Medication-Induced Falls a Leading Cause of Death for Older Americans, Experts Warn
A recent article published in JAMA health Forum (August 1, 2025) reveals older Americans are at significant risk of fatal falls linked to their medications. The study highlights that falls now claim more lives annually than breast cancer, prostate cancer, or motor vehicle accidents.
The warning comes after one reader shared a harrowing experience with spironolactone, a blood pressure medication. after being prescribed the drug to lower blood pressure from 140/80, the individual experienced two falls – one resulting in fractured vertebrae and a subsequent loss of four inches in height, and another causing knee lacerations requiring a three-week rehabilitation stay. The cardiologist, according to the reader, did not disclose the potential for spironolactone to cause fainting or falls.
While controlling high blood pressure is crucial,overtreatment leading to dizziness or blackouts can be life-threatening,experts say.Beyond spironolactone, other medications identified as increasing fall risk for seniors include anti-anxiety drugs (benzodiazepines), antidepressants, and certain pain relievers like opioids and gabapentinoids (gabapentin and pregabalin).
Individuals experiencing dizziness or unsteadiness are urged to consult their primary care provider for a medication review and potential “deprescribing” of non-essential drugs.
Resources for learning more about blood pressure management are available through the ”eGuide to Blood Pressure Solutions” at www.PeoplesPharmacy.com.
