The GoodRx Pharmacist - April 18, 2017
If you have ever experienced a serious reaction to a medication, you are not alone. In 2000, the Institute of Medicine reported that more than 2 million serious adverse drug reactions occur each year. The FDA keeps track of these serious events through a reporting system and releases them quarterly. This system, the FDA Adverse Event Reporting System (FAERS), is a database that contains information on adverse events and medication error reports that have been submitted. See More
Dr. Sharon Orrange - April 04, 2017
“Can I have a drink while I’m taking my medication?” This is a question that primary care doctors are frequently asked, rightly so. Almost 50% of Americans report taking a prescription medication in the previous month. Alcohol in moderation (3 – 5 drinks per week) is recommended for stroke and heart disease prevention, and many folks taking medications known to interact with alcohol still report regular use. See More
Dr. Sharon Orrange - October 01, 2015
The best treatment in diseases such as atherosclerosis, or coronary artery disease, is prevention. Lifestyle changes like exercise, quitting smoking and changing your diet are an important place to start, but sometimes you just need more help.
Drugs like the statin medications work well to lower cholesterol but may come with some side effects. I am often asked by patients: what natural remedies really work to lower cholesterol?
There are some options out there, but before I show you some promising and well-studied plants that may help lower cholesterol, please remember a few things: these are unregulated and may carry issues of toxicity. See More
Dr. Sharon Orrange - July 13, 2015
You probably already know that many prescriptions have side effects. Most are mild—annoying issues like nausea or sleepiness that are inconvenient at worst. Others, however, can be deadly.
A very small number of medications are responsible for the majority of adverse side effects and hospitalizations from harmful drug reactions. How bad are these drugs? Between 2007 to 2009, almost 100,000 patients older than 65 had emergency hospitalizations for dangerous drug reactions, and almost 20,000 people die from prescription drug overdoses annually. See More
The GoodRx Pharmacist - May 26, 2015
Whether you use one medication or fifteen, it is important to know exactly what your doctor has prescribed for youto make sure you get the right medication and dose each time. You should also know why your meds were prescribed, and how you are supposed to take them.
It’s unfortunate but true that many people don’t know what they’re taking, let alone why. Playing a proactive role in managing your medications may not always be easy, but you can look for help from your pharmacist, doctor, or nurse. See More
Dr. Sharon Orrange - January 27, 2015
Medications certainly aren’t the only thing that will cause hair loss, but they are often overlooked. If you feel like you are losing your hair, one of your first steps is to look at your medication list. You will also pay attention to other well known causes including poor diet (caloric or protein restriction), major illness or surgeries, major psychological stress, significant weight loss, chronic iron deficiency, thyroid disorders, and childbirth. See More
Dr. Sharon Orrange - September 03, 2014
Doctors treating patients with atrial fibrillation have embraced the new oral anticoagulants and more than 60% of new prescriptions are now written for the newer choices instead of warfarin (Coumadin). Xarelto seems to be gaining speed as the dominating new blood thinner. Xarelto use has increased quickly, with more patients being treated with this drug than with warfarin or Pradaxa in 2013.
Here are 10 things you need to know about Xarelto:
1. 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 - February 12, 2014
Coumadin (warfarin) has been the mainstay of treatment for stroke prevention in folks with atrial fibrillation. When the atrium is fibrillating, and losing its atrial kick, there is a higher risk of clot forming in the atrium which will break off into the ventricle, then head to your brain and cause a stroke.
For that reason, we treat some folks with atrial fibrillation with blood thinners to prevent that stroke risk. See More
Dr. Sharon Orrange - December 19, 2013
The newer anticoagulants like Xarelto (rivaroxaban), known as Factor Xa inhibitors, save you from repeated blood tests for INR checks that you will need while on Coumadin (warfarin). Many folks wonder how they can change from Coumadin to the newer medications.
First, who can use Xarelto? Xarelto is a pill approved for use in folks with a known clot in their leg (deep venous thrombosis or DVT), a clot in their lung (pulmonary embolism or PE), prevention of clot/stroke in people with atrial fibrillation who do NOT have valve disease, and to decrease the risk of forming a clot in your leg or lung after hip or knee replacement surgery. See More