Warfarin Interactions. We Should Be Worrying More About OTCs Than Spinach.

January 26, 2015 Newer oral anticoagulant medications that do not have troublesome drug-drug and drug-food interactions may offer alternatives for some patients with certain conditions; however they are pricey, leaving warfarin to continue as the most commonly prescribed anticoagulant. Patients initiated on warfarin are typically warned about two things: 1) use acetaminophen for pain or […] read more

On January 26th, 2015, posted in: Drug Interactions, OTCs, Self Medication by

Treating Older Persons with Diabetes and Complex Conditions…Are We Overshooting the Mark?

January 14, 2015 As we know, it takes a long time for the health care community to understand and embrace guidelines and new treatment paradigms.  Once we finally get the snowball rolling down the hill it can be hard to change course or realize when a nuanced approach is needed. The ‘seven and under HbA1C’ […] read more

On January 14th, 2015, posted in: Older Adults by

Is It Really Dementia? Or is it an Adverse Drug Event??

October 29, 2014 In her recent New York Times blog (@TheNewOldAge) author Paula Span asks the question: “Is It Really Dementia?”  Or is it really something else.  We ask:“Is It Really Your Medication?” The blog raises the point that while there are other reasons for memory and cognitive impairment symptoms, most often for a 75 […] read more

On October 29th, 2014, posted in: Dementia, Older Adults by

Rethinking the Social History in the Oct. 2 issue of the New England Journal of Medicine

October 12, 2014 Several months ago, I accompanied an older friend to her first visit with a “diabetologist.” We waited along with at least a dozen other new patients. Each patient was given the typical clipboard with pages of questions to be answered. Maybe it was the soothing sound of the bubbling fish tank or […] read more

On October 12th, 2014, posted in: Uncategorized by

Taking a Closer Look at Benzodiazepine Use and Risk of Alzheimer’s disease in Older Adults

 September 14, 2014 A Study published on-line  September 9th in the British Medical Journal is getting a lot of response from healthcare blogs, print media, and other sources such as Medscape.  The Canadian case-controlled study set out to investigate the relationship between the risk of Alzheimer’s disease (AD) in older adults and exposure to benzodiazepines (BZNs) […] read more

On September 14th, 2014, posted in: High Risk Medications, Older Adults by

Are We Going Backwards In Our Approach to Pain Management in Older Adults?

August 25, 2014 Recently the DEA, despite pleas from the national pharmacists professional societies (http://www.pharmacist.com/sites/default/files/files/Joint_Rescheduling_Letter_to_HHS_10_2013.pdf) rescheduled hydrocodone combination products into schedule II: imposing significant restrictions and barriers to access to these products, particularly affecting older adult Americans (http://www.ofr.gov/OFRUpload/OFRData/2014-19922_PI.pdf) .While the prescription abuse epidemic indeed is a critical problem, the ‘addict’ label does not apply for […] read more

On August 25th, 2014, posted in: Uncategorized by

One-in-Four Americans Purposefully Misuse Prescription Drugs.

August 10, 2014 Author Michael Johnsen reports in Drug Store News that a new national survey by FindLaw.com reports that as many as 24% of survey respondents report that they have either taken a medication prescribed for someone else, or have given their own prescription to someone else.  When we read a statistic like that […] read more

On August 10th, 2014, posted in: Self Medication by

More on Sleeping Pills and Older Adults, The New Old Age Blog

July 31, 2014 Author Paula Span has recently posted a series of articles to the New York Times.com blog commenting on the use of sleeping pills by American older adults.  The most recent posting occurred July 30th.  The ActualMeds clinical team posted an edited response on July 31st.  Following is the complete version. As Paula […] read more

On July 31st, 2014, posted in: Older Adults by