5 Medicines Older Adults Should Use With Extra Caution
Some medicines can increase cardiovascular or other health risks in older adults, particularly when they are used at high doses, for long periods, or in people with existing heart or kidney problems. This does not mean you should stop a prescribed medicine on your own.
1. NSAID Painkillers
Medicines such as ibuprofen, naproxen, and diclofenac can increase blood pressure and may raise the risk of heart attack and stroke. The risk can be greater in people who already have heart disease. (mayoclinic.org)
2. Decongestants
Some cold and allergy products contain decongestants such as pseudoephedrine. These can raise blood pressure and heart rate, so people with cardiovascular conditions should ask a healthcare professional before using them.
3. Certain Stimulant Medicines
Stimulant medications can increase heart rate and blood pressure. Older adults with heart conditions may need careful monitoring when these medicines are prescribed.
4. Some Medicines That Affect Heart Rhythm
Certain medications can alter the heart’s electrical rhythm or interact with other medicines. The risk depends on the specific drug, dose, and a person’s health conditions.
5. Medicines That Can Worsen Heart Failure
Some drugs can cause fluid retention or otherwise worsen heart failure in susceptible people. The 2023 American Geriatrics Society Beers Criteria specifically lists NSAIDs and several other drug classes that may need to be avoided or used cautiously in older adults with heart failure. (pmc.ncbi.nlm.nih.gov)
What Should You Do?
Don’t stop a prescription because of an online warning. Instead, ask your doctor or pharmacist to review all your medicines, including over-the-counter painkillers, cold remedies, vitamins, and supplements.
This is especially important if you have high blood pressure, heart disease, kidney disease, or take several medicines at the same time.
Bottom line: The risk comes from specific medicines, doses, combinations, and individual health conditions—not simply from being older. A medication review can help identify unnecessary risks while keeping treatments that provide important benefits.
