Life Matters | November 2005



 

Mixing Drugs Can Harm Your Body

Nearly half of Americans take at least one prescription drug, and one in six takes three or more, according to a new report from the U.S. Department of Health and Human Services. Plus, recent surveys reveal that a growing number of people also take over-thecounter (OTC) medicines and herbal products. The result? The risk for drug interactions that change the way the medications work.

“Millions of people end up hospitalized each year from dangerous effects of prescription drugs or interactions between drugs,” says Gary Lott, RPh, PharmD, Director of Pharmacy at South Central Regional Medical Center. “Make sure your doctor and pharmacist know about all the medicines and supplements you take. It also helps to use the same pharmacy for all your prescriptions.”

Here are some examples of how drugs can interact in harmful ways:

  • Decongestants: Commonly found in OTC cold and allergy medications, decongestants can increase blood pressure in people who take medicine to lower their blood pressure. Decongestants also can cause blood pressure to rise in those who are taking antidepressants called MAO inhibitors.
  • Saint John’s wort: This popular herb is used to combat depression. But St. John’s wort can interact harmfully with many different OTC and prescription medicines. These include tranquilizers, sleeping pills, antidepressants, the asthma drug theophylline, and popular cholesterol-lowering drugs called statins. It can be harmful if taken with alcohol, too.
  • Blood thinners: Drugs such as warfarin help prevent blood clots in people prone to stroke and heart attack. However, combining prescription blood thinners with aspirin, acetaminophen, or naproxen could cause excessive bleeding.
Many herbal supplements also interact with warfarin. One new study in the Annals of Internal Medicine reports that ginseng can hamper warfarin’s blood-thinning effect. Other herbs, such as ginkgo biloba, may increase bleeding if taken at the same time as warfarin.

It’s important to avoid grapefruit juice if you’re taking certain blood pressure drugs called calcium-channel blockers or statin-type cholesterollowering drugs.




The editorial content of this online publication is taken from the print version of Life Matters published by South Central Regional Medical Center.

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