or doxylamine (Unisom) can lead to significant side effects. Bourne notes, “Antihistamines can cause drowsiness, dizziness, and confusion due to their effects on the central nervous system,” increasing the risk of falls and accidents. Additionally, seniors may experience dry mouth, constipation, or trouble urinating.
Decongestants
When cold symptoms strike, decongestants such as pseudoephedrine (Sudafed) may offer quick relief but come with risks for seniors. Bourne explains, “Decongestants can increase blood pressure and heart rate, as well as cause dizziness or confusion.” These risks are heightened when decongestants are part of combination cold and flu medications. Dasgupta adds, “It may also lead to insomnia, nervousness, and difficulty urinating, especially in men with prostate issues.”
Navigating the world of OTC medications can be challenging for those over 60. As our bodies change, so do our reactions to medications, making it essential to consult with healthcare professionals before taking any new medication. By staying informed and cautious, seniors can better protect their health and well-being.
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