Friday December 14, 2018

Do you regularly take opioids and anti-depressants? This study says it may increase bone diseases

The researchers evaluated 11,049 rheumatoid arthritis patients, aged 40 and above, with no signs of osteoporotic fractures prior to the tests. After a median follow-up time of 5.7 years, the study found 863 patients affected with osteoporotic fractures.

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Anti-depressants may increase the risk of developing bone fractures, says a new study
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New York, November 6, 2017 : Consuming opioids and anti-depressants may increase the risk of developing bone fractures among people who are already suffering from rheumatoid arthritis, says a new study.

Rheumatoid arthritis is a chronic disease that causes pain, stiffness, swelling, and limitation in the motion and function of multiple joints and organs of the body.

Chronic inflammation and pain in arthritis patients further leads to several diseases like cardiovascular, mental and gastrointestinal disorders. People take multiple medications in such cases that sometimes influences the risk of osteoporotic fractures or a disease caused due to reduced bone density, the researchers noted.

ALSO READ Importance of Magnesium in Human body, Strenghtens bones

“Even at younger ages, rheumatoid arthritis is associated with a two-fold increased risk of osteoporosis and fractures due to chronic inflammation and glucocorticoid use. More importantly, osteoporotic fractures significantly contribute to the disability, health-related costs and mortality with substantially higher complication in rheumatoid arthritis patients,” said Gulsen Ozen, researcher at the University of Nebraska Medical Centre.

The researchers evaluated 11,049 rheumatoid arthritis patients, aged 40 and above, with no signs of osteoporotic fractures prior to the tests. After a median follow-up time of 5.7 years, the study found 863 patients affected with osteoporotic fractures.

The patients who developed fractures were significantly older and had higher disease risk and bone fracture risk at the baseline than those patients who did not experience fractures.

The results presented at the ACR/ARHP annual meeting 2017 in San Diego mentioned that the osteoporotic fracture risk increased within 30 days when the patients were given opioids. The associated medications also led to falls in certain cases.

“Knowing the risks associated with the use of these medications can guide rheumatologists and other physicians in choosing the most appropriate management strategies in patients, particularly the ones who have a high fracture or fall risk,” Ozen added. (IANS)

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Aggressive Treatment Of Prostate Cancer May Also Lead To Usage Of Anti-Depressants: Study

Sexual dysfunction is a common adverse effect of antidepressants

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Anti-depressants, prostate cancer
The antidepressant drug Prozac, also known as fluoxetine, is pictured. VOA

Men with prostate cancer who get surgery or radiation are also more likely start taking antidepressants than their counterparts who don’t get aggressive treatment, a recent study suggests.

Many men with early-stage prostate cancer may not need treatment right away, or ever, because these tumors often don’t grow fast enough to cause symptoms or prove fatal. In the absence of symptoms or tests that suggest tumors are growing quickly, doctors may advise men to put off immediate treatments like surgery or radiation and instead get regular screenings to reassess whether the cancer is dangerous enough to warrant
intervention.

For the current study, researchers examined data on men with early-stage prostate cancer, including 4,952 people who had surgery, 4,994 who got radiation and 2,136 who opted instead for surveillance, or “watchful waiting.” In the year before their cancer diagnosis, 7.7 percent of the men were prescribed antidepressants, and this climbed to 10.5 percent in the first year after diagnosis.

 

Cancer, Prostate cancer
British Prime Minister Theresa May, right, is shown the advanced radiotherapy system during a visit to announce new funding and research into prostate cancer, at Addenbrooke’s Hospital in Cambridge. VOA

 

Compared to a control group of men in the general population without a prostate cancer diagnosis, men with prostate cancer were 49 percent more likely to be taking antidepressants five years after surgery and 33 percent more likely to take antidepressants five years after radiation treatment, the study found.

But watchful waiting wasn’t linked to any increase in the odds of men taking antidepressants.

“Prostate cancer patients often fit the demographic profile (white, older age, and male) of someone at risk for depression,” said senior study author Dr. Robert Nam of Sunnybrook Health Sciences Centre in Toronto.

“Once they receive treatment for prostate cancer, whether that is surgery or radiation, they may experience treatment-related side effects, such as erectile dysfunction, incontinence, and bowel dysfunction, which can significantly
worsen quality of life,” Nam said by email.

Cancer, Prostate cancer
Prostate Cancer Blood Test

Roughly half of men diagnosed with prostate cancer receive treatment known as androgen deprivation therapy, which suppresses production of the male sex hormone testosterone and contributes to mood disorders, Nam added.

Men in the study who received surveillance tended to be older and were more likely to have multiple chronic health problems than the patients who got surgery or radiation.

Limiting factors

The study wasn’t a controlled experiment designed to prove whether or how different approaches to prostate cancer treatment might directly impact mental health. Another limitation is the potential for factors not measured in the study to have influenced both the treatment decisions men made and their mental health, researchers note in European Urology.

A separate study in the same journal, however, looked at trends in management of erectile function after prostate cancer surgery and offered fresh evidence that many men may be missing out on interventions that could improve their sexual health and quality of life.

Prostate cancer
FILE – A patient receives chemotherapy treatment. VOA

The study examined data on 2,364 patients who had prostate cancer surgery at one U.S. academic medical center between 2008 and 2015.

Researchers didn’t find any meaningful changes in the proportion of men who had erectile dysfunction up to two years after surgery, despite advances in surgical care and postoperative penile rehabilitation during the study period.
This study also wasn’t a controlled experiment, and it’s possible that results from a single medical center might not reflect outcomes for men who got prostate cancer treatment elsewhere.

The study also didn’t examine how any use of antidepressants might have played a role in men’s sexual health after prostate cancer surgery.

Also Read: Pain After Delivery Linked To Postpartum Depression

“Sexual dysfunction is a common adverse effect of antidepressants,” Nam said.

“Identifying the cause of the sexual dysfunction can be complicated as these symptoms are also associated with depression and can be improved once the patient’s depression is treated,” Nam added. “A healthy lifestyle, consisting of a well-balanced diet and exercise, is an important way to promote good sexual function, regardless of underlying medical
conditions.” (VOA)