March 22, 2016

Study: 1 in 6 seniors take dangerous combos of medications, supplements

Chicago, (IINA) - Researchers at the University of Illinois have released a study on Monday revealing that seniors of this period are taking more supplements alongside their medications than ever, a practice that puts them at risk for dangerous drug interactions, UPI reported.
The Chicago-based University said that more than 15 percent of older Americans took potentially life-threatening combinations of prescription medications, over-the-counter drugs and dietary supplements in 2011. That was almost a twofold increase from 2005, when 8.4 percent of seniors did so.
"Alongside the growing use of multiple medications, there is also a hidden and increasing risk of potentially deadly drug interactions in older adults", said lead researcher Dr. Dima Qato, an assistant professor of pharmacy systems at the university.
Many of these interactions involved heart drugs and supplements, such as omega-3 fish oil supplements, which are more commonly used now than they were five years ago, Qato said.
She stressed that as a safety measure, patients should always tell their doctor about all of the drugs and supplements they are taking, or plan to take, including over-the-counter medications.
"A medication or supplement may be safe and beneficial when you use it alone, but when you mix it with other medications or supplements, it can be very dangerous", Qato explained.
Qato's team first interviewed more than 2,300 older adults about their medication/supplement use in 2005, and then they surveyed another 2,200 seniors in 2011. Participants were between 62 to 85 years old.
The investigators found that the number of people taking at least five prescription drugs rose from over 30 percent to almost 36 percent during the study period. In addition, the number of seniors taking five or more medications or supplements increased from over 53 percent to slightly over 67 percent.
Over the same period, the use of over-the-counter medications dropped from slightly over 44 percent to almost 38 percent, while the use of dietary supplements rose from close to 52 percent to nearly 64 percent, the researchers found.
The most common supplements used were multivitamins or mineral supplements and calcium, the study authors noted.
Another study also found that doctors often remiss in asking their patients about their use of complementary and alternative medicines.
For that study, Judy Jou, from the School of Public Health at the University of Minnesota in Minneapolis, analyzed survey data for nearly 7,500 adults. Of these, over 42 percent did not tell their doctor about the supplements they were taking or alternative treatments they were trying.
"Not telling primary care providers about using complementary and alternative medicines can be dangerous, especially if the type being used creates adverse interactions with any medical treatments that a patient might be undergoing concurrently", Jou said.
Examples of this include the use of herbs and supplements that interact negatively with prescription drugs or movement-based therapies, such as yoga, that counteract prescribed physical therapy, she explained.
When patients didn't tell their doctor about these practices, it was most often because their doctor didn't ask or patients felt the doctor didn't need to know, Jou said.
"Encouraging discussion of complementary and alternative medicine use can help prevent medical complications that may arise from simultaneous use of conventional and complementary and alternative medicines and treatments, as well as improving communication and trust between patients and providers", she said.
AG/IINA

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