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Nor are some of these safe to take when you're prescribed other medications. Cohen said

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drug store coupons By Jaime TANNER � CHICAGO � At least 2 million older Americans are taking a combination of drugs or supplements that can be a risky mix � from blood thinners

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and cholesterol pills to aspirin and ginkgo capsules � a new study warns. Signs of bleeding problems include bruising easily, hard-to-stop bleeding from the gums or from cuts and blood in the urine. It's well-known that azithromycin dose pack snapshot of medication use in older Americans.

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The report showing just how many older people are using risky combinations comes from a study of nearly 3,000

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interviews with people aged 57 to 85. But as someone who takes at least five medications himself, Cohen said the widespread prevalence isn't surprising. Potassium is often prescribed to restore low levels of this important mineral caused by

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certain blood pressure drugs. The results aren't always disastrous, but older people are more vulnerable to side effects and drug-to-drug interactions. And the study didn't assess whether patients were taking medications inappropriately. And patients need to know that just because lots of medicines

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and supplements don't require prescriptions doesn't mean they're harmless. Among older men, the numbers

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are particularly alarming � one in 10 are taking potentially harmful combinations, according to the study. Experts say the take-home advice is to ask about any side

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effects of prescription drugs, and tell your doctor before taking other medicines. For example, warfarin, a potent prescription clot-fighting drug, was often taken with aspirin. Prescription cholesterol

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drugs called statins taken with over-the-counter niacin, a type of vitamin B that also lowers cholesterol. Ninety-one percent in this age group use at least one medication, often for heart disease and related problems. That translates to more than 50 million people. Both increase the risk of bleeding, so the odds are even higher when both drugs

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are taken. Prescription drugs were the most commonly used and nearly one-third used at least five prescription drugs. The nationally representative survey was done between and and results were extrapolated to the general population. Lisinopril, a blood pressure drug, taken with potassium,

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which combined can cause abnormal heart rhythms. Aspirin taken with over-the-counter ginkgo supplements, increasing chances for excess bleeding. Herold Gurwitz, chief of the geriatric medicine division at University of Massachusetts Medical School, said taking multiple medications, despite possible bad interactions, isn't necessarily a bad idea as long as patients are in close contact with their doctor. "Patients need to know that while medications are often beneficial, they're not always safe," said lead "If they need to self-medicate with over-the-counter or dietary supplements, they should definitely consult with their physicians or

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pharmacists." The study relied on data from in-person interviews with 2,976 adults questioned about which medications they routinely used. Other commonly used and risky combinations included. The research, funded by the National Institutes of Health and University of Chicago, appears in Wednesday's Journal of the American Medical

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Association. This combination increases risks for muscle damage. The researchers assessed how many people routinely used at least two medications of any type known to have dangerous or even fatal interactions.

The number totaled at least one in 25, corresponding to 2.2 million nationwide. Virtually every medicine can have side effects, and with so many being used by so many older adults, the potential for harm is high. The researchers said these risks also occur when warfarin is taken with garlic pills, which some studies have suggested can benefit the heart and help prevent blood clots.

"There are definitely many instances where if they're monitored carefully and there's good reason for using them, that they could be used safely," said Gurwitz, who wasn't involved in the study.