The GoodRx Pharmacist - February 10, 2015
If you are taking daily aspirin and are about to have a non-cardiac surgery we now have a firm answer: 7 days.
Many of you scheduled to undergo surgery are taking aspirin for prevention of cardiovascular disease. The risk of aspirin prior to surgery was just confirmed in a large trial called the POISE-2 trial. There was no benefit to taking an aspirin up until surgery and there were, not surprisingly, risks. See More
Dr. Sharon Orrange - January 20, 2015
If you have had stent placement after balloon angioplasty for coronary artery disease you will be placed on medications to ensure you don’t form clots inside those stents. One of them is aspirin, which you will take indefinitely after stent placement. The other one is up for debate, though most of you will take clopidogrel the Plavix generic. Now we have a firm answer for how long you take it.
Why do I have to take two antiplatelet meds after stent placement?
Because it saves lives. See More
Dr. Sharon Orrange - December 10, 2014
Coughing brings many of you to the doctor. Most of this is acute bronchitis, an inflammation of the bronchi (airways) due to upper airway infection. For almost all of you, it is self-limited and will go away on its own. It may surprise you to know this respiratory condition is generally caused by a virus, but reports indicate that more than 60 to 90 percent of patients with acute bronchitis who come to the doctor are given antibiotics. See More
Dr. Sharon Orrange - April 02, 2014
Almost 6 million Americans have the irregular heart rhythm atrial fibrillation. Atrial fib increases your risk of stroke, heart failure, dementia, and early mortality. New guidelines have just been released, with some pretty big changes on how to manage atrial fib. Here is what you need to know:
1. Know the score.
The decision of whether or not you need to be on blood thinners when you have atrial fib has always been based on your score. See More
Dr. Sharon Orrange - March 06, 2014
For pennies a day, aspirin saves many lives from stroke and heart disease. Having said that . . . an aspirin a day carries risks, so not everyone should be taking it. Remember, the benefits of a low dose aspirin a day outweigh the risks only in some people. This is not a grey area, but an area that has been well-studied so know these things:
Dr. Sharon Orrange - October 15, 2013
As we live longer, vision loss becomes a huge quality of life issue in our older folks. Age-related Macular Degeneration (AMD) is the number one cause of vision loss in Americans 60 and older and there is a ton going on here. New stuff. Good stuff.
Dry macular degeneration can progress to wet macular degeneration, and that’s when treatment begins. Wet AMD can’t be cured but treatments now can slow the progression of vision loss significantly. See More
Dr. Sharon Orrange - July 16, 2013
Hold on, another benefit of daily aspirin? The benefit of aspirin against stroke and heart disease in folks with risk factors is well known, but so are the risks. Aspirin carries the well-known downside of gastrointestinal bleeding and ulcers. If you’re struggling to decide whether or not to take a daily aspirin, there is one more notch in the “pro” column
Dr. Sharon Orrange - August 16, 2012
In my primary care practice, many of my female patients worry about taking over the counter medications when they are trying to conceive, afraid they may take something bad before knowing they are pregnant.
So it is important to know: what over-the-counter (OTC) medicines can you take while you are pregnant, or trying to get pregnant?
First, what are the common things you will need OTC meds for?
– Cough and cold
– Skin rashes or hives
– Diarrhea or constipation
Now, there are some grey areas where doctors aren’t sure if a medication is safe or not because that medicine hasn’t been studied well enough in pregnant women. See More
Dr. Sharon Orrange - December 09, 2011
What are the most dangerous medications? Results from a recent study highlight four drugs that are responsible for a shocking number of negative effects. Data from 2007 – 2009 shows that these four drugs were involved in more than two-thirds of the hospitalizations of older patients for harmful drug reactions and incidents.
Researchers looked at emergency hospitalizations of adults aged 65 years and older that were attributed to the use of a drug, or a drug-specific adverse effect. See More