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Adverse Drug Reactions in Seniors Leads to ER Admissions
submitted by: admin on 05/08/2015
Adverse drug reactions lead to 100,000 emergency room visits or admissions every year. Four medications that include Coumadin, insulin, antiplatelet agents, and oral hypoglycemic medications, account for more than 2/3 of all incidences. Patients need more education, supervision, and lifestyle management if we're going to lower this number. Natural alternatives...
Antidepressants Increase Adverse Reactions in Surgical Patients
submitted by: admin on 11/24/2019
According to an article published in the April 2013 issue of the journal Internal Medicine, patients on SSRI antidepressants at the time of surgery have a 20% increased mortality, 9% increased risk for bleeding, and 22% increased risk for readmission within a month of discharge from the hospital! This was based on a review of 530,000 surgical patients from...
Atrial Fibrillation: Choices in Management
submitted by: admin on 04/12/2015
It is defined and coagulation issues addressed. Treatment options including anticoagulants, cardioversion, and certain drugs are reviewed. Its cause should be looked for and prevention considered.
How Safe is St. John's Wort?
submitted by: admin on 07/15/2014
A study published in the June 2014 issue of the Journal of Complementary and Alternative Medicine disclosed that in 28% of the cases when St. John's Wort was used there was the potential for harmful combinations when combined with pharmaceutical drugs. Apparently SJW induces accelerated detoxification of the same pathways in the liver as are used...
Inhaled Steroids Cause Fractures
submitted by: admin on 10/09/2013
Patients with COPD who use inhaled corticosteroids to improve breathing for more than 6 months have a 27% increased risk for bone fractures. The risk goes up as the dosage increases. It was previously assumed that inhaled steroids would have a predominantly local effect, but now we know this is not true. Treatment should consist of lowering or discontinuing inhaled...
Pradaxa: a New Breakthrough in Anticoagulation?
submitted by: admin on 02/19/2015
Pradaxa is currently the only FDA approved drug that inhibits factor Xa and seems to have significant advantages over Coumadin. Early studies have shown a 21% less likely risk of stroke in atrial fibrillation, a 31% lower risk of bleeding, and an 11% lower mortality rate. Two drugs under study by the FDA now include Xarelto, and Eliquis.
If...
Preventing Bone Fractures with Leafy Greens
submitted by: admin on 10/14/2013
The little understood protein, osteocalcin, plays a significant role in the strength of our bones. It is made by osteoblasts, the cells that lay down new bone. Osteocalcin cannot be absorbed into bone in the absence of adequate vitamin K, which comes from eating green leafy vegetables. This is a particular problem in people taking Coumadin for protection...
Preventing Strokes: Aspirin, Plavix, Coumadin, Pradaxa, or What?
submitted by: admin on 02/18/2015
A large clinical trial testing the effects of aspirin and Plavix to prevent small strokes was stopped because there was no added benefit by combining these drugs and the risk of bleeding was too high. This information was presented at the 2012 American Stroke Association meeting in February of 2012. A second abstract presented at the same conference...
Vitamin K Protects Against Getting Type 2 Diabetes
submitted by: admin on 10/17/2013
According to an article published in the October issue of the American Journal of Clinical Nutrition, in a study of 1069 men and women with an average age of 67, over 5.5 years 131 developed type 2 diabetes. The highest intakes of vitamin K1 were associated with a 51% reduction in the incidence of type 2 diabetes compared to those with the lowest intakes....
What You Need to Know About Atrial Fibrillation
submitted by: admin on 10/17/2013
Atrial fibrillation occurs when the top part of the heart, called the atria, beats at around 300 beats per minute and leads to ineffective contraction of the atria. This predisposes to clots forming in the left atrium that can break off and travel to the brain and block circulation and result in strokes. Anticoagulation is the treatment of choice but there is...
What You Should Know About Vitamin K
submitted by: admin on 04/21/2015
Vitamin K's function is underappreciated by both MDs and patients. It regulates calcium metabolism and protects against osteoporosis, arteriosclerosis, aortic valve calcification and regulates clotting. Adequate levels of vitamin K move calcium out of soft tissues such as arteries and heart valves and into bones, where we need it. Even people on Coumadin...
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