5 Over-the-Counter Medications That Can Become Risky After 50

As we age, our bodies process medications differently, making some over-the-counter (OTC) drugs riskier than they once were. Changes in metabolism, kidney and liver function, and the potential for drug interactions mean that certain common medications can pose serious health risks for those over 50. Here are five OTC medications to be cautious about as you get older:

1. NSAIDs (Ibuprofen, Naproxen, Aspirin)

Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used to relieve pain and inflammation. However, after 50, they can increase the risk of stomach ulcers, gastrointestinal bleeding, high blood pressure, and kidney problems. Long-term use can also raise the risk of heart attacks and strokes, especially for individuals with pre-existing heart conditions.

2. Antihistamines (Diphenhydramine, Chlorpheniramine)

Antihistamines found in allergy medications and sleep aids can cause drowsiness, confusion, dizziness, and an increased risk of falls in older adults. They can also worsen conditions such as glaucoma, urinary retention, and cognitive decline, making them particularly risky for those with dementia or Alzheimer’s disease.

3. Proton Pump Inhibitors (Omeprazole, Lansoprazole)

These medications are often used to treat acid reflux and GERD. However, long-term use has been linked to an increased risk of bone fractures, kidney disease, and vitamin B12 deficiency. After 50, it’s essential to use these drugs cautiously and consider alternative treatments for acid reflux management.

4. Decongestants (Pseudoephedrine, Phenylephrine)

Decongestants can raise blood pressure and cause heart palpitations, making them risky for older adults, especially those with hypertension or cardiovascular disease. They can also lead to dizziness and insomnia, affecting overall health and well-being.

5. Laxatives and Stool Softeners

Many older adults rely on laxatives for constipation relief, but overuse can lead to dependency, dehydration, and electrolyte imbalances. Some stimulant laxatives can also irritate the colon, leading to long-term digestive issues. Instead, increasing fiber intake and staying hydrated can be safer alternatives.

Consult with your doctor and Hawthorne Pharmacist

While OTC medications are convenient, they aren’t always safe for older adults. If you’re over 50, you should consult your healthcare provider before using these medications regularly. They can recommend safer alternatives or adjust your dosage to minimize risks. Prioritizing your health means staying informed and making smart choices about your medications.