Risky OTC Drugs for Seniors

All too often people think of over-the-counter drugs as being safe and not having the side-effects or drug interactions their prescription drugs might have. Experts say this attitude could put you at risk as many over-the-counter (OTC) drugs are not as harmless as we think, especially as we age. AARP recently cited a statistic showing as many as 178,000 hospitalizations a year are caused by a reaction to OCT medications and adults 65 years and older were more commonly harmed.

One reason older adults are more vulnerable to adverse outcomes are many already take several prescription drugs. A report from the Lown Institute, a non-profit organization, reported nearly half of adults 65 years and older take five (known as polypharmacy) or more prescription drugs daily. Another 20 percent over 65 take 10 or more daily.

This increases the risk of interactions when taking an OTC medication for pain relief, stomach issues, allergies or other needs. In addition, the AARP article explains as we age, our bodies lose muscle and gain fat, which slows down the process of getting rid of medications. One of the organs responsible for processing medication is the kidneys, which start to work less effectively to filter and eliminate waste causing medications to build up. Aging livers also work less effectively to break down medications.

Common OTCs like acetaminophen (generic name for Tylenol) can cause damage to the liver. Ann M. Hester, M.D., a board-certified internal medicine physician based in Highland, Maryland explains overuse of acetaminophens is the leading cause of deadly liver failure. Seniors on blood thinners should be aware that ibuprofen (Motrin and Advil) and naproxen (Aleve) OTCs drugs may result in stomach bleeding and ulcers. Moreover doctors no longer recommend people take a daily aspirin as a preventive measure toward heart disease as it too may cause stomach bleeding.

People with high blood pressure should be aware that decongestants containing phenylephrine or pseudoephedrine like Sudafed can increase blood pressure. It can also cause problems to combine an OTC pain reliever with a decongestant as it too raises blood pressure putting the person at risk for a stroke; and men with prostrate issues are at risk for urinary problems. There are other OTCs that seniors should be wary of so before you take one, be sure to check with your healthcare provider.

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aarp.org/health/drugs-supplements/info-2023/otc-medications-risky-after-50/