Medications Archive

Several tools can help people with incontinence stay dry and comfortable. Tools can include medications; basic supplies, such as protection pads, leakproof underwear, adaptive clothing, and portable urinals; bedwetting alarms; and bathroom locator apps. Some of the most important tools aren’t pills or gadgets, but strategies—such as controlling underlying conditions that can lead to incontinence (such as diabetes), weight loss, lifestyle or behavioral changes, and pelvic floor training.

Prescription eye drops, such as pilocarpine hydrochloride (Vuity, Qlosi) and aceclidine (VIZZ), can ease blurry close-up vision that occurs in middle and older age. The eye drops temporarily shrink the eye’s pupil, which focuses light and makes near vision sharper. The eye drops are considered generally safe to use daily or occasionally, depending on preference. However, they can have side effects, such as dim vision and headaches. In rare cases, they might cause retinal problems.

A 2025 analysis of 19 randomized controlled trials involving 6,500 people found that tramadol, a widely prescribed opioid drug, was only mildly effective at reducing chronic pain. It increased the risks for both mild and serious side effects, including heart problems.

The 2025 blood pressure guidelines recommend starting drugs to treat hypertension if people don’t meet blood pressure goals after three to six months of lifestyle changes. The guidelines also recommend that everyone with high blood pressure be screened for primary aldosteronism, and suggest that people with resistant hypertension (stubbornly high blood pressure) consider renal denervation, a procedure that disrupts some of the nerves around the arteries supplying blood to the kidneys.

After an FDA panel was convened to review black box warnings on menopause hormone therapy, which includes both systemic and vaginal estrogen treatments, the FDA announced in November 2025 it would remove black box warnings from all hormone therapy products containing estrogen. Women considering hormone therapy should discuss their individual health risks with their doctor — such as a history of heart attack or stroke, a blood clot in the legs or lungs, hormone-sensitive cancer, active liver disease, and overall breast cancer and cardiovascular risks.

Many people with atrial fibrillation (afib) — a rapid, irregular heart rhythm — need to control symptoms, such as the feeling that the heart is racing or fluttering. Medication options include drugs that slow down the heart or help restore its rhythm. Because afib can also increase the risk of blood clots that can lead to a stroke, many of these people also need to take clot-preventing medications.

Four classes of drugs commonly prescribed to older adults—opioids, benzodiazepines, gabapentinoids, and antidepressants—may be driving the dramatic rise in deadly falls over the past three decades. Known as fall risk–increasing drugs (FRIDs), these drug classes affect brain function and can make people feel sleepy, dizzy, or confused—all of which can leave them vulnerable to falling. People currently taking these drugs shouldn’t stop taking them abruptly, as doing so may cause withdrawal symptoms. People should ask their primary care clinician to review all their medications at least once a year.

Doctors have long prescribed drugs called beta blockers to all heart attack survivors. These drugs, which slow down the heart and lower blood pressure, include atenolol (Tenormin) and metoprolol (Lopressor, Toprol). Growing evidence suggests that these drugs offer no meaningful benefit for people whose hearts still pump normally after a heart attack. Sometimes, however, a heart attack leaves the left ventricle (the heart’s main pumping chamber) unable to contract effectively. When that’s the case, beta blockers are still recommended.

No evidence suggests that nicotine patches promote weight loss. Nicotine suppresses appetite but also raises health risks such as high blood pressure and narrowed arteries. People can talk to a doctor about medically supervised weight loss.

Over-the-counter cold remedies can be helpful, but they must be carefully considered before use. They contain drugs that can cause serious side effects, interact with other medications, and worsen certain health conditions. For example, decongestants can help ease a stuffy nose but also can increase blood pressure and heart rate. And cough suppressants can help someone stop coughing, but taking too much can cause dizziness, confusion, or even changes in mood or thinking.