Just because you take a medication regularly doesn't mean it is safe.
Routinely prescribed and even over-the-counter drugs that many people
take daily can send them to the hospital with potentially dire
consequences, if any mistakes are made with dosage or timing.
Interestingly, it seems that just a few drugs are responsible for the
vast majority of emergency hospitalizations for adverse reactions.
Every year, close to 100,000 drug-induced hospital-stays
take place across the United States among those 65 or older. Recent
research that took place at the Centers for Disease Control and
Prevention in Atlanta found that there were four main types of drugs
that had caused two-thirds of those medication-related hospitalizations.
Unfortunately, the researchers found that the top culprits
are among the most commonly taken medications. They include warfarin,
which is a blood thinner, insulin, aspirin and other anti-platelet
drugs, and oral diabetes medications. The drugs one might guess would be
the worst offenders, such as highly addictive narcotics, were only
responsible for approximately one percent of the hospitalizations
analyzed. Maybe the more standard types of medications lead to problems
because they are taken so often that their users feel comfortable with
them and stop being careful after a while. But clearly they can all be
extremely dangerous.
The study was based on records compiled from 58 hospitals
around the U.S. between 2007 and 2009. The scientists examined the
frequency of hospitalizations for senior citizens that took place after
emergency room visits due to drug reactions. They concluded that nearly
266,000 medication-related emergency room visits occurred each year for
this population. More than one-third of these -- close to 100,000
instances -- ended in hospitalization. And nearly two-thirds of these
hospitalizations took place because there was an accidental overdose of a
medication.
Warfarin, typically prescribed for those with heart disease
to prevent blood clots, was hands down the biggest cause of
hospitalization, accounting for 33 percent (33,171 hospitalizations) of
those analyzed by the researchers. Rounding out the rest of the top four
were insulin at 14 percent (13,854 hospitalizations), oral
anti-platelet drugs at 13 percent (13,263 hospitalizations), and oral
diabetes drugs at 11 percent (10,656 hospitalizations).
The problem was also determined to be greater with the
oldest subjects. Approximately half of the emergency room visits that
required hospitalization were for those patients at least 80 years old.
This begs the question of whether it is truly safe to have the elderly
taking dangerous medication on a daily basis. Many are careful and
coherent and can easily follow the directions for correct dosing. But
what about those who aren't? In even the early stages of dementia, it
would be easy for a patient to forget having taken their drugs that
morning and upon seeing them on the counter, feel it necessary to take a
dose. Then again, even those with caregivers are at risk, as shifts
change for hired health care workers and things don't always get written
down. Adult children caregivers are not infallible either, as they
usually have many other responsibilities and may not even be home at
dosing times. When a medication is truly a necessity, as for instance
insulin can be, the risk may be worth the benefit. But if there are
other options available that would preclude the need to take one of
these drugs daily, they clearly should be considered as a better
alternative.
After all, pharmaceutical drugs, taken as a whole, cause an
overwhelming number of deaths and emergencies every year among people of
all ages…even when administered correctly. Almost seven percent of all
hospitalized patients in the U.S. -- or 770,000 patients -- have serious
adverse drug reactions within hospitals each year. Over a hundred
thousand hospitalized patients die annually from drug reactions, and an
additional 1.5 million need hospitalization after suffering an adverse
drug reaction outside the hospital. Adverse drug reactions comprise the
fourth leading cause of death in the U.S...conservatively.
The point is that pharmaceutical medications are not the
safest road to health, at any age. And at best, they rarely work to
resolve underlying problems. More often than not, they are prescribed
purely for symptom management. The medical establishment spends too much
focus treating the symptoms of the diseases we inflict upon ourselves
through bad diet and unhealthy lifestyle choices. If we address the root
causes of disease, we can often rid ourselves of diabetes, heart
disease, and other ailments, making the drugs that "control our
symptoms” totally unnecessary.
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