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Article Synopsis
  • The study examines the impact of polypharmacy on dementia-related conditions, particularly focusing on Alzheimer’s disease, mild cognitive impairment, and non-demented individuals, revealing a high prevalence of polypharmacy among older adults.
  • Researchers analyzed the medication profiles of 466 participants using statistical methods to categorize and quantify the frequency of drugs within ten major classes.
  • Results showed a significant variety in prescriptions, such as anti-inflammatory and vitamin supplements, with 82-90% of the elderly population studied using multiple medications, but the effects on Aβ fibrils formation related to Alzheimer's remain unclear.
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Introduction: Patients on nonvitamin K antagonist (NVKA) are usually taking other drugs. Potential interaction may increase the gastrointestinal (GI) bleeding risk associated with NVKA.

Methods: Observational cohort study using Medicare data from 2017 to 2020.

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Introduction: Proton pump inhibitors (PPIs) rank among the most frequently prescribed medications to treat acid-related diseases. Mounting concerns surround the potential for serious adverse events, including cardiovascular events, associated with their prolonged use/misuse.

Areas Covered: This comprehensive review explores cardiovascular adverse events linked to PPI use among high-risk cardiovascular patients.

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Background: Proton pump inhibitors (PPIs) the most frequently prescribed drug class globally, are often overused.

Aim: To assess PPI prescribing practice in England.

Design & Setting: Electronic medical record (EMR) evaluation from 62 primary care GP practices.

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Impact of proton pump inhibitor use on clinical outcomes in East Asian patients receiving clopidogrel following drug-eluting stent implantation.

BMC Med

August 2024

Department of Cardiology, Korea University Anam Hospital, Korea University College of Medicine, Cardiovascular Center 73, Goryeodae-Ro, Seongbuk-Gu, Seoul, 02841, Republic of Korea.

Article Synopsis
  • The study examined the effects of proton pump inhibitors (PPIs) on patients who underwent percutaneous coronary intervention (PCI) while taking clopidogrel for antiplatelet therapy, particularly focusing on their clinical outcomes and PRU levels.
  • Among 13,160 patients, those using PPIs had higher PRU levels but did not show a significant increase in serious cardiovascular events when compared to non-users, with primary outcomes occurring in a similar proportion.
  • However, for patients carrying certain genetic variations (CYP2C19 loss-of-function alleles), PPI use was associated with an increased risk of adverse outcomes, highlighting complex interactions between medication and genetics.
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