“These 5 Medications Increase the Risk of Heart Attack and Stroke in Older People” — What You Should Know
Headlines like this can be alarming, but the reality is more complex: most medications are prescribed because their benefits outweigh their risks. Some medicines may increase cardiovascular risk in certain people, especially older adults with existing heart disease, high blood pressure, kidney problems, or multiple medications.
Never stop a prescribed medication without speaking with a healthcare professional.
Medication Groups That May Require Extra Caution
1. Certain Anti-Inflammatory Pain Medicines (NSAIDs)
Examples include some over-the-counter and prescription anti-inflammatory medicines.
Possible concerns:
- Increased blood pressure
- Fluid retention
- Higher risk of heart problems in some people, especially with long-term use or high doses
2. Some Diabetes Medications (Depending on the Individual)
Diabetes medicines vary widely. Some older drugs or combinations may require careful monitoring because of:
- Low blood sugar episodes
- Weight changes
- Heart or kidney considerations
Many newer diabetes medicines may actually provide heart benefits for certain patients.
3. Certain Decongestants
Some cold and allergy medicines containing stimulant-like ingredients may:
- Raise blood pressure
- Increase heart rate
People with uncontrolled hypertension or heart disease should ask a healthcare professional before using them.
4. Some Hormone-Related Medications
Certain hormone therapies may affect clotting risk in some individuals, depending on age, dose, and medical history.
5. Some Medications That Affect Heart Rhythm
Certain medicines can affect the heart’s electrical system and may increase the risk of abnormal rhythms in susceptible people.
Why Older Adults Need Medication Reviews
As people age:
- The body may process medicines differently
- The number of prescriptions often increases
- Drug interactions become more likely
A regular medication review with a pharmacist or doctor can help identify:
- Unnecessary medicines
- Safer alternatives
- Dose adjustments
- Potential interactions
