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Calcium tablets - Are They Good or Bad?

Dr. HelloDox Care #
HelloDox Care
Consult

For many people, popping a calcium tablet is something which has benefits, but at the same time does no harm. After all, who does not want to have strong bones and healthy teeth? The unfortunate part is that things are not so simple and a lot of research has debunked this.

Take, for example, the findings that when an old woman has calcium, the fracture rates are not all that different as compared to one who has not had calcium supplements. In addition to this, it was also found as part of a study that there is no positive impact on the mineral density of the hip.

As a matter of fact, calcium tablets and supplements can pose a significant risk, as well. While it is true that calcium does help in the effort of getting heart disease, an amount which is greater than the dietary limit does not. Actually, the excess calcium may increase the risk. This is true when it comes to calcium from supplements and not calcium which is absorbed by the way of food. So, what sort of additional risk is there? A study found that people who receive calcium from a tablet or another similar source have about a 140% greater chance of a heart attack!

How much is too much?


A thousand milligrammes of calcium in excess of the requirement on a daily basis is said to increase the risk of death from CVD or cardiovascular disease by about a fifth. Not a trivial amount, by any measure.

But why does this happen?

The key to answering this question comes from how the calcium is absorbed by the body. When calcium from food is eaten, the rate of it being released is a lot slower as compared to calcium from tablets. Also, when there is excess calcium, it is not absorbed and kept in reserve by the body but is excreted in the form of urine. So, this calcium going through the kidneys can cause some trouble there, as well!

Yes or No?

So, what is to be done in order to make sure one is having a sufficient amount of calcium? Well, there are a lot of sources and consuming things such as dairy products and fish, along with dark leafy vegetables are some great ways to get natural calcium. Only if a person has very low calcium levels should calcium tablets be consumed? It is well worth remembering that too much of a good thing is a bad thing!

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Do All Medicines Actually Expire?

Dr. HelloDox Care #
HelloDox Care
Consult

When it comes to health, there is no taking a chance. Most of us are in the habit of storing some medicines at home, which could come in handy, say for a headache or an acidity attack. However, these often remain in the medicine kit for a long time before they are actually used. So finally, when the day arrives when there is an actual need for it, we are not sure if it is still usable. The one thing we dread is the use of a medicine, which is past its expiry date.

What if there is an adverse event? What if there is a complication or a side effect?

Then, if we are not in a position to get a fresh pill, we would rather endure the pain or acidity than pop that outdated pill. Is it really prudent to do so? Experts say otherwise. Most medicines have the expiry date to indicate the date or time, until when the drug would have the most potency and efficacy. Meaning to say, the drug may become weak (take longer to act or may require more of the drug to produce the same effect) when taken after the listed expiry date.

The truth is that most pharma companies list a date, which could be months, if not years, ahead of the actual expiry date. In reality, a drug never really expires. Most medicines can be used up to a few months after this date. Some medicines may even be useful after years of their expiry date.

It depends as to what the medicine is for:

Painkillers are usually harmless to take beyond the expiry date. If there is no effect (even prolonged), then try to get a fresh one.

Chronic medications like anti-hypertensives and anti-diabetic medications can be used up to a few months at the most, not beyond. Make sure to monitor readings to check for the efficacy. Often times, a greater dose may be required to get the desired effect, but this should not be done without medical supervision.

Biologic products like EpiPen, eye drops or injectable substances should not be used if they are cloudy. In fact, most of these should be kept for a very short period after opening.

With any expired medicine, keep your doctor posted, especially your chronic meds to seek further advice and information.

The place and the way the drug is stored also may help in retaining its strength. A drug stored in the fridge is safer than something stashed away in a cupboard with a lot of other things. Keep these in mind, and take a call!

Published  

Do All Medicines Actually Expire?

Dr. HelloDox Care #
HelloDox Care
Consult

When it comes to health, there is no taking a chance. Most of us are in the habit of storing some medicines at home, which could come in handy, say for a headache or an acidity attack. However, these often remain in the medicine kit for a long time before they are actually used. So finally, when the day arrives when there is an actual need for it, we are not sure if it is still usable. The one thing we dread is the use of a medicine, which is past its expiry date.

What if there is an adverse event? What if there is a complication or a side effect?

Then, if we are not in a position to get a fresh pill, we would rather endure the pain or acidity than pop that outdated pill. Is it really prudent to do so? Experts say otherwise. Most medicines have the expiry date to indicate the date or time, until when the drug would have the most potency and efficacy. Meaning to say, the drug may become weak (take longer to act or may require more of the drug to produce the same effect) when taken after the listed expiry date.

The truth is that most pharma companies list a date, which could be months, if not years, ahead of the actual expiry date. In reality, a drug never really expires. Most medicines can be used up to a few months after this date. Some medicines may even be useful after years of their expiry date.

