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Close-up of an elderly person's hands holding a fistful of pills.
A cautionary tale about how the makers of some cough and flu remedies are leaving some of you out in the cold. Marketplace discovers that some such medicines contain ingredients that could cause serious health problems for seniors.

CBC MARKETPLACE: YOUR HEALTH » COLD/FLU MEDICATIONS
Out in the cold: Over-the-counter remedies can cause problems for seniors
Broadcast: January 30, 2005

Nick Ciolfitto

What if the flu-fighting tablets you take to get better actually make you worse?

Trouble can start when older people, like Nick Ciolfitto, take these products. They can suffer serious, even life-threatening problems.

It's cough and flu season. Many of us turn to over-the-counter drugs to get better. Anyone can take pick them up at their local drug store; there's no prescription required.

But what if the flu-fighting tablets you take to get better actually make you worse?

That may be the case for many Canadians, and you likely haven't been warned.

Nick Ciolfitto felt terrible - he was coming down with a cold.

He was achy and tired – and wanted to fight off the bug before it got serious.

So Nick went to the drug store and bought a common over-the-counter cold medication. He had no idea the pills he was about to swallow would pack a powerful punch.

Nick was up all night, in terrible pain: "I felt like I was going to die... I've never had a pain like this before."

“I had the urge to go to the bathroom,” he says. “I tried every 15 minutes and nothing happened.”

The Beers List

The Beers Criteria is a list of medications compiled by leading medical researchers in the U.S. The list includes drugs the researchers warn are “highly inappropriate” for seniors to take, including two ingredients discussed in this story: diphenhydramine and chlorpheniramine.

But something was happening: Nick’s bladder was shutting down. A few hours later, he ended up in the emergency ward at the hospital.

The thought that his over-the-counter cold medication was behind Nick’s problems never crossed his mind.

“I would think it would be safe to purchase because it is on the shelf,” he says. “You don’t need a prescription.

Nick didn’t take a special prescription to fight off his cold – it was a regular bottle of cold medication that you can buy off-the-shelf at any drug store.

You’ll find similar products – for cold, cough, or flu – in Canadians’ homes across the country.

But trouble can start when older people, like Nick, take these products. They can suffer serious, even life-threatening problems.

NEXT: The potential danger: Non-prescription pills pack a punch »

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OUT IN THE COLD: MAIN PAGE THE POTENTIAL DANGER: NON-PRESCRIPTION PILLS PACK A PUNCH PRODUCT LABELLING DOESN'T MEASURE UP LIST OF PRODUCTS THAT DON'T CARRY A WARNING TIPS: COLD REMEDY ALTERNATIVES COLD VS. FLU SYMPTOMS

CREDITS
MORE MARKETPLACE: CHICKEN SOUP FOR THE COLD? MARKETPLACE ARCHIVES: YOUR HEALTH ORDER TAPES
WATCH THE STORY:

Out in the Cold (Runs 12:49)
[download RealVideo]

RELATED:

CBC News Indepth: The Flu

CBC News Indepth: Faint Warning: How Canada tracks dangerous drugs


Canada's Adverse Drug Reaction Database

Cold medicines may be too strong for seniors: geriatrician (January 28, 2005)

Hope for cold season, Alberta company claims (October 7, 2004)

Costs of common cold nothing to sneeze at (February 24, 2003)

Echinacea won't soothe your cold: report (December 19, 2002)

Common food ingredient fights colds: study (October 3, 2001)

Mom was right – chicken soup helps fight colds (October 17, 2000)

Sneezing for science (August 29, 2000)

EXTERNAL LINKS:

CBC does not endorse and is not responsible for the content of external sites. Links will open in new window.

The Beers Criteria -
list of medications compiled by medical researchers that they warn are “highly inappropriate” for seniors to take. That list includes diphenhydramine and chlorpheniramine

Health Canada FluWatch reports - biweekly summary of influenza surveillance activities in Canada

Health Canada: Influenza/Flu


Health Canada: Adverse Drug Reaction Information

The Common Cold - information from the Canadian Lung Association

Common Cold Sense - fact sheet from Ontario's Ministry of Health and Long-Term Care

Seniors and Medication - information from the Canada Safety Council

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