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Editorial (Dr SS Agarwal, Dr K K Aggarwal)
15th July 2016
Commonly used medications and nutritional supplements may cause or worsen heart failure
 
The American Heart Association (AHA) has cautioned that commonly used medications and nutritional supplements may cause or worsen heart failure in its first scientific statement, which provides guidance on avoiding drug-drug or drug-condition interactions for people with heart failure. The statement provides comprehensive information about specific drugs and “natural” remedies that may have serious unintended consequences for heart failure patients. 
In addition to prescription medications, over the counter drugs may also have unintended consequences for heart failure patients. 
  • For example, non-steroidal anti-inflammatory drugs (NSAIDs), including commonly used painkillers such as ibuprofen, can trigger or worsen heart failure by causing sodium and fluid retention and making diuretic medications less effective.
  • Over-the counter heartburn medications and cold remedies may also contain significant amounts of sodium, which is usually restricted in patients with heart failure.
Heart failure patients have, on average 5 or more separate medical conditions and they take 7 or more prescription medications daily, often prescribed by different healthcare providers.
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A 18-year-old female from Bhilwara asked:
My maternal grandmother has average length of hair so my mom is having. Is it necessary that I too will have the same length of hair. I mean will heredity follow in the case of hair also?
 
Dr. Kuldeep Singh, Dermatologist, replied:
In most cases, yes. But it can also be like, your father's mother has long hair and you may also get long hair. One cannot know about genetics so easily.If your hair do not grow long... read more
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Press Release
Frequent urination at night: look for snoring​
 
New Delhi, July 14, 2016: "Frequent urination at night, a condition called nocturia, is common among snorers with obstructive sleep apnea  (cessation of respiration during sleep)," said Padma Shri Awardee Dr KK Aggarwal – President Heart Care Foundation of India (HCFI) and Honorary Secretary General IMA. Nocturia is the need to void two or more times each night.

In obstructive sleep apnea, soft tissues at the back of the throat temporarily collapse during sleep causing brief moments in which the patient stops breathing. The disorder can cause daytime sleepiness and can be effectively treated with a breathing device called CPAP that pushes air into the throat to prevent the tissues from collapsing.
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