The list, known as the Beers Criteria named after a famous geriatrician Mark H. Beers , is long and somewhat daunting. There are, however, a relatively small number of drugs associated with a high proportion of avoidable side-effects, said Jonathan H. By becoming aware of these high-risk drugs and the Beers Criteria more broadly, seniors can protect and perhaps improve their health and quality of life for years to come.
Warfarin , also called Coumadin and Jantoven, is an anticoagulant or blood thinner prescribed to prevent the formation of stroke- and heart-attack-inducing blood clots. The drug has a very narrow therapeutic range, meaning that slightly higher than ideal amounts in the bloodstream can lead to a dangerous over-thinning of the blood.
Patients on warfarin should double-check that their health care provider is monitoring the level of anticoagulation in the blood stream, to ensure they are in the appropriate range.
Because of this, the same dose of warfarin can have vastly different effects on individuals, at any age. Warfarin also interacts with other medications, such as aspirin and Plavix, as well as supplements and foods such as ginseng, gingko, fish oil, and dark leafy greens rich in vitamin K. It is a large, complex protein and may, like other drugs, be metabolized at highly variable rates among seniors.
Older adults are also sometimes less attuned to many of the classic symptoms of hypoglycemia, such as sweating, shaking or heart pounding. Watanabe suggests that seniors avoid rapid-acting insulin and that they consider decreasing the complexity of their medication regimen by choosing an insulin medication that can be taken once a day.
Oral antiplatelet agents , such as clopidogrel Plavix , treat and prevent heart attacks and stroke. Read more in our FREE Coumadin Interaction Blood Thinners to avoid prior to surgery — My Doctor…Because most anti-inflammatories and pain relievers contain blood thinning agents, these medications should be avoided.
The exception is Tylenol acetaminophen For pain control, Tylenol is a safe alternative that can be taken at any time before surgery. You may also need to take over the You can begin taking your blood thinners Coumadin, Plavix , or Aspirin like products four hours after the injection.
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Stop taking this medication and contact your doctor if you experience bladder pain, difficulty urinating, frequent urination, or blood in the urine. Such as: ibuprofen ; naproxen. Mixing NSAIDs with antiplatelet therapy — The Clinical…1 Mar Once bleeding develops and cardioprotection is suspended, the situation can rapidly spiral out of control. Who should receive PPIs? Tylenol and pain medication as prescribed by your physicians is OK.
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You May Be Taking a Dangerous Drug Combo Bottom Line…28 Apr Another common dangerous combo: Many people were taking blood-thinning medications, such as clopidogrel Plavix or warfarin Coumadin , and also taking other supplements or OTC drugs that can greatly increase the risk for uncontrolled bleeding or clotting. Major culprits: Omeprazole Prilosec ,.
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