


Tamiflu cuts downtime; probiotics show promise

A: Oseltamivir (Tamiflu) can shorten a bout of the flu by up to a day and a half. That may not sound like much, but it makes a difference when you feel as terrible as you did.
A recent review from Germany concluded, “The benefits of antiviral drugs outweigh their risks” (Deutsches Arzteblatt International, Nov. 25, 2016).
The most common side effects of Tamiflu include digestive-tract upset and headache. Some people report psychological side effects. A rash requires immediate medical attention.
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A: The importance of the bacteria living in the digestive tract has become increasingly clear in recent years. A diverse collection of bacteria is usually associated with good overall health.
Recent research has shown that people who consumed a specific probiotic yogurt every day changed their bacterial balance and reduced their problems with indigestion (BMJ Open Gastroenterology online, Sept. 16, 2016).
The field of probiotic therapy is still developing. We look forward to a time when doctors will be able to specify which probiotic strains will be most helpful for a particular digestive problem.
A: Ibuprofen and other nonsteroidal anti-inflammatory drugs can in fact raise blood pressure (BMC Cardiovascular Disorders, Oct. 24, 2012).
Doctors generally figure that if your blood pressure goes up on one of these drugs, you should take prescribed anti-hypertensive medicine. But if your knee is starting to heal, you might want to consider a different way of managing your discomfort.
Talk with your doctor about whether a topical NSAID such as Voltaren Gel might be one approach. Or perhaps you would benefit from an anti-inflammatory herbal medicine such as boswellia or curcumin, or a home remedy like tart cherry juice.