Cardiologist Warning: 5 Types of Medications That May Raise Heart Attack or Stroke Risk in Older Adults
The claim that certain medicines “cause heart attacks and strokes” needs context. Many medications are safe and lifesaving when properly prescribed, but some can increase cardiovascular risk in certain older adults — especially with certain conditions, drug combinations, or incorrect use.
1. Some NSAID pain relievers
Examples: ibuprofen, naproxen, and other nonsteroidal anti-inflammatory drugs.
Why they may be a concern:
- Can raise blood pressure.
- May increase the risk of heart attack or stroke in some people, especially at higher doses or with long-term use.
Tip: Use the lowest effective dose for the shortest time, and ask a healthcare professional if you have heart disease, high blood pressure, or kidney problems.
2. Certain decongestants
Examples: pseudoephedrine-containing cold medicines.
Why they may be a concern:
- Can increase blood pressure and heart rate.
- May be risky for some people with cardiovascular disease.
3. Some diabetes medications (depending on the person and situation)
Why they may be a concern:
- Certain drugs may cause low blood sugar (hypoglycemia), which can stress the heart and increase fall risk.
- Medication choice depends on individual health factors.
4. Some medications that affect heart rhythm
Examples: certain drugs that can prolong the QT interval.
Why they may be a concern:
- In susceptible people, they can trigger abnormal heart rhythms.
5. Certain hormone-related medications
Why they may be a concern:
- Some hormone therapies can increase the risk of blood clots, which can contribute to stroke or heart complications in some groups
