Las Vegas Review-Journal

Blood pressure meds potent day and night

- DR. ROIZEN Email questions for Mike Roizen to youdocsdai­ly@ sharecare.com.

A Gallup Poll once found that 58 percent of adults ages 35 to 54 and 59 percent of those ages 55 and older say they’re morning people. Only 24 percent and 20 percent, respective­ly, of folks in those age groups claim they’re best in the evening or late at night.

Seems pretty clear: Mornings are the majority’s best option for feeling good. But, when it comes to taking blood pressure medicines, it turns out it (mostly) doesn’t matter if you take them early or late in the day.

Results from the TIME trial, presented at the European Society of Cardiology Congress, showed that there was no difference in the incidence of heart attack or stroke among the more than 21,000 people taking antihypert­ensives who were studied over a period of five years. Of note: One subgroup, those with diabetes (13 percent of the participan­ts), also saw no significan­t difference in benefits from morning or evening dosing of their medication.

In addition, researcher­s say that certain groups of folks — those with sleep apnea or high blood pressure that’s resistant to control — may do better taking their blood pressure meds at night.

Chemo brain solutions

Around 75 percent to 80 percent of cancer patients experience chemo brain — confusion, memory lapses and trouble with words and focus. And, although for many folks the fogginess clears nine to 12 months after treatment, it persists for 10 percent to 20 percent of patients.

Well, finally there’s good news for anyone contending with those life-dimming side effects. Research published in the Journal of Clinical Investigat­ion has uncovered the molecular changes that chemo causes. It turns out that it alters an important cellular pathway in the brain that’s linked to cognitive function.

They also found that there are already two drugs approved for treating multiple sclerosis that can halt those cognition-damaging biochemica­l changes — they’re called S1pr1-antagonist­s.

One MS drug, Gilenya, is also being studied to see if it can prevent neuropathi­c pain in patients with breast cancer who were treated with Paclitaxel.

If you have gone through chemo, are going through it now or are scheduled to, talk to your oncologist about the status of these studies. Ask if the drugs have been used safely off-label in patients (it may be too early to know that) and keep track of how the research progresses.

ACROSS

1 Dress bottom 4 Kentucky fort 8 “Most

Wanted” org. 11 Yale grad 12 British peer 13 Storm

15 UPS units 16 Notch shapes 17 Reed

instrument 18 Labelle or

Lupone 20 Missouri

range

21 Ms. Merkel 23 Notre Dame

sight

24 Halt 27 Volcano’s

shape

29 IBM “brain” 32 Karachi

language 33 Rotating

part

34 That girl 35 “The — of

Aquarius” 36 Ms. Hagen

of films 37 Sorrows 38 Team cheer 39 Type of mgr. 40 Auel heroine 41 Fannie — 42 Joule

fraction 44 Arrive at 47 Port near

Kyoto 51 Sevareid of

the news 52 Whacked

weeds 55 Little Engine

verb 56 Extinct bird 57 Wellqualif­ied 58 Change hair

color 59 Respond 60 Hawaiian

port 61 Intimidate

DOWN

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neighbor 3 Fine spray 4 Kline or

Costner 5 Kilt-wearer’s

no

6 Pyrite 7 Sweater sizes 8 Iced 9 Rum cake 10 Mr. Sikorsky 14 Reaction to

a mouse 19 Ballerina’s

attire 20 Fiesta shout 22 Incriminat­e 23 Prisoner 24 Wharf 25 Press

26 “I had no

—!” 28 Mare’s

morsels 29 Bok — 30 Orange skin 31 Bear in the

sky 37 Shakes a

finger 39 Pleased sigh 41 “Star Trek”

physician 43 Calf-roping

event 44 Flaming 45 Love god 46 Verdi

heroine 48 “Back in

Black” group 49 Boxing win 50 From the

top 52 Disdainful

snort 53 Ginza

purchase 54 Pipe bend

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