Opinion – Substance misuse in older people | The BMJ – John Gelmini

Development of a rational scale to assess the ...

Development of a rational scale to assess the harm of drugs of potential misuse, The Lancet, 2007 (Photo credit: Wikipedia)

Dr Alf is correct and the BMJ are wrong about their facts, as evidenced by ignoring the 70,000 people that GP’s allegedly kill each year, through mistakes of diagnosis and their inability to clear malingering and hypochondriac out of their surgeries.

Older people certainly drink more alcohol in the form of wine and beer but generally they are not consumers of recreational or hard drugs.

UK adults now consume double the global average for alcohol bested only by Lithuanians who drank the most.

The exception is the former hippies and “flower children” of the 1960s, who took LSD on sugar lumps at pop concerts and who smoked pot and never stopped, thus leaving the drugs in their brains over a period of 50 to 60 years.

These recreational drugs are the province of the young and the young unemployed and, of course, City types who snort cocaine to be fashionable and to enhance their performance at work.

The danger older adults face is over prescription by family doctors of pain killers, anti depressants (PROZAC and SEROXAT) and medicines for high blood pressure, diabetes and erectile dysfunction.

The drug problem as a whole needs to be tackled by educating people and creating circumstances whereby demand is reduced dramatically plus interdicting the demand and increasing deterrence among drug dealers.

John Gelmini

Does it matter how you lower your cholesterol? – Harvard Health

This is worth a read from Harvard Health. The article argues that certain cholesterol-lowering medications—namely, ezetimibe (Zetia) and drugs known as bile acid binders—also appear to be effective at lowering cholesterol and reducing the risk of serious cardiovascular events. It’s not clear whether they are proposed as alternatives to statins ot supplements..

Source: Does it matter how you lower your cholesterol? – Harvard Health

The mainstream scientific research community, along with public health practitioners strongly favor statins because of their proven effectiveness and most importantly, their low cost. Medical practitioners seem slow to recognize the serious side affects.

My problem with the medical establishment is that they seem to be too quick to offer statins after applying simplistic risk assessment formulas, ignoring wider patient data.

With more than 25% of Americans over forty taking statins, surely they have a right to know about the side affects of statins and consider the other options?

Thoughts?