Healthy Aging Health Center
This article is from the WebMD Feature Archive
Caution: Slippery Falls Ahead
Do you ever have one of those days where everything is fine until suddenly -- wipe out -- you slip and fall?
Meri-K Appy, the president of the Home Safety Council had a day like that. "I will confess to you that I had a fall and I did everything wrong," she says, of a spill she took about six months ago at an airport when she was rushing to catch a shuttle bus to her hotel. "It was a tile floor and a little wet and I just did an amazing swan dive in front of about 100 people." The irony of the situation -- that she is the president of an organization that advocates and educates people about preventative accidents, with falling at the top of the list -- was not lost on Appy. Luckily, she suffered no serious injuries. To Appy, however, that isn't the point. She could have been terribly hurt.
"Very often in our culture people use falls for a laugh," says Appy, recalling the comedy of Charlie Chaplin, Dick Van Dyke, and Chevy Chase. The problem is that there are very real and severe consequences that could result from a fall. People often feel embarrassed after they take a tumble, and instead of checking to see whether or not they've been hurt, people might find themselves looking around to see if there were any witnesses. Appy tells WebMD that we mustn't lose sight of the more serious consequences of falls -- most notably, a head trauma, hip fracture or even death. In fact, there are almost 6,000 deaths annually from falls, and 5,000 are among adults 65 and older.
In fact, falls are the No. 1 cause of home-injury-related deaths. Appy tells WebMD that on average each year there are nearly 20,000 deaths and more than 21 million medical visits because of preventable home injuries such as falls, fires, choking, and drowning. By a large margin falls are No. 1. Given the endless traps around most houses and in the great outdoors -- think old carpets and rugs that don't stay put, uneven steps without banisters, icy roads, and driveways, etc. -- it's a wonder any of us make it through the day without falling. Luckily, we've got some expert tips for how you can prevent trips and falls this season.
What You Don't See Can Hurt You
It's important that you keep an eye on your sight. Get an eye exam if you feel like you're what Perry Binder, MD, calls "visually clumsy." Binder, who is an opthalmologist from the Gordon Binder Weiss Vision Institute in San Diego, recommends annual eye exams. Weather changes can also affect your ability to see. "Gray days without bright sunlight means less contrast, so people can't see as well under such circumstances," Binder tells WebMD. Because the sun sets earlier in the winter we lose light earlier. That's why adding lighting to dark passageways and stairwells is even more important during the winter months.
Indication
Uroxatral® (alfuzosin HCl 10 mg extended-release tablets) is an alpha1-blocker for the treatment of the signs and symptoms of BPH.
Important Safety Information
Do not take UROXATRAL if you have liver problems or if you are taking antifungal drugs like ketoconazole or itraconazole, or HIV drugs like ritonavir.
UROXATRAL can cause a sudden drop in blood pressure, especially when starting treatment. This may lead to fainting, dizziness, and lightheadedness. Do not drive, operate machinery, or do any dangerous activity until you know how UROXATRAL will affect you. This is especially important if you already have a problem with low blood pressure or take medicines to treat high blood pressure. There may be an increased risk of low blood pressure and fainting when taking UROXATRAL in combination with blood pressure medication or nitrates, or erectile dysfunction medication.
If considering cataract surgery (clouding of the eyes), tell your eye surgeon that you are currently taking UROXATRAL or have previously been treated with an alpha-blocker.
Before taking UROXATRAL, tell your doctor if you have kidney problems.
Also, tell your doctor if you or any family member(s) have or take medications for a rare heart condition known as congenital prolongation of the QT interval.
BPH and prostate cancer can cause the same symptoms. However, UROXATRAL is not a treatment for prostate cancer.
The most common side effects with UROXATRAL are dizziness, upper respiratory tract infection, headache, and tiredness.
Please see UROXATRAL full prescribing information.
VIVELLE-DOT (estradiol transdermal system) IS AVAILABLE BY PRESCRPTION ONLY.
INDICATION
Vivelle-Dot is used after menopause to: reduce moderate to severe hot flashes; treat moderate to severe dryness, itching and burning in or around the vagina; help reduce your chances of getting osteoporosis (thin weak bones); and treat certain conditions in which a young woman's ovaries do not produce enough estrogens naturally. Vivelle-Dot 0.025 mg/day is only used to prevent osteoporosis from menopause. If you use Vivelle-Dot only to treat your dryness, itching, and burning in and around your vagina or if you use Vivelle-Dot only to prevent osteoporosis from menopause, talk with your healthcare professional about whether a different treatment or medicine without estrogens might be better for you.
IMPORTANT SAFETY INFORMATION
Estrogens increase the chances of getting cancer of the uterus (womb). Report any unusual vaginal bleeding right away while you are taking estrogens. Vaginal bleeding after menopause may be a warning sign of cancer of the uterus (womb).
Do not use estrogens with or without progestins to prevent heart disease, heart attacks, or strokes. Using estrogens with or without progestins may increase your chances of getting heart attacks, strokes, breast cancer, and blood clots. Using estrogens with progestins may increase your risk of dementia (decline in memory and thinking skills).
Vivelle-Dot should not be used if you have unusual vaginal bleeding; currently have or have had certain cancers, including cancer of the breast or uterus; had a stroke or heart attack in the recent past (for example, in the past year); currently have or have had blood clots; currently have or have had liver problems; or think you may be, or know that you are, pregnant.
The most common side effects that may occur with Vivelle-Dot are headache, breast tenderness, and back pain.
You and your healthcare professional should talk regularly about whether you still need treatment with Vivelle-Dot.
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.
Please see Full Prescribing Information for Vivelle-Dot.


