The 7 Medications A Doctor Says You Should Always Avoid While Flying

According to Skift Research’s Global Travel Outlook report, travel companies are anticipating a 24% rise in the number of trips people are planning for the year ahead compared to 2024.

For many of us, this will mean jetting off on flights abroad and, according to pain management doctor Dr. Sean Ormond from Atlas Pain Specialists who is working in collaboration with Total Travel Protection, we could ruin our holidays before they’ve started by taking certain medications on our flights.

Dr. Ormond shares: “As a pain management doctor, I always emphasise the importance of being mindful of medications, especially while flying.

“Air travel can impact how drugs work in your body, and some meds can cause serious issues at high altitudes.”

7 medications you should never take on a flight

Opioid painkillers

Opioids, such as codeine, can make you drowsy, Dr Ormond urges, “but in the air, their effects can be so much stronger.”

He warns that they can slow down your breathing (already not ideal in a low-oxygen environment) as well as making you feel dizzy, nauseated or even confused.

He advises: “If you need pain relief, consider non-opioid options like ibuprofen or acetaminophen instead.”

Sleeping pills

Trying to knock yourself out for a long-haul flight? Be careful, says Dr Ormond.

Sleeping pills can leave you overly groggy, disoriented, or even sleepwalking in the aisle (yes, it happens!). And if there’s an emergency, you don’t want to be too out of it to react.”

Instead, he recommends that a good eye mask, neck pillow, and noise-canceling headphones are much safer bets.

Anti-anxiety meds

If you’re a nervous flyer, these may seem like the ideal solution but Dr Ormond warns that they can hit harder at altitude, saying: “You might feel extra sluggish, have trouble breathing, or even pass out mid-flight.

“If flying makes you anxious, try deep breathing, distraction techniques, or even natural remedies like melatonin.”

Diuretics

These meds help with swelling and blood pressure, but they also make you pee- a lot.

“Planes are already dehydrating, so diuretics can leave you dizzy, weak, and lightheaded. If you have to take them, drink extra water (and maybe choose an aisle seat!).”

Drowsy Antihistamines

Old-school allergy meds can knock you out, but not in a good way. They can make you groggy, slow your reaction time, and increase the risk of blood clots since you’re sitting still for so long.

Dr Ormond advises: “If allergies or motion sickness are a problem, go for non-drowsy options like Claritin or Allegra.”

Strong Muscle Relaxers

Muscle relaxers can make you feel wobbly and weak, which isn’t great when you’re in a cramped airplane seat. They can also make it harder to wake up and move around, increasing the risk of blood clots.

Instead, he says, if you have muscle pain, try gentle stretching and those air-activated heat patches instead.

Blood Thinners – Use with care

If you’re on blood thinners, be extra mindful on long flights.

“Sitting for hours raises the risk of blood clots, and if you bump yourself, even a minor injury could cause excessive bleeding. Get up and move every hour, wear compression socks, and talk to your doctor about precautions.”

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Two-Thirds Of People With Dementia Are Women. Experts Now Think They Might Know Why

Alzheimer’s Research UK says that “Of all people with dementia in the UK, two in three (65%) are women.”

In fact, they write, women over 60 are twice as likely to develop dementia – the leading cause of death in the UK – than they are to get breast cancer.

It can be hard to get clear answers as to why that is. Part of it is likely to be that women simply live longer than men on average – old age is the greatest risk factor for dementia.

But in a recent episode of his podcast Dr Karan Explores, surgeon Dr Karan Rajan spoke to doctors Dean and Ayesha Sherzai, neurologists and codirectors of the Brain Health and Alzheimer’s Prevention Programme at Loma Linda University Medical Centre, who shared that there may be other factors at play too.

Why might women have higher instances of dementia?

“We know that lipid metabolism and how women’s bodies respond to vascular risk factors, whether it’s an abnormal cholesterol panel or abnormal blood pressure, is different” than men’s, Dr Ayesha Sherzai said.

