Some medications can affect the heart or blood vessels, especially in older adults, but the claim that “these 5 medications cause heart attacks and strokes” is too broad. The risk depends on the person’s health, dose, duration of use, and other medicines being taken. Many medications are also prescribed because their benefits outweigh potential risks.
Here are five medication groups that doctors often review carefully in older adults because they may increase cardiovascular risk in certain situations:
1. Nonsteroidal anti-inflammatory drugs (NSAIDs)
Examples: ibuprofen, naproxen, diclofenac
Possible concerns:
- May raise blood pressure
- Can increase the risk of heart attack or stroke in some people, especially with higher doses or long-term use
- Can affect kidney function
2. Some decongestants
Examples: pseudoephedrine, phenylephrine (found in some cold medicines)
Possible concerns:
- May increase blood pressure and heart rate
- May be risky for people with uncontrolled hypertension or certain heart conditions
3. Certain diabetes medications (depending on the individual)
Some diabetes medicines may require careful selection in people with heart disease or heart failure. Doctors often choose medications based on a patient’s cardiovascular risk profile.
4. Some stimulant medications
Examples: certain medicines used for ADHD or narcolepsy
Possible concerns:
- Can raise heart rate and blood pressure
- May require monitoring in people with heart problems
5. Certain hormone therapies
Some hormone treatments, especially in specific age groups or situations, may increase the risk of blood clots, which can contribute to stroke.
How older adults can reduce medication-related risks
- Keep an updated list of all medicines, supplements, and over-the-counter products
- Ask a doctor or pharmacist before starting new medications
- Check blood pressure regularly if taking medicines that may affect it
- Have medications reviewed periodically (“medication review”)
- Never stop prescribed heart, blood pressure, or blood-thinning medicines without medical advice
If you have a list of specific medications you’re concerned about (names and doses), I can explain their known heart and stroke risks.