It depends as to what the medicine is for:

Painkillers are usually harmless to take beyond the expiry date. If there is no effect (even prolonged), then try to get a fresh one.

Chronic medications like anti-hypertensives and anti-diabetic medications can be used up to a few months at the most, not beyond. Make sure to monitor readings to check for the efficacy. Often times, a greater dose may be required to get the desired effect, but this should not be done without medical supervision.

Biologic products like EpiPen, eye drops or injectable substances should not be used if they are cloudy. In fact, most of these should be kept for a very short period after opening.

With any expired medicine, keep your doctor posted, especially your chronic meds to seek further advice and information.

The place and the way the drug is stored also may help in retaining its strength. A drug stored in the fridge is safer than something stashed away in a cupboard with a lot of other things. Keep these in mind, and take a call!

Published  

This common drug may cause liver failure

Dr. HelloDox Care #
HelloDox Care
Consult

Turns out, acetaminophen, a common pain reliever, is the leading cause of acute liver failure. In the liver, acetaminophen is converted into a new compound that covalently binds to proteins at an amino acid called cysteine. These covalent binding events are known to contribute to the toxicity of acetaminophen, but they cannot fully account for its role in the liver failure.

The compound is known to impair the activity of mitochondria, the cell`s energy supplier, but does not bind directly to some of the enzymes in mitochondria whose activity it affects. Researchers at the National University of Singapore have found a new way that how the breakdown product affects proteins in the liver. They examined glutathionylation, a post-translational modification made to cysteine residues, in response to acetaminophen toxicity and reported a new proteomic approach to isolate and identify glutathionylated proteins and applied it in cells treated with acetaminophen.

Researchers also found that an acetaminophen breakdown product can cause glutathionylation, suggesting a new mechanism for the damage the drug causes. Usually, glutathione is added to cysteine residues to protect them from damage by oxygen under stressful conditions. The modification affects proteins involved in mitochondrial fuel uptake and energy production, leading to metabolic dysfunction and other effects linked to acetaminophen toxicity. This research helps explain the drug`s toxicity at high doses, especially among enzymes that are impaired by acetaminophen treatment without binding directly to the drug or its metabolites. The findings appeared in the Journal of Molecular & Cellular Proteomics.

Published  

Health Supplements - Do We Really Need Them?

Dr. HelloDox Care #
HelloDox Care
Consult

It is important for you to have a healthy and balanced body in order to perform your daily activities well. People often think health supplements are efficient alternatives to a healthy diet and regular physical exercise while most of the doctors and nutritionists believe that there is no need for any health supplement if you take in right quantity and quality of food and engage in regular exercise. While health supplements are not alternatives to a healthy lifestyle, they are somewhat necessary for everyday health in the hectic lifestyles of today.

Nowadays, stress (learn more about for Controlling Everyday STRESS) is a constant companion and the foods that we consume are often not of proper quality. You may think that you are taking foods full of nutrients but pesticides and chemicals used farming diminish the nutrient content from the crops. This creates a necessity for taking health supplements for the proper nourishment of body.People with certain medical conditions also need supplements. Supplements fill the gap in your diet.

Beneficial health supplements:

1.Pregnant women and breastfeeding (leanr more about the Benefits of Breastfeeding) women need iron supplements. Folic acid can be supplemented in your diet in order to reduce the chances of birth defects.

2.You can take in vitamin D supplements if they don't get enough sunlight every day. Adults, especially after the age of 40 need vitamin D and calcium supplements to maintain bone health.

3.Adults above the age of 40 are also advised to take vitamin B-12 supplements.

Supplements have some side effects depending upon your health condition. If you take some supplements along with some other medicines or before surgeries, they can lead to serious complications. Research has concluded that some vitamin and minerals supplements particularly iron supplements, increase the risk of death. So it is necessary to have a proper examination of the body before you take health supplements. The risk factors include:

1.Taking vitamin B6 regularly in excess of 100 mg may lead to damage of your nerves

2. Taking 400 international units of vitamin E on a regular basis increases the health risk and may even lead to premature death

3. Taking multivitamins does not supplement poor eating habits.

Dr. Nitin Shingare
Dr. Nitin Shingare
MS/MD - Ayurveda, Ayurveda Dermatologist, 9 yrs, Pune
Dr. Prashant Wankhede
Dr. Prashant Wankhede
MS/MD - Ayurveda, Pune
Dr. MUKUL TAMHANE
Dr. MUKUL TAMHANE
MS/MD - Ayurveda, Infertility Specialist Spinal Pain Specialist, 3 yrs, Pune
Dr. Pradnya Shirke
Dr. Pradnya Shirke
MS/MD - Ayurveda, Gynaecologist Infertility Specialist, 17 yrs, Pune
Dr. Mangesh Khandave
Dr. Mangesh Khandave
DNB, Pediatrician, 17 yrs, Pune
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