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A cardiologist warns: these 5 medications increase the risk of heart attack and stroke in older people

The claim that there are “5 medications” that universally increase heart-attack and stroke risk in older people is too broad. Risk depends on the specific drug, dose, duration, medical conditions, and other medicines. Older adults also have greater susceptibility to drug interactions and side effects. U.S. Food and Drug Administration+1

Some medication groups deserve particular attention:

  1. NSAID painkillers — such as ibuprofen, naproxen, and diclofenac. Non-aspirin NSAIDs can increase the risk of heart attack and stroke, with risk potentially appearing early and increasing with higher doses or longer use. FDA Access Data+1

  2. Nasal decongestants — such as pseudoephedrine and phenylephrine can raise blood pressure and may be problematic for people with cardiovascular disease or uncontrolled hypertension. www.heart.org+1

  3. Stimulant-containing medicines — certain prescription stimulants can raise heart rate and blood pressure and require particular caution in people with cardiovascular disease.

  4. Systemic corticosteroids — medicines such as prednisone can raise blood pressure and blood glucose and may worsen cardiovascular risk factors, particularly with prolonged use. www.heart.org

  5. Aspirin when used without a clear indication — aspirin can reduce clot-related cardiovascular events in certain people, but routine preventive use isn’t appropriate for everyone; it can cause serious bleeding, including gastrointestinal or brain bleeding. U.S. Food and Drug Administration

Important: Don’t stop a prescribed medicine because of a headline like this. The benefit of a medication may substantially outweigh its risks for a particular person. A pharmacist or doctor can review the complete medication list—including over-the-counter painkillers and cold medicines—to identify individual risks. U.S. Food and Drug Administration

If you give me the five medication names from the article or video you’re referring to, I can check each one and explain what the evidence actually says.

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