Cleveland Clinic says that women “face unique risks, largely due to differences in anatomy and hormones,” such as narrower blood vessels and fewer red blood cells, when it comes to heart issues.

Heart health and dementia risk have long been linked.

“We also know that in the perimenopausal period, the woman’s body goes through a lot of physiological and neurological changes, because oestrogen is a very important factor in memory creation and in brain health,” the doctor added.

The jury is still out on whether or not oestrogen has protective factors for the brain, though some research done on rats showed that the hormone increased the connections in the memory part of their brain.

The combination of increased effects of vascular issues and the decline in oestrogen as women age “may increase the risk factors” of dementia for women, the expert says.

Any other reasons for the gender gap?

Harvard Health says that aside from the age difference, women are way more likely to develop Alzheimer’s than men. But they are not more likely to develop other kinds of dementia when you adjust for age.

Part of the reason for that may be that women are far more likely to experience autoimmune disorders than men.

That might be because women’s immune system is stronger, which may have the effect of creating more amyloid plaques in the body. These plaques have been linked to dementia.

The university’s site recommends taking aerobic exercise, like swimming, jogging, or dancing up for 30 minutes a day, at least five days a week, sleeping well, socialising, and eating well to mitigate the potential risks.

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I’m A Longevity Expert – This 30-Second Test May Reveal Your Risk Of Early Death

In a recent episode of the ZOE podcast, Bryan Johnson – a man famous for trying pretty much every supposed longevity booster going – spoke with the gut health company’s co-founder Dr Tim Spector and CEO Jonathan Wolf.

Bryan said that his progress was being measured with a “few different modalities,” adding that it’s possible to “measure the biological age of the heart anatomically.”

Though many of the methods the controversial millionaire uses to track, preserve, and even try to reverse his body’s age are experimental, researchers have found that one of the metrics he uses – resting heart rate – really can be linked to mortality.

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How does resting heart rate affect longevity?

Harvard’s site says that measuring your resting heart rate, or the number of times your heart beats in a set period while you’re relaxed, is “one of the easiest, and maybe most effective” health markers we have.

Dr Jason Wasfy, director of quality and analytics at Massachusetts General Hospital Heart Center, said: “A lower resting heart rate can mean a higher degree of physical fitness, which is associated with reduced rates of cardiac events like heart attacks”.

Meanwhile, a higher resting heart rate could belie an increased risk of cardiac risk “as the more beats your heart has to take eventually takes a toll on its overall function”.

A 2013 study found that men who had a resting heart rate between 81 and 90 had double the risk of premature death than those with a lower heart rate (50 bpm), while those with a resting heart rate above 90 had triple the risk.

With every 10 added beats per minute, they found, the likelihood of premature death upped by 16%.

What’s an ideal resting heart rate?

The British Heart Foundation says an ideal resting heart rate is between 60-100 BPM (beats per minute).

Sometimes, very fit people have a lower heart rate than 60 BPM. A lower resting heart rate warrants a GP visit if it’s accompanied by symptoms like dizziness, fainting, and fatigue.

Your heart rate can dip as low as 40 BPM when you sleep without any cause for cencern.

A heart rate over 100 BPM is too fast for most of us. See a doctor if you notice palpitations, dizziness, fatigue, or fainting.

How can I measure my resting heart rate?

It takes about 30 seconds to measure your resting heart rate. You just need to make sure you’re really, well, rested when you check it; soon after waking up is a great time to check your resting heart rate.

Put your index and middle fingers on your wrist or neck – anywhere you can feel a pulse.

Don’t use your thumb, because that has its own pulse.

Measure the beats across 30 seconds and then double it to get your beats per minute (BPM).

You should repeat it a few times to make sure your reading is accurate, making sure it’s not within an hour of either drinking caffeine or taking exercise (those elevate your heart rate).

For the most accurate stats, take your resting heart rate multiple times across that week at different times of day.

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